DEPARTMENT OF HEALTH AT A GLANCE -...

DEPARTMENT OF HEALTH

AT A GLANCE

Central Tibetan Administration, Tibetan Voluntary Health Association

Dharamsala, India

II

Contents

Introduction 1

Health Human Resourses 2

Organizational Structure of DoH (TVHA) 3

Location of Hospitals,PHC & Clinics in India & Nepal 4

Health Information System (HIS) 5

Tibetan Medicare System (TMS) 5

The Health Education Program 5

Telemedicine 6

Ngoenga School for Tibetan Children with Special Needs 6

Program for People with Special Needs 6

Medical Care for Poor People 7

Mother and Child Health Program (MCH) 7

Tuberculosis (TB) Control Program 7

HIV/AIDS Prevention and Care Program 8

Mental Health Program 8

Tibetan Torture Survivor’s Program 8

Integration on Traditional Tibetan and Allopathic Medicine

Treatment 8

Substance Abuse and Rehabilitation Program 9

Water and Sanitation Program 9

Oral Health 9

The Revised MBBS Bond 10

Hospitals 12

Primary Health Centres 15

Clinics 17

Tibetan Medical and Astrology Institute( TMAI) 23

Delek Hospital 24

Clinics in Nepal 25

How You Can Help Tibetan Health Department 28

Volunteer Information Corner 31

Financial Report 2013 32

Addresses of Hospitals, PHCs & Clinics 36

List of Health Programs and Projects 38

Advisor:

Dr. Tsering Wangchuk(Health Kalon)Mr. Sonam Choephel Shosur(Health Secretary)

Board of Editor:

Tsegyal DranyiThutop NamgyalTrinley PalmoTenzin Tseyang

Compiled, Layout & Designed:

Tashi Yangzom

Published by:

Tibetan Voluntary Health Association (TVHA), Department of Health,Central Tibetan Administration

Contact:

The SecretaryDepartment of Health(TVHA)CTA, Gangchen KyishongDharamsala, Distt. KangraHP 176215

Tel: 0091-1892-223408/ 223486Fax:0091-1892-222718Email:[email protected]:www.tibet.net/health

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“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” defines World Health Or-ganization. The maintenance and promotion of health is achieved through different combination of physical, mental, and social well-being, together sometimes referred to as the “health triangle” “The WHO’s 1986 Ottawa Charter for Health Promotion further stated that health is not just a state, but also “a resource for everyday life, not the objective of living.

Introduction

After the Chinese occupation of Tibet in 1959, His Holiness the Dalai Lama and the Tibetan people fled to India as refugees. While rehabili-tating the refugees in the newly developing Ti-betan settlement, some health care centers were set up by various non-governmental organiza-tions. When these organizations handed over the administration of the health care projects to the respective settlements, there was a need to es-tablish a department within the infrastructure of the Tibetan Administration to finance and man-age these health care units as well as to plan a comprehensive health care system for the Tibetan in Exile. Health is a basic and elementary need for the general welfare and development of any community. Thus, recognizing the importance of maintaining the health status and well being of Tibetan refugee community, the Central Tibetan Administration formally established Department of Health in December 1981. Presently, the Department of Health is one of the seven departments of Central Tibetan Administration. It is registered in the name of Tibetan Voluntary Health Association (TVHA) under the Indian Society Registration Act XXI 1860 and working as a registered charitable orga-nization to look after the basic health care needs of Tibetan refugees. Through a network of 7 hos-pitals, 5 primary health centers and 38 clinics across India and Nepal. The operation and man-agement of these hospitals and health centers are

directly administered and funded by the Depart-ment of Health, including all recurring and non-recurring expenses ranging from staff salaries to health care services and programs. As of now, the Department employs a to-tal workforce of 181 staff members including 8 doctors, 38 nurses, 54 community health work-ers and other relevant staffs. Community health workers have been the backbone of the health ser-vice provided by Department of Health since last few decades. They have played an important role in filling the gap of shortage of medical staffs in the Tibetan refugee community. Each health staff working in Department of Health’s health centers perform multiple roles. Apart from acting as the health care provider to the local people, they also work as a social worker, counselor and health ed-ucator in their day to day routine, thus promoting the wellbeing of the entire Tibetan refugee com-munity.

Aims & Objectives: an overview

The main objectives of the Department of Health is to provide a comprehensive health care to the Tibetan refugee population settled in various parts of India and Nepal. These include:

• To ensure adequate, preventive, promotive and curative health services based on both Modern allopathic and traditional Tibetan systems of medicine.

• To allow people to gain greater access to primary health care by providing convenient health services to the masses.

• To provide comprehensive maternal and child health care services, including social care and child protection services.

• To provide affordable quality healthcare ser-vices to all people (which also include the local Indian or Nepalese people).

• To make health care accessible to the poor and impoverished section of the society.

• To boost the preventive and promotive as-pects of the health care by disseminating Health information and education programs.

• To provide hospital services at various levels. • To support collaborative community health

promotion initiatives.

DEPARTMENT OF HEALTH

Central Tibetan Administration

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Health Human Resourse

1. Current Staff Position at DoH:

S.No Designation No. of Staff1 Secretary 12 Additional Secretary 13 Joint Secretary 14 Deputy Secretary 15 Under Secretary 46 Section Officer 37 Office Superintendent 38 Office Assistant 59 Senior Clerk 410 Junior Clerk 211 Hospital Staff 212 Contract 113 Driver 114 Peon 215 Plumber 116 Gardener 1

Total: 33

2. Allopathic System-Medical Staff:

S.No Designation No. of Staff

1 Doctors (MBBS, MD) 82 Dentist 13 Nurses (GNM/B.Sc Nurse) 354 ANM 25 Nurse Aid 16 Community Health Worker 547 Laboratory/ X-ray Technician 98 Pharmacist 69 Ophthalmic Technician 210 Dental Therapist 4

Total: 120

Non-Medical Staffs:

S.No Designation No. of Staff1 Hospital Administrator 92 Accountant 113 Cashier/ Office Secretary 34 Driver 125 Cook 5

6 Others* 21 Total: 61

*Plumber,Watchman,Peon,Gardener,Sweeper

Ngoenga Staff:

S.No Designation No. of Staff1 Administrative Staff 112 Medical Staff 43 Teaching Staff 104 Foster Parents 12

Total: 37

3. Staff under Tibetan Medical & Astrology In-stitute:

S.No Designation No. of Staff1 Amchi (Doctor) 1312 Astrologer 163 Administrative Staff 2654 Others(Wages) 109

Total: 521

Health Infrastructure:

Health institute or centers

No. of H e a l t h centers

Total staff members

Hospital under DoH 7 7Primary Health Center under DoH

5 5

Clinic under DoH 36 36

Tibetan Medical College 1 14TMAI branch clinics*1 54 211

Clinics under (TCV)*2 10 10Clinics under (THF)*3 3 15Clinics under (CST)*4 6 6Clinics under (STS)*5 5 11

*Self Supporting *1Tibetan Medical & Astrol-ogy Institute *2Tibetan Childrens Village School *2Tibetan Homes Foundation School *3Central School for Tibetans *4Sambhota Tibetans School

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ORGANIZATIONAL STRUCTURE OF DEPARTMENT OF HEALTH (TIBETAN VOLUNTARY HEALTH ASSOCIATION), CTA, DHARAMSALA

KALON

SECRETARY

ADMINISTRATIVE DIVISION

PUBLIC HEALTH DIVISION

PROJECT AND ACCOUNT DIVISION

Administration • Section

Tibetan Medicare • System Section

Ngoenga School-• Section

HIS Section (Health • Information System)

Disease Prevention • and Health Promo-tion

TTSP Section (Tibet-• an Torture Survivors Program

Project Section •

Account Section•

Kalon Dr. Tsering Wangchuk Secretary Sonam Choephel Shosur

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Mundgod

Bylakuppe

HunsurKollegal

Bandara

Chandragiri

Mainpat

Majnu-Tilla

Dickyiling

Dharamsala

Ladakh

Choglamsar(Leh)1 PHC & Clinics Changthang Areas (9 areas)

Manali & 15 MileKullu & PondohRewalsar

SolanSatuan, Kamrao & Puruwala

Srinagar

Dalhousie

Bir & ChauntraTashi Jong

Manduwala

Poanta Sahib

Lakhanwala & Khera

Clement Town

Manang

DorpatanTashilingPaljorlingJampaling

Tashi PelkeilLo-Tserok

ShabruBoudaJorpati

Jawalakhel

Kathmandu

Nepal

Bhutan

Ravangla

Sonada

Gangtok

Tenzingang Tezu

Miao

Tuting

Pokhara

TIBET

Hospitals & Health Care Centers run by the Department of Health, CTA

ChailsaTrushi

Walung

7 Hospitals5 Primary Health Center38 Health Clinics2 Mobile Clinics1 School for Special Needs Children

Nagaland

Manipur

MizoramTripura

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Health Information System (HIS)

In order to understand the overall health status of the Tibetans in exile, we need a strong and reli-able system of data collection that can effectively monitor the burden and distribution of diseases at regular intervals. In collaboration with the John Hopkins School of Public Health, the Depart-ment launched the current Health Information System in 2011. This project is funded by PRM grant (through Tibet Fund) and the Gere Founda-tion. The Department provided HIS training to its staff members that focused on evaluation and monitoring tools. The computerized health infor-mation system, which is currently operational in 18 health centers, collect and send monthly elec-tronic data to the Department. About 24 other smaller and remotely located health centers, in-cluding those in Nepal, submit the paper version of HIS by post. The Department in turn feeds these data into our main database. In order to assess the efficacy of HIS, the Department recently carried out an evaluation ex-ercise in all Tibetan health centers located across South India. The Department is currently plan-ning to upgrade the HIS system to produce better quality data and to make it more user friendly.

Tibetan Medicare System

The Tibetan Medicare System (TMS) is essen-tially a social health program initiative to serve the healthcare needs of the entire Tibetan popu-lace in India. It not only provides full coverage to the most impoverished sections of the society, but benefits even the wealthy people as well. It serves as an additional safety net for medical emergency. Designed as a self-financing scheme based on the

principle of public-private partnership and scien-tific financial analysis, TMS program addresses the deficiencies in the current Tibetan healthcare system by making comprehensive healthcare ser-vices accessible to all people. As per this scheme, all registered mem-bers, whether families or individuals, are eligi-ble to receive a maximum annual benefit of Rs. 100,000 and Rs. 50,000 on hospitalization costs if they make an annual contribution of Rs. 3,565/- and Rs. 950/- respectively. The calculations have taken into account only the pure risk factors and do not include the administrative costs of run-ning this scheme. This scheme therefore ensures its members the maximum benefits for the mini-mum possible contribution as its operating cost is borne by the Health Department, CTA.

The Health Education Program

The Health Education Division has been playing a crucial role in improving the overall health sta-tus of Tibetans living in exile by creating aware-ness about health issues since its inception in the mid-eighties. Special focus is paid on increasing the knowledge of general public regarding pre-vention of communicable diseases like Tubercu-losis, Hepatitis B, and HIV/AIDS etc. It is mainly responsible for designing, publication and distri-bution of health education materials like posters, pamphlets, brochures and videos. It also regu-larly conducts various culturally relevant and evidence based awareness campaigns in different Tibetan schools, settlements and monasteries. Marking Important Health Days, like the World’s TB Day, Hepatitis B, HIV/AIDS Day, in all Tibetan settlements is a major respon-sibility of this Division. It also provides funding to all the health centers and schools to organize such events. It provides training and workshops to community health workers and general public regarding disease prevention and health promo-tion activities. As of March 2013, a series of bro-chures on reproductive cancers is being specifi-cally designed for future women health training programs. This division thus plays a significant role in promoting health awareness among the Tibetan population living across Indian and Ne-pal.

