Innovative,

protective,
preventive
Community
Healthcare

Thirumalai Charity Trust

Thirumalai Nagar, Vanapadi Road, Ranipet - 632404.
Vellore District, Tamil Nadu. Phone: +91 - 4172 - 245195, 247950
admin@tmhospital.org www.thirumalaicharitytrust.org
www.thirumalaimissionhospital.org
Annual Report
2018-2019
Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
Introduction
Thirumalai Charity Trust (TCT), created in 1970, has an impeccable record of services
to the community in health, education and empowering women in the Vellore District
of Tamilnadu.
In 2010, TCT established the Thirumalai Mission Hospital (TMH) in Ranipet, on a 5-acre
plot. The building has impressive facilities with a functioning area of nearly 25000
sq.ft on four floors. TMH serves as a not-for-profit community hospital that provides
accessible and affordable healthcare to Ranipet and the surrounding villages where
TCT is active.
TCT has been engaged in annual community based de-addiction programmes since
1992. To continue this service and make its functioning permanent, The N.R. Swamy
Centenary Rehab Centre was set up in 2014 in the hospital.
The central thrust of the hospital is to provide excellent and affordable healthcare in
General Medicine, Emergency, Intensive Medical Care, General Surgery, Obstetrics
&Gynaecology, Paediatrics, Orthopaedics, E.N.T. and Dentistry. The hospital has very
Bhooma Parthasarathy
Trustee
good laboratory, radiology & physiotherapy facilities. We are constantly expanding
the hospital and its services to serve many more.
We continue our efforts to build a good healthcare model integrating primary and
secondary healthcare. As our medical experts design and implement meaningful
programmes to prevent, manage and control non-communicable diseases, our field
staff provide community based services to make them effective. In our community
health services, we reach out to 160,000 people in 35,000 families in 315 villages of
50 Panchayats in Vellore District of Tamil Nadu.
• We have seen an increase in out-patient and in-patient numbers
• We are adding new components to our camps based on our experience for better
results.
• We are expanding our Emergency Block which will be competed soon
• We have started a dialysis facility with two units
• We have initiated new health prevention programmes in the community targeting
adolescents and youth
• Our efforts for quality have been endorsed now with NABH entry level
pre-accreditation.
TCT functions holistically, the whole being larger than the sum of its parts. The
segments presented here in this report are more for clarity of the programmes, and
are not reflective of the organisation in its entirety.
We look forward to receiving your feedback on our report. We would love to have you
visit us to see our hospital and meet our beneficiaries.
For Thirumalai Charity Trust
Bhooma Parthasarathy
Trustee
1
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Our Founders Patrons

Mr. N. R. Swamy

Mr. C. Antony Samy Mr. D. K. Srinivasan

Advisor Secretary
Worth Trust, Hindu Mission Hospital
Vellore Dt., Tamil Nadu Chennai, Tamil Nadu

Mr. N. S. Iyengar

Mrs. Shanthi Ranganathan Mr. K. Thirumalai

Secretary
TTK Hospital
Chennai, Tamil Nadu

2 3
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Trustees Project Area Map

Vellore District in Revenue Division in Map of the Project Area

Tamil Nadu Vellore District
Standing L-R : Katpadi Taluk
Ms. Vidya Sampath, Dean and Director, The Akshaya Vidya Trust
Mr. R. Santhanam IAS (Retd.) Walaja Taluk
Dr. Seshadri, Medical Director, Thirumalai Mission Hospital
Sholinghur Block
Mr. T. T. Srinath, Consultant, HR & Organizational Behaviour
Ms. Tara Parthasarathy, Jt. Managing Director, Ultramarine & Pigments Ltd. Katpadi Block
Walaja Block
Sitting L–R: Gudiyattam Block
Blocks in Taluks in
Mr. R. Sampath, Chairman, Ultramarine & Pigments Ltd. Vellore District Vellore District
Arcot Block
Dr. Bhooma Parthasarathy, Director, Thirumalai Charity Trust
Mr. R. Parthasarathy, Chairman & MD, Thirumalai Chemicals Ltd. Project Area
Dr. Arjun Rajagopalan, Trustee & Advisor, Sundaram Medical Foundation
Dr. D. K. Sriram, Medical Director, Hindu Mission Hospital

Inset picture
Mr. S. Santhanam, Former Director, Ultramarine Pigments Ltd.

