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Bangalore Baptist Hospital
footprints
CELEBRATING 40 YEARS OF GODS FAITHFULNESS
Second Edition
15
Beginnings
51
Committed to excellence
Early history The accent on quality
Footprints:
Celebrating 40 Years of Gods Faithfulness
Revised and Expanded
Second Edition
Copyright 2013 Bangalore Baptist Hospital
All rights reserved. No part of this publication may be reproduced, stored in or
introduced into a retrieval system or transmitted, in any form or by any means
(electronic, mechanical, photocopying, recording or otherwise), without the prior
written permission of both the copyright owner and the above publisher of this
book.
Unless used autobiographically or with permission, all names and other personal
identifers in this book have been changed to protect privacy.
Published by Bangalore Baptist Hospital
Bellary Road, Hebbal, Bangalore 560024, Karnataka, India
ISBN: 978-93-5156-110-1
Ghostwriting and substantive editing: S. Sahu, Bangalore
Photography: T. Uday Kumar Daniel, Biju J. John, P. Karunakaran, Arun
Hubert, Harinath (Foto Tech) and Bill Bangham
Concept, design & Layout: Primalogue Publishing Media
Printed and bound by Brilliant Printers Private Limited, Bangalore
C
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95
Adding life to days
107
Out in the community
137
Academic excellence
The touch of Palliative care Community outreach initiatives Medical education and training
AHPI Association of Healthcare Providers (India)
ANBAI Association of National Board Accredited Institutions
BBH Bangalore Baptist Hospital
CABG Coronary Artery Bypass Graft
CAHO Consortium of Accredited Healthcare Organizations
CCHI Christian Coalition for Health in India
CHD Community Health Division
CMAI Christian Medical Association of India
CMC Christian Medical College & Hospital
DJ Halli Devarajeevanahalli
DM Doctorate in Medicine
DNB Diplomate of National Board
EdD Doctor of Education
ENT Ear, Nose & Troat
FHQM Fellowship in Healthcare Quality Management
FICCI Federation of Indian Chambers of Commerce and Industry
FMB Foreign Mission Board
GNM General Nursing & Midwifery
HSSC Healthcare Sector Skill Council
IMB International Mission Board
IMS International Medical School
IVF In vitro fertilisation
MD Doctor of Medicine
MICA Mudra Institute of Communications, Ahmedabad
MIT Medical Imaging Technology
MLT Medical Laboratory Technology
MRACOG Member of the Royal Australian College of Obstetricians &
Gynaecologists
MRI Magnetic resonance imaging
MS Master of Surgery
MSU Management & Science University
NABH National Accreditation Board for Hospitals & Healthcare
Providers
NABL National Accreditation Board for Testing and Calibration
Laboratories
NBE National Board of Examinations
NCBH North Carolina Baptist Hospital
NIMHANS National Institute of Mental Health and Neuro Sciences
NSDC National Skill Development Corporation
PCD Pastoral Care Division
PRR Performance-Related Remuneration
QCI Quality Council of India
RGUHS Rajiv Gandhi University of Health Sciences, Karnataka
SBC Southern Baptist Convention
SMOM Samaritan Medical Outreach Ministries
Abbreviations
Our vision
Healing and
Wholeness in the
spirit of Christ
Beginnings
Cornerstone
T
he cornerstone of the inspiration behind BBH
is the love of God for all people. It is a love that
propels all who believe in it to improve the lives
of individuals and communities in all dimensions of
their existence. Te path taken by BBH to contribute to
the quality of life of all humans in its ambit is through
wholistic healthcare.
BBH was founded by IMB of the Augusta, Georgia-based
SBC, which believed in the importance of medical service
and had been supporting mission hospitals in 17 countries
before it opened BBH in 1973. Started as an 80-bed
secondary care hospital, the purpose behind BBH was to
bring health and healing to people in the Bangalore area
and to do this as an expression of Gods love for them.
Te Hospital was established as a not-for-prot institution
to provide healthcare to all regardless of religious, ethnic
and economic background. BBH has developed and been
run with full transparency and with the cooperation and
support of the Indian government.
Dr John H. Wikman
Dr Wikman and his wife, Barbara, arrived in Bangalore in 1968. He was involved in the purchase of land
for BBH and the initiation of medical services frst at SBCs Sankey Road mission station and, subsequently,
where the Hospital stands today. Te Wikmans served in BBH till 1975.
