Introduction

Raabta is a non profit organization (NGO) based in Karachi, Pakistan .working towards
improvement in the health standards of people living in rural areas, If patients cant
approach medical health services soon we will real there. We are going a head in this
project with a new innovative idea of mobile hospitals (mobile clinic and Diagnostic
centre), The mobile hospital aims to take health and health education where people lives
eliminating the social, economic and cultural barriers that prevent people from having
access to good medical care system, promoting a major equity within the society by
integrating the poorest people to the health system which would lead to a healthier
society in the long term.

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 Members Profile

Director Admin. Department:

Mr.Tahir Ali have served 12 year in Pakistan Army as a leutant and wanted some thing to
do for welfare of people he started to work with educational base NGO for 5 years now
its our fortune that we find a very well done and discipline Administration director like
him.

Director Health And Care:

Miss Saba Arshad PhD. In Health science from the university of California, very
enthusiastic, energetic and patriotic anxiously wanted to improve the health conditions of
her home land poor people and very much sincere and strict with her occupation

Director Marketing:
Mr.Anas Sahibzada Masters in Marketing(LUMS) & Mass Communication (KU),Divert
his career from Media Public Relation to NGO marketing Director , have Associated
member of Pakistan Institue of Advertising.

Director Finance:
Mr.Hasnain CA from ICAM have 5 years of work experience with Alamgir Welfare trust
, Associate member of (PSB) amd chartered institute of pakistan.

Director Human Resource:

Mr.Mir Jaffer MBA in HR from Gift University Gujranwala , Member of Pakistan
Soceity of traing and development, people describe him as a mentor becouse rather than
formal qualification he believes in traing and development programs.
Member of Pakistan Soceity of traing and development

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 Our Vision

We will be a leader in
providing health facilities
through mobile Hospitals
and bring an improve quality
of healthy life in rural areas.

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 Mission

To improve the health outcomes and

quality of life for home less and low
income individuals in rural areas of
Pakistan through direct medical and
healthcare services, health promotion,
disease prevention activities, social
support and case management services
referral to medical and social resources in
the community.

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 Acknowledgement

Bus-based mobile hospitals play a key role in saving lives, officials from
the Ambulance Section at the Emergency and Public Safety
Department. These Mobile hospitals are vital for our country and due to
their proven reliability in transporting patients. Patients are assisted by
two doctors and five paramedics on each bus. We can get to the scene of
an emergency in less than 15 minutes. We have launched awareness
campaigns to encourage people to be more considerate in times of
emergency.

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 OUR GOALS & OBJECTIVES

The main objective of the mobile hospital is to eliminate all barriers, such as economic,
geographic or cultural, that prevent people from the access to the medical care system
promoting a major equity within society, providing a good medical service. Educating
people in health matters reaching in the long term to a healthier society. In addition, in the
short term the objectives are to encourage people to make medical tests each year as a
preventive policy It allows the analysis of the health reality in a shorten area and make
more focalized the preventive campaigns. Plus, it lowers the health system costs because
less people gets ill due to the preventive action and health education and finally, it
reduces the queues in traditional hospital because all the routine exams are done in the
mobile hospital instead of doing them in the traditional hospitals. In fact, people go to
this last one when they need a more complicated treatment.

Our Tenets

• Meet the needs of each and every patient, whose care is our primary purpose and
mission.

• Use innovation and creativity to identify and solve problems.

• Treat each other, our patients and our partners with respect and dignity.

• Strive for improvement day in and day out in everything we do

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 Description of the project
As we see positive effects of LHW program so further more taking a step for the
convenience and welfare of poor people living in rural areas. We bring to them “Mobile
Hospitals “network project. These mobile hospitals with expert doctors will cover rural
areas in 32 districts where the poor are deprived of medical facilities." Each mobile
hospital will be equipped with (X-ray, ECG and other testing machines) and people can
avail themselves of these facilities for just. No money will be charged for blood and urine
tests. The mobile hospital assumes significance as 52 percent population live the below
the poverty line (BPL) in the state. No fees will be charged from BPL families.

We are been equipped with 3 major containers along with 12 subs – units which will
circulate all around the Pakistan globe. Each unit consists of 30 people who include
(surgeons, paramedical staff, security personnel, and drivers).

Background:
Pakistan’s health indicators, health funding, and health and sanitation infrastructure are
generally poor, particularly in rural areas. About 19 percent of the population is
malnourished—a higher rate than the 17 percent average for developing countries—and
30 percent of children under age five are malnourished. Leading causes of sickness and
death include gastroenteritis, respiratory infections, congenital abnormalities,
tuberculosis, malaria, and typhoid fever. The United Nations estimates that in 2003
Pakistan’s human immune-deficiency virus (HIV) prevalence rate was 0.1 percent among
those 15–49, with an estimated 4,900 deaths from acquired immune deficiency syndrome
(AIDS). AIDS is a major health concern, and both the government and religious
community are engaging in efforts to reduce its spread.

