1A N N U A L R E P O R T 2010 - 2011

2A N N U A L R E P O R T 2010 - 2011

3A N N U A L R E P O R T 2010 - 2011

Foreword

Our Founder Shri N.S. Iyengar believed that “Social Responsibility of Business isnot Optional, but Obligatory.” He set up the Thirumalai Charity Trust in 1970 toput this belief into action.

Since then, we have implemented and supported a number of projects in Health,Education and Rural Development. The SIWS Schools and Colleges in Mumbaiand the Vedavalli Vidyalaya Schools in Tamilnadu are well known.

From 1983, we have been engaged in Rural Health and Development in thevillages around Ranipet, focusing on women empowerment and communityinvolvement. Our activities have been in Health, Disability, Self Help Groups andWomen Empowerment, Veterinary Care, De-addiction and Alcoholism Education,Children’s Study and Recreation and several other Village Development Activities.

Over the years, people’s awareness and aspirations for a better quality of lifehave grown.

Because of its three decades of engagement with the people, TCT was able totrack these changes and sense the need of the Community for a good hospital tomeet the Secondary Healthcare needs in the region.

Our Thirumalai Mission Hospital was inaugurated in April 2010. As we workedon getting resources and people, setting up systems and procedures, we weremuch encouraged by the response we received from donors and friends.

It was a year of enormous opportunities for learning. We realize there is so muchmore to do in our Mission of providing ‘Affordable Quality Healthcare for All’.

We would love to have you visit us, give us your feedback and advice.

Regards,

For Thirumalai Charity Trust

Bhooma ParthasarathyDirectorbhooma.p@tmhospital.orgtct1@md5.vsnl.net.in

Annual Report 2010 - 2011

Thirumalai Charity Trust

4A N N U A L R E P O R T 2010 - 2011

Mrs. Shanthi RanganathanDirector

TTK HospitalChennai, Tamilnadu

Mr. S.Sridhar Managing Director

Thirumalai Chemicals Ltd.Mumbai

Mr. D.K.SrinivasanSecretary

Hindu Mission HospitalChennai, Tamilnadu

Mr. C. Antony SamyAdvisor

Worth TrustVellore Dt., Tamilnadu

Mrs. Bhooma ParthasarathyDirector

Thirumalai Charity TrustRanipet, Tamilnadu

Mr. S.SanthanamDirector

Ultramarine & Pigments Ltd.Mumbai

Mr. R.SampathChairman and MD

Ultramarine & Pigments Ltd.Ranipet, Tamilnadu

Mr. R.ParthasarathyManaging Director

Thirumalai Chemicals Ltd.Ranipet, Tamilnadu

Ms. V. JayaExecutive

Thirumalai Chemicals Ltd.Ranipet, Tamilnadu

Dr. R. BalasubramaniamFounder & President

Swami Vivekananda Youth MovementSaragur, Karnataka

Dr. Arjun RajagopalanTrustee & Director

Sundaram Medical FoundationChennai, Tamilnadu

Mr. K. ThirumalaiAdvisor

Thirumalai GroupChennai, Tamilnadu

Trustees

5A N N U A L R E P O R T 2010 - 2011

TCT’s projects are is now functioning in 40 Panchayats, 255 villages and hamlets, to serve a populationof about 1,30,000 people. These villages are in Walaja and Katpadi Taluks of Vellore District.

Health Centres1. Sipcot 5. Seekarajapuram2. Metuthengal 6.T.R.Palli3. Vanapadi 7.Keeraisathu4. Vasur

Project Area

6A N N U A L R E P O R T 2010 - 2011

Thirumalai Charity Trust (TCT) in all its communityinitiatives since 1989, has facilitated developmentthrough Volunteerism, Women empowerment andCommunity action. As one goes through TCT’sprogrammes, the testimony for these is visible.

As the village volunteers provide local support to mobilizethe people, TCT’s staff are able to effectively reach outto 25,465 families in 255 villages.

Our Volunteers have taken on many roles – providingfirst aid, promoting local action groups, being the firstpoint of contact to families, helping those in need reachservice providers in NGOs and Government, and creatingawareness and streamlining assistance.

The Community Health Centres enable delivery of Healthservices for a cluster of villages. These Centresmanaged by Community Health Workers offer a rangeof services – Treatment, Camps, Education, Counsellingand Training.

There are seven such Community Health Centres, eachcatering to 1000 – 1500 households in a cluster ofvillages.They are also service points for adjoiningclusters where ourtrained Multi-purpose Workers offerservices in the villages.

The Volunteers and our field staff trained in Health andCommunity Work have first-hand knowledge of thesefamilies. Their training and the design of theprogrammes help them to identify the people to beserved and their needs.

After the Thirumalai Mission Hospital started to function,the doctors from the hospital have begun to reach outto the rural people in a regular Primary Health Caresystem of running village clinics. Patients identified withchronic ailments and requiring next level of care arereferred to our Hospital. The field staff have been trainedto render these services more effectively and in follow-up programmes.

We hope this summary explains the holistic nature ofthe Trust’s activities.

The Background

Selection & Training of Volunteers

Education

In Schools

For Women

For the Community

Health Checkups for

School students

Pregnant women

Infants 0-2 month old

Children below 5 years

Identification & Assessment of Persons withdisability, Alcoholics and Mentally ill

Treatment in villages

Training for Voluntary Groups

Self Help Groups for Persons with disability

Federation of Disabled persons

Health Committees

Care givers and Parents of Persons with disability

Treated Alcoholics

Facilitating action for better health and development

Activities of Community Health Workers and Multi-purpose Workers in the villages

7A N N U A L R E P O R T 2010 - 2011

The Thirumalai Mission Hospital was inaugurated on18th April 2010.The Guests at the function wereMr. S.A. Bhat, Chairman and Managing Director of theIndian Overseas Bank, Mr. Lakshmi Narayanan ofCognizant Technologies, Mr. D.K. Srinivasan of the HinduMission Hospital, Dr. Arjun Rajagopalan of theSundaram Medical Foundation, Mr. Shekar Swamy ofC.S Foundation, Dr. Sara Bhattacharji and Dr. VinoharBalraj of Christian Medical College and Hospital.

The function was attended by over 1500 people includingTCT’s beneficiaries, donors, local leaders,representatives from Industry and family and friends.

Mr. Srinivasan Swamy, Ms. Bhooma,Mr. & Mrs. Lakshmi Narayanan

A section of the Guests

I. Thirumalai Mission Hospital (TMH)

Mr. S.A.Bhat lighting the lamp

Speakers and Dignitaries at the Inauguration

8A N N U A L R E P O R T 2010 - 2011

The progress

From 1st May 2010, the consultants in Medicine, Surgeryand Paediatrics commenced treatment. The duty doctorshad already started working and were beginning to treatout-patients. The Obstetrician-Gynaecologist joined theteam in mid October 2010.

The Hospital offers Emergency, Out-patient and In-patient care. Diagnostic facilities like Lab, X-ray, ECGand Ultrasound are available and those are beingexpanded. Woman and Child Care, Medical Care, Minorand Major Surgery, Emergency and Physiotherapyservices are provided.

