leprosy-hospital-kothara

Maharashtra

TLM Kothara Hospital

Kothara is a village in Achalpur taluka in Amravati district of Maharashtra State, India. It belongs to Vidarbha region. Amravati is one of the major districts in the Vidarbha region of Maharashtra. The overall literacy rate in the district is 83%. Agricultural farming is the main type of economic activity in this region. The major crops that are grown are cotton, orange, wheat, jowar, soyabean, etc. About 65% of the population live in rural areas.

ABOUT THE HOSPITAL

TLM Kothara Hospital was established in the year 1898. 

The Central India Korku and Hill Mission started a home for leprosy survivors of the severe famine that affected the area, in 1898. It was handed over to the Mission to Lepers (now, The Leprosy Mission Trust India) in 1900. By the late 1960s, the home had around 700 leprosy patients. Gradually, the number of patients reduced since they needed shorter periods of hospitalisation, and there was an increase in outpatients. Hence, the institution ceased to be a home and started functioning as a hospital.

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 address the health issues of people affected by leprosy and disability living in Amravati district and adjoining areas of Maharashtra. The hospital aims to achieve this through:

  • Strengthening partnership with government departments and other like-minded organisations so as to improve access to health care and other entitlements for people affected by leprosy.
  • Implementing secondary-level medical care and support for people affected by leprosy and disability.
  • Developing and maintaining leprosy expertise in all aspects of leprosy work.

 

FACILITIES AND SERVICES

The hospital conducts 3-year Diploma in Optometry & Ophthalmic Technology (DOOT) course, in partnership with Christian Medical Association of India.

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

  • leprosy treatment and management
  • dermatology
  • general medicine
  • general physiotherapy
  • general surgery
  • ophthalmology
  • reconstructive surgery

In 2015, about 17,000 general consultations were provided, with:

  • 40% dermatology
  • 10% general medicine
The hospital has a 60-bedded in-patient wing and provides best inpatient facility with latest equipment and 24-hour nursing care.

Patients were admitted mainly for:

  • leprosy (eye care, ulcer, surgery, lepra reaction and neuritis, etc) – about 430.
  • general medicine – about 1300.

About 9,000 leprosy bed days and 3,200 general patient bed days were utilised.

Surgery:

 

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

  • 16,000 lab tests, including 600 skin smear examinations for leprosy, 4,000 haematology tests and 8,100 biochemistry tests done in 2015.
  • 1,100 patients underwent physiotherapy.
  • 1,700 leprosy patients counselled.


Prevention of impairment and disability (POID) in leprosy:

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

In 2015:

  • 100 leprosy patients diagnosed with reaction/neuritis were given appropriate treatment.
  • 10 ulcer surgeries done.
  • 130 pairs of MCR protective footwear manufactured in its MCR protective footwear manufacturing unit and supplied to leprosy patients who visited the hospital and also to o the government.

 

Community outreach:

The hospital has a community outreach programme in schools and tribal villages. This is done through networking with the government and other NGOs. The hospital supports people affected by leprosy and members of marginalised communities and tribals in accessing government social welfare schemes for education, economic development, healthcare, housing, insurance, livelihood pension, etc.

About 5,600 people in the community benefit from this every year.

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