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TELEMEDICINE

Telemedicine is the use of telecommunication and information technologies in order to provide clinical health care at a distance. It helps elimi-nate distance barriers and can improve access to medical services that would often not be consis-tently available in distant rural communities. It is also used to save lives in critical care and emer-gency situation. Telemedicine is a rapidly developing ap-plication of Clinical Medicine in which medical information is transferred through the internet.

Telemedicine is the ability to provide interactive health care utilizing modern technology and tele-communications. Telemedicine services save expenses that the patients spend on travel and accommodation. It is most beneficial for people living in remote, isolated regions, which is why we have intro-duced this as a pilot project. As of March 2013, there is only one pilot telemedicine clinic in Mainpat, with plans to ex-pand to more locations next year. The installation of these clinics however depends on a reliable, constant supply of electricity and internet connec-tivity, in addition to the technical skills to operate the system. With technological support from the Tele-radiology Solution Pvt. Ltd. of Bangalore, the installation of telemedicine at Mainpat was completed in Aug. 2012. Technicians from Ban-galore trained our medical staff on how to oper-ate the system and handle the patients. The clinic as such has been fully operational since 27 Aug. 2012. Regarding the telemedicine clinic in Od-isha, the project has been temporarily halted be-cause of the ongoing road widening works. Telemedicine makes quality health care

services accessible to the people living in the most remote and isolated regions. The Health Department therefore would like to extend its heartfelt gratitude to the Asso-ciazione Italia-Tibet, Camellia Foundation, and others, who have made this project possible with their generous support.

Ngoenga School for Tibetan Children with Spe-cial Needs

Ngoenga School for Tibetan Children with Spe-cial Needs in Dehradun was established with the

seed money bestowed by H.H. the Dalai Lama. The School was inaugurated by H.E. Sakya Trizin Rinpoche on the 8th March 2000 and started off with 26 students. This is the one and only school for Tibetan children with special needs living in exile under the administration of the Central Ti-betan Administration. Today, the school accommodates fifty students aged between 6-18 years coming from Tibet, India, Nepal and Bhutan. All of them are with both mental and physical needs. The aim of establishing this school is to provide education with health care and social support to the children with special needs. Keeping in view the health of children with special needs the school has been feeding them organic meals with non vegetarian items and fruits. Please log on (www.ngoengaschool.org) for more information.

Program for People with Special Needs

In addition to the children with special needs cur-rently admitted in the Ngoenga school, people with special needs can also be found in various

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Tibetan settlements. They include children who are currently on the waiting list for admission in special school. There are others whose parents want to keep them at home with their family. In these cases, the Department provides them a monthly stipend through the settlement officer located across India, Nepal and Bhutan. The De-partment also provides aids and appliances like wheel chairs, crutches, hearing aids, etc., to all those who cannot afford them. Furthermore, the Department also provides assistance in the form of prosthetic medical allowances to all needy dis-abled people.

Medical Care for Poor People

As per the guidelines of the Kashag (the high-est executive body of the exile Tibetan polity), following an extensive poverty survey across the exile Tibetan Community, all people living be-low the poverty threshold were grouped in three categories for intervention by three Departments of the CTA. According to this arrangement, the medical expenses of all people, who have been screened and approved as eligible by the Central Poverty Alleviation Committee, are reimbursed by the Department.

Mother and Child Health Program

Since the launch of the MCH and Reproductive Health Program of the Department, there has been a significant improvement in the overall status of maternal and child health in the exile Tibetan community. Mothers today are far bet-ter aware about the importance of immunization for preventing diseases and the proper growth of their children. There is as such universal im-munization coverage in all Tibetan settlements. Under this program, all pregnant women receive free vaccine and medical tests related with hemo-globin, blood group, blood sugar, Hep-B, HIV/AIDS, VDRL, Malaria, urine microscopic, glu-cose, etc. Similarly, all children under five are provided free MMR, Hep B and Hib vaccination, in addition to the universal immunization pro-gram that includes BCG, DPT, Measles and oral polio drop. Babies born to mothers infected with Hepatitis B are provided Free Hep B Immuno-globin vaccination.

Moreover, all pregnant women receive free sup-ply of micronutrients (Iron, Folic Acid/Calcium) for one year, along with two free ultrasonographic tests during pregnancy. Micronutrients based on tradition system of medicine are also provided to mothers and children. To facilitate greater access to better medical care during childbirth, the pro-gram provides financial support to all those who are admitted in outside hospitals for delivery. In addition to frequent reproductive health aware-ness campaigns, the program also undertakes special projects like cervical cancer screening project for all married women and gynaecologi-

cal training to community health workers, etc.

Tuberculosis (TB) Control Program The Department’s TB Control Program strives to reduce the incidence of TB morbidity and mortal-ity in the exile Tibetan community. The program emphasizes early detection and treatment of new TB cases. It also ensures greater treatment com-pliance by existing patients to prevent multi drug resistant form of TB. It promotes community wide advocacy and social mobilization on TB. The program implements the WHO-recommend-ed tuberculosis control strategy known as DOTS (Directly Observed Therapy, Short Course). All the major hospitals are equipped with trained health personnel and basic diagnostic and treat-ment facilities. The Department provides finan-cial assistance to all those who could not afford to pay for the TB medication and treatment. The quantum of such assistance varies from person to person depending on the severity of their eco-nomic hardships. TB patients are generally treated in the outpatient setting. Severely ill or infectious TB patients, particularly those of MDR TB, are how-ever hospitalized and quarantined in isolation wards to prevent them from infecting others. Similarly, the Department also undertakes TB detection initiatives in congregated settings like schools and monasteries in order to prevent and control the prevalence of TB. Public awareness about TB is promoted by disseminating health education materials like videos, posters, pamphlets, etc., through the net-work of hospitals and health centers. The Depart-ment keeps its health workers and staff members

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well-informed about the latest developments in the TB prevention and control measures. Health staff members also receive regu-lar in-service training in premier TB institutes in India, including National Tuberculosis Institute in Bangalore, Tuberculosis Research Center in Chennai, LRS Institute for TB & Respiratory dis-ease in Delhi, etc. Staff members from the cen-tral TB unit of the Department regularly inspect the ongoing treatment programs in hospitals and health centers located in areas of high TB inci-dence.

HIV/AIDS Prevention and Care Program

The Department carries out HIV/AIDS aware-ness campaign in vari-ous Tibetan communi-ties through its network of hospitals and health centers. As the awareness campaign about HIV/AIDS (and substance abuse) is primarily fo-cused on the young peo-

ple, special funding assistance are provided to schools for initiating activities like drawing and essay competitions themed on those topics. The Department also publishes educational materials in Tibetan and English and distribute them free in both Tibetan and local Indian communities. Counselling training based on both modern and traditional system of medical care are provided to health staff so as to make them more competent in dealing with HIV/AIDS patients. These train-ing include stages and process of counselling, building up of values and attitude as a counsel-lor, counselling on prevention of disease trans-mission, as well as pre- and post-test counselling, etc. Under this program, the Department not only provides free medication to all HIV/AIDS patients. It also provides financial support for various other medical expenses like conveyance, room rent, daily allowance, expenses of a helper, etc., incurred on visiting the Integrated Counsel-ling and Testing Center and Antiretroviral Treat-ment Center located in the nearest city or town hospital.

Mental Health Program

The Mental Health program was introduced in 1991 in response to a growing need for better care of torture survivors and mental health patients. Moving beyond the conventional religious and medical treatment, the program strives to pro-vide a holistic support system for mental health patients. In order to provide psycho social sup-port and mental health services, field workers are appointed in various Tibetan settlements across India. Every year all mental health field workers receive intensive training on various aspects of mental health services.

Tibetan Torture Survivors Program

Many of the new refugees from Tibet are politi-cal prisoners who have been subjected to brutal inhuman torture in Chinese prisons. They suffer from mental health problems like post-traumatic stress disorders. Thus, the Department in 1991 began Tibetan Torture Survivors Program in or-der to take care of the growing number of tortured Tibetan prisoners of conscience. The program’s main objective is to rehabilitate Tibetan torture victims by making them physically, mentally and economically self-reliant. The program therefore provides medical and social benefits, in addition to counselling services. Since its inception, the program has provided social and medical benefits to over 648 victims. As of March 2013, the pro-gram is supporting 95 torture victims.

Integration of Modern and Traditional Tibetan System of Medicine

The Department aims to build a comprehensive system of medical care based on both the mod-ern allopathic and traditional Tibetan system of medicine. The Department’s hospitals operate in close coordination with branch clinics of Tibetan Medical and Astrological Institute (TMAI). The Department also hosts meetings between doc-tors of Delek Hospital and TMAI to discuss the modalities of enhancing better understanding and integration of the two different systems of medi-cine.

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Substance Abuse and Rehabilitation Program

Substance abuse is not only a problem arising out of the availability of psy-choactive drugs but it has great deal to do with social con-ditions which create the demand for con-sumption of such substances. There-fore, the approach is to recognize drug abuse as a psycho-social medical problem which can be best handled through community based interven-tions. The Department of Health on its part gives maximum emphasis on educating the people on prevention about its ill effects and rehabilitates the current user at different de-addiction centers. Schools in our community hold the priority list and we have initiated our action by constituting special committee comprising of both staff and students to control substance abuse in schools. We organize annual substance abuse workshop cum review meeting for school heads, teachers, counselors and students to discuss the issues re-lated to substance abuse. We also organize vari-ous activities such as inter-school drawing com-petitions and awareness lectures during which rehabilitated persons share their experiences.

Treatment and Rehabilitation Program

Under this program, the Department provides counseling and funding assistance for the treat-ment of substance abuse and addiction at a re-habilitation center located in the nearest city or town. The greatest challenge that the Department faces in this program is with regard to persuad-ing and motivating the drug addicts to willingly seek treatment at a rehabilitation center. Special in-service counseling training and workshops are thus provided to the Department’s health staff members posted in Tibetan settlements across India.

Water and Sanitation Program

The Water and Sanitation Program is one of the main programs undertaken by the Department. Through this program, the Department ensures adequate supply of safe and clean drinking wa-ter in the Tibetan settlements, schools, monaster-ies, nunneries, etc. Provision of safe and clean drinking water, in addition to clean and hygienic sanitation facilities, constitutes a major factor in the promotion of public health in the exile com-munity. Provision of safe drinking water and clean sanitation facilities commonly includes the following: construction of water tanks; drilling of bore wells; water management training; laying of water pipeline; construction and renovation of toilets, bathrooms, drainage, septic tanks and gar-bage disposal; provision of water filtration tanks and treatment plants like Reverse Osmosis plant (RO), etc.

Essential Drugs and Universal Precaution

Under this program, the Department ensures its hospitals and health centers an adequate supply of essential drugs and other necessities for the practice of universal precaution. This program ensures that even the small health centers and clinics, including those located in the remote re-gions, are well equipped to deal with common health problems at the local level without having to refer every case to the outside hospitals, which are quite often located far away from the settle-ment.