16 footprints: Celebrating 40 years of Gods faithfulness
Moving forward
C
losely associated with CMC Vellore, BBH has been transformed from
an 80-bed secondary care centre to a 300-bed multi-speciality teaching
hospital with over 1,000 staf and students. Over the past four decades,
BBH has matured in four major dimensions: treatment cost, service scope, quality
and capacity-building.
Comprehensive services and coverage
BBH is a multi-speciality hospital that also ofers most super-speciality services
with excellent community health and palliative care programmes.
Subsidised treatment
BBH does its best to not turn patients away merely because they are unable to pay
for treatment costs. Currently, the Hospital sets aside 10% of its income for poor-
patient care.
Quality medical care
Quality care, at the Hospital, means ethical, compassionate, state-of-the-art care.
Te professional culture at BBH motivates all members of the organisation to
continually strive toward improving the quality of care.
Health education and training
From its inception, BBH has engaged actively in human resource development
in healthcare. Te Hospital trains students in medical, nursing and allied health
courses at both undergraduate and post-graduate levels.
Prologue 17
Te groundbreaking ceremony for BBH was held on 27
February 1971. Dr J.D. Hughey, SBCs FMB secretary for the
Middle East and Europe, turned the sod. Rev Solomon Raj,
evangelist at Indian Baptist Mission, and Rev Bill Marshall, Field
Representative for India, led in prayer. Present at the function
were Mrs Tara Chandavarkar, of Chandavarkar & Tacker
Architects Pvt Ltd; Mr A.V. Paramashivan, the contractor in
charge of civil works at the Hospital; and three BBH missionary
physicians Dr John Wikman, Dr Richard Hellinger and Dr Ralph
Bethea.
Turning the frst sod
At the groundbreaking
(Anti-clockwise from
top): Dr J.D. Hughey
turning the sod; (L-
R) Rev Bill Marshall,
Rev Solomon Raj, Dr
Richard Hellinger,
Dr Hughey, Tara
Chandavarkar and Dr
Ralph Bethea; (Standing,
Foreground L-R) Dr
John Wikman, Dr
Hughey and others
From half a world away A
teenaged boy called Jasper, writes Pam McPhail,
1
had just
fnished high school when he became convinced that he
would become a medical doctor serving the poor around
the world. Te year: 1948. Te location: a tiny village, Slate
Springs, in Mississippi, USA. Jasper, 18 at the time, did not know
that he would become Jasper Lewis McPhail, MD and create
many landmarks in thoracic surgery at CMC Vellore a mere 14
years later, continues Pam.
A purpose-driven man of many talents, Dr McPhail brimmed
with hope and exuded energy that stemmed from a frm belief in
the providence of an all-powerful, all-loving God. He excelled in
academics and became a force to reckon with internationally in
thoracic and cardiovascular surgery. Te Government of India,
too, welcomed him as an outstanding medical specialist.
Dr McPhail and his wife, Dorothy (a certifed nurse anaesthetist
herself ), were invited to CMC Vellore to set up its cardiothoracic
services. Tey were SBCs frst FMB emissaries to India, and Dr
McPhails contribution to CMC was signifcant. CMC returned
the favour to SBC when the latter sought to establish a Christian
hospital in India. CMC suggested that Dr McPhail request
the then Indian health ministers at central and state levels for
permission, and Dr McPhail met Dr S. Radhakrishnan, the then
President of India, who introduced him to Mrs Indira Gandhi
(Indias third prime minister) and Dr Sushila Nair, the then Health
Minister at the Centre.
Te request was granted, says Camille Lee Hornbeck
2
; and
BBH was founded as a trust on 15 January 1973, with the strong
support of the state government. D. Devaraj Urs, the then Chief
Minister of the state (then, Mysore; now, Karnataka), inaugurated
BBH, and the then SBC President Owen Cooper presented the
Prologue 19
I remember what I did on my frst day
at work in BBH: type a few letters.
Te next day, I was posted at the cash
counter although I knew nothing about
the prices of the medicines. I would
nervously write out the medicine bills
for patients although they were for just
multivitamins and cough syrups.