4 5
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Thirumalai Mission Hospital Thirumalai Mission Hospital (TMH)

Location Map

TMH has been expanding each year Inauguration of Diabetes Centre

both in its building size and in its
services, since the time it was founded
in 2010. The senior consultants
encourage the younger consultants to
practice evidence-based care and focus
on quality.
The first floor of the Emergency Block,
which houses the general medicine,
diabetes centre and dental unit was
inaugurated this year and is fully
functional. The next two floors will soon
be completed.
The newly constructed first floor of the
Emergency Blockis named the “SDF
Block”, a dedication to the donors Same
Deutz Fahr Ltd. The diabetes centre
located on the first floor with
consultation, counselling, education and
waiting areas was inaugurated
simultaneously, in the presence of
participating dignitaries of Same Deutz
Fahr from Italy, including Mr. Vittorio
Carozza, Mr. Aldo Carozza, Mr. Lodovico
Bussolati, Mr. Marcello Personeni.

6 7
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
Our efforts in maintaining quality
standards have got us the NABH
accreditation.
Hospital Performance 2018 – 2019
1 Out Patient
2 In patient
3 Health check-up
4 Surgery
L – R: Mr. Ranjan Daniel, Mr. L. V. Surendhran, 5 Septic OT Procedure
Mr. Alberto Bellini, Mr. Filippo Simonetti,
Mr. Marcello Personeni, Mr. Lodovico Bussolati, 6 Student health check-up
Mr. Aldo Carozza,
Mr. R. Parthasarathy, Mr. Vittorio Carozza, 7 Dexa Scan
Dr. Bhooma Parthasarathy
8 Emergency & Intensive Care
9 Physiotherapy
10 Ultrasound
11 De-addiction
12 Audiogram
13 Endoscopy
Dialysis Centre
The dialysis centre with two machines
Dr. Samuel giving details of
donated by Ultramarine & Pigments Ltd
the diabetes centre
was inaugurated by its Chairman
Mr. R. Sampath.
We started a dialysis centre with two
units in November. The centre is well
equipped with the needed support
equipment and staff structure. Seven
8 9
patients have received care at the centre
in 255 sessions and are continuing their
treatment. This service is expected to
expand as the demand increases.
28065
920
2251
100
444
3047
1302
Starting on dialysis
616 A person known to have diabetes and
hypertension (unfortunately, both
3953
uncontrolled) had gone to a tertiary
491 centre with conditions suggesting
kidney failure, where a nephrologist had
94 suggested conservative treatment for
114 three to five months.
While still on that course of treatment,
28 he was brought to our Emergency
Room with swelling of the whole body,
breathlessness and poor urine output. A
diagnosis of acute-on-chronic kidney
disease was confirmed with appropriate
laboratory tests. He was started on
Haemodialysis at the newly-set-up Unit
in hospital and his symptoms
disappeared. He is now on regular
dialysis treatment as prescribed.
The Haemodialysis Facility here at
TMH is a boon to many, in and around
Ranipet.
Thyroid deficiency in an infant
A new born baby, the second daughter
of consanguineous parents, had been
delivered normally in a tertiary care
setting and was brought to our
paediatrician for a check-up. She had
cried immediately after birth and had
been started on direct breast feeding
within 30 minutes of delivery.
Everything seemed normal. However,
our paediatrician checked the baby and
felt necessary to order some tests and
identified a thyroid gland related
malfunction - the Thyroid Stimulating
Hormone level was high! The baby was
started on appropriate medications,
mixed with breast milk. She now comes
for regular follow up consultations and is
progressing well with normal weight and
development. She is a blessed child,
since her over- active Thyroid
Stimulation would have led to mental
retardation as she grew up. Timely
detection and closely monitored
treatment have prevented it, and have
given her a better quality of life.
Children’s Day
Twenty children and their parents
participated in a Children’s Day
celebration at the hospital. While the
nurses enacted a skit giving health tips
to mothers for child care, our medical
Director Dr. Seshadri highlighted the
importance of inculcating healthy habits
and discipline in children.
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Millet based recipe booklet in English

Dr. Lavanya Jacob Dr. S. Niranjani

Our Tamil language millet-based recipe Occupational Health and former

book was translated into English, and Executive Director, Neyveli Lignite
was released by Dr. Jayaraj, consultant, Corporation Hospital.

Dr. Achamma Balraj Dr. R. Suganya Dr. J. Ponnilavan

Standing L – R: Dr. S. Hemavathy, Dr. S. Narendra Babu, Dr. G. Manigandan, Dr. L. Santhanagopal,
Dr. K. Baskar
Sitting L – R: Dr. W.S. Ramesh Babu, Dr. Lakshmi Seshadri, Dr. Bhooma Parthasarathy, Dr. M.S. Seshadri,
Dr. G. Samuel Solomon, Dr. A. Kabilan Dr. S. Premkumar