First delivery at the HospitalDoctor with mother and child

In-patient Service

State Bank of India’s Chief General Manager, Mr. M. Chandrasekaran inaugurated the lift on 7th March 2011

Category Number

Patients treated 12725Patients registered 6186Regular Check-ups done 717Treated as In-patient 105Surgeries performed 14Babies delivered 29Emergency care provided 28Physiotherapy given 185

Details of the Patient care2010 - 2011

9A N N U A L R E P O R T 2010 - 2011

Medical Camps

The Hospital organized a 3-day Treatment Campat Vallimalai during ‘Adikruthigai temple festival

and treated 185 people

Dr. Mythily at the Temple festival Camp

Temple-festival Camp

At a Camp organized in the Hospital, nearly 100children under the age of one were examined and the

mothers were educated on ‘Breast-feeding’ andadvised on Health and Nutrition

Mothers with babies for Breast-feeding Day

Breast-feeding Day

A Multi-speciality Camp was organized in whichOrthopedic, ENT, Medicine, Surgery and Gynaecologyspecialists participated. A total of 462 persons wereassessed. Of these 27 patients reported back at the

Hospital for the suggested course of treatment.

Multi-speciality Camp

In a Diabetes and Hypertension Detection Camp held inthe Hospital 116 persons registered; 39 of them were

detected with diabetes and 14 with hypertension.They are being treated.

Diabetes and Hypertension Detection Camp

10A N N U A L R E P O R T 2010 - 2011

Student Check-up

Five schools were covered the under student check-up programmes. A total of 2967 students were checked up intheir schools. Students from Vedavalli Vidyalaya and Edify schools visited the hospital for exposure trips.

Mobile Clinic

Since 23rd December 2010, the Duty Doctors havestarted providing services in our Mobile Clinics . Forthe first three months it was for one day per week perclinic and since 13th March 2011 it became two clinicsper day for three days a week.

In these clinics doctors treated a total of 980 patients,provided them health education, and also visited chronic,disabled and geriatric patients at home.

Women’s Screening Camps

The hospital organised two Women’s Screening Camps in which 69 women registered. Following the Camp, 34women were referred to the Hospital and 10 of them were treated.

Student check-up by Dr. MythilyConsulting with Dr. Manikannan

Women waiting for Ante-natal check-up Ms.Bhooma inaugurates the Ante-natal check-up

Patient treated at TCT’s Rural Centre

11A N N U A L R E P O R T 2010 - 2011

Training

TMH’s Medical Director, Dr. Rajanna trained thenursing staff on Emergency Care and HospitalProcedures for 15 days.

Dr. Sarojini Devanandan, an Anaesthetist Consultantorganized training for 3 days for nurses on ‘TheatreOrganization and Cardiac Pulmonary Resuscitation’.

Two nurses went to Sundaram Medical Foundation,Chennai to gain exposure in ‘Theatre ActivitiesManagement’.

Training is an on going activity for the nurses, with adaily training session for about 2 hours.

One of our Lab technicians was trained at EhrlichLaboratory, Chennai for 3 months.

Two of our Doctors each had a week-long training atthe CHAD Hospital and the Low Cost Effective Care Unit(LCECU) of the Christian Medical College, Vellore.

The Doctors and Consultants were given orientationsessions over 4 days on topics such as ‘Patient Care’,‘Rational Drug Use’, ‘Ethics and Professionalism’, and‘Evidence-based Medicine’. These sessions wereconducted by consultants Dr. Venkatesh, Dr. Sushil John,Dr. Priscilla and Dr. Sunil from LCECU.

Towards enabling smooth functioning of our Fieldand the Hospital teams and to highlight the importanceof team work, the field and hospital staff were broughttogether for a half day orientation programme facilitatedby Dr. Sara Bhattacharji and assisted by Dr. Vijaya Prasadand Dr. Vinohar Balraj.

A Seminar on ‘Evidence Based Medicine’ wasorganized in Vellore for about 20 medical students.Resource persons were Dr. Lakshmi Seshadri, Professorand Head of Department, Obstetrics & Gynaecology,Christian Medical College, Dr. Narmada Ashok andDr. Vijaya Prasad.

In December 2010, a two-day orientation on ‘PrimaryHealthcare’ was conducted for Duty Doctors inpreparation for starting the Mobile Rural Clinics.

As a follow-up, sessions on ‘Aims and Philosophy ofThirumalai Mission Hospital’, ‘Concepts in PrimaryHealthcare’ and ‘Evidence-based Medicine’ wereorganized for all the doctors and consultants by Mrs.Bhooma Parthasarathy, Director, TCT, Dr. NarmadaAshok, Paediatric Consultant and Director, NalamHospital and Dr. Vijaya Prasad, Consultant, Rural Womenand Social Education Centre.

These sessions reinforced the relevance of PrimaryHealthcare and Evidence-based Medicine in the contextof TCT’s history and the Hospital’s aims and philosophy.The Duty Doctors willingly took up the responsibility ofrunning the Mobile Primary Healthcare Clinics.

Dr. Vijaya Prasad providing practical trainingin Primary Health Care to our Doctors

12A N N U A L R E P O R T 2010 - 2011

Referrals to the hospital from the field

Ajantha of Kuppathamottur did not develop labour pains wellover a week past her due date. On the advise of the Field Staff,she reported at Thirumalai Mission Hospital. The baby wasdelivered with a caesarean section.

Preetha of Mettupalayam had lost her first two babies. Shewas worried when she conceived the third time. At our hospital,she was given Ante-natal and pregnancy care. In her eighth monthof pregnancy, she started bleeding. Medicines did not work andthe baby had to be delivered by cesarean section. After two daysof care in the Hospital, she and the baby were referred toChildren’s Hospital, Chennai for intensive care. Preetha is veryhappy with the care given to her in our hospital and isappreciative of the staff for helping her deliver a healthy baby.

Our Health Workers’ persistent follow-up with Vilvanathanof Periya Ramanathapuram village got him to visit theHospital for a cyst in his neck that was growing in size. Hewas operated upon and could go home the same evening.His fear of a big surgery and huge expenditure for thetreatment proved to be baseless.

Murugesan from Chinna Ramanathapuram had bilateralhernia. He was operated upon. This was done in the theatreand he had to spend 5 days in the Hospital. But he wasmuch relieved by the reasonable charges in the Hospital.

Tamilazhagan of Periya Ramanathapuram was operatedfor Hydrocele.

Two teachers, Manimagalai and Pramila Rajakumari ofMelpadi who underwent Master Health Check-up weredetected with diabetes. They appreciated the initiative takenby the Hospital for teachers.

Murugesan

Pramila Rajakumari

Vilvanathan

Tamilazhagan

Ajantha with her son Purusoth

Preetha with her sonPrasanna

13A N N U A L R E P O R T 2010 - 2011

In TCT’s work, the grassroot activities are supportedby volunteers, mostly women. They start work with anassigned activity, but as they get engaged, their roleschange and new activities get added on. They are theprime movers who act as a bridge between thecommunity and TCT, and ensure delivery of services topeople in need.