BBH patients had what I felt was a
unique registration process. We would
stamp their wrists with a metal seal that
had a map of India and then give them
a token number. I would look for a
branded wrist each time a patient came
to the billing counter.
Emelia Josephine
Retired Supervisor, Business Ofce
Stamped by
Baptist
Hospital to the people of India.
A hospital like BBHwas one of SBCs longstanding dreams. SBC had made repeated
attempts over decades to start a hospital in India that would serve all people in the
spirit of Christ and, most importantly, the poor. Now, at the opportune moment,
this had come to be. BBHwould be motivated by the love and high moral and
ethical standards of Jesus. Seventy-fve percent of its beds would be reserved for the
indigent. It would have a powerful community outreach programme, be stafed by
healthcare professionals of distinction and double as a teaching hospital. BBHwould
be an institution not only of treatment and cure but of healing and care.
Nationalisation
In the early 1980s, continues Hornbeck, FMB policy began to change. Te
signifcant shift was from institutional funding to mobilising national support. Earl
Goatcher, who was then the chairperson of the BBH trust and an FMB hospital
administration consultant, comments: Visas for North American healthcare
personnel were becoming more difcult to obtain. Consequently, fnancial support
from the US would probably decrease and administrative, management and
medical leadership of BBH shift to Indian national leadership. Sure enough, by
the mid-1980s, instructions were received from FMB to explore alternatives for the
future of the Hospital.
Te options considered were selling or leasing BBH or donating it to a
Christian organisation. Dr Rebekah Naylor, then head of SBCs Bangalore
operations (and, subsequently, head of BBH), was on CMC Vellores Council.
She consulted other FMB leaders and the then Director of CMC Vellore,
Dr Benjamin Pulimood, who was on the BBH board himself. Te consensus
that gradually formed was for CMC Vellore to take up a managerial-technical
advisory role for BBH, while IMB would be involved more in resource
mobilisation than operations.
A hospital like BBH was one of SBCs longstanding
dreams. BBH would be an institution not only of
treatment and cure but of healing and care.
Prologue 21
Shri D. Devaraj Urs (R), the then Chief Minister of the then Mysore state, inaugurating BBH, as Shri
H. Siddaveerappa (L), Minister of Health, Government of Mysore, looks on
... From half a world away
Looking ahead, IMB and the two medical institutions saw potential benefts
as well as risks in this unusual alliance and therefore trod delicately through the
details. By the end of 1988, a tripartite agreement was being forged between IMB,
CMC Vellore and BBH. Dr Naylor was to continue in a leadership role, for the
present. (She was shortly appointed to be the head of BBH for 1985-89.) Te
name Bangalore Baptist Hospital would stay, as would the Christian ethos and
focus on excellence in healthcare of both institutions. BBH was registered as a
society and had operational autonomy. A memorandum of understanding made
CMC the administrative-technical advisor for BBH. Te BBH board of governors
would include a permanent IMB representative. IMB would facilitate fundraising,
institutional sponsorships, advanced research and higher education.
Te agreement was formalised in 1989.
History has proved, from the growth, success and spiritual impact of BBH in
subsequent years, that the Tripartite Alliance was providential.
Te BBHblueprint was about delivering healthcare services to the poor,
training healthcare providers to raise the quality of available healthcare and living
a life modelled on the biblical narratives of Jesus Christ and his apostles and early
disciples. Tese pillars have not changed although BBHhas evolved in many
ways to be viable and to keep pace with the urban and technological growth of
Bangalore, which has brought thousands of people into the community that BBH
serves.
Prologue 23
Facing page: (L-R) A 2012 photograph of Dr Alexander
Tomas, Elaine and Clyde Meador, Dr Suranjan
Bhattacharji, Dr Sunil Chandy and Sunny Kuruvilla Te Memorandum of Understanding for the Tripartite Agreement
... From half a world away
I
n 1971, after the land for the Hospital
was purchased and fencing was done,
a large chicken coop was built on the
south edge of the BBHperimeter. Te
fresh eggs and poultry on sale twice a
week, and the curried chicken fromthe
hospital canteen, were welcome delights.