10 11
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Hospital camps for the community S. No Camp Number of patients Treated & on follow-up
All the departments of the hospital have
1 Orthopaedics 456 91
been offering onsite camps for the
community served by TCT since 2014. 2 Surgery 289 68
Paediatric and dental camps are also
3 ENT 319 103
conducted offsite in the villages.
Patients of the camps are offered 4 Gynaecology 362 178
subsidised packages for hospitalisation.
5 Paediatrics 1414 214
With the help of Hindu Mission Hospital
(HMH), Tambaram, monthly eye camps 6 Dental – villages 1368 73
and periodic cardiac camps are
7 Dental – Schools 272 40
organized. Patients requiring follow-up
are referred to HMH where they undergo 8 Endoscopy 292 76
further tests, cataract and other eye
9 Eye 1797
Dr. Samuel Solomon with a patient
Surgery 273

Spectacles 321

10 Cardiology 316

Angiogram 49

Open heart surgery 5

11 Camps to detect diabetes

and hypertension in towns
around Ranipet 1968

dexa scan. Osteoporosis was detected, quit smoking, which he subsequently

Patients in waiting area
surgeries, angiogram and cardiac
surgeries. We are also conducting eye
camps in the villages with Aravind Eye
Hospital, Chennai. Review for the
patients going to these two hospitals for
treatment is done in subsequent camps
locally.
Dr. Santhanagopal examining a patient
At TMH, 70-year old ‘B’ had a Master
Health Check-up which showed that he
had diabetes and high cholesterol. He
started on treatment. Later he
developed piles, he underwent surgery
after attending a surgery camp. As a
senior citizen, he was eligible for a free
for which he is on continuous treatment.
The treatment at TMH for his multiple
problems has improved his health.
‘C’ was referred to the endoscopy camp
as he had abdominal discomfort. He
was also suffering from breathing
difficulties. The doctor after assessing
him with an X-ray and dexa scan
advised him that his smoking was the
primary problem that caused both the
breathing difficulty and abdominal
discomfort. The doctor asked him to
did. He is now free of his problems.
Worry and anxiety about her frequent
chest pain prompted 60-year old ‘S’ to
attend the cardiac camp at TMHwhere
she was referred to HMH for an
angiogram. An open heart surgery
followed her angiogram. The caring and
compassionate care for fifteen days at
the hospital after surgery made her
recover and she is on regular follow-up
review at TMH when the cardiac camps
take place.

12 13
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
Community Health Services
The Community Health Services act as a
bridge between the hospital and the
community. TCT has the unique strength
to develop programmes based on the
needs of the local community and
match them with the services at the
hospital and elsewhere. TCT enjoys the
confidence of the people and banks on
the credibility it has built up in its
service activities, and the good will of
the external agencies both in the
government, private and NGO circles.
The main strategies involved in
community work are the involvement of
the community in all its activities.
Selection and training of Family Care
Volunteers (FCVs) and promotion and
Patient monitoring in the community
14
development of Community Based
Organizations (CBOs) provide the key to
the involvement of communities.
We have at present 447 Family Care
Volunteers and 134 Community Based
Organizations with 1560 members. The
CBOs conduct monthly meetings in the
villages to discuss local health and
development issues, and receive
information on TCT activities. The
members share the information they
receive to others in the community and
catalyse assistance to those in need.
The Family Care Volunteers attend
monthly training at the cluster level.
They work with families assigned to
them, and identify and mobilise
beneficiaries who can benefit from the
hospital services. Some of them are
Health education for different target
groups is a monthly activity in all the
exemplars and are a good source of villages. These group education
strength to their villages as well as TCT. activities offer opportunities for
They provide the motivation for our field identifying people with health problems
staff and enable them to carry out all who are referred to the hospital.
their activities in the field.
A few field staff in discussion Community Based Organizations (CBOs)
Regular programmes in the field
included the following besides the
activities listed under the next section
Kavasam.
Ante-natal mothers were visited in their
homes and checked up. They were
monitored for haemoglobin, BP and
weight. The multi-purpose assistants
ascertain and record information on
immunisation of mothers and children,
place of delivery, birth details and
sterilization details. There were 781
mothers and 404 babies who received
our attention.
2159 children under 2 years of age were
monitored for growth and development. FCV training
15
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Health education details Kavasam