In 2003 there were 68 physicians for every 100,000 persons in Pakistan. According to
2002 government statistics, there were 12,501 health institutions nationwide, including
4,590 dispensaries, 906 hospitals with a total of 80,665 hospital beds, and 550 rural
health centers with a total of 8,840 beds. According to the World Health Organization,

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 Pakistan’s total health expenditures amounted to 3.9 percent of gross domestic
product (GDP) in 2001, and per capita health expenditures were US$16. The
government provided 24.4 percent of total health expenditures, with the
remainder being entirely private, out-of-pocket expenses.

Nevertheless, Pakistan is committed to the goal of making its population healthier, as

evidenced by the continuing strong support for the Social Action Program (SAP) and by
the new vision for health, nutrition, and population outlined in the government's National
Health Policy Guidelines up to 2010. An example of a promising recent initiative is the
lady health worker (LHW) community-based program, which is bringing health
information, some basic health care, and family planning services to women's doorsteps.
Presently, 3,000 women are serving as LHWs in their home villages.

Target Groups
“Deprived, disadvantaged, neglected and underdeveloped community irrespective of
race, religion, caste, color, creed, and sex, and denomination, social and economic status
is the main target group of Raabta”

Our Main Focus are on people living in rural areas of Balochistan and lower of NWFP
and very little of Sindh and Punjab, but over main focus and area of interest is in
Balochistan as we know the population of Balochistan is 7.94 Million from these 76.1%
people are still living in rural areas. Total area is 347190Km which is 43.6 % national
territory, we often seen in the TV channels and reading news papers that people of these
province are still living in backwardness and not have any idea or standard of a beautiful
life, In the rural areas people are still deprived from the health facilities. They do not have
the awareness about the medical treatment. People feel fear to go to the doctors so they
prefer to check to the local doctors, if someone is present there. We visited in the various
rural areas and observed that people have deficiency of resources for the medical
treatment. No one is present to treat them well. If qualified doctors are asked to go there
they do not like to go in these areas so we discussed with the people prefer to have the
medical facility for them. So if the Quack’s doctor will be present in the rural areas they

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 can provide the medical facilities to the rural community. Disease free
community will prevail in the area. People will be healthy and strong they can
work more and more which will develop them financially and socially. If young
generation of the rural area will be trained as a quack’s doctors they will have
the opportunities of the work. They can earn money through this skill in the rural areas.
Migration will be decrease because young generation migrates in the cities in search of
employment if they will get these opportunities in the rural areas they will establish their
own work and become the source of income.

Viability
There are sparkling reasons why should we have own this project which make it different
from other social welfare programs, our aim is to reach more and more people with
efficiency and cover are selected regions

• Broad Area Short Population:

As we mention in our focus group that our major area of interest is Balochistan where
only 19 persons per km are lived, so if we
go for mobile clinics, (clinics are
continuously running and helping the
people). So in this region to approach a
local and low level dispensary is very
difficult it takes 2 to 3 hours minimum for
villager and these dispensaries charge very
high for initial treatments then villagers
preferred self medication and avoid to go
any where some times which may turn a
simple case into complicated one.
Balochistan is most avoided area in terms
of construction and facilities if we run our
mobile clinics patient don’t need to come
us we will be there on their ways to help them and educate them and with low expense
effectively cover our purpose to facilitate them.

• Get Rid of Freeze Investment:

If we aimed to construct a full fledge hospital that seems very pleasuring but just imagine
you are constructing a full fledge hospital with all facilities for that you need a piece of
land for example cost of land is 25 laces (that’s is to minimum) and than for construction
and architecture 40 lacs, medical furniture 5 lacs, testing equipment (laboratory) 7 lacs,

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 other equipments (stretchers, Icu beds operational instruments including OPD (A
single of takes at least 12lacs with all essentials) min. 50 lacs. Total 1 caror and
27 lacs you must need this money but keep in mind this cost in fixed and nor
include operational cost means utility bills and salaries of workers, we have no
hesitation to bear all this cost but just imagine this hospital is covering just 200 kms, our
this estimated 200 kms is very high because we have told you that villagers preferred self
medication and have not enough facilities in terms of awareness and convinced they
avoid to go there, if a person live 120 km away from hospital it may take at least 2 hours.
So as average 19 person per km so we have total potential capacity of 3800 patients but
in this just assume 3000 patients able to reach here (hardly) it make sense to spend 120k
(operational cost +

salaries) per month for market of 3000 patents that hasn’t any worth so if we invest in
mobile hospitals and clinics the mobility is more and cover a broad area and people don’t
need to approach us after all we are here to approach them and facilitate them with out
any cost.