As early as 1989, TCT enlisted women volunteers. Thefirst four community selected women were trained toprovide First-Aid in their villages, equipped with DrugKits provided by TCT. Until 2004, 135 women weretrained for this activity; of them, 35 continue to workfor our programmes.

The other trained women are engaged in various kindsof voluntary work. They undergo monthly training onHealth and Social issues.

Family Care Volunteers

in 2009, TCT created the cadre of Family Care Volunteers(FCVs), recognizing the need to have close contact withthe families towards ensuring access to health,awareness for early detection, and seeking healthcare.These community selected volunteers are the firstpoint of contact for social and health care needs for50 - 75 households.

For these volunteers, each month, a 2-day trainingprogramme is held on Health and Development. Topicsfor Training include Hygiene & Sanitation, Water borne& Air borne diseases. Safe drinking water, Nutrition &Nutritional disorders, Alcoholism, Dowry, DomesticViolence, Legal rights of Women, Mother and Child care,HIV / AIDS, Mental illness, Disability, and Suicide.

They carry the messages given to them in the trainingto the families in the villages and give feedback to ourstaff on the problems in the families.

As a pilot project this was implemented in 30 villages,training 100 volunteers. The project evaluated byDr. Vijaya Prasad has been suitably modified and nowexpanded to cover 86 villages, training 150 newvolunteers. Dr. Vijaya Prasad in a Focus Group discussion

Health Coordinator Ms. Ramanitraining the Family Care Volunteers

Women in Volunteers’ Training

II. Volunteers

14A N N U A L R E P O R T 2010 - 2011

Self Help Groups and Federation of Disabled Persons

With the belief that, ‘Self Help is the best help’, TCT hasbeen promoting and developing Self Help Groups ofdisabled persons in the villages, since 2000.

Disabled people or their family members (representingthem) form a Self Help Group in a village. Their electedleaders are trained by TCT every quarter. There are 520members in 54 Self Help Groups. The Groups meetevery month to discuss their needs. These areconsolidated at the Project Level and assistance isstreamlined for them from the Government and NGO’s.

The need for concerted effort culminated in forming aFederation of Disabled Persons with 20 elected leaders.They go through training on a monthly basis. They nowinterface with the District Rehabilitation Office to accessGovernment schemes for disabled persons.

Two members from this Federation are enrolled in the State Federation. One of them is a State Level Federationrepresentative. This interaction helps them to understand the policy issues that impact their status and enableadvocacy and collective action to make policy changes in favour of disabled people.

TCT’s programmes have served 1188 disabled persons.

Treated Alcoholics

Ten to twelve treated alcoholics are formed into a voluntary group to provide ‘Treated alcoholic – alcoholic’Education in the villages.

Each month, the treated alcoholics visit two villages and go on a door-to-door campaign highlighting that‘Alcoholism is a disease’ and that ‘treatment can help to rehabilitate’. During this activity, they share their personalexperiences, identify alcohol addicts and motivate them for treatment in TCT’s annual De-addiction Camp. The listof identified alcoholics is then given to TCT’s local contact staff for follow-up action and registration for ourprogrammes..

Besides this group, a large number of treated alcoholics and their wives are ever willing to share theirexperiences with those undergoing de-addiction in the Camp and in any forum, to help TCT in this programme.

Impact of Training of FCVs

Sheela of Thiruvalam is a Family Care Volunteer. Her husbandis an alcoholic. She was motivated after listening to the story ofa ‘Woman who became rich selling idlis’. She has now set up asnack shop and is earning a decent income. Though her husbandcontinues to drink and does not support her, she is able tomanage her family with her earnings. Her neighbours come toher rescue when her husband abuses her.

SHG for disabaled persons Consultation Meetingwith ADD, India

15A N N U A L R E P O R T 2010 - 2011

Health Committees

Health Committees are formed in the villages wherethe Health Workers operate, i.e where the Health Centreis located and serves a cluster of villages. There are 60Health Committees, with members including 7 - 12trained volunteers, village informal leaders, Balwaditeachers, Ward representatives (and PanchayatPresident in some cases) and Women Self Help Groupmembers. They meet on a monthly basis and discussvillage health issues. They collect information on vitalstatistics and highlight the need for action and to beproactive to resolve local health issues. The regularityin meetings encourages villagers to refer local issuesfor Panchayat action or intervention by Government.

Other Volunteers

Whenever there is a new programme in any community, where the trained volunteers and action groups are notavailable, there the staff are encouraged to create a new cadre of volunteers for a specific programme and givethem training.

All the volunteers, though initially trained for specific roles and local programmes have engaged themselves in inmany of TCT’s programmes for serving the local community.

Ms. Madhavi, Health Worker& Mr. Govindasamy, Coordinator- Training the Health Committee

Volunteer Ms.Punithavalli at the Pulse Polioimmunisation programme

Volunteer Ms.Suguna assisting Health WorkerMs.Geetha in screening school children

16A N N U A L R E P O R T 2010 - 2011

Family Care Volunteers celebrating Pongal

| Roles of our Volunteers |

Raise the community needs for discussion in review meetings

Create awareness among the people, specifically the target groups / households they are entrustedwith - at the household level, in group meetings and mass actions like rally on Special Days likeEnvironment, Breast-feeding, Nutrition, Disability, HIV/AIDS and so on

Assist TCT Field Staff in all the village activities, including Education, Meetings, Camps and Training

Collect local information and pass it on to TCT and also disseminate information and messages fromTCT to the people

Identify people who have to be served and refer them to TCT

Encourage patients with chronic and communicable diseases to seek health services in ThirumalaiMission Hospital

Participate in the Grama Sabha meetings and raise local issues

Collect petitions, forms and applications etc from disabled persons and submit them to the respectiveGovernment authorities like VAO, Tahsildar, DRO and RDO and so on. They also follow-up and get theneeded assistance from the Government. Examples: ID card, Bus pass, School scholarship,Handicapped Welfare Board Insurance, Pensions – Old age or Handicapped Maintenance Grant.

On request from TCT, they participate in Training, meetings with visitors, Beneficiaries Meet andconsultative meetings for planning.

17A N N U A L R E P O R T 2010 - 2011

For development to be effective and lasting, the engagement of the community in the process is essential.

There have been Community Meetings for creating awareness on several Health and Development Issues, ourProgrammes of the Trust and the Hospital, in Planning and Implementation of programmes, in selection ofvolunteers and so on.

During the year there were more than 525 meetings in the villages, in which nearly 10,000 persons were involved.

III. Engagement with the Community

Mass Community Meeting Community Education

| Impact of this initiative |

The Communities have taken effective steps in garbage disposal and tree planting

In several villages, individual counselling has been done for alcoholism, suicideattempts, violence, and dowry menace

Availability of volunteers for various TCT activities

Improved responses in our village programmes

Increasing involvement with voluntary work in the villages

18A N N U A L R E P O R T 2010 - 2011

Care for the Mentally Ill

Since 2004, TCT has been caring for the mentally ill -by creating awareness, identifying the mentally ill,treating them in Psychiatric Camps, following them upin their homes, providing counselling for their familymembers and organizing training for their caregivers.Through these programmes TCT has reached out to347 mentally ill persons in 91 villages; of them, 225have registered for treatment with us.