School Students Recognizing that Non-Communicable community-based prevention and
Personal hygiene, Diseases (NCDs) have replaced management of NCDs. The objectives of
Community Based Environmental health issues, Women infections as the major cause for the project are to
Organizations Nutrition, Worm infestation, Maternity and Child morbidity and mortality, we have been
Diarrhoea, Eye care, Dental care, • Inculcate good habits for healthy living
Nutrition & exercise, Health, Nutrition, focusing on NCDs since 2012. The
Disabilities, ENT care, Scabies, in the young through prevention efforts
NCDs, HIV/AIDS, Violene against contributing factors are related to
Disability & Mental Head lice women, NCDs, obesity, alcoholism and tobacco abuse. • Screen eligible population at risk for
illness, TB, HIV/AIDS, Disabilities Working on a closed loop model of NCDs
Reproductive Health School Education: & Mental illness, TB, integrated primary and secondary
Care, Violence 92 Programmes; 160 Schools; Foot care • Provide care to those willing in a
healthcare, we offer screening and care
27413 persons benefited cost-effective way
programmes for NCDs such as diabetes,
Community Based
hypertension, cancer screening, • Help them achieve good control and
Organizations : Women Education : osteoporosis and alcoholism. minimize morbidity and mortality, loss
1582 Programmes; 3149 promgarmmes;
Kavasam means shield. By offering of productivity, income
13407 persons benefited 32338 persons benefited
prevention, early identification, This project was piloted in 50 villages
treatment and follow up, the project initially and now is extended to all the
would be the shield (Kavasam) to villages covered by TCT. As has been the
protect the community from practice, medical experts draw up the
Non-Communicable Diseases (NCDs) criteria for screening and patients are
and their complications. This project referred to the hospital for screening,
Health
Education inaugurated in April 2017 has brought detection and treatment. Patients in
into its fold all the integrated whom these diseases are detected, and
programmes of the primary and those who have undergone treatment,
Family Care Volunteers: Senior Citizens : secondary healthcare for are monitored through home visits.
84 Progammes; 538 programmes; non-communicable diseases such as
As prevention education programmes
2313 persons benefited 5571 persons benefited cancer screening in women,
for the adolescents received attention,
osteoporosis, oral cancer screening,
the screening and care programmes
diabetes, hypertension and obesity. The
were also strengthened based on our
new prevention education programmes
earlier experience.
Family Care Volunteers Senior Citizens in the community are also incorporated
Nutrition , Disability & Mental Eye care, Cataract screening, in this project, as are the research The project also offered scope for new
illness , NCDs, HIV/AIDS, Geriatric health issues, initiatives in NCDS. initiatives for the community.
Reproductive Health, TB care Nutrition, Exercises, NCDs, Prompted by a survey which confirmed
& control, Violence Foot care that more than 30% of the rural families
are affected by NCDs, and the Prevention
overwhelming need to have primary and School students from class VIII to XI
NCDs secondary prevention methods, we were targeted for 8 intensive activity
Diabetes, Hypertension, Anaemia, Osteoporosis, developed this project in 2017 to filled sessions to focus on appropriate
Women & Cancer, Obesity, Tobacco & Alcoholism
strengthen our efforts at nutrition and developing healthy habits.