Oral Health

Oral health is of major concern for the Tibetan children. This program particularly targets Ti-betan settlements located in the remote, far-flung regions. Through this program, the Department hosts oral health talks, distributes free tooth-pastes and toothbrushes and organizes dental camps- where dental screening and treatment are conducted.

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The Revised MBBS Bond

The bond signed between the Central Tibetan Administration - Department of Health (CTA-DOH)alias Tibetan Voluntary Health Association (TVHA), Tibetan Children’s Educational and Welfare Fund (CTA-DOE) and selected Tibetan students, who in exchange for the reserved MBBS seat grant-ed through the CTA agree to provide 3 years of medical service under the CTA-DOH.

The following are the main terms and conditions of the Revised MBBS Bond:

1. The awardee will serve in the Tibetan Community under the direction of TVHA (CTA-DOH) for a minimum period of 3 years after the completion of his/her study (MBBS degree) in Tibetan settlements under the direction of the department of health.

2. Upon failure to fulfil the previous condition of 3 year service after completion of MBBS degree course under the department of health, the awardee has to pay a total amount of 20 lak rupees to TVHA (CTA-DOH), Dharamsala. If the concerned person fails to reimburse the amount, then the mentioned guardians/ parents are bound to reimburse the said amount.

3. Upon completion of the MBBS degree course, the awardee has to report to TVHA (CTA-DOH) with original MBBS Degree certificate for assignment of service in Tibetan settlement.

4. In case of any dispute and difference areas, the Justice Commissioners of the Tibetan Supreme Justice Commission, Gangchen Kyishong, Dharamsala shall be the sole arbitrators.

List of the Tibetan Medical Students, Interns and Doctors who had signed the Revised MBBS Bond, 2012-2013.

S.No Name Parents Name/Address College Student

1

Ms. Rinzin

ChoedonMr. Tashi Namgyal/Mrs Pema Lhamo, Tibet-an Colony Dekyiling, Distt. Dehradun, UK

Dr. Rajindra Prasad Government Medi-cal College, Tanda, Dharamsala

2Ms. Rinchen Sangmo

Mr. Ke Tsering/Mrs. Kanzey, V-Village, H no-28, Dhondenling Tibetan Settlement, Kol-legal Taluk, Chamrajnagar Distt. K.S

Sardar Patel Medical College, Bikaner, Raj-asthan

3Ms. Tenzin Yeshi

Mr. Sonam Dorjee (Late)/Mrs. Tsering Dol-ma, TRS Sonamling, Camp-6, House no-60, P.O Agling, Ladakh, Distt. Leh, J&k

Indra Gandhi Medical College, Shimla

4Ms. Tenzin Tsomo Tenga

Mr. Karma Lodoe/Mrs. Tsering Lhamo, House no-113, Dege Division, Tibetan colo-ny, P.O Chauntra, Distt. Mandi, H.P


5Ms. Kalsang Choedon

Mr. Norbu Tsering/Mrs. Dolma Tsering, Camp-1, H no-24, P.O Tibetan Colony, Mund-god, Distt. Karwar,581411


6Mr. Ugen Gyatso

Mr. Lobsang/Mrs. Tenzin Chozom, B-10, Dekyiling Tibetan Colony, S.D Road, Distt. Dehradun, UK


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S.No Name Parents Name/Address College Student

7 Mr. TenzinMr. Tashi Gonpo/ Mrs Sonam Dekyi, TCV Handicarft Center, Samten Takla House, Distt. Kangra, H.P


8Mr. Tashi Namgyal

Mr. Gyurmey (Late)/Mrs. Keychok Dolma, Tibetan Refugee Self Help Center, Gandhi Road, Darjeeling, W.B


9Mr. Tenzin Tsewang

Mr. Tsewang Dargyal/Mrs. Phurbu Dol-ma, House no 630, Block-B, Bhagsu Road, Dharamsala


10Mr. Tenzin Dasel

Mr. Jigmet Tashi/Mrs. Tsering Dolkar, House no-10, Camp-9, Sonamling Tibetan Refugee Settlement, P.O Choglamsar, Leh Ladakh, J&K


11Mr. Ngawang Tsetan

Mr. Gyurme Lodoe/Mrs. Tenzin Chodon, House no-19, I-Village, Kollegal Taluk, Chamrajnagar Distt., KS


12Ms. Tsering Lhamo

Mr. Dhondup Tashi/Mrs. Pema Dolma, D-Village, House no-1, P.o Kollegal Taluk, Chamrajnagar Distt., KS


13Ms. Tenzin Namdon

Mr. Ngodup Dorjee/Mrs. Tenzin Tsomo, De-partment of Security, CTA, Gangchen Kyis-hong, Dharamsala, Distt. Kangra, H.P


14Mr. Tenzin Choenyi

Mr. Tenzin Lhakyap/Mrs. Karma Tsomo, Old camp-3, House no-13, Bylakuppe, Distt. Mysore, KS


15Ms. Kunga Tselha

Mr. Phurbu Tsering (Late)/Mrs. Dawa Ph-enthok c/o Settlement officer Sakya Tibetan Society, Distt. Sirmour, H.P

Institute of Post Gratu-ate Medical Education and Research, Kolkata

16Mr. Tenzin Wangdak

Mr. Tenzin Lekshey/Mrs Sichoe Dolma, House no 123, Palrabling Tibetan Settlement, P.O Dobhi, Via Katrain, Distt Kullu H.P 175129


17Mr. Tenzin Norsang

Mr. Norbu Gyaltsho/Mrs. Dorjee Dolma, Ti-betan Colony Dekyiling, P.O Manali, Distt. Kullu, H.P 175131


18Mr. Tashi Sangpo

Mr. Lobsang (Late)/Mrs. Kunsang Tsomo, TRS Camp-6, House-4, P.O Bylakuppe, Distt. Mysore, K.S


19Mr. Tenzin Choedhen

Mr. Sonam Tsering/Mrs. Ngawang Chodon, TCV School Health Center, Dharamsala, Distt. Kangra, H.P


20Mr. Tenzin Wangchuk

Mr. Tashi Norbu/Mrs. Tsering Kyima, Vil-lage-T, House no-5, Dhondenling Tibetan Settlement, Kollegal, K.S


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Information regarding our Hospitals, Primary Health Centers (PHC)

and Clinics:-

Hospitals

The Department of Health runs seven hospitals in Tibetan settlements spread across India. These hospitals provide health services to a popula-tion ranging from 5,000 to 16,000. They treat on an average 50-100 patients daily and are well equipped with all basic diagnostic and treatment facilities like eye clinic, (minor) operation the-atre, laboratory unit, x-ray machine, dental unit, maternity ward, TB isolation ward, inpatient wards for male and female, pharmacy, physio-therapy scanning, 24 hours ambulance services, free immunization, etc. Health conditions commonly treated in these hospitals are upper and lower respiratory tract infection, Tuberculosis, gastroenteritis, blood pressure, diabetics, waterborne diseases, eye-related problems, hypertension, arthritis, viral fever, joint pain, skin allergies diseases, Dental problem, Gastritis, Back pain, Abdominal pain, Typhoid, Diarrhea, Anemia, ear infection and delivery cases etc. The medical services provided by the hospitals also include a wide range of other pro-grams: MCH (Mother and Child Health) and RH (Reproductive Health) Program, HIV Program, Mental Health Program, Destitute Medical Pro-gram, TB Program, Program for (People with) Disabilities, Tibetan Medicare System Program (TMS), etc. The hospital premises and buildings usu-ally consist of two blocks: administrative and medical. The administrative block includes the office of hospital administrator, conference hall, health information section, health education sec-tion, patient’s record room, generator room, ga-rage, staff quarters, staff kitchen, etc. The medical block includes outpatient department (OPD), emergency room, dressing-cum-injection room, pharmacy, laboratory, x-ray room, nurses room, Minor OT, dental section, eye section, general inpatient ward, counselling room, examination room, TB ward, maternity and computerised billing counter. The staff members of the hospitals are appointed by the Department as per the Tibetan

Voluntary Health Association staff Rules and Regulation guidelines. These hospitals are ad-ministered through an autonomous board of man-agement. The daily management of hospitals is supervised by the hospital administrator, while the medical division of the hospital is headed by a chief medical officer. It goes without saying that the construction of hospital buildings, as well as the daily functioning of the hospital, are carried out in strict conformance to the relevant Indian state laws and regulations on private medical es-tablishments.

Kollegal Dhondenling Van Thiel Charitable Trust Hospital

Dhondenling Tibetan settlement is the third larg-est Tibetan settlement in India. With a current population of about 5,500, the settlement is lo-cated in the south Indian state of Karnataka, at a remote location with extremely poor transporta-tion and communication links. The Dhondenling Van Thiel (DVT) Char-itable Trust Hospital was founded in 1974 by a non-profit organization MYRADA (Mysore Re-habilitation and Development Agency). Since the Department took full charge of the hospital in 1986, it has over the years grown to be one of the largest Tibetan hospitals in India. Fully equipped with basic diagnostic and treatment facilities, the hospital provides quality services to both the Tibetan settlers and the lo-cal Indian population. The hospital treats daily about 60 to 100 patients. It has 18 medical and non-medical staff members, including 1 Doctor (MBBS), 1 hospital administrator, 2 staff nurses, 4 community health workers, 1 lab/x-ray techni-cian, 1 ophthalmic nurse, 1 pharmacist, 1 Dental Therapist, 1 accountant, 1 cashier/office secre-tary, 1 peon, 1 driver, 1 sweeper and 1 watch-man.

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was founded in 1982. Initially, it had 15 staff members. After constructing new hospital build-ings with funding assistance from Italy, the hos-pital was formally inaugurated by His Holiness the Dalai Lama in August 1995. His Holiness conferred the name Tso-jhe Khangsar to the hos-pital. In order to cater to the growing health needs of the two settlements in Bylakuppe and in addition to a significant local Indian popula-tion, the hospital today has a combined total of 22 medical and non-medical staff members, includ-ing 1 Doctor, 1 hospital administrator, 1 dental therapist, 1 accountant, 3 staff Nurses, 5 com-munity health workers, 2 lab technician/ x-ray, 1 opthalmic technician, 1 pharmacist, 1 office sec-retary/cashier, 1 driver, 1 cook, 1 watchman and 2 sweepers. The institution also runs or governs the health care center at Chawkur, one of the farest camps.

Phende Hospital, Hunsur

The Hunsur Tibetan settlement was established in 1972 with an initial population of 3,200. The settlement’s Phende hospital was established in 1974 with funding assistance from the Board of

Doeguling Tibetan Resettlement Hospital Asso-ciation (DTR), Mundgod

The DTR hospital started with a single room clin-ic in 1967. At that time, the clinic had two beds with only a handful of staff members. The present day DTR hospital building was inaugurated on 1 January 1970. At that time, it operated under the Mysore Rehabilitation and Development Agency (MYRADA), a non-profit organization. The De-partment took charge of the hospital in 1993. Located in the South Indian state of Kar-nataka, the Doeguling Tibetan Settlement is the second largest in India. As of 2008, the settlement has a population of over 16,994 out of which 9,020 were monks. The DTR Hospital is equipped with all basic diagnostic and treatment equipment. It treats a daily average of about 30 patients. The hospital has a combined total of 26 medical and non-medical staff members, which includes 1 Doctor (MBBS), 1 Dentist, 1 hospital adminis-trator, 4 staff nurse, 1 Nurse Aid, 6 community health workers, 1 Lab. technician, 1 x-ray techni-cian, 1 pharmacist, 1 accountant, 2 Sweeper, 1 peon, 2 watchman, 1 driver/plumber, 2 cooks.