A short while later, though, the
Hospitals outpatient clinic moved
to the BBH premises from Sankey
Road, Bangalore because the Hospital
land needed to be seen by the public
as the BBH base. So doctors, nurses
and patients and, later, pathology
lab equipment and lab technicians
replaced the birds in the coop. Soon,
as many as 300 outpatients were being
seen every day: the communitys health
needs were so pressing that many
patients would queue up the previous
night outside the gate, waiting for
the clinic doors to be opened in the
morning.
Te frst lab test was a haemoglobin
blood count run on a patient with
hookworm disease. Te haemoglobin
was 2.5 gm% and the haematocrit, 16.
When the Hospital building came
up, the clinic and the lab moved
there and the chicken coop became
a barn that started of with seven
milch cows and six calves. Fresh, pure,
unadulterated milk was a hit with not
only the BBH staf but with patients
and the Hospitals neighbours as well.
Te fourth species to be housed in
the chicken coop were pigs, of which
there were two. Tey thrived on the
leftovers from the canteen.
Te Hospital administration
also experimented with agriculture.
Dr Ivan Miles, an agro expert and
visiting professor at the University
of Agricultural Sciences, Bangalore
(virtually next door to BBH), grew
maize, millet and a variety of vegetables
on the BBH land.
Hatching health in a chicken coop
Te chicken coop clinic (Clockwise from top
L): View of the building; patients waiting
inside; the frst laboratory test;
BBH dairy
Te Hospital began its medical services in a shed which
later became the BBH dairy in 1973. Tere were about 25
Jersey cows, many of them named after lady missionaries,
doctors and staf (Lilly, Sarah, Barbara, Sheeba, Rebecca,
Susan, Hannah, Carolin, Linda, for instance)! Te milk
was supplied to both canteen and staf at a reasonable rate.
SamTaylor and Easho Jacob took personal interest in this
venture, called the Agricultural & Livestock Department. In
1978, the shed became the BBH chicken coop and, later, its
sports store.
Clockwise from top L: Te land earmarked for BBH; Dr Ivan Miles
(centre); BBH (view from the main gate); a borewell being drilled
I
n 1962, SBC purchased government land in north Bangalore, with George
DaCosta, attorney at DaCosta & DaCosta, Bangalore acting as legal counsel.
Te state government helped in the arrangements and permits. Te McPhails
left India in 1966, and another SBC missionary couple, Dr Ralph Bethea and his
wife, Lizette, took over for two years. Dr Bethea found a suitable site (the current
13 acres). A third missionary couple, Dr John Wikman and his wife, Barbara,
arrived in 1968, when the designing of BBH commenced, with architectural
frm Chandavarkar & Tacker Architects managing land development and
construction. A.V. Paramashivan was appointed General Contractor for the civil
works and the formal groundbreaking ceremony took place in early 1971. Dr
Ivan Miles, a US agronomist then on the faculty at the University of Agricultural
Sciences, Bangalore (then the Bangalore Agricultural University), planted the many
trees that make the BBH campus lush and green today.
Laying down the roots
Prologue 27
The frst surgery
Tirty-year-old Shamanna was the Hospitals frst Surgery patient, who came in
with bilateral congenital cataract. Dr William Rowlett, with Dr John Wikman
assisting, did the operation on 5 July 1973. Dr Wikman gave Shamanna a hug
and prayed briefy with him before the surgery. Te operation over, Dr Rowlett
gave Shamanna a pair of cataract eye-glasses, which thrilled Shamanna because
now, for the frst time in his life, he could see!
Dr Rowlett was an ophthalmologist from Kentucky, USA and a volunteer
eye surgeon at several mission hospitals. He thoughtfully brought his own
equipment and cataract eye-glasses. Lens replacement technology had not been
invented in those days, so cataract operations consisted of only lens extractions.
Te BBH operation theatre register
showing the Hospitals frst Surgery patient
Shamannas name at the head of the list
President of India visits BBH
President Fakhruddin Ali Ahmed visited BBH on 12 April 1976. Mr Ahmed was
received by William C. Mason, Administrator and doctors. Concluding his visit,
he wrote in the visitors book, I am happy to learn of the good work done here in
the service of humanity.
Prologue 34
A
patient by the name of Mr Krishna Chivukula was admitted to BBH in
April 2004.