• Low Expense More mobility:

As we described above here we don’t have to need freeze investment which stuck a place
and cant move on various places with the mobile clinics we may cover 10 localities with
a single mobile clinic and diagnostic center people can take their tests and if a disease
diagnose in the early stage and the cure will be started what a need to go any where in
any other big hospital, with mobile clinic and diagnostic centers we may explore more
places with low expenses if construct a clinic in every single locality again that will take
a huge investment with low market of potential patients. Mobile clinic and diagnostic
centers can really bring a dynamic change in these rural area survivors.

• Creating Health Awareness:

Like other NGOs we also aimed to create awareness related to health care, hundreds of
deaths occur due to insufficient diagnosis or self medication we have to agree them to
come to us and know the actual reason for bad health how they can live a healthy life
what precautions make their life easier. Reach the people and educate them to make their
levies more beautiful.

Growth Strategy
Currently we are going to launch our three units. These units are general hospital but in
future we have aim to move 3 full fledge buses each contains 8 beds for patients and
special care units like cardiac, Nero, orthopedic, gyne e.t.c .in specific region where the

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 cases of relevant ward recorded very frequently so these units also serve as our
survey team to collect the information and present actual health situation of our
targeted regions after at least 2 years of starting.

ADMINISTRATIVE DEPARTMENT
Like Eddie, Red Cross, Red Crease’s, Make A Wish, which provide the facilities to those
peoples those who need it most and have no strength to avail it, we all know that there are
serious lack ness of facilities in Balochistan and NWFP of Pakistan so we select the
Medical field. Just not only because this but this the facts and figures about these rural
areas are just horrible when we see as a development side these areas are still avoided by
the NGOs so why don’t we go for these areas where the hard survivors are still waiting
for some betterment but due to lack of infrastructure and many other reasons government
are unable to treat them well
So why don’t we provide them health facilities so that people there who are dying with
diseases but still unaware of it can survive and spend a healthy life

There fore our track routs have major focus on NWFP and Balochistan and crosses away
all the areas of these two territories.

How it Works:

As we all are aware of this fact that the area is very broad but population is very short so
even a small dispensary is a miles away from a locality there for we are going to launch
two (2) tracks in Balochistan and one (1) in NWFP which may cover all areas of it.

For each track Raabta formed a unit, this unit is consisting on

1 Diagnostic center ( Container)

4 Mobile Hospitals ( Units )

Procedure:

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 Mobile Hospital will move on before the container approximately 4 hours
before, mobile clinics when stop in a territory then a authorized person will meet
the district union counsel leader and tell him/her the purpose of our arrival(To
serve the nation) and let then know how “Raabta Welfare Organization” is
helpfull for them.

Meanwhile the container will stay on highway only and Mobile Sub units will move on
rural areas and will conduct Out Patient Department (OPD) and if finds out any critical
patients it will carry him/her toward the container and operate them immediately. Also it
provides facilities of tests for diagnostic reasons, collect urine and blood sample and give
it to diagnostic center and on other day the report will be provided to patient. Slowly and
gradually the Mobile Hospitals operate simultaneously all over the territory.

Duration of staying in a territory will depend upon the population of the district and also
people may avail mobile clinics by the contact on phones if any patient is really needy to
give emergency treatment.

The Mobile van will be released after 4 hours when Container will leave the region to
avoide the waist of time there is a big difference in the driving speed of Vans and
containers

The Container will be stopped only at the main checkpoints, main towns on highway.
 The Container will gather whole unit one place & the Mobile Hospital will move to
nearer villages for providing its welfare services.

The mobile vans will reach nearest territory to provide the OPD and collect the
samples if any test is required of the patient, and if there is need of any minor surgery
mobile van will pick the victim and bring in to the container to give them treatment.

Mobile Hospital also serve as ambulances and sample collector for the mean of lab
testing

The Container and the vans will stay at least 1 weak in the main towns and then this
Unit will move forward to the next spotted location.

Main Points Must Be Noted:

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  The Facilities will be provided free of cost, free of any favouritism to
every needy citizen.

 The Staff Of Each unit will be replaced after a completition of track and new staff
will be rolled.

 From these 3 units , 1 unit will be launched from Head quarter and remaining 2
from the branch situated in Sukkur.

 Every Container & Mobile Units will have a Pit Stop to refill their empty tanks(
Petrol).