Tso-Jhe Khangsar Charity Hospital, Bylakuppe

Located in the south Indian state of Karnataka, Lugsung Samdupling and Dekyi Larsoe settle-ments in Bylakuppe together constitute the larg-est Tibetan settlement in India. While Lugsung Samdupling was founded in 1962 with an initial population of 11,500, Dekyi Larsoe started in 1970 with 3,500 people. As of 2012, the com-bined population of Bylakuppe was 22,000. The Tso-Jhe Khangsar Charity Hospital

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Trustees of Common Project of European Ref-ugee Campaign. Its foundation stone was laid down by then state Chief Minister Shri Devaraj Urs. The hospital was managed by the Mysore Rehabilitation and Development Agency until 1976. It was later handed over to the settlement’s cooperative society. The Department took com-plete charge of the hospital in the late 1980’s.The hospital at present has 13 staff members both the medical and non-medical including 1 hospital administrator, 1 accountant, 2 staff nurse, 1 phar-macist, 1 lab. technician, 3 community health workers, 1 driver, 1 cook/laundry, 1 sweeper and 1 watchman. In addition to quality medical services, the hospital also carries out a wide range of pro-grams like organizing health awareness events, installation of medical camps for early detection and treatment of diseases, etc.

Menlha Hospital, Odisha

The Phuntsokling Tibetan settlement is located in the eastern Indian state of Odisha. What is to-day the Menlha Hospital was only a small clinic when His Holiness the Dalai Lama first inaugu-rated in February 1979. The population of the settlement has decreased from the initial 3,000 to about 2,500 in 2012. The hospital today has total 12 medical and non-medical staff members, including 1 hospital administrator, 1 x-ray/lab. technician, 1 accountant, 2 staff Nurses, 1 ca-shier/ office secretary, 1 dental therapist, 2 com-munity health workers, 1 watchman, 1 driver and 1 sweeper. In addition to providing medical compre-hensive services to the Tibetan settlers and the local Indian population, the hospital also carries

a whole host of health programs ranging from free immunization and MCH to health awareness talks and outreach events. In case of serious pa-tients who require intensive in-patient treatment, the hospital refers them to the nearest city hospi-tal of Bahrampur.

Dekyiling Hospital

Dekyiling Tibetan settlement was initially built to rehabilitate the Tibetan refugees who have mi-grated from Bhutan. The Tibetan refugees from Bhutan are in Dekyiling with scattered Tibetan of Mussoorie, Rajpur and Hardwar. The Dekyil-ing settlement people initially earned their liveli-hood by weaving carpet at the handicraft center of settlement. With funding assistance from the Health Department and various foreign donors, a prima-ry health center was established in 1986. At that time, the settlement had a population of nearly 2,000. The health center at the Dekyiling settle-ment is one of the largest and serves as the cen-tral referral point for various other health centers located around the city of Dehradun, at Rajpur, Khera, Lakhanwala, Clementown and Mandu-wala. The settlement’s health center has a com-bined total of 14 medical and non-medical staff members, including 2 Doctors, 1 hospital admin-istrator, 1 lab./x-ray technician, 4 staff nurses, 1 auxiliary nurse, 1 community health worker, 1 accountant, 1 driver, 1 sweeper and 1 cook. The health center not only provides basic medical services, but also undertakes various preventive and promotive aspects of public health programs.

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Alongside the curative aspect of the medical services, these centers also undertakes a wide range of preventive and promotive health programs, including MCH and RH program, Ti-betan Medicare System, health education, Hep/HIV counselling programs, Tuberculosis DOT, etc. The daily administration of centers are supervised by the settlement officers. All medical and non-medical staff of hospitals and Primary health centers are recruited by the Health Depart-ment in strict adherence to the relevant rules and regulations of the Central Tibetan Administra-tion.

Primary Health Center, Miao

Choephelling Tibetan settlement was first es-tablished in the remote area of Changlang in Arunachal Pradesh with an initial population of about 1,600 in 1972. Later, in 1976, the settle-ment was shifted to Miao, which had relatively better transportation and communication links with the rest of the country. The town of Miao is located in the Changlang District of north-east Indian state of Arunachal Pradesh. The primary health center at Miao started as a small dispensary with a single nurse. The center was rebuilt at the present location in 1978. Further renovation works in 1996 extended the in-patient ward of the health center. With four resident nurses, fully equipped with basic diag-nostic and treatment facilities, the health center today serves the medical needs of the settlement population of 2,907 (as of 2012).

Mainpat Hospital

The Mainpat hospital was founded in 1986 in or-der to provide basic health care services to Tibet-ans as well as the local Indian populace. Before the inception of this health center, the settlement people (initially numbering 1,700) suffered ma-jor health problems. Since the settlement was lo-cated in a remote region, access to proper health care facilities was particularly difficult. This is the main reason why the settlement population has diminished significantly over the years. Fully equipped with basic treatment facilities, the center today has total 9 medical and non-medical staff, including 1 accountant, 2 staff nurse, 2 commu-nity health worker, 1 pharmacist, 1 ophthalmic technician, 1 sweeper and 1 driver.

Primary Health Centers (PHC):-

The Department runs a network of four primary health care centers in Tibetan settlements with population ranging variously from 1,000 to 7,500.These health centers are fully equipped with basic medical equipment and treatment facilities. Many of these centers treat as many as 50 patients every day. Three of these centers have resident doctors, while the remaining have a visiting doctor once every week or two weeks. They provide a wide range of treatment facilities including OPD consultation, dress-ing room, pharmacy, laboratory, delivery room (equipped with oxygen and incubator), immu-nization, in-patient ward, nebulizer, ECG, x-ray, dental ward, physiotherapy, 24 hours emergency services, etc. These centers also provide ambu-lance services and provide home visits to the el-derly or bed-ridden patients.

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Primary Health Center, Bir and Chauntra

The health center was established in 1967. At that time, it was a tent clinic with two paramedi-cal workers and an Indian visiting doctor. It was managed by the Tibetan Industrial Rehabilita-tion Society (T.I.R.S). It provided health care services to three settlements, viz. Bir Dege Divi-sion, Nagchen Division and Bir Tibetan Society, which were established in 1966 with an initial population of 2,000. These settlements today have a combined population of 7,552 that include 5 monasteries and 4 schools. In 1981, the center was upgraded into a primary health care center with 12 rooms, a kitchen and a bathroom. The construction of new health center was sponsored by a group of Tibetans residing in Switzerland and the Swiss Zonta club. The land for the PHC was donated by His Eminence DZongsar Khentse Rinpoche of Dege Division, Bir. Inpatient room and testing laboratory were added in 1992. In 2005, further extension was made with donation from Vener-able Ogyen Topyal Rinpochen of Bir Nangchen Division. In 2008, the health center further con-structed residence quarters for a Doctor, hospital administrator, staff nurse and the lab/x-ray tech-nician. A hall with a seating capacity of 100 was also constructed for organizing health education activities. Moreover, health center also provides comprehensive basic care to the Chauntra Tibet-an settlement population of 868.

Primary Health Center, Bhandara

The Norgyeling Tibetan settlement was estab-lished in 1972 to accommodate 5,000 people. However, extreme climatic conditions and un-suitable environment, many have lost their lives and many others migrated to other places. As of

April 2013, the settlement has a population of 1198. In 1973, the settlement had a small dis-pensary run by a nurse appointed by the settle-ment office. In 1981, the Department renamed the clinic as Norgyeling Health Center. The De-partment took full charge of the health center in April 2001. Prior to that, the settlement office raised the entire administrative costs of running the health center. Even after taking the full charge of the health center by the Department, the set-tlement office continues to assist in electing the health committee members and its chairman as per the established rules and guidelines.

‘Fosco Maraini’ Tibetan Primary Health Center, Choglamsar Ladakh

The Sonamling Tibetan settlement in Choglam-sar, Ladakh was established in late 1960’s. The settlement consists of two different groups, viz. Choglamsar and Jangthang. As of April 2013, out of a total population of 7,434, nearly two-third, 5,154, are settled in Choglamsar. The remaining, 2,280, are based in the nomadic area of Jangth-ang. Child’s right organization, Save the Chil-

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dren Fund set up four small health care centers in Choglamsar. These health centers provided basic health care services until they were closed down in 1992. The Department took charge of these health centers in the same year. The health cen-ters resumed providing basic health care services to the settlement people. These health centers lo-cated in Choglamsar operate as the main center, while the other three located in Menlha, Choglam and Angling serve as sub-centers. With the growing public need and de-mand for a mobile clinic facility in the nomadic area of Jangthang, the department closed down one of the existing health centers and started op-erating a mobile ambulance clinic. The mobile clinic covered the nomadic areas of Sumdho, Sameth, Kharnak, Nyoma, Chummur, Hanley, Goyul, hanle and Kakshung. The sole remain-ing nomadic area of Jangthang Chushul has a separate health sub-center functioning with one health worker. From April 2014, branch clinic at Sum-dho Jangthang area is going to have 2 resident staff nurse and 1 driver. This branch clinic will function direct under the main health center at Choglamsar. They will do monthy visit to 9 areas of Jangthang. In 2012, the Primary Health care center was constructed through the support by Fondo Samaritano Radici of Bergamo (Italy) and Af-rica Tremila, NGO and Italy Tibet Association. It was inaugurated by Health Minister, Dr Tser-ing Wangchuk on 31 August 2012. In the same year, a new Mazda ambulance was replaced by La Casa del Tibet and Roadway of Tibet. Under the aegis of the Department, the administration of the health center is handled by the 11-member local health committee. The dai-ly works of the health center and its sub-centers are supervised by the hospital administrator. The health centers operate with 14 staff: 1 hospital administrator, 1 accountant, 1 staff nurse, 8 com-munity health workers and 1 pharmacist and 2 drivers.

Primary Health Center, Delhi

The primary health center in Majnu-Ka-Tilla, Delhi was built in 1993 with generous funding assistance from Mr. Fabien Quaki through Medi-cines Du Monde. At that time, the health center operated with one staff nurse and a dental thera-

pist. Today, the center has 3 staff nurses with a visiting doctor twice a week. The clinic provides comprehensive basic health care services to the settlement population of over 2,500. The health center functions under the overall supervision of the settlement officer.

Clinics:-

The Department runs a network of fourty three clinics in the scattered Tibetan Settlements across India and Nepal. Since there are no permanent resident doctor in these clinics, they provide only outpatient services to not only Tibetans, but a sig-nificant local Indian and Nepalese population as well. All these clinics, except a few, are staffed by a community health worker with a visiting doctor once every week or two weeks. The health center is well equipped with all the basic diagnostic and treatment facilities, including OPD, BP machine, thermo meter, ear checkup, sugar testing machine, pregnancy test and weighing machine. The center also imple-ments health services like free immunization to the children under the age of five, free medica-tion to the people officially attested as the poorest of poor, etc. Health programs carried out by these health centers also include MCH (Mother Child Health) and RH (Reproductive Health) program, DOT (Direct observed Therapy) program and to avail information regarding both communicable and chronic diseases and their prevention. And health related events are organised as per direc-tion of Department. The clinic is administered by the settlement officer and a community health worker works under. The clinics located in the areas of Nepal are administered by the (SLF) Snow Lion Foundation under the guidance of Department of Health, CTA.