16 17
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
Adolescent health education
In a total of 149 sessions in 22 schools,
3538 students participated.
Similarly, in 25 schools, students were
educated through six activities and
demos on alcoholism and drug abuse. In
149 of these sessions, students were
provided tools to develop goals,
withstand peer pressure and say ‘NO’ to
alcohol and drugs. These programmes
were welcomed by teachers and
students. This sensitization also enabled
them to identify people in their families
and neighbourhoods who would need
help to kick the habit.
We have started to engage with existing
youth groups and bring them together
for monthly meetings to educate them
on harmful effects of alcohol and
tobacco. There are three groups
with 30 members and they meet on a
monthly basis.
Mrs. Geetha Mohan facilitated two
training programmes for adolescent
18
drop outs to motivate them to engage
in awareness programmes. As a result,
ten school drop outs in the area
participated in training for a traditional
folk dance, parai. After the training, they
are using the art from to disseminate
messages on the harmful effects of
alcohol and tobacco in the villages.
Training for youth
We also identified 28 interested
adolescents, both boys and girls, and
trained them in a two-day camp to act
as peer educators. The plan is to prevent
new entrants to drinking and smoking,
as also educate the users to reduce
and quit.
Education on alcoholism and tobacco
were integrated into all activities in the
community. Youth, adolescents, family
care volunteers, community based
organizations, balwadi teachers and the
other groups were all reached in our
education programmes. In over 47
meetings, 600 people participated and
61 new alcoholics were identified and
referred; 15 of them got treated at our
rehab centre.
We have brought out songs and films to
create awareness that are widely in use.
Mass contact programmes such as skits,
film shows, video shows and awareness
songs on alcoholism and tobacco were
organized. Educational handouts and
exhibits were also used. Treated
alcoholics came forward to share their
experience in these village programmes.
Three big rallies were conducted to
create awareness on alcoholism and
tobacco use. Seventeen alcoholics were
identified and referred for treatment;
five of them underwent treatment.
Rally with school students
Using multiple forums and methods,
awareness on alcoholism and tobacco
use is generated. However, it is at the
individual and family level that
counselling is given. We hope our efforts
would prevent new entrants into these
habits and in the long term would
contribute to the improvement of the
health and economy of the villages.
Screening and Care for NCDs
for the community
To identify people requiring healthcare,
we organize check-ups and screening,
and monitoring in the community.
Screening for obesity, diabetes and
hypertension is done for willing people
over 30 years of age. There are also
known patients as well as newly
identified patients with NCDs who are
monitored in the field for appropriate
education to control their conditions.
While only a few of them are enrolled in
our care programmes at the hospital, we
attempt to cover all willing patients with
NCDS in our community activities.
Screening First time Newly Monitoring
screening Detected for patients
in the
community
Diabetes 8423 250 2558
Hypertension 5328 32 2454
Obesity 7848 630
Camps for Diabetes and
Hypertension
These camps have been conducted in
the hospital since 2013. Based on
experience, we have developed this as
an integrated service with home visits
for follow up and monitoring after the
patients visit the camps. Patients
contribute towards the costs of care and
agree to adhere to continuous care. We
have reached 820 patients so far and
584 patients are in our continuous care
programme now. The programme covers
a battery of tests to screen for
secondary complications besides
glucose and blood pressure
monitoringhalf yearly/annually. Patients
receive education on diet, foot care,
exercise and need for compliance with
19
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
medicines. They are encouraged to
access medicines from the Government
health centres. The field monitoring data
of their sugar and BP levels are shared
periodically with the medical team and
those needing medical dose adjustments
are reached through the field staff. This
saves considerable time and money for
the patients and is much appreciated.
Those whose conditions are alarming are
brought to the hospital for medical
consultation and supervision. A few of
them have also gone through in-patient
care for a few days.
Testing at the laboratory
The patients who have consistently
shown poor control of their diabetes
received another intervention. Ninety-six
out of 115 patients who could benefit
from this attended special camps
wherein HBA1C tests (three-monthly
average levels of their sugar) were
conducted to assess the severity. Of the
patients assessed in these camps, 24 of
them needed insulin. Following intensive
20
education and advice of the hospital
team, 13 of them were started on insulin
treatment and another 13 of them who
were already on insulin were given dose
adjustments for control.
Diabetes camp
Further, we found that 22 of them were
addicted to alcohol which was the main
reason for their poor control of diabetes.
Our persuasive education and
counseling resulted in 15 of them getting
treated in our rehab centre.
These proactive measures have been
beneficial for the patients and their
families.
Two years ago, 53-year old ‘T’ was
detected with diabetes in the village
level screening. She enrolled in the
packaged scheme for diabetes control.
The detailed investigations for sugar
and complications combined with diet
advice and education sessions at the
camp helped her to adhere to advice
given. Home-based monitoring by our
multi-purpose assistant, six-monthly
review visits to TMH and customized
care by the team based on the feedback
to the medical consultant have helped
to keep her sugar under control. She has
now renewed her package for the
second year as a satisfied patient.
Though ‘V’ has been a regular patient
for over three years in the diabetes
camps, her sugar was not under control.
She was then referred to the special
camp for patients with poor control.
After assessing her again with HBA1C
and reviewing her HBA1C levels for the
previous years, the medical consultant
advised her to go for daily insulin
injection to bring her sugar under
control. She was apprehensive and
rejected the suggestion. However, after
some persuasive counselling by the
team she started to have daily injection
of insulin. The nurses trained her in
administration of insulin. She is getting
her nephew to administer it every day.
Her sugar level is under control now. She
has regained her lost weight after she
started on insulin and feels much
healthier and appears brighter.
Cancer screening in Women
This has been a continuing programme
for the community since 2012 and we
have so far covered 85% of the eligible
women for screening. We have
screened 776 women this year. We have
reached 8166 women so far. Out of
these, 252 women needed colposcopy
to detect possible pre-cancerous lesions
and were referred to the hospital. Of
them, 195 (79%) have had their
colposcopy done.
Nine of the screened women had cancer
of cervix and 2 had breast cancer. They
were all referred and treated at the
referred centre.
Community based interventions for
Obesity
Three hundred women with BMI of 27 &
above were selected for care in the