IV. Programme for Persons with Disability

Assessment of children with mental disability

| The impact |

One hundred and seventeen patients have registered at the Government Hospital at Vellorefor treatment; forty patients were registered this year.

A total of 115 patients are on a regular treatment either in Government or Private Hospitals.

Fifty-six have received Government ID Cards

One hundred twenty four of them are working on their old jobs.

With the help of Dr. Anna Tharyan of CMC, TCT organized training for 25 NGO representativesat Christian Medical College, Vellore

Several awareness and education programmes were organized in schools and villages.

19A N N U A L R E P O R T 2010 - 2011

Care for Children with Disability

By adopting a multi-pronged approach, using several existing government and non- government schemes, TCTattempts to reach out to children with disability and their families.

TCT has identified 246 such children in the villages.

Organize meetings for parents to create awareness on the special needs of the children and counsel them.

Recommend admission into special schools.

Facilitate Government assistance like ID Cards, Insurance schemes, Guardianship schemes, Maintenancegrants, Pension, Educational scholarship, Medicines.

Work with other NGOs to provide assistive devices and mobility aids and organize Disability AssessmentCamps to workout rehabilitation plans.

Educate and train the Disability Federation to initiate suitable action.

Sensitize the community through various awareness programmes.

Encourage and ensure attendance of children in the Day-Care Centres organized by Sarva Sikshya Abhyan

| The approach |

New initiatives

On the initiative of the Federation and the parents of disabled children, the Panchayat at Ponnai has designated oneof its buildings to run a Day-Care Centre. Fifty-four children from Ponnai and the surrounding villages were assessedby experts and plans are afoot to commence a Day-Care Centre as a Community Rehabilitation initiative.

All the Field Staff of TCT underwent training to provide home-based physiotherapy. As a follow up of the training,35 children received treatment at home and their parents are also trained to provide therapy for them. Theyreport improvement in the children.

There is now increasing awareness in the villages about the Government schemes, on the need for specialtraining and education, and there is hope for the parents because of community encouragement for rehabilitation.

ADD India, our partner in disability work provided Field Support in two visits.

Seventeen year old Manimegalai had a thin small finger. Her fingers weretied with a belt at night. She was advised some exercises for the finger.Initially, she had a lot of pain. As she began to exercise regularly, painsubsided. The size of the finger increased. The doctor has suggested that ifshe continues to improve, her finger can be corrected with surgery.

Kalaiarasi of Thiruvalam has improved very much following physiotherapy.

About 25 children are now able to get medicines from the Primary HealthCentres at Ponnai, Lalapet and Vinnampalli.

Parents of five adult mentally retarded girls have been trained to encouragethe girls for domestic activities. The girls are now engaged in some routineactivities at home like sweeping, drying clothes, folding them and so on.

The impact

Kalaiarasi’s fathergiving physiotherapy for her

20A N N U A L R E P O R T 2010 - 2011

Assistance for Persons with Disability

Thanks to the proactive leaders of the Federation, morethan 100 disabled persons have been able to getGovernment assistance.

In Ponnai Boys’ School, a Class was shifted to the groundfloor to enable a student with cerebral palsy to attendschool. In 70 schools, short ramps have been constructedto provide access to students with disability.

Aids and appliances distributionfor Persons with Disability

Govt. Schemes No. of persons benefited

Bus Pass 10

ID Card 10

Pension 16

Maintenance grant 30

Marriage grant 2

Tailoring machine 1

Health insurance 12

Guardianship 3

Walking stick 1

Employment 4

Educational scholarship 2

Surgery 2

Special motor bike 2

Houses 2

Eye donation 1

Goats 3

21A N N U A L R E P O R T 2010 - 2011

TCT offers treatment in the villages, CommunityHealth Centres and Camps. There are sevenCommunity Health Centres built on lands donated bythe community. The Centres, managed by trainedHealth Workers, are serving for more than a decade.The Health Workers also carry a medical kit to thevillages they visit for community work and education.

Jointly with Schiefflein Institute of Leprosy Trainingand Health Research, 15 eye camps were organized.Out of the 654 patients treated in these camps, 233were referred for surgery and 188 of themunderwent cataract surgery in the hospital.

Dr. Kabilan served in 4 Camps in which 196 patientswere treated.

V. Treatment

TMH doctor treating patientsat TCT’s Rural Health Centre

General Camp Eye Camp

* 1441 patients treated with Siddha Medicines** 187 patients treated with Siddha Medicines

Patients Treated 2010 - 2011

No. of personstreated

By the Village Volunteers 6,271

In the Health Centres* 10,776

By Health Workers** 3,102

In Camps 850

22A N N U A L R E P O R T 2010 - 2011

All the Field Staff are engaged in alcoholism education.Alcoholics are identified, counselled for treatment,treated in De-addiction Camps and followed-up.Counselling is done at different levels – at the HealthCentre and at the Training Centre.

During the year 560 alcoholics were counselled. In thethree screening programmes, 49 persons wereregistered, out of which 25 were given pre-treatmentmedicine and 24 of them were treated in the 12-dayresidential De-addiction Camp. This was the 19th AnnualDe-addiction Camp organized by TCT.

The Camp was organized at Vallimalai in the AzhaguThirumana Koodam. The owner Mr. Shanmugam,provided the use of the premises free of cost.

Dr. A. Kabilan, provided medical care. Counsellors andnurses from TTK Hospital provided counselling andresidential care for the patients.

Wives of alcoholics attended Classes every day at theCamp and also received counselling. Children ofalcoholics were given the needed input to repair thedamages of their fathers’ drinking. Supporters of theirfamilies were given awareness on the treatment processand the methods used to strengthen the recoveryprocess.

Thirty-nine treated alcoholics of the earlier programmeswere brought together and recognised and given medalsfor their continuous sobriety. Some of them sharedtheir experiences with those now undergoing treatment.

VI. Alcoholism Education & Treatment

Dr. A.Kabilan speaking at the get-together oftreated alcoholics of earlier Camps

Cycle Rally by school children on ‘Alcoholism’

23A N N U A L R E P O R T 2010 - 2011

All the treated alcoholics are followed up atleast once a year. The latest Camp patients are followed up once amonth in the field and in the Training Centre.

in the last 5 Camps, 134 alcoholics have been treated . Seventy two of them have recovered well, improvedtheir quality of life and stay abstained from drinking.

The significant outcome of these Camps is the engagement of the recovered alcoholics in educating thevillagers and enrolling the alcoholics for the Camp.

It is heartening to find that the recovering alcoholics are able to enhance their income levels and contributeimmensely to the happiness of their families.

Seven members from Agravaram village were treated in this year’s Camp and all of them are recovering well.

