Andhra Pradesh

TLM Salur Hospital
(TLM Philadelphia Community Hospital)

Located on the banks of River Vegavathi, Salur is a municipal town in Vizianagaram district of Andhra Pradesh, 55 km away from the district headquarters, which has inter-state railway junction. The national highway no. 43 passes through Salur and connects to the neighbouring state of Odisha (state border about 15 km from Salur).

Truck transport business is the most important economic activity here, leading to a high risk of HIV/AIDS for the people in this occupation. Malaria is highly prevalent and it is a major cause of death, especially among children. Other common illnesses are diabetes, hypertension, stroke and coronary artery diseases. Leprosy has been endemic to this region for many years, but the prevalence has drastically come down after the introduction of MDT in the early 1980s.


TLM Salur Hospital was established in the year 1906.

Rev. Paul Schulze, a German Lutheran Missionary, one day saw a man hiding his hands and feet, and when Rev. Paul asked him what had happened, the man said that he had leprosy. Rev. Paul offered him a place in his compound and built a hut for him. Soon the news spread and other people suffering from leprosy came looking for help. But soon the Rev. Paul’s savings were exhausted.

The Mission to Lepers (now, The Leprosy Mission Trust India) offered to build an asylum for the patients. Rev. Paul visited Purulia (where the Mission to Lepers had a leprosy home) to learn about running an asylum. Finally, an asylum was built in Jeegaram near Salur, in 1906. The present hospital in Salur was built in 1972, and the central and state governments recognised the hospital as a referral centre for treating leprosy, in 1973. The hospital has a fully functioning artificial limb centre, ophthalmic unit, a new eye ward, and OPD. In 2003, the hospital integrated its leprosy services with general health services.

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 provide improved health and inclusive development of people affected by leprosy and members of marginalised groups in Vizianagaram and Srikakulam districts of Andhra Pradesh, and Koraput and Rayagada districts of Odisha. Some of the activities through which the hospital aims to achieve its goal:

  • Conducting mobile podiatry clinics to provide customised protective footwear to people affected by leprosy/disability.
  • Conducting community outreach activities, community health clinics, eye camps, well-baby/well-child clinics, in schools and tribal villages.
  • Partnering with the government, NGOs, churches, and civil society organisations (CSOs).
  • Supporting people affected by leprosy and members of marginalised groups in accessing government social welfare schemes.



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 16,000 general consultations are provided, with:

  • 7% leprosy
  • 65% general medicine
  • 28% other specialities
The hospital has a 60-bedded in-patient wing and provides best inpatient facility with 24-hour nursing care and latest equipment. Patients are admitted mainly for:

  • leprosy (eye care, ulcer, surgery, lepra reaction and neuritis, etc) – about 520 a year
  • eye care – 510
  • general medicine – 570

About 15,000 leprosy bed days and 3,500 general patient bed days are utilised in 2015.



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

  • 32,500 lab tests done in 2015, including 1,000 skin smear examinations for leprosy and 12,200 haematology tests done.
  • 660 X-ray imaging, 330 ECG, and 150 ultrasound scan done.
  • 1,700 patients underwent physiotherapy.
  • 130 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:

  • 30 leprosy patients diagnosed with reaction/neuritis are given appropriate treatment.
  • 350 leprosy patients admitted for ulcer management and 170 ulcer surgeries done.
  • The hospital has an MCR protective footwear manufacturing unit which manufactured about 500 pairs in 2015 and supplied to hospital patients and to the government.
  • The hospital also has an artificial limbs manufacturing unit which manufactured about 50 artificial limbs, orthosis, prosthesis and other devices.


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.

More than 5,300 people in the community benefited from this in 2015.