Minimum requirements of a 4 machines dialysis centre Part2

The District Headquarters Hospital (“DHQ”), in particular the Medical Superintendent of the hospital. All of our centres are established within Government Hospitals. The hospital provides buildings, electricity, water, emergency cover and medical and technical staff for free. In this way, we are able to establish centres quickly as the financial burden of building centres, providing staff, utilities and other essentials is avoided; The Kidney Dialysis Centre will be housed at District Headquarters Hospital level, and the hospital will provide or build the following:

Treatment room for non Hepatitis patients with enough space for 6 beds. (24’ x 20’)Treatment room for Hepatitis C+ve patients with enough space for 4 beds (24’ x 20’)A nursing station (16’ x 16’)A room for the water filtration plant (10’ x 10’)A waiting area for relatives of the patients (16’ x 12’)Separate staff and patient toilet facilitiesFacilities for emergenciesIntensive care24 hour medical cover for the Dialysis CentreAccess to Pathology laboratory with specific facilities for kidney patient blood chemistry24 hour running water to run the machines (If this is not available, then provision of a 5,000 gallon water tank)Hospital electrical backup generator to ensure machines run during electrical failures.Two dedicated nurses and a technician paid by the hospitalArrange at least two weeks Nephrology training for the Doctor in charge of dialysis at a ‘centre of excellence.’

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National and local Government, in particular the Department of Health, the Nazim, the Health Executive District Officer (“EDO”) and District Coordinating Officer (“DCO”) will be responsible for:

Pre-inauguration of centre

Providing sufficient funds for the refurbishment of the centresPurchasing ‘reverse osmosis’ water filtration plant (in conjunction with the AFBI. (Typically Rs 5,000)Purchasing a Renatron ‘Dialyser re-processing machine.’ This vastly reduces the running costs of the centre (typically RS 5,000).Arranging a suitable dignitary and press coverage for the inauguration ceremony of the dialysis centre.

Centres of excellence in Nephrology. The Noor Foundation has a unique arrangement with a number of well known kidney disease specialist centres in Pakistan, such as Sheikh Zayed Hospital under the guidance of Professor Tahir Shafi, The Sindh Institute of Urology, Karachi (“SUIT”) under Professor Adeeb Rizvi; Lady Reading Hospital and Khyber Teaching Hospital, Peshawar and Bolan Medical College, Quetta, Balochistan. These ‘Centres of excellence’ have kindly agreed to:

Pre-inauguration of centre

Provide up to 6 months free nephrology training for nursing, medical and technical staff.Provide free room and board for nursing, medical and technical staff during the training period.Confirm proficiency of nursing, medical and technical staff prior to graduation.

Post-commissioning of centre

Provide refresher training and continuing support and guidance for our medical and technical staff.

Local philanthropists – these wealthy and charity minded individuals are very valuable to continued operation of Noor Foundation dialysis centres. They assist in this important work in two main ways: first, donations when the centre is established and during the life of the centres and secondly by adopting a patient(s) for life and providing funds for all the treatment and medicines required by the individual patient.

This partnership must continue in both current and future projects to achieve our plans to establish at least 30 centres by 2010

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