Babu was able to buy a pair of gold earrings each for his wife, mother and daughter. He has alsorepaid his debts and is beginning a new life

Gnanasekar’s wife had left him because of his alcoholism. She also took counselling in the Camp alongwith him and has started to live with him again. Now they have a girl baby.

Jayaraman and his wife used to quarrel most of the time. She left him. Only his mother participated inthe Camp and received counselling. Now he is better and his wife has returned. He wants to live ahappy life with his wife and children.

| Towards rehabilitation |

24A N N U A L R E P O R T 2010 - 2011

The outcome

Thirty three pregnant women detected with highrisks were referred to the Primary Health Centres.

In Mettu Thengal, Kokila with low weight andanaemia, was educated and referred to the hospital.With continuous follow-up and education, sheimproved and has delivered a healthy baby.

In Avarakkarai, Lakshmi started to bleed duringthe 4th month of pregnancy . She was referred toGovernment Hospital, where she has recovered well.

A woman reported that after the delivery of her first baby, she did not get herperiods. On examination, our Health Worker found that she was 5 months pregnant and referred her to thehospital where her pregnancy was confirmed.

A woman’s last child was born ten years ago and she had undergone sterilization. She reported to ourHealth Worker that she had missed two cycles of periods. The Health Worker, suspecting that she waspregnant referred her for evaluation. Her pregnancy was confirmed. She delivered a healthy child.

School Children

In 44 Primary and Middle Schools, 2479 children were screened by TCT’s Health Workers. All of them were givende-worming medicines. Problems identified were ear wax, ear discharge, skin problems, vitamin deficiency, dentalproblems and eye problems. Ear wax was removed for 146 children. Children with vitamin deficiency were giventreatment and their mothers advised on nutrition. For other problems, they were referred to our Camps and PrimaryHealth Centres. Six hundred and sixty three (663) children, who were having minor ailments such as cold, cough,fever, aches, etc, were treated. Children with chronic problems such as ear discharge were followed up and theirmothers were advised for suitable medical attention to prevent permanent damage.

Pregnant women

Pregnant women were identified and given check-upsand education in the villages. A total of 1367 womenreceived the service in their villages as well as in theCentres and their weight and BP were checked. Theywere educated on Nutrition, Maternal Care,Immunization, Need for Iron and CalciumSupplements, Government Welfare Schemes, SafeDelivery Practices, HIV/AIDS and Symptoms of risk.

VII. Check-ups

Ante-Natal Check-up at our Health Centre

Kokila with son JigneshLakshmi

25A N N U A L R E P O R T 2010 - 2011

Care for children under 2 months

The Field Staff visit all newborn babies atleast twice in the first two months. Two hundred and thirty five babieswere visited at home and checked up thoroughly. Mothers were counselled on nutrition, breast-feeding,immunization and baby care.

In Narasingapuram, a 21-day old Kavya was foundwith sores in the umbilicus. The mother was advised toapply Gentian Violet which is available with the Village-level Worker. The mother followed this advise and thesore was healed.

In Thengal, 35-day old Sarathy had a white patch onhis tongue. On the advise of the Health Worker, thebaby’s mother wiped it out twice daily with a dampclean white cloth. In a few days, the patch disappeared.Two other babies with similar problem also received thesame care.

A 40-day old Durga of Narasingapuram had wateringeyes. The Health Worker referred the baby to a hospitaland there it was treated. The baby is fine now.

In Balamudur, 25-day old Monisha was found to havejaundice. The Health Worker referred the baby to achild specialist. The baby was treated.

Jaiganesh of Thiguvapalli and Gokulakrishna ofThathireddipalli had skin rashes for which the HealthWorker referred them to the Primary Health Centrewhere they were treated.

Gokulakrishna

Jaiganesh with mother

Sarathy with his mother

26A N N U A L R E P O R T 2010 - 2011

Timely Interventions

Ravindrakumar of Vanapadi was referred for hydrocele to The Children’sHospital, Chennai.

Nitish of Pallavan Nagar was referred for circumcision to a privatehospital in Vellore.

Nitishkumar of Pallavan Nagar with asthma was referred to a private hospital.

In Avaraikkari regular visits to examine undernourished twins Madhesh andNivetha and educating the mother on introducing supplementary food instages helped the twins to achieve normal growth.

In Periyathangal, Karthik with Tonsillitis was detected and referred. The childwas operated upon and got cured.

In Mettu Thengal, Ramkumar with cleft palate was operated upon in ahospital, on the advise of TCT’s Health Worker.

Care for children under 5 years

All children under five years are monitored for growthand checked up on a monthly basis. A total of 3897children were covered in this programme. The childrenwith minor ailments were treated. Of the childrenchecked up, 28 children were found to havedevelopmental delays, 258 children were foundundernourished.

Mothers were educated on home remedies for cold,cough and diarrhea. Besides this, the topics for mothers’education included Immunization, Nutrition, Breast-feeding, Supplementary food and Growth anddevelopment monitoring. Practical demonstrations onhand washing, feeding bottle cleaning, preparation ofORS and supplementary food were done.

Nithish with mother

Nithishkumar with mother

Programme for children under 5 years

27A N N U A L R E P O R T 2010 - 2011

For Women

‘If you reach a woman, you reach a family’- With thisbelief, groups of 10-30 women are educated in all thevillages on a monthly basis. The topics covered areDiabetes and Hypertension, Alcoholism, HIV/AIDS,Anaemia, Suicide, Sanitation, Tuberculosis, Diarrhoea,Gynaecological problems, Dowry, Depression, Eye Careand Breast-feeding. In all 1821 programmes wereorganized during the year.

Following the education, the women who face someproblem either in their family or personally, seek helpfrom our field staff.

Awareness is the first step towards change and progress.

Since it began its community work 30 years ago, TCT has been engaged in awareness creation on a variety ofimportant health and development issues that affect the community. The education programmes are designed forvarious target groups such as women, school children and the community. All the field staff are engaged in thisactivity on a regular basis. Lectures, Flash cards, Songs, Stories, Real-life situations, Demonstrations, Role plays,Video shows, Rallies and Exhibitions are used for education.

Often, after the education programmes womenapproach the Health Worker and express that theyare relieved to know that the health issues they sufferin silence, have solutions.

In the villages Nutrition demonstration programmeswere organized. The needed ingredients arecollected from families and the demonstration is donein a woman’s house or in a public place. The FieldStaff held 293 programmes in 136 villages.Preparations using ragi, besan, lentil, and vegetablesand to suit the children’s palate were chosen anddemonstrated. The women adopt these recipes andinclude them in their daily menu.

VIII. Health Education and Training

Health Worker Ms. Anjali conductingWomen’s Education

Health Worker Ms. Bakiya distributing the foodafter a Nutrition Demonstration

Eleven women with white discharge were referred to the hospital and are continuing treatment there.

A person with Tuberculosis also sought help and was referred to the Government Hospital.

A person with symptoms of HIV infection was referred to the Government Hospital.

A number of people with Diabetes, Blood Pressure and Anaemia got treated.

Young women got their doubts clarified on maternal and child health practices.

Counselling to family members enabled the inclusion of a person living with HIV/AIDS.