community. They were educated on diet
and exercise and monitored with
monthly weighing. Weight charts are left
with individuals, and they map them. We
have seen improvement with reduction
in weight in 52% of the women, 27% are
at the same level while for 20% this has
not helped at all and have actually
deteriorated.
In another programme, 400 families
with more than one obese person were
identified in screening programmes. The
families were visited and provided
education on diet and health risks
Field staff weighing an obese woman
21
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
associated with obesity. They were
encouraged by supply of seeds to put
up kitchen gardens. These families have
to be tracked for effectiveness of
education over a period of time.
Intervention at the Hospital for
Obesity
We have seen that 52% of women who
participate in these screening camps are
overweight or obese. We have now
started a new intervention for a few
obese women from these camps. We
have seen 161 women of whom 40(25%)
are with high HBA1C values. They have
been started on diabetes treatment.
Dr. Lakshmi with a patient from the community
Osteoporosis
This is a unique programme at our
hospital, being continued from 2012
onwards. Senior citizens are offered a
free dexa scan; those requiring
treatment are given supplements of
calcium and vitamin D at subsidised
rates. Their medicine stock is
replenished at home by field staff and
their progress is monitored.
22
Dexa scan in progress
Those on regular treatment are reviewed
with another dexa scan. If they need
additional intervention with
bisphosphonates, that is also provided
at subsidised rates.
With the new equipment installed, we
were able to scan 1100 for the first time
and 110 were reviewed. Of the 5970
screened so far, 2882(48%) require
treatment and are on monitoring. Falls
and fractures of all requiring treatment
are studied under three categories of
those under regular treatment, irregular
treatment and those who are not on any
treatment.
The data reveals that there are lesser
fractures (3 persons, i.e. 0.3%) among
those on regular treatment than those
on irregular treatment (12 persons, i.e.
0.26%) and on no treatment ( 9 persons,
i.e. 0.50%).
With regular follow-up and persuasive
education at home, there has been an
increase in number of people opting for
treatment from the ‘No treatment’
category.
For more than four years, ‘A’ has been
on follow-up. She initially underwent a
dexa scan and osteoporosis was
confirmed. While still on supplements
with calcium and vitamin D, as required,
after a year she had her review with
another dexa scan. As her bone density
had not improved, she was given
bisphosphonates injection. She has now
completed three annual doses of this
injection and is much better. She is
continuing her calcium and vitamin D
supplements.
Oral Cancer Screening
This project initiated in May 2017 has
moved into another cluster of villages.
Intended mainly as a research project to
assess the incidence of oral cancer
among users, the project also
encompasses education and offers
counselling for tobacco users. In 49
weekly screening camps, 793 tobacco
users and 1696 non- users are examined
by the dental team, supported by the
field staff and volunteers. Those with
Oral cancer screening
suspected lesions were biopsied to
assess their conditions. Ragas Dental
College is the technical collaborator for
this project.
We have seen 1384 users and 3372
non-users since May 2017. We have thus
far detected one malignancy and 27
pre-cancerous conditions. The dental
team is reaching out to them to help.
Quit Tobacco Counselling
The oral cancer screening provided an
opportunity for us to help tobacco users
to quit the habits. Education in the
camps, homes and villages brought in
awareness regarding tobacco use. After
training a few hospital and field staff, we
set up a centre in the community where
we offer counselling to quit tobacco. A
total of 53 users received counselling
and medicines; 19 of them have quit the
habit and 15 of reduced the habit. All of
them are under treatment follow-up.
Forty nine-year old ‘R’ quit smoking
after nearly 30 years of smoking,
following counselling and medical
therapy. At the oral cancer screening
camp, he understood from the
education session that all his problems
such as stained teeth, foul smelling
mouth, chronic cold and cough,
breathing difficulties and stomach pain
were because of his smoking. Yet he
couldn’t give up the habit. He attended
‘Quit tobacco Counselling’ at our centre.
He practised the tips given there and
used medicines prescribed to overcome
craving. He is now free of the habit and
is on the road to health.
23
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
N. R. Swamy Centenary Rehab Centre
The centre was set up in 2014 to treat
and rehabilitate alcoholics. Prior to this
TCT was engaged in community based
de-addiction programmes since 1992
with TTK Hospital, Chennai.
The centre treated 94 alcoholics in
15-day residential programmes wherein
their wives were also expected to
participate in education and counselling
sessions for part of the day. The
treatment is comprehensive, covering
medical and psycho-social aspects and
preparation for a new way to live.
Follow-up is carried out on a monthly
basis, both in their homes and in the
hospital. The field staff, medical team
and recovering alcoholics identify
alcoholics for treatment and refer them
to the centre.
The counsellors conduct education and
counselling sessions. Our senior medical
officer addresses the medical problems
Training for prison and correctional officers
24
and reassures them about their health
and recovery after treatment and
abstinence. Our staff were given awareness sessions
by TTK Hospital counsellors on
The centre has treated 357 patients
‘Alcoholism and ways to identify
since November 2014 and 53% of those
alcoholics and motivate them for
who have completed more than a year
treatment’. In another exercise, we had
of treatment (255) are recovering well,
volunteers from SNEHA, conducting a
abstaining from alcohol. As a motivation
session on ‘Suicide Prevention’.
to the recovering patients, medals are
awarded annually in gatherings at the
centre when the treatment batches are
in session. In 7 such functions, 43 sober
patients were awarded medals. These
Counseling a patient
sober patients also share their
experiences pertaining to damages in
their lives because of drinking prior to
treatment and how they are recovered
after the treatment in health, family,
income and employment terms. Their
Addiction status of participants 1 year after treatment (Total 255)
stories provide a lot of encouragement
and offer additional hope to the patients
going through treatment and their
families. 14
No news
The centre also engages in conducting
awareness programmes in the villages, 58 Same as pre-treatment
schools and other public places. More
Repeatedly with signs
than 100 programmes were conducted, 90
of dependence
in which nearly 2800 persons
participated. At these programmes too, Mostly abstinent
patients were identified and referred for 15
counselling. 1-2 lapses
At the government centre for 33
45 Alcohol free
correctional administration in Vellore,
prison officers from the southern states
undergo training. Our nurses and
counsellors conducted classes for them
in three different batches and they
visited our centre for exposure and
interaction with treated alcoholics.
25
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Percentage of sober and relapsed patients in each age class Annual savings (Relapse)