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Kullu Manali Clinic

The Kullu dispensary was established in 1981. It is located inside the premises of a school near River Beas. At that time the population of the settlement was around 250 (now reduced to 200). The clinic was initially administered by the Education Department of CTA. The Health De-partment later took full charge of the clinic. The local settlement officer supervises the daily func-tioning of the clinic. Health staff visits once in a week to 15 Mile, Manali and Patlikul to provide health neeeds in these settlements.

Rewalsar and Pondoh Clinic

The Rewalsar Primary Health Care Center was established in September 1987 by the Health De-partment in order to provide health care services to the Tibetan people in Rewalsar and Pondoh. As of April 2013, the town has a population of 300 and 240 in Pondoh settlement. The health worker also visits twice a week to Pondoh settle-ment. The clinic operates with one community health worker, under the close supervision of the concerned settlement office. The clinic is well equipped to provide basic diagnostic and treat-ment services.

Dholanji Clinic

Dholanji Tibetan settlement is located in the north Indian state of Himachal Pradesh. The settlement has a total population of 652, which also includes a significant number of monks and nuns. The set-tlement’s health centre was established in 1987. Operating with one community health worker, the health centre is fully equipped to provide ba-sic medical services to the settlement people. Pa-tients who require hospital care or consultation of specialists are promptly referred the hospital located in the nearest town of Solan.

Dalhousie Clinic

The health center in Dalhousie was first set up by the local Tibetan people in the early 1970’s. At that time, the local Tibetan population in this town of north Indian state of Himachal Pradesh numbered more than a thousand. Located within the Tibetan Handicraft Center at Middle Bak-rota, Dalhousie, the health center’s management was eventually handed over to the Department in 1983. The health center operates with one health worker under the close supervision of the local settlement office.

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Khampagar Clinic, Tashijong

The primary health center at khampagar was es-tablished in October 1973 by H.E the late 8th Khamtrul Rincpoche. It was intended to provide basic medical care to the monks and the lay peo-ple of Khampagar. The department also arranged an additional staff nurse as felt and appealed by the Khampagar society. The health center is func-tioned with two-health workers, a laboratory and a visiting doctor who visits the center twice a week. The institute also observes health aware-ness program in the community. The Tibetan craft community and the department administer it. There are 661 resident in the settlement includ-ing monks and nuns at Dhongyu Gyatseling Nun-nery.

Paonta Sahib Clinic

Tibetan Industrial Rehabilitation Society Poanta has started the Primary health center at Tibetan settlement in 1969. It is situated near Paonta Sa-hib at a distance of 4km away from the city and 48 km away from Dehradun. Single community health worker serves the settlement populace of 576 approximately. Since 1984, the department

took over the responsibility and manages the pri-mary health care center through the settlement office. It has every basic facility to cure the minor illness and refers the patient to the bigger hospital in need. It also provides health awareness talk, gives health education regarding the communi-cable diseases.

Dhondupling and Lingtsang Clinic

The Tibetan Settlement at Clementown was founded by the late Gungthang Tsultrim in 1964 and was initially known as Tibetan Nehru Memo-rial Foundation (TNMF). Presently, it is called Dhondupling Tibetan Settlement as conferred by His Holiness the Dalai Lama in 1966. During the foundation of this settlement, primary health care center was initiated under the administration of TNMF settlement office. It has a prime purpose

to provide health care services to 3000 Tibetan inhabitants as per 2013. Mrs. Khando Chagzolshang, the general secretary of Tibetan Homes Foundation, Mus-soorie has shouldered the responsibility of all the medical expenses and the salary of two staff nurses for three years until 1989. Eventually, the department took charge and appointed one com-munity health worker at the health center. The health care center building is under the registra-tion of settlement office and it is functioning un-der the direct supervision of community health worker and the settlement office. Besides provid-ing health care facilities, it also organizes health talk on various diseases to educate the common masses for a healthy community and visits Lingt-sang Tibetan settlement thrice a week, today has a population of 505.

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Khera and Lakhanwala Clinic

The Khera Tibetan settlement was established in 1969 by the rehabilitation center, headquarter Est no. 22, Government of India to felicitate the ex-soldiers of Special Frontier Force for their un-precedented service to the Indian Military. The settlement is located near Lakhanwala, Uttara-khand state. A staff nurse at the center works under the supervision of settlement office and the de-partment. All the expenses of the health center is borne by the department of health, CTA. It pro-vides basic health care services and visits twice in week to Lakhanwala settlement, population of 468. It has three sections including a dispensa-ry room, a dressing room and two-bedded patient room. Health center also initiates health educa-tion program in the community as per the direc-tion of the Department.

Sataun Clinic

The Satuan Tibetan settlement is situated at a

remote location in the north Indian state of Hi-machal Pradesh. The settlement was initially es-tablished with a population of 500 Tibetans refu-gees. The nearest town of Paonta Sahib is located at a distance of 20 kms. The settlement today has a population of 215. The primary health center was first es-tablished by the Tibetan industrial Rehabilitation Society. The health center was run by one com-munity health worker and a visiting doctor ev-ery week. After the Department eventually took charge of the health center, Doctors from the Dharamshala-based Delek Hospital visited the health center at least four times a year. With fund-ing assistance from the Italian Association for Solidarity among Peoples, the Department built a new health center with staff quarters. The Rajpur chapter of Swedish Organization for Individual Relief assisted the health center in procuring ade-quate supply of essential drugs. The health center today operates with one health worker under the close supervision of the local settlement office.

Puruwala Clinic

The health center is located in the settlement of Sakya Tibetan Society Puruwala, which was es-tablished in 1969 with the guidance and bless-ings of His Eminence Sakya Trinzin Rinpoche. The health care center was set up in 1983 and provides basic health care services to a popula-tion of 725 today. The clinic basically has two rooms: main clinic and dressing room. The clinic at present has one community health worker who works under the direct supervision of the local settlement office as per the established rules and regulations set by the Health Department.

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Kamrao Clinic

The Kamrao Tibetan settlement is located at an extremely remote location in the north Indians state of Himachal Pradesh. The nearest town of Paonta Sahib is located at a distance of about 40 kms. The Tibetan settlement at Kamrao was ini-tially established with a population of about 500. The settlement’s health care center was first es-tablished by the Tibetan Industrial Rehabilitation Society. The health center functioned with one community health worker. The Department eventually took over the management of the health center. Doctors from the Dharamshala-based Delek Hospital visits the health center at least four times a year. The De-partment upgraded the health center by renovat-ing the old building and constructing a new staff quarter in 1998. The settlement had a population of 212 in 2012. The health center today functions with one community health worker under the close supervision of the local settlement office.

Rajpur Clinic

The Tibetan settlement at Rajpur is located on the outskirts of Dehradun. The settlement ini-tially had a population of 500. The settlement’s

health centre was established by the local Tibetan Women Centre in 1970. Since the Department took full charge of the health centre in 1992, it has been working under the close supervision of the Dekyling hospital. The health centre has one community health worker and is fully equipped to provide basic medical services to the settle-ment people, numbering 387 in 2013.

Tenzingang Clinic

The Tenzingang Settlement in the northeastern Indian border state of Arunachal Pradesh was es-tablished in the year 1972 with an initial popula-tion of 34 families. The population in and around Bomdilla has grown over the years to about 900 people today. The settlement initially had a small clinic with two temporary staff working under

the supervision of the local settlement office. The clinic was upgraded in the early 1990’s by constructing a double-storey building with mul-tiple rooms serving as inpatient ward, dressing room, doctor’s cabin, pharmacy and medicine store room. The clinic basically had all the basic amenities that one could find in a hospital. The construction of building and provision of new medical equipment for the clinic was funded by Mrs Daniel Mitterand Foundation, France. As the donation came through the tireless efforts of the Dewatsang family, the clinic was named after their late father Mr. Kunga Samten. The clinic to-day is known as K.S. Memorial Clinic. The clinic today operates with two medi-cal staff who work under the direct supervision of the local settlement office.

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Tezu Clinic

The Dhargyeling Tibetan Settlement in Tezu was established in 1962 with an initial population of nearly 900. Tezu is located in the northeastern Indian state of Arunachal Pradesh. The present health center in the settlement was established by the Department in 1980. The health center today operates with one staff nurse, two health work-ers and one driver. As of April 2013, the post of staff nurse was vacant and the Department was in the process of appointing a new nurse. The health center operates under the close supervision of the local settlement office. Given the remote location of the settlement, the ambulance service provided by the center has been extremely beneficial to the local populace.

Tashiling Clinic, Sonada

The Tashiling Tibetan settlement in Sonada is lo-cated in the eastern Indian state of West Bengal. The settlement’s health centre was established in the 1980’s in order to provide basic health care services to the Tibetan settlers, as well as the local Indian population in and around Sonada,

Tung and Dilaram. The area had a combined total population of around 30,000 in 2013. The centre has been operating under the supervision of the settlement office. The centre has one community health worker (appointed by the Health Department) and one staff nurse (ap-pointed by the settlement office with funding as-sistance from Shenpen Tibet Aid in Norway). In addition, the centre also has a visiting doctor once every week. A doctor of traditional Tibetan medi-cine, based in the nearest hill town of Darjeel-ing, also visits the centre once every two weeks. All emergency cases are referred to the nearest hospital in Darjeeling or Siliguri. In addition to medical services, the centre also undertakes nu-merous public health initiatives.

Ravangla and Gangtok Clinic

The Ravangla Tibetan settlement is situated in the north-eastern Indian state of Sikkim. The settle-ment initially sheltered 810 people. Its population today is 1,275. Since the settlement health centre was established in 1989, it has been operating with one community health worker. The cen-tre also has a dental section. Every year dentists from France visit the centre to offer free check up to the settlement people. In addition to day-to-day common medical services, the health centre in collaboration with the local Tibetan settlement office, undertakes a wide range of public health programs and events. In addition, health staff also visits twice a month to Gangtok scattered Tibetan settlers to provide medical services and availing Doctor during her visit.

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Srinagar Clinic

Upon request from the local Tibetan Muslim community in Srinagar, the capital of northern Indian state of Jammu and Kashmir, the com-munity health centre was established to provide basic health services to an initial population of a few hundreds. The population today has grown to over a thousand people. The health centre oper-ates with one health worker and is well-equipped to provide basic health services.

Tuting Clinic

The first ever Tibetan settlement officer was ap-pointed on 15 April 2013. Prior to this it was un-der the administration of Tezu settlement office. Tuting is situated in a very remote area and some villagers are settled around the India Tibet bor-der of northeastern state of Arunachal Pradesh. The region combined 17 small villages scattered over and population of nearly 1081 initially. The present health center in the settlement was estab-lished by the Department in 1995 with the contri-bution fund from settlement people. The health center today operates with one staff nurse and one community health worker. The health center operates under the close supervision of the local settlement office.