BASIC NEEDS FOR THE STAFF

As there are 30 members in each unit so we must consider what may be their basic needs
and how we can facilitate them , because it’s a human nature we are unable to provide
them their basic needs they will be frustrated and may be a break come to their willing to
work with Raabta.

• FOOD AND WATER:

There will be a stock of Mineral Water bottles for the staff of the unit .There will be a
stock of Food packed hygienically in Tetra Packaging to be carried easily and for longer
period of time they can aslo purchase foods from some local territories as petty cash is
provided and some times hostile lunches from the traget area authorities.

• SHELTER:
Big Tents will be carried with the package for the shelter in both day and night
separately for Males and Females

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 • CLOTHINGS:
Every candidate will bring with him/her cloths for casual use
A stock of hygienic clothes for every member of the staff for normal hours and for
working hours separately ,because there is need of special clothings in O.T .so o
separate clothes will be provided to the workers.

Tracks Of Mobile Hospitals

Track 1

(Starts in Balochistan)
Stop#1 (Refueling)

Stop# 2 (Refueling)

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 Stop # 3 (Refueling)

Stop # 4 (Refueling)

Here We Will Play for a short period of time and do not cover all areas untill demand will
received because quetta have many full fledge hospitals.

Stop # 5 (Refueling)

BACK

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 TO HEAD QUARTER KARACHI

Track 2
(Starts With Sukkur Branch for Balochistan)

Stop # 1 (refueling)

Stop # 2 (Refueling)

Stop # 3 (Refuelling)

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Stop # 4 (Refueling)

BACK TO BRANCH (SUKKUR)

Track 3

( For NWFP)

Stop # 1 (refueling)

Stop # 2 (Refueling)

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Stop # 3 (Refueling)

Stop # 4 (Refueling)

Stop # 5 (Refueling)

Stop # 6 (Refueling)

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 BACK TO BRANCH

These are our standard track routs but must keep in mind that directions may be changed
due to circusmtances and on going happenings

Silence features of Mobile Hospitals and Diagnostic

center (container)
o All-aluminum custom body construction
o Insulation.
o Interiors those are spacious and easily cleaned.
o Complete electrical fixtures which meet national requirements, including an
installed generator that will run all systems independent of outside power if
required

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 o Air conditioning and/or heating systems
o Complete water and sewage systems
o Proper installation and securing of the medical equipment

Some Special design features for Container

• Air conditioning cabinets:

The front end of the container is designed to have the cabinets with heat emission
function; all air conditionings outside machines are all put here.

• Rooftop shade:

Electrically operated and manual dual purpose. After opening, it can stretch out at the
side and may take back at the roof top when closed. Length is 12 M, and width is 8 M.

• Vehicles water supply system:

The 500L pure water tank(made of 1.6mm stainless steel) is located in the base. The
water tank is installed with the filter, the liquid level observation window, the discharge
valve, the discharge pipe, the holes with 200 mm diameters. The 300L waste water
can(made of 1.6 mm stainless steel) is located underneath the base of the chassis. It has
the elbow piece, the filter, the observation glass, the blow off pipe and connectors
equipped with 24V, DC imported water pump which brings the pure water into each work
cabin. The outside tube is treated with heat insulation and heat preservation.

• Electricity generation room and its accessory facility.

The good power distribution(cabinet, with good protection which guarantees no leakage
and short-circuits.),Waterproof fast plug and socket and 30 meters cable system. Rising
and falling type base, equipped with 4 mechanical type rising and falling leg, ding gear
which assures the power supply under the electricity generation condition is completely
isolated from the vehicle.The inside walls of the compartment are treated with heat
preservation and noise reduction, the noise is lower than 65 Db is inside the office room.

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 The smoke pipe exhaust at the top, the pipe line is wrapped with the thermal
insulation material required in the bid. One dry type of fire extinguisher. The
landing gears rising and falling system; four sets of winding mechanisms,
electrically operated manual dual purpose, level adjustment semi-automatic

Sections For Mobile Hospitals

Examination room:

Its our OPD unit so firstly doctor examine a

patient here if found any other further treatment
or complication just sent to main container for
further diagnosis by tests .Interior consists of a
minor-surgery suite plus a medical examination
room with x-ray. A film processor will enable
doctors to do diagnosis and treatment in the same
unit. With the generator mounted on the tow bar,
this towed trailer is a completely self-contained
surgical and medical examination unit.

Reception (nurse area + pharmacy):

For greet the patients we have also reception over there in the mobile clinic where two
nurses will standing over ther and keep the check on patients and maintain the records
and give medicines on doctor’s prescription.