90%
77%
80%
17%
70% 62% 63% 64%
No news
60%
50% <50000
40%
38% 37% 36% 51%
>50000
30% 23% 27%
No savings
20%
10%
0%
19-30 31-40 41-50 51-60

Percentage Sober Percentage Relapse

5%

Annual savings (Sober) Employment Status

1% 70% 63%
60%
50%
6% 33%
40%
30% 22% 24%
No news 16% 16% 17%
20%
6%
<50000 10% 1% 1% 2%
0%
41% 0%
>50000 Employed, Employed, Employed,
52% Mostly low average high
Mostly
No savings No news unemplo- employed quality involve- quality of
yed work ment work

Percentage Sober 0% 1% 1% 2% 33% 63%

Percentage Relapse 16% 22% 16% 24% 17% 6%

Percentage Sober Percentage Relapse

26 27
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Health status
Service for differently-abled persons
60% 56%
Differently-abled persons from the
50% 40% community are counselled at our centre.
36%
40% We facilitate access to government
30% assistance schemes for them.
18%
20% 15% 14%
Caregivers, parents and leaders of the
10% 6% 7% 6%
0% 1% 0% disability federation periodically meet
0% and discuss their issues.
Able to
Persistent Intermi- function Good Good In an assessment camp organized, 50
poor ttent despite health, health, differently abled persons participated.
No news transient
health poor episodes no A girl receiving mobility aid
health episodes episodes
Based on their needs, 25 of them
of poor
health received mobility aids at function.
Rotary club of Besant Nagar sponsored
Percentage Sober 0% 1% 0% 6% 36% 56%
the aids and their members came in
Percentage Relapse 15% 40% 18% 14% 7% 6%
person for the distribution.
Percentage Sober Percentage Relapse

Fifty –year old ‘K’ was drinking for nearly
25 years. His wife and children were
subjected to a lot of difficulty because
of his drinking. His wife worked as a
wage earner at construction sites and
was maintaining the family. He was
working in a canteen and because of
drinking, lost his job. Besides violent
episodes in the family, he went to the
extent of stealing and selling things from
his own home to support his drinking. A
distant relative of his who had taken
treatment earlier at TCT brought him to
the centre with his wife and they
understood the need for his treatment.
He got treated at the centre in 2014.
Since then, he has abstained from
drinking, strictly adhering to all the
guidelines provided by his counsellor
and doctor.
His recovery has been steadily
contributing to his family’s wellness. He
regained his lost job. He managed to
recover his mortgaged home and settle
his debts. He has adequate savings now.
He is now a respected member of
society and is living a happy life with his
family.
Events
World Diabetes Day
As part of diabetes day campaign,
nearly 7500 families were visited and
members above 30 were screened. In
this effort, 137 persons were identified
for the first time as diabetics and were
referred to the hospital for treatment.
‘Diabetes Care in Family’ was the theme
observed for World Diabetes Day. At a
seminar conducted in a village, our
Medical Director, Dr. Seshadri and Dr.
Manigandan highlighted the role of
families in ensuring right diet for all
family members to prevent diabetes as Assembly at the diabetes day seminar
also control diabetes for family
members. The need for daily exercise Dr. Revathy from Government DKM
and staying away from alcohol and College, Vellore presented nutritional
tobacco was also stressed upon. advice for diabetic patients.