A few examples

28A N N U A L R E P O R T 2010 - 2011

For School Children

In TCT’s school health programmes 96 schools were covered. The following topics were covered in the monthlyhealth education programmes in each school: Scabies, Diarrhoea, Worms, Nutrition, Dental Care, PersonalHygiene, Head Lice, Care of Ears, Nose and Throat, Vitamins, Sanitation.

In the Community

In each of the villages, education programmes were held on the following topics: Suicide, Dowry, DomesticViolence, Alcoholism, Tree Planting and Village Sanitation. In each of the programmes 20 - 30 personsparticipated. People individually sought further help from TCT after the programmes.

Twelve alcoholics enrolled in the de-addiction camp.

After regular counselling, eleven drinkers abstained from drinking.

Fifteen to twenty girls who had attempted suicide or were under stress were counseled to prevent suicide.

The participants were educated to be assertive and question perpetrators of violence in their neighborhoodas a measure to combat domestic violence. We are hopeful of seeing results.

Students and public refrain from urinating near the school and in public places.

People submitted petitions in the Grama Sabha to prevent urination and spitting in public places. Theydemanded proper garbage disposal facility and clearing the bushes near bus stops and public places.

Action against Liquor

In the village of Vanapadi, following our training to the women, they wanted to close the Government liquor shop.They petitioned to the Collector, and later staged a ‘rastha roko’. As a result the shop remained closed for a week.However, later the shop was reopened. In the village there is now continuous unrest over this issue, causingsome agitation every now and then.

The Impact

Children learnt personal hygiene practices. They wash their hands before and after meals and aftervisiting the toilet. They also took the messages home.

Many of the girls and their mothers have de-loused their hair.

The schools and the homes and the surroundings are kept cleaner. Students have cleared the bushesaround their schools.

They have stopped teasing children with disability..

They use footwear regularly.

Schools have developed kitchen gardens and children grow greens, snake gourd, bitter gourd etc. Thesevegetables are added in the noon meals served in the schools. Some of the children have also started togrow kitchen gardens in their homes. They educate their mothers on nutritive value of vegetables.

29A N N U A L R E P O R T 2010 - 2011

Improving village sanitation

In Maniampattu and Mettu Thengal, Health Committeemembers requested the Panchayat president to takemeasures against the mosquito menace. The Panchayatsprayed pesticide and constructed drains.

In Keeraisathu, many people were suffering fromChikungunya. The Health Committee memberscontacted the local Primary Health Centre. The MedicalOfficers and Senior Officials from the Health Departmentvisited the village, fumigated and organized cleaningand educated the people on sanitation. The officialscommended the work of TCT in the villages.

In Karnampet, after TCT’s education, teachers andchildren collectively decided to keep the surroundingsof the school clean and tidy. They now report that thereis no smell of urine anywhere near the school.

In Karnampet bus stop, the Headmaster with the help of school children cleared the bushes and put up a sign boardto keep the area clean. Now the place is clean and a new shop has come up in the place.

Community ActionCleaning our Health and Disability Centre

30A N N U A L R E P O R T 2010 - 2011

Training for adolescent boys and girls

The adolescent group was targeted for training both inHigh Schools and in the villages. The topics coveredincluded Physical, Mental and Emotional changes,Reproductive Health, Suicide and Stress Management,Values, HIV/AIDS , Tuberculosis and Nutrition.

In eight schools, 1574 High School children were giventraining once a month.

In TCT’s Health Centres, 51 programmes wereconducted for this group, in separate batches for boysand girls, covering 1150 students from the neighbouringvillages.

Career guidance

Career guidance was given in 11 schools in half-a-dayprogrammes in which 986 students benefited. Theprogramme was organized by Mr. L.M.V. Devakumarand Mr. Vittoba of Vellore. Booklets on ‘Study skills’were also distributed.

Career guidanceat Thiruvalam Higher Secondary School

Mr. Mohan training adolescent girls

Recognizing the importance of completing school education, 2 drop-outs enrolled back in the school

The teachers appreciated the training give to their students on these sensitive topics which they areunable to cover themselves

Boys reported that they now understand why they are going through so many changes

Parents of adolescent boys have called up our staff to appreciate them for the education given to theirstudents. The boys apparently were able to openly discuss at home the topics covered in the training.

One boy in particular was very shy and withdrawn, because of the anxiety over physical changes thatwere taking place in him. The training helped him to understand the reasons for the changes and toovercome his anxiety. He also began to socialize normally.

Following the session on ‘Mental Illness’, one girl approached the Health Worker and told her that shewas experiencing some of the symptoms. She and her mother received counselling.

Following this, they were referred to CMC where the girl was treated for nearly six months and isshowing improvement.

| The impact |

31A N N U A L R E P O R T 2010 - 2011

Meetings for the aged

Senior citizens in villages around two Health Centreswere brought together for monthly meetings for sharingtheir worries and anxieties with each other and withthe Health Workers. The Health Worker also checks theirBlood Pressure and offers health advise. From 35 villagesa total of 172 men and women participated in the 24programmes.

The senior citizens are also visited in their homes andgiven medicines by Health Workers.

The inputs received in these meetings have helped afew of them to make adjustments in their families. Onmany occasions, family members themselves broughtthem for these meetings.

Training for Newly-married

Fifteen newly married couples were given training onthe Need for healthy family relationships, Adjustment,Family planning, Mutual respect, Recognition ofindividuality and the Complementary roles in maritalrelationship.

Of these 4 women have attended ante-natalprogrammes and registered at TMH for maternity care.

Beneficiaries’ Meet

Around 300 beneficiaries of TCT’s Programmes,gathered together to present their activities and thebenefits received. Family-care Volunteers, Village LevelWorkers, School teachers, Disability Group andFederation members, women, youth, alcoholics and theirwives and treated patients made presentations usingdifferent media like role plays, songs, folk dances,discussions and talks.

Seven kinds of seeds were distributed to all theparticipants for growing in their kitchen gardens.

At the end of the meet, six beneficiaries interviewedTCT’s Director, Mrs. Bhooma Parthasarathy on her plansand vision for TCT.

Mr. Mohan organising the discussionwith Senior Citizens

Training for Newly-married couples

Beneficiaries interviewing TCT’s Director

32A N N U A L R E P O R T 2010 - 2011

Observing Special Days

Seminars, Rallies, Public meetings, Exhibitions, Handbills, Film shows, Competitions, Door-to-door campaigns andDemonstrations were organized in the villages for observing special days, such as Breast-feeding, HIV/AIDS,Drug, Independence Day, Republic Day, Environmental Day, Women’s Day and Mother’s Day. Besides creatingawareness, these programmes provide a platform for community involvement.

Alcoholism and Drug Abuse- Awareness programme

Rally with High School Studentson Sanitation awareness

AIDS Day programme in Highway check-post,distributing handbills to truck drivers

Community awareness programmeon Violence, Suicide and Dowry

Legal Rights of Women - Interactionwith a lawyer, a police women and a Banker

Campaign against alcoholism -” We can havepeace only in an alcohol free village.”