Waiting Area:

A area where patients can wait for their number when doctors is examining an other
patient.area consist on a bench and 3 chairs on front of reception area

Architechture

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Dimension:

Total length 14”

Total width 7.5”
Examination room 6”*7.5”
Waitin area + pharmacey+ reception
7.7” * 8 “

Sections For
Container

X-ray & Ultra Sound Room

The x-ray room is designed to specify surgicaldiagnoses,to

locate foreign bodies and to perform x-ray
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 diagnosticallyexaminationsof patients. The x-ray room is divided in two parts.
The examinationroomis equipped with a folding x-ray apparatus ARTEK II,
which makes itpossibleto perform both sciascapic and sciagraphic examinations
in verticalas wellas horizontal positions. The cartridges with exposed films
aredeveloped inthe dark room, the other part of the x-ray room. The darkroom is
dividedinto a dry and a wet working place. These include films,foile,cartridges, tanks
with developer, fixer, drier and other instrumentsand material.

Staff Area

A place for staff where they can relax

and rest for some times having the
floding beds and a liltle kitchen with
toilet , lokers of the staff and things of
their personal interests. Where they
can take and secure their personal
things

Pharmacy

The pharmacy department consists of a pharmacyanda

manufactory of infusion solutions, and of the stock of
medical material.The pharmacy ensures and carries out
the supply with mass-produced
pharmaceuticals,distilled water, medical oxygen,
nursing and other medical material. Itpreparesmedicines

according the individual prescriptions of physicians.The basicequipment of the pharmacy

is a set N-5, a set for the operationof the pharmacy,and a distiller for preparation of
distilled water.

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 Labortory

The laboratory is divided into a biochemical workingplace

and a hematology working place. Its responsibility is to
performvariousexamination of samples prepared by other
departments, is equippedwith a setL-1, sterilization
apparatus LA-60 and other material necessaryfor the
operation of a clinical laboratory.

The Surgery Unit

All machines and tools must be fastened securely inside the unit with consideration of
extreme shock, vibration and shaking. This
image above serves to illustrate the basic set up
of equipment throughout the unit. The items in
this unit includes:
ACG machine with necessary regulatory Gas
bottles of oxygen, Movable operating table with
side drawers for x-ray plates. It locks in position,
and has an adjustable table top ,Includes leg and
arm rests for deliveries or fractured limbs
,Refrigerator under counter ,Top and bottom
cupboards for necessary medicines and tools
,Air-conditioner, Surgery light ,X-ray developer and Basin..

Architechture Of The Container

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Dimension:

Length 12 meter
Widht 3 meter
Lab,dark room strelization area 3m * 3 m
Unit inchage room 5” * 6”
Washroom 2.5” * 6”
The surgery unit 3m * 2.5 m
Per Restion room 2m * 1.5 m
Coridoor 9m * 1.5”

here we can see the every this is in order and present according to need each resting
room have 4 floding beds and for designing this container main focus is on minimum
space and more utilization of space in speceific order . in above we can easily see that by
using these equipments how we can store maximum things in short place and keep them
safe the over head cabnents , refigreteres and fold in table in last picture the door of
sernior consultants’ room how things are managed in short place.Must keep in mind that
every where is over head cabnents play very important tole to keep things save and even
from electronic point of view.

Human Resources Department

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 Each unit is consist on 30 persons

• 5 drivers
• 5 securities
• 6 paramedical staff (ward boys, helpers)
• 6 nurses
• 6 doctors (including senior consultant unit, including 3 female doctors)
• 2 technicians
• 2 labs in charge

Mobile Clinic staff total in number

• 1 doctor
• 1 nurse
• 1 helper, paramedical
• 1 driver
• 1 security

Duty Timings
8 am to 2 pm
Lunch break
3 pm to 6 pm

Container staff

• 1 unit in charge (senior consultant)

• 1 Doctor (male / Female)
• 2 technicians
• 2 labs in charge
• 1 nurse
• 1 paramedical
• 1 driver
• 1 security

(All duties of similar position are on rotation basis)

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 Must keep in mind that all the staff is on rotating basis from mobile clinic to
container for fleshing, clothing food and water also provided to them and they
have their own food stock and in some cases can also purchase from local
markets, for sleeping drivers and security staff is may replace from each others.
In some rural area women avoid to check from male doctors so we have predefined days
for specially lady doctors that every women can’t hesitate when going to check up.

Staffing:

As we know that one trip of unit may consist on one and half months at least so we need
Pre-requested interpersonal qualities
• Medically fit
• Must be an adventure lover
• Strong Nerve System
• Understanding (Able to understand other’s culture traditions and values)
• Sharp minded
These qualities will be judged by different types of test like handwriting, stress
interviewing and manual tests. For each category/ position.

