TRIBALHEALTHINITIATIVE

25 years maybe a spot in the life of an institution - but for us, early toilers, it is a landmark to cherish. From treading into the forests with no money in our pockets but a bagful of dreams – it has been a long journey. To see what the team has built up over the years and the results, warms our heart. It was truly a journey worth it….

ANNUALREPORT2017-18

About Us

Vision

Tribal Health Initiative started working in Sittilingi valley of Dharmapuri Dist of Tamil Nadu since 1993. We now have a Base Hospital which caters to more than 1 lakh people, most of whom are tribals. We also run a comprehensive development program for about 12,000 tribals who dwell in 25 settlements. We also work in the Kalrayan Hills in health.

That the people of Sittilingi Valley and Kalrayan Hills in Tamil Ndu lead a better quality of life keeping their traditions, customs and pride intact.

Holding up half the sky

Community Innovations

This year our main progress was in the ‘Women Entrepreneur Society’. From a membership of 166 – there was a rapid expansion to 450 members. From value adding the organic produce in the valley to getting into small scale cattle, goat and poultry farming, the women are all making a respectable living outside agriculture also. This additional income helps them to buffer drought situations, where the rains fail and crops are unviable. They also make vermi-compost and organic pesticides for sale to farmers – which is a force multiplier for organic farming. This year the Farming Initiative had a sales of Rs.74.12 lakhs.

Another new innovation by SOFA [Sittilingi Organic Farmers Assn] was promoting a cattle and goat insurance so that there is risk cover in case something untoward happens. This is a wholly community planned and supported initiative and a model for other farmers groups to follow. SOFA is now a well-known model and the Governments of Tamil Nadu and Karnataka send their farmers here for training. We have also had farmers from the North East as well as Russia visit us this year. A Farming Immersion program for all who live in cities was also initiated as a tourism come awareness program.

Another new venture is the coaching center for tribal youth who have finished school and college to help them take Public Service Commission exams. This had been a long term request from them, and as soon as we found the right people, we started this intensive teaching program. About 20 -25 students come regularly forthis training.The team has also taken up watershed management; but only if villages also contribute through ‘shramdan’. We have done some work in 2 villages now.

Our Cattle Scheme

When we started our Cattle Scheme – the Farmers society decided to start their own cattle insurance. The premium was Rs. 500 for Rs 20000/-.With just local verification, your money is in the bank within days of the cow having died. We have completed one year – and the scheme is going like a song... and all 500 members voted to continue it. So many problems can be solved if you let communities take care of themselves.

Tribal Hospital is now ISO 9000-2015 certified. This is to say that our services and processes are as good as any bigger hospital in the city. There is an increasing number of patients coming in, especially for the mother and child care programs. All antenatal care is free for and deliveries and neonatal care are heavily subsidized under their CSR from 2 companies. This has resulted in a 25% increase in deliveries and antenatal care for tribals. With the help of Spine Foundation, Mumbai; we have also started Spine Surgery, a big boon for the tribal patients here. THI is also involved with a Spinal Anesthesia study with Harvard University, USA. SELCO has helped us to make our Operation Theatre, Labor Room and Neonatal Care Unit fully solar powered so that we are grid independent.

We continue our health work at the community level. The School Health Program does health education in 5 schools in the Kalrayan Hills, which have no access to public transport. The Nurse Eye Mitras trained by Essilor now do eye screening in the schools and give free spectacles to those who need it. The weekly clinic at Aruna village in the Kalrayans see about 80 patients on an average day; it also now has full fledged lab so that many of the tribals don’t have to come to the Base Hospital for investigations. The Old Age Health program and field antenatal checksare running smoothly. The 25 Health Auxiliaries continue the Hypertension program – with compliance levels still high. The young doctors here also started Cervical Cancer Screening in the villages for all women above 40 years and further treatment at the hospital is free to those suspicious cases.

Widening horizons

EnablingRamani

Ramani, was one of the early members to join Porgai. She learnt the art from the elder members of Porgai. She now does embroidery at home, and does farm work as well, like many other Porgai members. “The biggest benefit for me due to my work is my income. I even bought a Scooty last year to take my daughter to Thulir school.

Porgai has seen a sales of Rs. 43.78 lakhs this year of which Rs. 19.21 lakhs went to the artisans and tailors of the society. Sales were mainly through exhibitions and the team also went 2 times to Delhi for the EPCH exhibition scouting for the export market. New trainings and new designs, with upcycling of waste cloth into jewelry enhanced the work here.

Going strong

Lighting candlesPerhaps the most heartening event for us was the Rural Sensitization program – 2 camps held in Sittilingi for medical students and young doctors. 63 students from TN and Kerala attended. They saw rural medical practice first hand – its challenges, its appropriate modifications of conventional approaches and most of all , visits to the villages to see, listen and talk to the people of ‘Real India”. Lets hope that will be an ember which will fire some of them.