33A N N U A L R E P O R T 2010 - 2011

World Disabled Day

Nearly 200 persons with disability and their familymembers gathered to observe World Disabled Day.They received input on the legal rights andresponsibilities of persons with disability. Eight of thedisabled beneficiaries spoke on the subject.

Polio

As in the previous years, TCT staff engaged with theGovernment Health Care Centres to create awarenesson Polio as well as help in the implementation of thePulse Polio programmes.

World Disabled DayExperience sharing by Beneficiaries

34A N N U A L R E P O R T 2010 - 2011

All the TCT field staff were given training for 2 dayson three consecutive months on ‘Physiotherapy forchildren’. The training was organized by Mr. Nazir, aPhysiotherapist from Chennai.

Towards enhancing the quality of health work, everyfortnight a one-day Health Training programme washeld for the field staff. The topics included,

Integrated management of neonatal andchildhood Illnesses

Adolescent health

Ante-natal and post-natal care

Tuberculosis

Diabetes

Dr. Vijaya Prasad, Community Medicine expertorganized these training programmes. The effect ofthis training is reflected in the new initiatives for the‘Care for infants below 2 months’ and ‘Training foradolescents’. The quality of service for mothers andchildren has improved. Detection of tuberculosiscases was done. Awareness education on TB anddiabetes has commenced.

Dr. Elangovan and Dr. Narmada organized a sessionon ‘Neonatal care’

IX. Staff Training

Staff training by Dr. Vijaya Prasad

New staff MPWs training

Dr. Sara and Dr. Vinoharof Christian Medical College conducted a session

on ‘Rational drug use in Primary Health Care’

35A N N U A L R E P O R T 2010 - 2011

X. Funding

Ultramarine & Pigments LtdThirumalai Chemicals Ltd

C.S. Foundation

| Long- term Donors |

Arumugam & Co

B.M.G Chemicals Pvt Ltd, Mumbai

B&B Developers and Builders (P) Ltd

Bharat Mercantile Corporation

Kranthi Alum & Chemicals P Ltd

Mapcon Private Limited

MIL Industries

Mitsubhishi Preision Tools India Ltd

Peekay Agencies

Royal Mechanical Seals

State Bank of India

United India Insurance Co. Ltd

Windia Speciality Chemicals (Chennai) (P) Ltd

V.K. Viswanathan

Chandra Mouli

D.K. Mukherjee

S. Govindarajan Family

Harini Parthasarathy

K.N. Vijayakumar

Karthik Venkatesan

Meera Subramaniam

N. Kumaraswamy

| Other Major Donors |

Neha Huddar

Pravin Rangachari

R.K. Sharma

R. Padmanabhan

R. Raghuraman

R. Rajalaklshmi

R. Sridhar Rao

R. Suchitra

Radha.K. Swamy

Radha Padmanabhan

Srinivasan Raghukumar

S. Malligarjunan

S. Ramachandran

S.Srikant, Chennai

V.K. Sharma

V.K. Viswanathan

V. Ramaswamy

V. Venkatesan

Vimala Ramanan

Central for Rural Health and Social Education

Prof. Chittibabu Education Trust

Soora Lakshmamma Charities

Thirumalai Family

and many others

36A N N U A L R E P O R T 2010 - 2011

Visitors

Mr. John Christensen and Mr. Shekar Swamy- C. S. Foundation

Mr. Gautama - The Krishnamurthy Foundation

Ms. Ranjani from USA

Mr. G. Srinivasan, CMD, United India Insurance Company

Mr. Krishnan Chari, Rotary Club of Meenambakkam

Mr. & Mrs. Sundaresan, Rotary Club of Ashton, U.K.

Mr. Chandrasekaran, Chief General ManagerMr. Thimmiah, General ManagerMr. Sankara Narayanan, Assistant General ManagerMs. Rita, ManagerMr. Ravindranth, Regional Manager

- State Bank of India

Internship

Eight students from Kodaikanal Christian College andfour from Sacred Heart College, Tirupathur did fieldwork at TCT.

XI. Visitors and Internships

Johana, Shekar and John Christensen withBhooma and Parthasarathy

Ms. Devi giving Field-work trainingfor MSW students

37A N N U A L R E P O R T 2010 - 2011

The responses from individuals and groups in the village level programmes demonstrate their faith in TCT. This isreinforcing our commitment to reach out to as many people as possible.

The feedback on the care at the Hospital is encouraging. We appreciate all our staff, doctors, consultants,nurses, technicians, administrative and support staff of the hospital for their commitment to the people.

The SecretaryThirumalai Charity TrustThirumalai Nagar, Vanapadi Road & PostVanapadi Post, Ranipet, Tamilnadu 632 404

For Details, Contact

Phone : 91-4172-245195, 247950Fax : 91-4172-244918e-mail : thirumalaihospital@gmail.comVisit us at : www.thirumalaicharitytrust.org

It has been a year of many start-up issues. We received encouragement from the Trustees, donors and friendsas we faced them and learnt to manage them. In the years to come we look forward to reaching out to ourcommunities in many more ways.

We have drawn immense support from -

Dr. G. Jayaraj, Ex- Director, Neyveli Lignite Corporation HospitalDr. Sara Bhattacharji of Low Cost Effective Care UnitDr. Vinohar Balraj, CHAD Hospital of Christian Medical CollegeDr. Narmada Ashok of Nalam Hosptial & Medical Centre andDr. Vijaya Prasad, Community Medicine Expert of RUWSEC.

They were always available for help, advise and action.

XII. Conclusion

Dr. G. JayarajDr. Narmada

38A N N U A L R E P O R T 2010 - 2011

THRUMALAI CHARITY TRUSTNo. 103, SEWREE WADALA

MUMBAI 400 031

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH 2011(AMOUNT IN RUPEES)

Expenditure Income

To Expenditure on objects of the Trust: By Donations 9,931,586.00- Medical Relief & Health 11,475,821.50 By Reimbursement of Tsunami Relief Expenses 2,103,022.00 (Net of Hospital Collections of By Interest from Income Tax Refund 617,087.04 Rs.31,11,590.50) By Dividend 68,630.00-Women’s Development 29,750.00- Tsunami Relief 146,859.60 By Excess of Expenditure Over Income 825,728.31

11,652,431.10

To Administration Expenses 1,657,356.25 To Bad Debts Written Off 236,266.00

TOTAL 13,546,053.35 TOTAL 13,546,053.35

BALANCE SHEET AS ON 31ST MARCH 2011

LIABILITIES ASSETS

Trust Fund Fixed Assets 18,801,663.38Opening Balance 1,547,500.00 Add: Amount of Fixed Asset set off against Investments:

Section 11(2) resevation 2,500,000.00 4,047,500.00 ICICI Tax Saving Bond 550,000.00Reliance Vision Mutual Fund 450,000.00

Corpus Fund Bank Fixed Deposits 1,063,989.00 2,063,989.00Opening Balance 18,272,220.00Add: Received during the year 5,655,000.00 23,927,220.00 Advances

Advances 40,984.00Income and Expenditure Account Deposits 121,190.00Opening Balance 3,220,038.32 Tax Deducted at Source 75,944.00 238,118.00Less: Excess of Income over Expenditure 825,728.31 2,394,310.01

Cash on Hand 247.55Cash at Bank

SBF Payable 465,716.60 In Current Account 507,795.61Caution Deposit 17,400.00 In Savings Bank Accounr 4,267,333.07Advance Received 27,000.00 In Short Term Deposits 5,000,000.00 9,775,376.23

Total 30,879,146.61 Total 30,879,146.61

39A N N U A L R E P O R T 2010 - 2011

FORM NO.10B[See rule17B]

Audit report under section 12A(b) of the Income-tax Act, 1961, In the case of charitable orreligious trusts or institutions.