Preferences:

• Doctors
• Technicians
• Lab in charge
• Paramedical staff

Will be hired from well-reputed institutes from Lahore, Karachi, and Islamabad. Because
from these cities these candidates might be highly aware of more knowledge of there
relevant field rather than any backward city, but must be energetic, patriotic and willing
to work long hours.

Drivers
Security Persons

Will be hired from Baluchistan & lower NWFP, the persons from our target territory
residence. Who have great know how of the roads, infrastructure, area, the political,
traditional, infrastructure conditions of the area and the language of the people living
there, they’re way of living, their tradition, values. Believes, so that the venture can run
smoothly.

Hierarchy Of Units

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Health & Care Department

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 Rural environments present unique challenges for health care access. There are
often shortages of medical personnel in rural areas, as well as transportation and
distance barriers to care and an increasing economic destabilization of rural health care
services. To The prevention, treatment, and management of illness and the preservation of
mental and physical well-being through the services we maintain our health care
department where each and every single individual is highly aware of basic treatments
these people are back bone of project they are divided into units and than send to rural
areas to help the poor humanity mostly of them a part from director falls in field working
and continuously traveling.

We have been assigned with planning of a mobile clinic organization for NWFP and
Balauchistan. The mobile clinic shall work for the welfare of the general public of the
area at no profit no loss basis. Initially there will be four departments, the finance
department, the marketing department, the human resource department and health care
department.

The health care department shall focus on the main operation of the mobile clinic and
will work in co-ordination with other department. The health care department consists of
a team of expert doctors supervised and under the directorship of CEO who is a veteran
citizen and has ample experience of the health care department and has also the privilege
of being one of the sponsors.

ISO 9001 : 2000 ( Certified)

we are proud to achieve globally recognized standards of ( ISO 9001 : 2000 ) which
makes it a certified organization for quality, environment, health & safety management
systems.

We are truly the ‘ port of the future’ for Pakistan and a vital organization assisting in the
growth of the nation’s prosperity and reduction of deseases.

Objective:
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 The health care department has the following objectives: -

1. It sets out the work plan for the medical team.

2. It keeps the inventory of medicines and related supplies.
3. It collects statistics of the patients mobilize the medical team with the mobile
hospital to the required area according to set program. The program is announced
previously to the patients to be treated.
4. It works in close co ordination with the marketing department, the Human
resource department and the finance department.
5. It aims to improve health and well being through its strategic responsibilities and
accountability for the health and social care system.
6. Monitor health and implement services to improve life expectancy and the quality
of life.
7. Promote and educate people about healthier life styles.
8. Insure the quality use of medicines and save use of poisons.

Work Plan:

For work plan a team of doctors, nurses and paramedical staff will be hired by the human
resource department in consultation with health care department which will set standards
of qualification and experience of the personnel. The doctors and the staff shall be clearly
briefed about their out door duty and only those who are willing shall be hired and a
performance bond shall be taken from them.
General diseases to be treated:

The following diseases shall be generally treated in Balauchistan and NWFP.

Diarrhea, malaria, typhoid, skin diseases, cholera, dengue fever, asthma, ENT diseases,
gastrointestinal diseases and dental problems. These diseases generally take 15 to 20 days
to cure and heal up. These are all acute diseases on which we will focus our attention
because chronic diseases are out side our scope. For every patient the concerned doctor
shall keep a history of the case. Vaccination of poxes and polio shall also we made
according to national health program.

Facilities provided in the Mobile Units

1. Pharmacy:

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 Sufficient Inventory of medicines and medical supplies shall be kept in the
container and the vans where life saving drugs shall also be kept. There will be
constant checkup of stock of medicines and supplies so that if any things fall
short it maybe replenished instantly.

2. Medical Laboratory:

There will be stand by laboratory in the container for testing of blood, urine, stool and
phlegm. An ECG machine and X-ray set up shall also be installed in the container.

There will be a blood-collecting unit associated with laboratory for blood transfusion
needed by specific patients. The laboratory will be equipped with the testing equipment
and arrangement for the blood only.

3. Mobilization of the unit:

The health care department mobilizes the mobile team on the basis of statistics of patients
collected. The doctors will carry with them sufficient stock of medicines and supplies for
wide spread diseases in the concerned area.

4. Equipment and apparatus:

The health care department shall see that the following medical equipment and other items needed for the
patients must be placed on the mobile container.