He was so pleased by the treatment and care he received that he
insisted on giving a cash gift to three nurses, Sunitha, Shanthi and Jessie, who
had attended to him. None of the three nurses knew that Mr Krishna was the
chairman of an multinational Indo-US company. Tey politely declined to
accept personal gifts but told him that, if he chose, he could donate the amount
to the Hospital instead.
Mr Krishna was at frst taken aback. It was most unusual for generous
gratuities to be refused. Te more he thought about it, however, the more he was
delightfully surprised at the integrity and commitment of the BBH staf.
He congratulated the nurses. And then he invited the then Director,
Dr Santosh Benjamin, and several other BBH doctors to dinner. He was deeply
impressed by the simplicity and professional ethics of the Hospital.
Mr Krishna did more. First, he wrote out a Rs 20,000 cheque to BBH for
its staf welfare fund and then made a huge donation that was used for the
Hospitals most pressing infrastructure needs. His gift helped construct a new
26,000 sq. ft. block at the Hospital that included a diagnostic laboratory,
orthopaedic and ophthalmic operation theatres, blood bank facilities, a cardiac
catheterisation laboratory, an intensive care unit and a coronary care unit. On
18 January 2008, the block was inaugurated by former President of India, Dr
A.P.J. Abdul Kalam.
To this day, Mr Krishna donates substantial amounts of money to BBH for
poor patient care.
From patient to benefactor
Mr Krishna Chivukula (extreme L) and former President
of India Dr A.P.J. Abdul Kalam (extreme R) at the
inauguration of the Chivukula Wing at BBH
It was most unusual for generous gratuities to be refused. The more Mr Krishna
thought about it, however, the more he was delightfully surprised at the integrity and
commitment of the BBH staff.
O
n the afternoon of 2 December 2000, I was busy at work at the BBH
physiotherapy department, when I suddenly developed chest pain. Te
pain was bad enough to make me stop. I asked the duty nurse to call Dr
Alexander Tomas, who was then the head of Orthopaedics at the Hospital.
Te pain grew severe. I fainted. When I regained consciousness, I was in
Intensive Care, with the doctors attending to me. Dr Tomas was at my bedside.
Dont worry, Mohan, he said. Im with you. Te doctors kept me in the ICU
for two days and, on the third day, shifted me to Manipal Hospital, Bangalore for
angiography and angioplasty.
I was all alone in Bangalore. But the BBH family took care of me in every way
medically, fnancially and spiritually. Tey raised money for my treatment.
I was back at work in a month and, as is common for physiotherapists, was about
to resume moving patients bodily. But Dr Tomas probably knew this was coming,
and warned me: Youre allowed to work, Mohan. But no lifting of patients, okay?
And he instructed my colleagues to make sure I complied.
If you know what procedures like angiography and angioplasty cost, youll
understand when I tell you how deeply indebted I am to all my BBH family and
God for saving my life.
Mohan Singh
Retired Sr Technician (Grade II), Physiotherapy
Mohan Singh (standing) joined BBH in August 1978 as a security guard. In fve years,
he was transferred to the Physiotherapy department. Dr Tomas noted his aptitude and
sent him for a one-year diploma in Physiotherapy to CMC Vellore. Returning to BBH,
Singh worked hard to help bring the Department to its current stature. He retired at
the end of August 2012, after 34 long years of service at BBH. His daughter, Bina, is
the founder of a leading architectural and interior design frm in Bangalore.
Grateful memories
Prologue 35
Looking ahead
I
n 2006, the new leadership team
under Dr Alexander Tomas
felt the need for a clear and
comprehensive master plan with
specifc objectives and goals. As this
was discussed further, it was felt that a
staf-owned, staf-driven strategic plan
would take us forward. By that time,
I had fnished a leadership training
programme at the Haggai Institute.
Sam Rufus, CEO, EPIC (short for
Enriching People in Creativity; http://
www.ideaologies.com), a trainer at the
Institute, helped us in this process.
The preparation
We began with some meetings with
senior Hospital staf to understand
what they felt was the need of the hour
and to cue them to think big and, even
better, dream big. All of us present at
the time remember being inspired by
the Martin Luther King video, I Have
A Dream.
The brainstorming
Ten we had a series of meetings in
smaller groups across the Hospital over
the next few months. We looked at
three basic questions and discussed our
responses to them: Where are we now?
Where do we want to go? How do we get
there?
