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SRI SAI INSTITUTE OF MEDICAL SCIENCES, HAJIPUR

INTRODUCTION
Bihar is the third most populous state in India, with a population density of 1106 persons per square kilometer. The state has intense health problems and currently the population is around 12 crores; in which approximately 7 crores people stay in North Bihar region particularly. As per Bhabha Atomic Research Culture (BARC) the state needs around 75 external Radiation Therapy machines. South Bihar has only 4 External Therapy Machines and surprisingly North Bihar has not a single machine to treat Cancer patients.

In India, the number of new patients which are coming every year is around 12 lakhs and any time in this country the number of existing patients are around 40 lakhs. There is going to be drastic change in the health sector in the coming decade. Presently the communicable diseases in the country are around 67% and the non-communicable diseases are around 29%. But after a few years, this ratio will be reversed i.e. the diseases of non-communicable origin would be around 65% and that of communicable origin will cover 30% only. Therefore, in the coming years we have to put more focus, more concentration on the speciality practice, rather than to treat only general practice. This is not only our country problem, but also a global issue. There are different non-communicable diseases, also known as life style diseases which are very much prevalent in our country. They are cancer, heart diseases, diabetes, blood pressure, renal diseases etc. By changing the life style, there can be some control on these diseases. If we talk about the cancer diseases, the incidence is very high and in the coming years it is going to be the number one challenge in front of the nation, if it is left uncontrolled. All the diseases will go behind in the health sector. Therefore, the time has come that this disease needs more attentive measures and focused efforts to effectively control the worrying scenario.

The number of new cases in Bihar is around 90 thousands to 1 lakh each year and any time there are 2.5 to 2.75 lakhs cancer cases are present. Not more than 40 thousand Cancer patients turn up to the different hospital for their treatment but still there are around 40 thousand cases who are not getting any treatment for the diseases. Therefore, our state needs many more hospitals for cancer treatment for these cancer cases who are not getting any treatment. Even a small delay in the treatment can take the disease from bad stage to a worse stage. According to the WHO reports 33% Cancer cases can be prevented, 33% cases can be cured if detected in early stage; and 33% cases can be palliated. In present scenario, even around 70% cancer cases can be either prevented or can be cured; but in our state the figure is only 15% which comes in this category.

WHY VENUE AT HAJIPUR
In Bihar and Jharkhand, there are only 6 cancer centres which are in functioning stage. Out of these, 4 centres are in Patna itself; two centres are in Jharkahand state: one at Ranchi and another at Jamshedpur. In fact North Bihar, having a population of 7 crores, does not have any Radiation machine to treat the huge pool of cancer patients. There should be actually 4-5 Cancer centres in this Northen region to cater the demanding need of the patients. All the patients of south Bihar come to Patna for their treatment through Hajipur and even the patients coming from North East came via the same way. In addition, there are many problems to arrive Patna like (i) Unusual Jam at Ganga Setu (ii) Jam at different High ways etc. We have decided to establish the centre i.e. Sri Sai Institute of Medical Sciences at Hajipur after considering all these factors that add difficulties to the poor patients. The distance of the Hospital site is only 15 km away from Patna, 60 km away from Muzaffarpur; and is well connected to other cities of North Bihar.

ABOUT THE HOSPITAL
This proposed Hospital will work under the aegis of “Buddha Unity Trust for Social Development”≈ which is a charitable trust coming into existence since 14th June, 2013. This charitable trust aims to function with certain similar objectives for the welfare and social development of people in Bihar; focusing on Cancer treatment and care. The land is is almost 2 acres and is located at Dighowala, Hajipur in Vaishali district. The construction area is around 70 thousands square feet and almost going to be functional with finalized stage at the end of this year.This Hospital will have one main building and one annex building as per bye laws of the land area. Apart from the main building, the hospital will also have two building: one for staff quarters and another for Dharmsala for patients and attendants. The Hospital will have the transport facilities to carry the patients and staff from their residences to hospital and back. The Hospital is 1.5 km away from Hajipur Railway station and well connected by Road to Vaishali, Sonepur, Chhapra, Siwan, Motihari, Muzzafarpur, Madhubani etc. Hajipur is itself well connected by Roads, railways to all the towns of Bihar, Jharkhand, Uttar Pradesh, Nepal, Assam.

AIMS & OBJECTIVES
Since the hospital is charitable in nature, its aim is to provide quality service at affordable cost. Considering the growing incidence of the diseases, great problems of the cancer patients in Bihar and neighboring states; there is observed an acute shortage of specializes Cancer centres for treatments. The trustees of this charitable organization “Buddha Unity Trust for Social Development” have unanimously decided to start a ‘state-of-art’ Hospital and Research Institute in name of “Sri Sai Institute of Medical Sciences” at Hajipur. The thrust of the trust was to start a Cancer hospital in first phase to provide maximum relief to the ailing Cancer patients. This would have the following sections: 1) Treatment Centre 2) Diagnostic Centre 3) Community Oncology Centre 4) Research Centre 5) Patient Counseling Centre 6) Dental Unit 7) Blood Bank 8) Pharmacy 9) Reception/ Record Keeping Section 10) Bone marrow transplant Unit

The diagnostic centre will be full-fledged department where apart from clinical evaluation; the patients will be diagnosed with all necessary examinations in Radiology, Pathology etc. as applicable. Radiology:- X-Ray, Ultrasound, CT scan, OPG, Mammography etc. Pathology:- Cell counter, Biochemistry, Microbiology, Histopathology and Tumour markers etc.

Treatment Unit. 	Radiotherapy 	Surgery 	Chemotherapy 	Hormonal Therapy The surgery department will be well equipped. There would be operation theaters [(OTs): 4 major and 2 minor], Recovery room, Mould room, High dependency Unit etc.

Radiotherapy: 	Two Linear Accelerators 	Brachy therapy unit≈ 	Mould Room facilities 	Planning facilities Chemotherapy: This unit will be equipped with all its latest gadgets. The hospital will have a unit for Bone Marrow Transplant surgery. It would be equipped with a ‘state-of-art’ unit of intensive care unit (ICU) with full-fledged recovery room.

FUTURE SCOPE
The problems in all the Cancer centres are too many. There are two main problems; (i) the incidence of Cancer is increasing sharply and (ii) patients turn up to hospitals at pretty advanced stage of Cancer; when the disease cannot be cured but can be only palliated for some years. In early stage, the Cancer can be curable; but if the disease is progressed to advanced stage, it can be palliated. Therefore, we have to put more efforts in Cancer awareness on prevention, early detection, diagnosis and treatment aspects. In the last, our main objective is to provide the best possible treatment to poor patients at affordable cost. A small subset of patients coming from the poorest class will get treatment “free of cost”. Irrespective of cost, creed, religion and financial status, this hospital will bring the best possible treatment for the cancer patients in Bihar and neighboring states.