28 29
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019
World Women’s Day
Nearly 400 of women happily
participated in a day-long event held in
a marriage hall. Singing, dancing, quiz
and traditional folk presentations
marked the fun part of the day. Women
also thoroughly enjoyed their interactive
sessions with a Gynaecologist Dr.
Jayanthi, a Psychologist, Dr. Rajani, a
nutritionist, Dr. Sadhana and a journalist,
Ms. Geetha Mohan along with our
Director Dr. Bhooma. For all who
attended the event, it was a day well
spent, away from their routine, and a
day to remember.
Prize winners with the guests on women's day
Pongal Celebration
Nearly 100 persons participated in the
pongal celebrations conducted in a
village. The programme highlighted
happy living in villages as they offered
thanks to the nature for giving them
good food, shelter and clothing.
Pongal celebration
30
Valaikappu Recognitions & Awards
This is a traditional ceremony for
We have received NABH accreditation Nehru Sidhant Kender Trust gave us the
ante-natal mothers who will be having
now. This comes as a true reward for all Sat Paul Mittal Award at a colourful
their first delivery. We now have this as
the staff who have been working hard to function in Ludhiana. The award is in
an annual function at the hospital, to
maintain the quality standards. recognition of our healthcare model and
reassure the pregnant women that we
long years of service to the community.
care for them and that we pray for their
safe delivery. Our gynaecologist Dr.
Lakshmi Seshadri advised the pregnant
women about nutritious food,
importance of breast feeding and
immunisation for mothers and babies.
The women also shared their
apprehensions about delivery and got
many of their doubts cleared.
Dr. Seshadri receiving Sat Paul award
from Chief of Army General Bipin Rawat
Rotary District 3231 recognized us with
an award for exemplary and sustained
service to the rural community in the
areas of health and women
empowerment.
Valaikappu function
Dr. Bhooma receiving award from Mr. Chandra Bob
31
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

Dr. Lakshmi Seshadri rendered an Dr. Seshadri presented our Integrated

Peekay Agencies Pvt Ltd. Mr. S. Krishnaswamy
oration both at the Bengal Obestetric Healthcare Model for his oration at the
and Gynaecological society & the All 25th Anniversary of Sundaram Medical Mr. G. Gopala Iyengar Lucas TVS Ltd.
Kerala Congress in Obstetrics and Foundation at Chennai
Gynaecology. K. Uttamlal & Co Mrs. Sumitra Nitin

Mr. & Mrs. K. Thirumalai Mr. V. J. S. Selvakumar

Modern Fabricators & Engineers Mr. D. K. Mukherjee

Mr. R. Ramachandran Potissimus Arrow Shoes Pvt. Ltd.

Mr. R. Sridhar Rao Mr. Ajay Krishna Uppal

Mr. G. Ranganathan Mrs. Prema Raghavan

Mr. V. R. Pattabiraman Mr. G. R. Senthil Kumar

Mrs. K. A Parvathy B.M. Corporate Services Pvt. Ltd.

Mr. R. Raghuraman Rajam Surgicals

Mr. Venkatesh Vijayaraghavan Asian Metals

Dr. Lakshmi receiving the honour at Mr. Ramanujam, Managing Trustee
Mr. Bimal Kumar Dutt & Others
the Bengal Obestetric and Gynaecological society honours Dr. Seshadri

Donors & Funding Financials

Thirumalai Chemicals Ltd. Mr. Kishore Padmanabhan

Ultramarine &Pigments Ltd. Mr. Vinod G. Nehemiah

SAME Deutz - Fahr India Pvt. Ltd. Mr. Rajeev M. Pandia

C. S. Foundation Mr. Neelakantan Subramanian

ABI Showatech India Pvt. Ltd. Mrs. Geetha Sarabeswaran

Brakes India Pvt. Ltd. Mr. Jayashankar

Sundaram Finance Ltd. Mrs. Suguna Rajagopalan

Turbo Energy Pvt. Ltd. Mr. N. Rangaprasad

N. R. Swamy family Mr. & Mrs. V. K. Viswanathan

32 33
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

The Way ahead

While we are happy to have been
recognized for our pioneering model of
healthcare for prevention, management
and control of Non-Communicable
Diseases, we recognize that we now
need to accelerate to reach out to more
people.
Our strength has been visible in
sustaining long term collaborations with
many organizations such as the Hindu
Mission Hospital, TTK Hospital, Ragas
Dental College and Rotary Clubs.
As a rural community based
organization, we would be happy to
invite other organizations to serve on a
common mission.
The continuing support from donors has
helped us retain our focus on the work
to be done. Our medical and staff teams
have been constantly on their feet to
deliver our service with quality. The
direction provided by the Trustees has
been extremely meaningful and relevant
for our community.
As we touch our golden jubilee in 2020,
we are hopeful of initiating more
projects.
We will be happy to receive you to see Beneficiary sharing Admin team
our work and provide motivation to our
staff and beneficiaries.

Women's day

Dr. Baskar Consulting Sugar - Community level screening

34 35
 Innovative, protective, preventive Community Healthcare | Thirumalai Charity Trust | Annual Report 2018-2019

36