1. Portable Oxygen unit

2. Portable Suction Unit
3. Stair Chair and Stretchers
4. Defibrillator cum Monitor with Recorder.
5. Transport Ventilator
6. Infusion Pumps
7. Stethoscope, thermometer, disposable syringes and blood pressure monitor.
8. First Aid Kit
9. Ventilation and Airway Equipment
10. Immobilization Devices
11. Injury Prevention Equipment.

Consumable Items:
1. Medicated Cotton
2. Bandage of different sizes and fully medicated
3. Leucoplast

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 4. Pain Spray and other sprays as required
5. Face Mask (Disposable)
6. Surgical Gloves
7. Wide bore needles
8. Syringes of different size
9. Disposable suction pumps
10.ECG electrodes
11. Nasal airways (all sizes) & catheters
12. Cannula
13. Pressure Infusion Bags
14. Micro drip-set & Drip-set
15. Nasogastric Tubes
16. Burn Pack: Standard package, clean burn sheets (or towels for children)
17. Dressings
18. Gauze rolls Sterile (various sizes)
19. Adhesive tape: Various sizes (including 2” or 3”)
20. Cold packs
21. Waste bin for sharp needles, etc.
22. Disposable bags for vomiting, etc.
23. Teeth guard
24. Sample collection kits

The above list of equipments and consumable item is a general list; there may be other
items also and the list may be modified according to the requirement.

Technical Specification: -
Patient cabin in the container will need to provide enough space
for positioning of space not less than 6’2” inches. Storage space for keeping medical
equipment and consumables required. Demark area for the placement of stretchers
ensuring no twisting of patient takes place while opening and closing of the doors. A
sitting space for at least two persons one of whom may be Paramedic.

Power supply arrangement in the mobile van and the container should be adequate to
satisfy the requirements of normal lights and in addition must cater to the needs for
internal lighting, air conditioning and functionality of medical and communication
equipments.

The health care department shall ensure that the above specifications are met with
according to strict requirement of the case.

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 Announcement of Mobile Hospitals:

The health care department shall circulate pamphlets before the arrival of mobile
clinic in the proposed area announcing the arrival time and place of the camp tempting
the prospective patient with their relatives to come and get the free treatment.

Strategic Responsibility and

Accountability
Since the whole mobile clinic is dependent on the funds provided by the Sponsors, Trust, charitable
institution and health department it would be strategic responsibility of the health care department to
improve the health of the selected area people of NWFP and Balauchistan. The performance of mobile unit
shall be checked from time to time and transmitted to the sponsors to whom the mobile unit is accountable.
A copy of the performance report shall be given to the marketing department for perusal and necessary
action. The report will be in following manner.

Specimen:

Area_____________ Month ____________Mobile time headed by: __________

No. Of patients treated Diseases Remarks

50 Cholera
100 Stomach diseases
100 Typhoid
200 Minor injuries
60 Malaria

Co- ordination with other departments:

The health care department works and close co-ordination with the marketing department
in as much as statistics of the patients in particular area, about those to be treated and

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 those treated by the mobile team. The announcement and advertisement rest with
the marketing department for which the material is provided to them by the
health care department.

The health care department also works in co-ordination with the finance department for
the funds to be raised for purchase of equipment, consumable stores and medicines
including supplies and for the maintenance of the vehicles and equipments under the use
of the mobile unit.

The health care department has also to co-ordinate with the human resource department
for its requisition for quality personnel, doctors, nurses and paramedic including security
staff with the mobile unit.

Health care department shall have regular contact with the mobile unit workers on mobile
phone for issuing instructions to them according to the specific requirement and
difficulties being faced by them. The doctors shall be restricted from prescription of
poison and antibiotics liberally and that the patient should be handled in a nice manner.
The doctors shall be instructed to advise their patients to use boiled and filter water to
prevent stomach diseases and nets to avoid bite of mosquitoes who spread malaria,
dengue and other diseases.

Disaster Management:
Health care department shall be made fully equipped to face any type of disaster like
floods and earthquake etc. more over it will see that sufficient management is made for
re-enforcement of staff equipment and medicines can be made in case of emergency.

Training and skill development:

On the advice of Human Resource Department the health care department shall chalk out a comprehensive
program for training and skill development. The doctors will be trained for the treatment of villagers and
folks of the particular area, the nurses and other paramedics shall be trained to handled the patients and
supply them the prescribed medicines and first aid treatment. The laboratory staff shall be trained to deliver
quick and efficient reports of the patients for proper treatment. After completion of the training a test will
be conducted and the passing out staff shall be posted at the proper mobile unit.