Two Autonomous Health and Medical In-stitution under CTA, Health Department

Tibetan Medical & Astrology Institute of H.H the Dalai Lama (TMAI)

Historically, Men-Tsee-Khang or Tibetan Medi-cal and Astrology Institute (TMAI) was first established in 1916 by the 13th Dalai Lama in Lhasa, Tibet. After the Chinese occupation of Ti-bet, His Holiness the 14th Dalai Lama, followed by some 80,000 Tibetans, took shelter in India. In order to preserve the rich Tibetan religious and cultural heritage, His Holiness re-established traditional Tibetan institutes of scholarship and learning in exile.

Thus, in March 1961, His Holiness the Dalai Lama re-established Men-Tsee-Khang (TMAI) at Dharamsala. The primary objective is to preserve, promote and protect the traditional Tibetan system of medicine (Sowa-Rigpa) and as-trology, which has been practiced down the ages for centuries. The institute initially started with a doctor, an astrologer and ten students, enrolled in two schools: Chopra House and Gleenmore Cottage. In 1967, the two schools were merged into what we now know as Men-Tsee-Khang or Tibetan Medical & Astro. Institute. At that time, it was located in Mcleod Ganj. The institute was later shifted to the present location in 1982. The TMAI aims to preserve, promote and practise Sowa Rigpa, the traditional Tibetan sys-tem of medicine, astronomy and astrology. The mission statement of TMAI also includes educa-tion and higher studies in the fields of Tibetan

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medicine and astrology, research and collabo-ration with scholars and institutes in India and abroad between different healing systems, and to produce Tibetan medicines in an environmentally sensitive manner. The TMAI headquarters at Dharamsala consist of numerous academic and administrative departments. The institute is run by a governing body of ten members, which includes Health Ka-lon as a chairman (served by the officiating offi-cer from the Central Tibetan Administration) and a secretary (served by the director of the TMAI). The institute today employs 521 staff members which includes Administrative, Medical, Astrol-oger and temporary workers. The institute at present runs a wide net-work of 54 branch medical clinics across India. Out of which, 36 are based in Tibetan settlements and 18 in cities and rural areas.

Delek Hospital

Delek Hospital has been providing health care ser-vices in Dharamsala for more than four decades. The visionary behind Delek Hospital was Mr. Tsewang Rinchen Rishing (Former Bon Chithue/MP) who proposed the founding of an allopathic dispensary to cope with the many health prob-lems in Tibetan refugee community. With His Holiness the XIV Dalai Lama’s blessings, Tibetan Welfare Delek Hospital was of-ficially inaugurated on October 4th, 1971. A new extension block of the hospital was constructed in 2010 by the Italian Government through their NGO, AISPO.

Although distinctly autonomous in its administration and funding at present, the hos-pital falls under the auspices of the Department of Health of the Central Tibetan Administration. The hospital has a nine member governing Board of Directors with Health Kalon as a Chairman and the day-to-day administrative work is over-seen by an Administrator (CEO) who is support-ed by the Chief Medical Officer and the Hospital Secretary. Hospital has 49 staff members of both medical and non medical. Delek Hospital has an In-patient capacity of 45 beds of which the majority are occupied by TB patients. Round-the-clock care is provided by a total of 10 nurses including two Matrons. Other facilities include an operating theater (for minor surgery), recovery room, emergency room, deliv-ery room, E.C.G., Heart Monitoring and a wide range of laboratory services. Additionally, Delek Hospital has a full fledged Out-patients (OPD) unit, Laboratory, Pharmacy unit, dental clinic, eye clinic, TB control clinic and a public health unit. It also runs an outpatient branch clinic at Mcleod Ganj. Delek Hospital has played a very impor-tant role in the prevention and treatment of TB in the Tibetan community. Besides TB, it provides treatment of all major infectious and non infec-tious diseases to both Tibetans and other people in the locality. It also provides maternity services and conducts normal deliveries. Under the Na-tional Immunization Programme, all children are provided with the following vaccines: BCG, Po-lio (OPV), DPT, Hepatitis B, Measles, MMR and Hib. Community Health Workers (CHW) Training has been conducted at the Delek hos-pital since 1981. To date, Delek has trained 265 CHWs and given 17 Refresher courses to 204 Health workers. Hospital also serves as elective centre for medical students from around the world and for Men-Tsee-Khang interns. Additionally, it creates public health awareness to the general public on important health days like World TB day, World Health day, HIV AIDS etc.

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Clinics in Nepal

Boudha Clinic, Kathmandu

The primary health centre at the Tibetan settle-ment in Boudha was established in the early 1970’s by the Snow Lion Foundation in order to provide basic health services to the local settle-ment populace, which has diminished from the initial 500 to 137 (as of 2012). The health centre today operates with one community health work-er under the close supervision of the Snow Lion Foundation. The health centre is well-equipped with basic diagnostic and treatment facilities.

Jorpati Clinic, Kathmandu

The primary health care centre at the Tibetan settlement in Jorpati was established in August 1993. The population of the Tibetan settlement in Jorpati has increased marginally from initial 204 to 224 (as of 2012). Under the close supervision of the local settlement office and the Snow Lion Foundation, the health centre operates with one community health worker and a visiting doctor every Wednesday.

Tashiling Clinic, Pokhara

With funding from the Department, the health centre at the Tashiling Tibetan refugee settlement was built to provide basic health care services to a population of 511. The health centre functions with a one health community with close involve-ment of the members of the local health commit-tee. The health centre is well-equipped with basic diagnostic and treatment facilities.

Tashi Palkhiel Clinic

Tashi Palkhiel Tibetan Refugee settlement was established on 1962 on the total area of 120 ru-pani of land. The main sources of livelihood for the settlers are carpet weaving and small busi-ness. This settlement is located at Kaski Distt. of Nepal. The settlement consist of only village with 182 families and the present population of 976. The settlement avail with one modern allo-pathic dispensary and one staff nurse to provide basic medical treatment services.

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Dorpatan Clinic, Pokhara

The Primary health centre was established in 1989 in order to provide basic health services to a population of over 200. The clinic today has been operating successfully with one community health worker under the close supervision of the local settlement office and the Snow Lion Foun-dation. The operating cost of the health centre is covered by donations from various foreign do-nors.

Manang Clinic

The clinic in Manang settlement was established to provide basic primary health care services to the local populace. Given the extremely remote location of the settlement, the daily maintenance of the clinic suffered considerable difficulties. The community health worker of the clinic was therefore moved to another clinic in the same place, which was run by the Rotary Club of Ger-many. The health centre since then has been op-erating successfully with one community health worker under the close supervision of the local settlement office and the Snow Lion Foundation. The operating cost of the health centre is provid-ed by donations of various foreign donors.

Chialsa Clinic

The primary health centre at the Delekling settle-ment in Chialsa was established and managed by the Swiss Red Cross Society in 1963. From 1966, the local settlement office took charge of the management of the health centre, while the Carpet Trading Centre provided funds for its op-

erating cost. The management and funding of the health centre was taken over by the Department in 1991. The health centre is well-equipped to pro-vide basic diagnostic and treatment services. The centre today has one community health worker (appointed by the Department) who works under the close supervision of the local settlement of-fice.

Walung Clinic

The primary health centre at the Sampheling set-tlement in Walung was established in 1972. The management and funding for the health centre was undertaken by the Snow Lion Foundation. The Department took full charge of the health centre in 1991. The health centre today operates with one community health worker under the close supervision of the Snow Lion Foundation.

Shaybru Clinic

The primary health centre at the Gegyeling set-tlement in Shaybru was first established in 1991. The Department has been managing this health

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Jampaling Clinic, Pokhara

Since 1984, Jampaling health care center has been providing basic health care services to 665 Tibetan residents. A single community health worker runs the health center with the assistance of settlement office and the department. Health center works much more efficiently after the ad-ministration charge has been taken over by the Snow Lion Foundation. It has the basic amenities to cure common diseases and also promote health awareness program among theTibetans and local people. Moreover, the Tibetan residents are of-fered 25% discount on the medicines. Paljorling Clinic, Pokhara

Paljorling health center was established in 1990 with a purpose to provide health care facilities to the Tibetan People living in and around the settlement. It is very helpful to the community in terms of consultation or treatment for minor illness. Moreover people can avail of 25% dis-count on medicines. Health center works effi-ciently under the supervision of SLF. Community health worker also arrange health awareness talks among the people.

centre through the Snow Lion Foundation. The health centre procures essential drugs with fund-ing assistance from Mrs Esther of Tibet Forever, Switzerland. The health centre has been oper-ating successfully with one community health worker under the close supervision of the local settlement office.

Lo Tserok Clinic

Lo Tserok Namgyaling Tibetan refugee settle-ment was first established in 1972 with and initial population of 300. It is located at Marpha village in Mustang, about 250 kms away from the Kath-mandu, the capital of Nepal. The primary occupa-tion of the settlers are farming. As of 2013, the settlement shelters 250 people. The settlement health centre was first established in 1996. The health centre with one community health worker is fully equipped to provide basic medical treat-ment services. The centre has been operating un-der the close supervision of the Snow Lion Foun-dation and the local settlement office.

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HOW YOU CAN HELP TIBETAN HEALTH DEPARTMENT

Central Tibetan Administration’s Department of Health or Tibetan Voluntary Health Association works to improve the health of Tibetan refuges in India, Nepal and Bhutan. These are the Health Programs and Projects run by Department of Health or Tibetan Voluntary Health Association that urgently need your help.

1) Urgent Need of Support for Tibetan Medicare System (TMS):

The Department started the TMS - a social health program- in the year 2012 exclusively designed to offer secondary and tertiary healthcare services to the exile Tibetan community in India. Likewise, it works in line with achieving the Health Department’s main objective: the ongoing prevention pro-grams. The TMS program is a self-financing welfare scheme based on the principle of public-private partnership. The families and individuals will be eligible to receive the maximum annual benefit of Rs. 100,000 and Rs. 50,000 respectively on hospitalization costs for an annual contribution of Rs. 3,565 and Rs. 950 respectively. With TMS program, it has been possible for many people to have cured their illness such as gastroenteritis, hypertension, liver disease, cataract, cholecystectomy, up-per respiratory infection, diabetes etc. Apparently, from phase 1, phase 2 and phase 3, the combine contributions received from 19960 members is Rs. 15,466,851/- in which the benefits paid to 1017 members is Rs. 22,574,581/- . The Department has incurred deficit of Rs 7,107,730/-, an equivalent to U.S. $ 118,462, up till 15 March 2014. In order to sustain this noble act, we are requesting grants/donations from generous donors to create a financial safety net to back up the TMS program. TMS program not only saves life, but also act as an emergency financial security to a family and society.