We have examined the Balance Sheet of the Thirumalai Charity Trust, No. 103, Sewree Wadala, Mumbai -400 031, as at 31.03.2011 and the Income and Expenditure Account for the year ended on that date which arein agreement with the books of account maintained by the said trust. These financial statements are theresponsibility of the management of the Trust. Our responsibility is to express an opinion on these financialstatements based on our audit.

We conducted our audit in accordance with auditing standards generally accepted in India. Those standardsrequire that we plan and perform the audit to obtain reasonable assurance about whether the financial statementsare free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amountsand disclosures in the financial statements. An audit also includes assessing the accounting principles used andsignificant estimates made by management, as well as evaluating the over all financial statement presentation.We believe that our audit provides a reasonable basis for our opinion.

We have obtained all the information and explanations, which to the best of our knowledge and belief werenecessary for the purposes of the audit. In our opinion, proper books of account have been kept by the headoffice of the above mentioned trust so far as appears from our examination of the books.

Accounting Policies:1. The accounts are maintained on cash basis.2. Depreciation is provided for on the written down value at the rate mentioned in the schedule of Fixed

Assets.3. Fixed Assets are stated at cost less accumulated depreciation.4. Investments are stated at cost. Fall in value of investments is not recognized.

In our opinion, and to the best of our information, and according to the explanations given to us, the saidaccounts give a true and fair view:

i. in the case of the balance sheet, of the state of affairs of the above named trust as at 31st March, 2011and

ii. in the case of the income and expenditure account, of the excess of expenditure over income for theyear ended 31st March, 2011.

The prescribed particulars are annexed hereto.

Date: 19.09.2011

TEL : +91-44-2448 4182 E-Mail : mail@mskindia.com FAX: +91-44-2448 2506

M.S.KRISHNASWAMY & COCHARTERED ACCOUNTANTS

D-1, II FLOOR, HANSA ENCLAVESECOND STREET, BHAATHI NAGARTHIRUVANMIYURCHENNAI - 600 041, INDIA

40A N N U A L R E P O R T 2010 - 2011

ANNEXURE TO FORM 10B (THIRUMALAI CHARITY TRUST)I. APPLICATION OF INCOME FOR CHARITABLE OR RELIGIOUS PURPOSES

1. Amount of income of the previous year applied to charitable orreligious purposes in India during that year. Rs. 1,35,46,053Dividend income exempt under section 10(35) Rs. 68,630

2. Whether the trust/institution has exercised the option under clause (2)of the Explanation to section 11(1)? If so, the details of the amount ofincome deemed to have been applied to charitable or religiouspurposes in India during the previous year No

3. Amount of income for application to charitable orreligious purposes, to the extent it does not exceed 15 per cent of the Nilincome derived from property held under trust for suchpurposes.

4. Amount of income eligible for exemption under section 11(1) (c) Nil(Give details).

5. Amount of income, in addition to the amount referred to in item 3 Nilabove, accumulated or set apart for specified purposes under section11(2)

6. Whether the amount of income mentioned in item 5 above has been Nilinvested or deposited in the manner laid down in section 11(2)(b)? Ifso, the details thereof

7. Whether any part of the income in respect of which an option wasexercised under clause (2) of the Explanation to section 11(1) in anyearlier year is deemed to be income of the previous year under section None11(1B)? If so, the details thereof

8. Whether, during the previous year, any part of income accumulated orset apart for specified purposes under section 11(2) in any earlier year Not Applicable(a) has been applied for purposes other than charitable or religious

purposes or has ceased to be accumulated or set apart for Noapplication thereto, or

(b) has ceased to remain invested in any security referred to in section11(2)(b)(i) or deposited in any account referred to in section 11(2) No(b)(ii), or section 11(2)(b)(iii), or

(c) has not been utilised for purposes for which it was accumulated orset apart during the period for which it was to be accumulated or Noset apart, or in the year immediately following the expiry thereof?If so, the details thereof

....2/-

accumulated or set apartfinally set apart

whollyin part only

41A N N U A L R E P O R T 2010 - 2011

: 2 :

II APPLICATION OR USE OF INCOME OR PROPERTY FOR THE BENEFIT OFPERSONS REFERRED TO IN SECTION 13(3)

1. Whether any part of the income or property of the trust/institution waslent, or continues to be lent, in the previous year to any person referred toin section 13(3) (hereinafter referred to in this Annexure as such person)? NilIf so, give details of the amount, rate of interest charged and the nature ofsecurity, if any

2. Whether any land, building or other property of the trust/institution wasmade, or continued to be made, available for the use of any such person Noduring the previous year? If so, give details of the property and theamount of rent or compensation charged, if any

3. Whether any payment was made to any such person during the previousyear by way of salary, allowance or otherwise? If so, give details No

4. Whether the services of the trust/institution were made available to anysuch person during the previous year? If so, give details thereof together Nowith remuneration or compensation received, if any

5. Whether any share, security or other property was purchased by or onbehalf of the trust/institution during the previous year to any such Noperson? If so, give details thereof together with the consideration paid

6. Whether any share, security or other property was sold by or on behalf ofthe trust/institution during the previous year to any such person? If so, Nogive details thereof together with the consideration received

7. Whether any income or property of the trust/institution was divertedduring the previous year in favour of any such person? If so, give details Nothereof together with the amount of income or value of property sodiverted

8. Whether the income or property of the trust/institution was used orapplied during the previous year for the benefit of any such person in any Noother manner? If so, give details

.....3/-

42A N N U A L R E P O R T 2010 - 2011

: 3 :

III INVESTMENT HELD AT ANY TIME DURING THE PREVIOUS YEAR(S) INCONCERNS IN WHICH PERSONS REFERRED TO IN SECTION 13(3) HAVE A

SUBSTANTIAL INTEREST

Sl.No. Name & address Where the Nominal value of Income from the Whether theof the concern concern is a the investment investment amount in col. (4)

company, No. and exceeded 5 % ofclass of shares held the capital of the

concern duringthe previous year- say, Yes/No.

1 2 3 4 5 6

---------- Nil ----------

Total

Date: 19.09.2011

43A N N U A L R E P O R T 2010 - 2011

Facilities in the Hospital

PharmacyUltra Sound

Operation TheatreThe Lab

ImagingPhysiotherapy

44A N N U A L R E P O R T 2010 - 2011

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