leprosy-hospital-chankuri

Chhattisgarh

TLM Chandkhuri Hospital

Chandkhuri is situated in Bilaspur district of Chhattisgarh state. It is a drought-prone area where in every alternate year there is damage to crops due to shortage of rain. Agriculture is the main occupation but due to uncertain rain, crops are affected. The state’s economy is dependent on paddy production, forest product, and the minerals. Most of the sections of the population are not able to access the general health care system, with a shortage of medical practitioners. Common diseases affecting the people are: TB, malaria, filariasis and gastroenteritis.

ABOUT THE HOSPITAL

TLM Chandkhuri Hospital was established in the year 1897.

Rev. K.W. Nottrott, an American Evangelical Church missionary built seven thatched houses for leprosy patients who had been driven out of their homes, in 1897. On noticing the plight of those persons, he was filled with compassion and started a famine kitchen to feed all those who were hungry. As more leprosy patients came to him, Rev. Nottrott built a hospital to take care of the critically ill patients. In due course, the Mission to Lepers (now, The Leprosy Mission Trust India) took over the hospital. That old hospital building has been replaced by a new modern well-equipped hospital in 1995 with all modern amenities. With the opening of the new buildings, treatment for non-leprosy patients has also started.

The facilities provided by the hospital include consulting rooms, in-patient rooms, operating theatre, laboratory services, ECG services, X-ray services, counselling, physiotherapy, pharmacy, MCR protective footwear and artificial limbs.

Goal of the hospital

The goal of the hospital is to improve the health and quality of life of people affected by leprosy and other marginalised groups, in and around the district. The hospital aims to achieve its goal through:

  • Referring leprosy patients to government primary health centres (PHCs), and at the same time providing MDT to patients who are unable to access it from the PHCS.
  • Working in partnership with the government and other agencies to provide facilities that cannot be directly provided.
  • Awareness raising about leprosy and self-care in the community.
  • Surgical interventions for patients with complicated ulcers.
  • Conducting training in leprosy for NLEP staff
  • Providing general health services to people below poverty line through government health insurance scheme (Rashtriya Swastha Bima Yojana).
  • Identifying and referring people affected by leprosy to TLMTI vocational training centres for skills development.

 

FACILITIES AND SERVICES

Outpatient Inpatient
The hospital provides holistic care for the following specialities:

  • leprosy treatment and management
  • dentistry
  • dermatology
  • general medicine
  • general physiotherapy
  • general surgery
  • obstetrics & gynaecology
  • reconstructive surgery

In 2015, about 24,000 general consultations were provided, with:

  • 42% leprosy
  • 44% dermatology
  • 50% general medicine
The hospital has a 20-bedded in-patient wing and provides best inpatient facility with 24-hour nursing care and latest equipment. Patients were admitted mainly for:

  • leprosy (eye care, ulcer, surgery, lepra reaction and neuritis, etc) – about 270
  • general medicine – 327
  • obstetrics &gynaecology – 44

About 7,000 leprosy bed days and 2,700 general patient bed days were utilised in 2015.

Surgery:

 

 

 

 

Support services (lab tests; X-ray, ECG, physiotherapy, counselling):

  • 35,000 lab tests, including 1,200 skin smear examinations for leprosy, 17,000 haematology tests and 10,000 biochemistry tests done in 2015.
  • 90 ECG tests were done.
  • 1,800 patients underwent
  • 11,000 leprosy patients counselled.


Prevention of impairment and disability (POID) in leprosy:

The hospital provides patient education, physiotherapy, MCR protective footwear, etc, to leprosy patients to prevent impairment and disability.

In 2015:

  • 320 leprosy patients diagnosed with reaction/neuritis were given appropriate treatment.
  • 150 ulcer surgeries done.
  • The hospital has an MCR protective footwear manufacturing unit which manufactured 900 pairs and supplied to hospital patients and to the government.
  • The hospital manufactured 140 orthoses and supplied to leprosy patients.


Community outreach:

More than 1,000 people in the community accessed government social welfare schemes for education, economic development, healthcare, housing, insurance, livelihood pension, etc with the support of the hospital, in 2015.  The hospital networks with the government and other NGOs for its community outreach.

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