2) Adopt Tibetan Health Centers:

The Department of Health is one of the seven Departments of Central Tibetan Administration. Es-tablished in December 1981, its objective is to provide a comprehensive (preventive, promotive and curative) health care to the Tibetan population in exile through a network of 7 hospitals and 4 primary health centers and 43 clinics spread across India and Nepal. Ngoenga School, the first ever CTA owned school of Tibetan children with special need, is a home of 50 multiple disabled children from India, Nepal, Bhutan and Tibet. As of now, the Department employs a total workforce of 229 staff members, which includes doctors, executive secretaries, nurses, paramedic and other health person-nel. The operation and management of these hospitals and health centers are directly administrated and funded by the Department of Health, including all recurring and non-recurring expenses ranging from staff salaries to health care services and programs. Over the years, the Health Department, being non-profit organization, has been facing severe financial difficulties in continuing its help and support to these health centers. Therefore, the Health Department is requesting individuals, corporate and as-sociations to extend their help in the following ways:

• Donations to run and manage the health centers,• Corpus Fund to sustain the Health Department and its units,• Adopt one of the Hospitals, Primary Health Centers, Clinics or Ngoenga school

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3) Hepatitis B awareness, Testing, Vaccination and Treatment Project:

The Department and John Hopkins School of Public Health jointly conducted a cross sectional study among a sample of 3000 people in Bylakuppe Tibetan settlement, South India in 2013 to estimate the prevalence of Hepatitis B. As per the preliminary findings of this study, the overall prevalence was found to be higher than 7% which is WHO’s high endemic categorization value. In our community, Liver cancer is most common along with Stomach and esophageal cancer, which is due to chronic Hep. B infection and Tibetan people eventually suffer and die from liver cancer. Majority of the Ti-betans are unable to afford quality medications for clinical management of Hepatitis B because of huge cost of treatment. Such scenarios not only lead to high incidence of liver cancer in future but also cause rapid spread of current infection within the entire community. Therefore, the Department has been providing free Hepatitis B vaccination to all children under 5 years old since 2002. This project aims to reduce the incidence of Hepatitis B in the Tibetan community in India through Awareness, Screening, Vaccination and Treatment against /for Hepatitis B among of Tibetan children between the age group of 6-19 years, studying in all Tibetan schools in India and Nepal.

4) Construction of staff quarters for medical doctors and staff members at Kollegal, Miao, Hunsur:

The present staff quarters were constructed 35 years ago in 1974 and currently in a very poor con-dition. So far numerous minor repairs and maintenance work has done to the staff quarter to create better living conditions for the staff members, but no significant development was brought to the building. The staff members and their families are still struggling with agonizing conditions such as leakages, wall cracks, moldy and broken windows and doors, dampness from ceiling and ground. The roof of the building has broken and cracked from many side. During monsoon season, leakages are a common problem, and it creates an unhygienic and difficult living condition for the residents. The staff members residing in the building confronted various life threatening incidents such as poison-ous snakes entering into their rooms through the wall cracks. Likewise, the material that made up the roof-, asbestos, is said to be hazardous to human health with its carcinogenic effects. To boosts the work spirit of the staff members, it is necessary to ensure safety and comfortable staff quarters.

5) Eye Camps in Tibetan Settlements in India and Nepal:

The CTA demographic survey report 2009 reported 1853 cases of vision disability in the Tibetan population in exile. Age related vision problems, Vitamin-A deficiency during childhood, farmers over exposure to sun & dust and sweater sellers over exposure to sun and dust sitting on the footpath are believed to be common reasons for the vision impairment in the exile Tibetan community. In order to prevent avoidable blindness and to reach out to those who cannot reach us; the Health Department, with the kind help of donors, has been striving hard to organize free eye care services in all the Ti-betan settlements in India and Nepal. The activities of the Eye Camp are as follows:

• Free screening & consultation by ophthalmologist.• Detection of refractory errors in the eye.• Cataract Surgery and other surgeries such as Pterygium, Dekrocyctitis, glucoma etc.• Free medicines and Ocular Lenses to the patient.• Free food, medicines, accommodation and transportation for the patients.

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6) Cervical Cancer Awareness, Screening and Vaccination Project:

Cervical Cancer is the second most common cancer in women with around 500,000 new cases and

25,000 deaths each year out of which around 80% of cases occur in low income countries. (WHO sta-

tistics) A survey conducted on Tibetan women’s status by Social and Resource Development (SARD)

desk of Central Tibetan Administration (CTA) in 2012 reported that Urinary tract infection, Cervical

and breast cancer are among the common diseases (other than Hypertension and gastritis) affect-

ing Tibetan women, with lack of accessibility to health services, lack of knowledge, and poverty as

among the causes cited for these rising problems affecting their health.

The good news is that, it is preventable and also, the easiest female cancer, preventable through

screening. Till date, we have been able to carry out cervical screening and HPV vaccination program

in Miao and Hunsur Tibetan settlement successfully and we have plans to cover other Tibetan settle-

ments under similar programs, especially in larger settlements like Ladakh, Mundgod, Dekyiling etc

where large number of Tibetan women continue to resides and many young women from these region

who are vulnerable to the HPV infections can thus protect themselves from the disease by getting

HPV vaccinations which is unfortunately too expensive for many of them to afford. This program can

not only reduce mortality and morbidity related to cervical cancer, but can also improve overall health

status of women who plays an equal and important role in changing a society.

7) Urgent need of Ambulance at Tuting Health Centers:

The public transport facilities are extremely poor in many Tibetan settlements in India and Nepal. The

patients often face obstacles to access timely medical treatment from the distant hospitals. However,

the health department is striving hard to facilitate ambulance services that provide medical stand-by

24 hours a day in all the Tibetan settlements especially in remote locations. The main objective of

this project is to ensure that patients get a proper medical attention in the occurrence of a medical

emergency at Tuting settlement in northeast India.

8) Renovation of DTR Hospital Mundgod, & Clinics at Ladakh Jangthang & Tuting:

The present hospital and clinics were built four decades ago and in a dilapidated state. During mon-

soon season, the water leakage from the roof top results in moisture and dampness at top floor, caus-

ing an unhygienic environment. One can witness the buildings having numerous cracks causing threat

to the patients and staff members. Most of the doors and windows are in bad condition, and in urgent

need of replacement. The lack of proper facilities leads to unhygienic condition. Therefore, it is very

urgent to renovate the hospital buildings and clinics to create a patient-friendly environment; where

patients and employees enjoy comfort and safety. Our main objective is to facilitate family-centered

care to patients, and to emphasize on human resource development for better employee efficiency.

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Volunteer Information Corner

Ways to Give, Volunteer Opportunities

The department runs 7 hospitals and 4 primary health centers and 38 clinics spread across India and Nepal and 1 Ngoenga School, the first ever CTA run school for Tibetan children with special needs from India, Nepal, Bhutan and Tibet. More information: (www.ngoengaschool.org).

The hospitals offer opportunities for everyone to share their time, talents and interests to support our mission in the community. Doctors, nurses and other medical volunteers are most welcome to serve our hospital and health centers to provide medical care, health education and humanitarian assistance to Tibetan refugees in need. We will do our best to help you in whatever way we can during your stay.

If you are interested in volunteering in one of the CTA DOH’s hospital, you can send e-mail to: [email protected] and we will send you additional information.

Information for the Medical Students and Interns

The hospitals will give you information that may be of interest to you as a medical student. The more you know and understand about our hospitals before you decide to come, the better it will be for all.

As a medical student you are allowed to observe patients only under supervision of doctors. You are expected to be present during normal working hours each day. Board and lodging are to be arranged by you.

You are required to send your CV and a reference letter from your present University. You are also required to send a monthly fee of US $50 by cheque or via Western Union in the name of any CTA DOH’s hospital. The cheque, or wire, should be in Indian Rupees as our bank here does not accept foreign currency cheques in small amounts. Cancellation of your visit should be notified to the hospital’s elective co-ordinator at least two months in advance. However, the monthly fee is non-refundable.

NB: The above information gives priority to registered medical students already on courses. Pre-registration medical students will only be allowed if space permits. Tibetan pre-medical or medical students living in India, Nepal and Bhutan will be offered placements without making an advance booking, but the student will be subject to completion of hospital formalities by sending us his/her CV and reference before their arrival. They are exempted to pay elective fee. Failing to meet these requirements may hamper their placement with us.

Do you want more information?

If you are genuinely interested in working at CTA DOH hospitals as a medical student, you can send an e-mail: [email protected] and we will send you additional information.

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Tibetan Voluntary Health Association, CTA, Dharamsala (H.P)

Liabilities SCH Amount Assets SCH AmountGeneral Fund I 23,539,923.64 Fixed Assets V 922,799.54Other Fund II 922,799.54 Current Assets VI 3,961,103.76

Earmarked Fund III 7,220,266.28 Cash and Bank VII 64,858,400.41Current Liabilities IV 38,059,314.25

Total Rupees 69,742,303.71 Total Rupees 69,742,303.71

Consolidated Balance Sheet as at 31 March 2013

Particular SCH Amount TotalGeneral Fund

Foreign Contribution AccountLocal Contribution Account I

10,052,772.0113,487,151.63 23,539,923.64

Other FundForeign Contribution AccountLocal Contribution Account II

698,213.29224,586.25 922,799.54

Earmark FundForeign Contribution AccountLocal Contribution Account III

252,070.587,472,336.86 7,220,266.28

Current LiabilitiesForeign Contribution AccountLocal Contribution Account IV

7,286,038.7230,773,275.53 38,059,314.25

Fixed AssetsForeign Contribution AccountLocal Contribution Account V

698,213.29224,586.25 922,799.54

Current AssetsForeign Contribution AccountLocal Contribution Account VI

809,800.003,151,303.76 3,961,103.76

Cash and Bank Foreign Contribution Account

Local Contribution Account VII16,276,940.1548,581,460.26 64,858,400.41

Schedule to and Forming Part of Consolidated Balance Sheet as at 31 March 2013

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Consolidated Income and Expenditure Account for the Year Ended 31 March 2013

Expenditure SCH Amount Income SCH Amount

To Salary and Benefits A 6,603,753.52By Clinic Recurring Received

I 7,089,734.75

To Administrative Expenses B 621,855.80 By Interest Income J 10,094,949.84To Clinic Expenses C 13,432,234.94 By Other Income K 5,780,698.00To Financial & Legal Expenses D 497.00To Repair & Maintenance E 15,677.00To Social Service F 911,275.00To Vehicle Expenses G 246,228.00To Fixed Asset Purchased H 43,600.00To Excess of Income/Expd. 1,090,261.33 Total Rupees 22,965,382.59 Total Rupees 22,965,382.59

Expenditure SCH Amount TotalSalary and Benefits:

Foreign Contribution AccountLocal Contribution Account A

2,440,678.544,163,074.98 6,603,753.52

Administrative Expenses:Foreign Contribution AccountLocal Contribution Account B

354,287.80267,568.00 621,855.80

Clinic Expenses:Foreign Contribution AccountLocal Contribution Account C

9,306,008.944,126,226.00 13,432,234.94

Financial and Legal Expenses:Foreign Contribution AccountLocal Contribution Account D 497.00 497.00

Repair and Maintenance:Foreign Contribution AccountLocal Contribution Account E 15,677.00 15,677.00

Consolidated Income and Expenditure Account for the Year Ended 31 March 2013

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Income SCH Amount TotalClinic Recurring Received

Dispensary Recurring I 7,089,734.75Interest Income

Foreign Contribution AccountLocal Contribution Account J

2,789,906.007,305,043.84 10,094,949.84

Other Income Foreign Contribution Account

Local Contribution Account K5,150,898.00629,800.00 5,780,698.00

Social Service:Foreign Contribution AccountLocal Contribution Account F

768,081.00143,257.00 911,275.00

Vehicle Expenses:Foreign Contribution AccountLocal Contribution Account G

65,877.00180,351.00 246,228.00

Fixed Asset Purchased:Foreign Contribution AccountLocal Contribution Account H 43,600.00 43,600.00

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Country wise Receipt of Foreign Contribution

S.No Country Name Amount (In Rupees)1 Australia 702772 Belgium 440003 Canada 1924104 France 7411535 Germany 38659436 India 35141477 Italy 113491728 Nepal 400009 Norway 421898810 Poland 270011 Sweden 32595912 Switzerland 8208013 Taiwan 36446714 United States of America 44040780

Total 68852077

Declaration

I hereby declare that the above particulars furnished by me are true and correct. I also affirm that the foreign contribution has been utilised for the purpose(s) for which the association has been reg-istered/prior permission obtained, to the best of my knowledge. I have not concealed or suppressed

any fact.