Precautions:
The health care department shall issue instructions to the concerned persons for
precaution as follows:

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 • There will be standing instruction given by the health care department
that after treating every patient the doctors will wash their hands with
soap.
• Thermometer and other such items should be properly sterilized.
• Injured patients should be delicately handled.
• Patients or their responsible relatives should be given instructions for proper use
of medicines and in house treatment.
• Blood sample should be tested carefully before blood is collected and reserve for
transfusion.
• Disposable syringes should be destroyed after one time use.
• All medicines should be regularly checked for their expiry and the expired
medicine should be destroyed and replace by fresh stock.
• There should be sufficient stock of clean water with the mobile unit.
• The mobile team will carry sufficient stock of their foodstuff duly packed for
journey.
• The driver will take care for sufficient petrol, oil and lubricants etc. and that the
vehicles are properly maintained and fit for the journey.
• The vehicles shall be thoroughly cleaned everyday.
• The security guards shall keep their weapons fully loaded and ever ready to
encounter any attack.
• All the doctors, nurses and paramedics shall remain clean and tidy everyday.

Finance Department

• Each Mobile Clinic With equipments = 58lacs ( 12 Clinics , with

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 • Discounted Price = (48 lacs * 12 units) =
RS 5cror 76 lacs

• Each Container with equipments = Rs 1.27 cror

(3 containers)

• Discounted Price = (1.2 cror * 3 units) = RS 3. 6

cror

• Salaries ( Contractual) On per trip basis

Distribution Among Staff:

• Senior consultant = 1.17 lac (1.17* 3 = Rs5.25

lac)
• Doctors = 85 K (85 (5*3=15)=RS
12 lac 75 k
• Lab incharge = 75( 75 (2*3)) = RS 4 lac
50 k
• Technicians = 75( 75 (2*3)) = RS 4 lac
50 k
• Nurses, Paramedical staff = 60 k (12*3) = (36*60)=Rs
21 lac 60k
• Drivers security = (10*3=30) 50*30= RS15
lac
Total for salaries basis for 3 units on contractual basis 50 lacks

Petty cash 75 k for each

Fuelling Rs 60 lac ( for three units) (passes for feulling)

Sources of Monetary Resources:

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 All the money would be donated by the Welfare Organization , UNO & other
institutions which would also help us in our project by Monetary means , Human
Resource means & Equipments etc.

Pharmaceutical companies would provide us with medical staff , samples and many more
which would ease our work simultaneously.

Marketing Department

How to market Mobile Hospitals ?

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 As we are running a welfare program to serve for the nation and its
betterment so have to make sure that our marketing should play a pivotal
role in this project as it’s a huge project, which eventually will be groomed
as its response and services is concerned and also with the support of other
NGOs and GOVT agencies.

Over here we have used the strategy of MARKETING MIX which would help us to
market our Mobile hospital. In this it contains 4 major components; listed as under:

 Product
 Price
 Promotion
 Place

1) Product:
As far as our product is concerned its “ mobile hospital” which by
its name means service for patients and other people in need. Product itself includes
warranties , quality, design, features, brand name etc.

2) Price:
Over here we would consider the cost of the machines , salaries of the
medical staff & other expenses.

3) Promotion:
This includes the medium or source to promote our product
which would be as follows:

• Electronic media
• Printing media
• Wireless media
• E-commerce

In this we would also consider the advertisement, public relations, Direct customer
marketing, volunteers etc. Promotion in this type of service oriented organization is
very important because we, being the pioneers in Pakistan have to survive according
to the economic condition and our political condition. We have to build such type of
relationship with the other marketing agencies which would help us to run our

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 slides and which would be of Cost-Free, and through using the above given
media we could call for an appeal as for donations , funds and other
resources.

4) Place:

In marketing mix we also should consider the place this means that
we have to target a specific place as in the welfare projects we see that people go for
the majority effected areas. But in our care our Organizatiuon “ Raabta Mobile
Hospitals” will be working only in the rural area in Pakistan which covers mostly
effected areas as balochistan, sindh, Peshawar ( N.W.F.P) & Punjab etc. which
covers all our 4 provinces. So we have to target a specific place which would let us to
plan out our tours accordingly.

“ Raabta Mobile Hospital” is a Non – Profit based Organization which is forming

only for the benefit.

Swot Analysis

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 The overall evaluation of a company’s strength, weakness, opportunities
and threats is called SWOT analysis. It involves monitoring the external
and internal environment.

Strength:
• As we are the pioneers and we would serve the best being the starters.
• We have the best Specialized Doctors from various places.

Weakness:

• Our Human Resources

• Lack of infrastructure

Opportunity:

• To excel around the globe

• People would voluntarily participate in this type of projects

Threat:

• On global scale we would face our competitors

• We could face tremendous terror from the extremist community

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