Income and ExpenditureIncome 2017-’18 2016-’17Hospital Income 20273789 60% 17812170 61%Interest 846809 2% 656373 2%Indian Sources 7969190 24% 6011470 20%Others 614341 2% 636734 2%International Sources 4191086 12% 4317742 15%Total 33895215 100% 29434488Expenditure 2017-'18 2016-'17Programme Expenses 6451020 19% 3459954 12%Meetings & Travel 372589 1% 115240 0%Admin Expenses 1302901 4% 1136895 4%Hospital Expenses 17488749 52% 17924078 61%Depriciation 3542386 10% 3169668 11%

Excess of Income over Expenditure 4737571 14% 3628654 12%

Total 33895215 100% 29434488 100%

Balance SheetIncome 2017-’18 2016-’17

AssetsFixed Assets 33690331 60% 29253162 60%Capital Fund 9932044 18% 8113137 17%Deposits & Advance 11524113 20% 8390892 17%Cash & Bank Balance 1316858 2% 3306272 7%Total 56463346 100% 49063463 100%

LiabilitiesCapital Grant 51044415 90% 42475641 87%Corpus Fund 3810810 7% 3810810 8%Capital Fund 1176622 2% 2189259 4%Others 431498 1% 587753 1%Total 56463346 100% 49063463 100%

Board of TrusteesDr. Regi George Manging

Trustee

Dr. Lalitha Regi TrusteeProf. M. Ravindran TrusteeDr. Sara Bhattacharji TrusteeDr. Sukanya Rangamani TrusteeDr. Guru Nagarajan TrusteeMs. Radhika Ram Mohan Trustee

Team THIDoctors 6Nursing Staff 30Admin Staff 7

CommunityWorkers 4

Paramedical Staff 7Health Auxiiaries 25Total 79

Board of Trustees meet twice yearly

Executive Committee meets for emergency decisions

Working Committee of Staff meets every 2 months

Full Staff meetings every month

Detailed audited accounts are available on request

AUTHENTICITYIN ALLOUR WORKWe are accredited by Credibility Alliance for financial transparency and work culture

Main Auditor:Mr. K Shivakumar, Gandhigram;

Internal Auditor:Mr. Rajnikanth, Salem

Bankers:SBI - Kotapatty;ICICI Bank - Salem Indian Bank - Thumbal

April’17 to March ‘18Out PatientPaying Free Total

Patient 20912 14863 35775Amount 10981120 1329813 12310933

In PatientsPaying Free /

concessionTotal

Patients 1244 546 1790Amount 9292669 1888323 11180992

TotalPaying Free Total

Patients 22156 15409 37565Amount 20273789 3218136 23491925

14%

Hospital Statistics2015 2016 2017-'18 % incr

OP 28984 30488 35775 17%IP 1359 1591 1790 13%Surgeries 735 714 829 16%Deliveries 236 292 369 26%

Farming Initiative2015 2016 2017-'18

Group 35 40 68SOFA members 300 500 500Certification farmers 300 300 500SOFA income (in Lakhs) 39.03 63.27 74.12

Craft Initiative2015 2016 2017-'18

Members 55 60 60

Sales - current year(in Lakhs)

32.83 40.12 43.78

Wages to artisans(in Lakhs)

15.23 18.76 19.21

International Air TravelRs. 1,04,606/-Dr. Ravi to UCSF, USADr. Regi to Harvard(Sponsored by the University)

Salary BreakupGents Ladies Total

6000 - 10000 7 22 2910000 - 15000 4 10 1415000 - 30000 2 4 6

30000 - 60000 3 2 5Total 16 38 54

All Staff have benefits of PF, Gratuity andfree medical expenses

Salaries of Rs. 7.3 Lakhs each were paid to Trustees Dr. Regi and Dr. Lalitha as doctors

Registered as a Public Charitable Trust No 147/92, Dindigul

Regd u/s 12A, 80G of the IT Act; Regd under FCRA to accept foreign donations

Friends of Sittilingi (FOS) remain our most dedicated well wishers. We deeply thank all those who have given us unfaltering support and look forward to their continuing encouragement. Do join in as a FOS to help make a difference in Sittilingi.

Highest Salary:Rs. 61,330/- (Senior Doctor)

Lowest Salary:Rs. 6000/- (Fresh Appointee)

Domestic Air TravelRs. 35,059/-

and so many of you....

Plans forNext Year

To Visit or Contact usTRIBAL HEALTH INITIATIVESittilingi, Dharmapuri dist., Tamil Nadu - 636 906. Ph: +91 95857 99061Email: office@tribalhealth.org | Web: www.tribalhealth.org | FB: Tribal Health Initiative

Team

Get NABH certification for the Tribal Hospital

Access more credit for farmers, Leadership Programs

Retrain Health Auxiliaries in antenatal care

Start 5 New Schools in the School Health program

Stabilize Craft activity

Consolidate the Farmers Producer Company

WE WERE SUPPORTED THIS YEAR BY

Thank You, Dear Friends and Well-wishers

FOS(Friends ofSittilingi)

AID(Assn for IndiaDevelopment)

IndusBiotech

WelboundImpel

FIS Global Business Solutions

JSS(Jai Shiv Shakthi Trust)

NABARD AASHA Uk