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Addresses of the Hospitals

Hospital AdministratorDhondenling Van Thiel Charitable Trust HospitalP.O. Tibetan Settlement – 571457Odeyarpalya, Kollegal TalukDist: Chamrajnagar, Karnataka State, IndiaPhone: 08225-273225(O), Telefax: 08225-273225Mobile: 8861080878, 9449202006, Email: [email protected]

Hospital AdministratorDTR HospitalP.O Tibetan Settlement Mundgod,Distt Karwar 541188Karnatake State, IndiaPhone: 0838-245760, 245638, Tele Fax: 0838-245738Email:[email protected]

Hospital AdministratorTso-jhe Khangser HospitalKailashpuraP.O Bylakuppe 571104Mysore Distt, Karnataka StateEmail:[email protected]

Hospital AdministratorPhende HospitalRabgyaling Tibetan SettlementP.O Gurupura 571188, Hunsur TalukDistt Mysore, KarnatakaEmail:[email protected]

Hospital AdministratorDekyiling Tibetan Health CenterP.O Kulhan 248001, S.D RoadDistt Dehradun, UttranchalEmail:[email protected]

Hospital AdministratorMenlha HospitalPhuntsokling Tibetan SettementLobersingh P/o Mahendragada 761034Distt Gajapati, OdishaEmail:[email protected]

Hospital AdministratorPrimary Health CenterFendeyling Tibetan SettlementP.O Kamleshwarpur, MainpatDistt Surguja, Chattisgarh 497127Email:[email protected]

Primary Health Centers

Hospital AdministratorNorgyeling Health CentreP.O.Pratapgarh-441702,Distt .GondiaMaharastra StateEmail:[email protected]

Hospital AdministratorPrimary Health CenterChoephelling Tibetan SettlementP.O Miao 792122, Distt ChanglangArunachal PradeshEmail:[email protected]

Hospital AdministratorTibetan Primary Health Care, BirP.O Bir-176077, ChowganDistt Kangra, H.PEmail:[email protected]

Hospital AdministratorTibetan Health Care CenterSonamling Tibetan SettlementP.O Choglamsar 194104Leh-Ladakh, J/KEmail:[email protected]

Nurse HeadSamyeling Tibetan CampNew Aruna Nagar colonyMajnu ka Tilla, Delhi 110054Email:[email protected]

Health Clinics

Community Health WorkerDispensaryC/o Tibetan Settlement Office15th Mile Tibetan CampP.O Manali 175131Distt Kullu, H.PEmail:[email protected]

Community Health WorkerKullu Manali ClinicC/o Tibetan Settlement OfficeP.O Dalpur 275131Distt. Kullu, H.P Email:[email protected]

Community Health WorkerPrimary Health CenterTibetan Khampa Industrial SocietyNangchen Division, P.O ChauntraDistt Mandi, H.PEmail:[email protected]

Community Health WorkerPrimary Health CenterDoegu Yugyalling Tibetan SettlementP.O Jassowala 248147, LakhanwalaHerbertpur, Distt DehradunU.KEmail:[email protected]

Community Health WorkerPrimary Health CenterC/o Tibetan Welfare OfficeBelow High Court, 31A-N.H. WayGangtok 737101, SikkimEmail:[email protected]

Community Health WorkerTibetan Primary Health CenterP.O Rewalsar 175023Distt Mandi, H.PEmail:[email protected]

Community Health WorkerPrimary Health CenterTashiling Tibetan CenterP.O Pondoh 175124Distt Mandi, H.PEmail:[email protected]

Community Health WorkerGampopa ClinicWest Point, DaliTenzin Norgye Road Darjeeling 734101West BengalEmail:[email protected]

Community NurseK.S HospitalTenzin Gang Tibetan SettlementP.O Tenzin Gang 790002, Via BomdilaDistt West Kameng (A.P)Email:[email protected]

Community Health WorkerPrimary Health CenterSakya Tibetan Society, PuruwalaP.O Gorkhuwala 173025Distt Sirmour, H.PEmail:[email protected]

Community NursePrimary Health CenterDhargyeling Tibetan SettlementP.O Tindoling 792001, TezuDistt Lohit, A.PEmail:[email protected]

Community Health WorkerPrimary Health CenterTibetan Colony, Badamwani HawalSangeen DanwazaSrinagar 190003 J/KEmail:[email protected]

Community Health WorkerPrimary Health CenterTibetan Refugee Handicraft CenterMiddle BakrodaP.O Dalhousie 176304Distt. Chamba, H.PEmail:[email protected]

Community Health CenterPrimary Health Center Kham Kathok Tibetan SettlementP.O Sataun – 173029, District Sirmour, HPEmail:[email protected]

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Community Health WorkerPrimary Health Center Kamrao Gapa Tibetan Settlement,P.O Sataun – 173029, District Sirmour, HP Email:[email protected]

Community Health WorkerPrimary Health CenterDoegu Yugyalling Tibetan SettlementP.O Jassowala, KheraHerbertpur, Distt Dehradun, U.K 248147Email:[email protected]

Community Health WorkerPrimary Health CenterTibetan Cholsum Industrial SocietyP.O Bhuppur, Paonta SahibDistt Sirmour, H.P 173025Email:[email protected]

Community Health WorkerPrimary Health CenterLingtsang Tibetan SettlementP.O Menduwala, Via Prem NagarDistt Dehradun (UK) India 248007Email:[email protected]

Community Health WorkerPrimary Health CenterTibetan Craft CommunityTashiJong, P.O TaragarhDistt Kangra, H.P 176018Email:[email protected]

Community Health WorkerTibetan Primary Health CenterClementown 248002Distt Dehradun, U.KEmail:[email protected]

Community Health Worker Health Care Center C/o Tibetan Bonpo Foundation Dolanji, P.O. Kotla Panjola - 173 223 Via Oachghat-Solan Distt. Sirmour, HP Email:[email protected]

Community Health Worker Health Care Center Kunphenling Tibetan Settlment P.O. Ravangla - 737 134 Distt Namchi, South Sikkim Email:[email protected]

Community Health Worker C/O Tashiling Tibetan Settlement P.O. Sonada - 734 219 Distt Darjeeling, W.B Email:[email protected]

Community Health Worker Primary Health Center,Podung BastiP.O Tuting-792601 Upper Siang Distt Arunachal PradeshEmail:[email protected]

Clinics in Nepal

Community Health WorkerPrimary Health CenterGagayling Tibetan Refugee SettlementShabru Besi, P.O DunchenRasuwa,Bagmati Anchal,NepalEmail:[email protected]

Community Health WorkerPrimary Health Center, ManangC/O Office of Representative Gaden Khangsar, LazimpatP.O Box no 310Kathmandu, NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterNamgyaling Tibetan Refugee SettlementChairok Goan, P.O MarpaMustang, Nepal

Community Health WorkerPrimary Health CenterNorzinling Tibetan Refugee SettlementP.o Dhorpatan,Distt BaglungDhaulagiri Anchal,P.O Box no 7,Via Pokhara,NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterWard no 2, Jorpati Khampa CampKathmandu, NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterTashiling Tibetan SettlementP.O Box no 24Pokhara, NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterJampaling Tibetan Refugee SettlementP.O Box 97Pokhara, NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterDelekling Tibetan Refugee SettlementP.O Box no 1, Chailsa, SalleriSagarmath Anchal, Solu Khambu, NepalEmail:[email protected]

Community Health WorkerPrimary Health CenterPaljorling Tibetan Refugee SettlementP.O Box no 18Pokhara NepalEmail:[email protected]

Community Health CenterHealth Care Center’Samphelling Tibetan SettlementFoley Gaon, GA, VI, SALaileep, P.O GunsaDistt Taplezung, Nepal

Community Health Worker Jawalakhel and Boudhac/o Snow Lion FoundationP.O Box no 1313Kathmandu, NepalEmail:[email protected]

Community Health Worker Tashi Palkhiel Tibetan Refugee settlementKaski Distt,Gandaki Anchal,P.O. Box. No. 7,Hyangja, PokharaNepalEmail:[email protected] SecretarySnow Lion FoundationP.o Box no 1313Kathmandu, NepalEmail:[email protected]

Two Autonomous Health and Medical Institution under CTA, Health Department

Delek HospitalGangchen KyishongDharamsala, Distt. KangraHimachal Pradesh, 176215Phone No: 0091-1892-22053/23381 Fax: 0091-1892-22406/24957Email:[email protected]

Men-Tsee-Khang(Tibetan Medical & Astro. Institute of H.H. the Dalai Lama)Gangchen KyisiongDharamsala, Distt. KangraH.P. 176 215 IndiaTel: 00-91-1892-223113/223222Email: [email protected]

HOW YOU CAN HELP

Central Tibetan Administration’s Department of Health or Tibetan Voluntary Health Association works to improve the health of Tibetan refugee in India, Nepal and Bhutan.

List of Health Programs and Projects of Department of Health or Tibetan Voluntary Health Associa-tion on which you can help.

1. Health Information System2. Water and Sanitation Program3. Health Education Program4. Health Resource Development Program5. Tibetan Medicare System6. Mother and Child Health Program7. TB and MDR TB Prevention and Control Program8. Integration of Tibetan Sowa Rigpa Medicine and Western Medicine Program9. Ngoenga School for Tibetan Children with Special Needs10. Health and Medical Training Program11. Hepatitis B Prevention and Control Program12. HIV/AIDS Prevention and Care Program13. Substance Abuse Prevention and Rehabilitation Program14. Oral Health and Hygiene Program15. Eye health program including Cataract screening and Surgery16. Medicare and Welfare of Tibetan Torture Survivors Program (TTSP)17. Mental Health Program18. Care of Tibetan People with Disability19. Telemedicine Clinic Pilot Project20. Cancer and Chronic Disease Prevention and Control Program21. Essential Drugs and Ambulance Fund22. Emergency Medical Fund for people below poverty line in India, Nepal and Bhutan23. Adopt Tibetan Health centers project24. School Health Program25. Women’s Health Program26. Malaria Prevention and Control Program27. Corpus Fund28. General Donation Fund29. Installation of fully equipped Dental chair and accessories at remote Tibetan health centers30. Set up of fully equipped Eye Clinic at Tibetan health centers at Mundgod, Hunsur, Miao, and Odisha31. Set up of X-ray room and X-ray machine at remote Tibetan health centers at Miao, Bhandara and Ladakh

Please make donation by cheque/bank draft/IMO payable to Tibetan Voluntary Health Association towards any of the Projects above.

A/c Holder - TVHA A/c Number - 11510100000519 UCO Bank, CTS Gangchen KyishongDharamsala -176215Distt. Kangra (H.P), INDIA

SWIFT CODE - UCBAINBB212 PAN - AAATT1509K TAN - PTLT10935BIFSC - UCBA0002059

www.tibet.net/[email protected]

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