Where we were
As teams, we discovered our
strengths, weaknesses, opportunities
and threats. Tis took several sessions.
Enriching our self-understanding
was eye-opening; it was great team-
level self-assessment. We saw more
clearly the external forces, our ability
to negotiate with them, the value of
strategy and the need to capitalise on
opportunity.
Where we wanted to go
We expanded our dreams until
we rose to the level of Vision. We
Sam Rufus (standing, L) at the Strategic Planning exercise
refned it until the vision statement
we fnally settled on was: Healing
and wholeness in the spirit of Jesus
Christ. Healing went much beyond
cure; wholistic went much beyond the
physical; both could be achieved in the
spirit of Christ. Te mission statement
followed: To provide quality,
wholistic care to all people and train
others to do the same, sharing the
love of Jesus Christ, drawing people
to Him and growing together into
a mature community. Our mission
revolved around healthcare, training
and Christian witness.
Our goals required more than fve times the resources we were confdent of generating.
But its an incredible story about planning and about placing our plans in the hands of
God, who multiplies them in accordance with our needs!
Getting there
Tis was about operations and setting
specifc, measurable, attainable,
realistic, tangible and time-bound
goals. Our seven areas of focus were:
infrastructure development, innovative
technology, efective systems and
processes, speciality service projects,
new training programmes, better
customer relations, and appropriate
staf welfare. But, when we re-examined
our goals, we found they required more
than fve times the resources we were
confdent of generating!
However, as these past years have
shown, weve outdone ourselves. Its an
incredible story. Sufce it now to say
that it was not only about planning
but also about placing our plans in the
hands of God, who multiplies them in
accordance with our needs!
P. Sunny Kuruvilla
Former Deputy Director, BBH
on sabbatical leave during 2013
Prologue 37
W
hen, in 1998, I joined BBH,
it was as part of the Hospitals
housekeeping team. After fve years, I
was recommended for Nursing Aide, a
position I held for six years. In 2009,
the head of Nursing, Mrs Flora Edwin,
suggested that I enroll in the Support
Assistant training programme at BBH.
I then became Nursing Supporter. After
a year, Mr Sunny Kuruvilla, then Head,
Administrative Services, suggested that
I apply for a Guest Relations position in
Customer Care, where I now work.
At BBH, our supervisors, at every
level, have our welfare and career
growth in mind. Tey watch how
we perform and proactively provide
professional guidance.
Te other thing is that an employees
current role brings together all the
skills they learnt in their earlier roles.
In my case, it was taking inventory
of linen, supporting my colleagues
and supervising junior staf, in
Housekeeping. As Nursing Aide, the
accent was on communication and
on providing quality nursing care.
As Nursing Supporter, I supervised
Nursing auxiliaries, using higher-level
communication skills and Nursing
management responsibilities. Now,
Im learning how to handle internal
and external customer complaints and
conficts and am exercising leadership
and training others on the job.
I look forward to every day that
comes.
K. Sujatha
Learning and growing
At every level in BBH, our supervisors have our welfare
and career growth in mind, watch how we perform and
proactively provide professional guidance.
B
BH was diferent, as I
remember it, from other
hospitals in Bangalore. I had
the privilege of being its frst full-
time chaplain.
Te uniqueness of the practice
of care at the Hospital is seen in the
teamwork of its employees.
Every day at BBH was an
adventure. One did not know what
one would face as one met patients
on any given day.
Te weekly services for the staf
and patients were good times to
worship together. People in pain tend
to transcend religious barriers.
One cannot but mention the outstanding work of the longest serving chaplain
at BBH, M.P. George. A faithful man, he had been there fromthe Hospitals
humble beginnings and had seen the ups and downs of the Hospital and how its
pastoral care function had developed through the years.
It was not hard for us to learn that pastoral care does not come without its
moments of utter bewilderment and helplessness. Tis, too, is part of complete
healing.
A. Koshy Muthalaly
Prologue 41
Y
ellamma joined BBH as a janitor
in 1984, when she was just 22
years old. She and her husband,
Hanumanthappa, managed to put
their children two girls and a boy
through the Government School in
Hebbal, near BBH.
Like many Indian mothers,
Yellamma dreamt big dreams for
Venugopal, her son: admission into
Engineering school. Anywhere else, she
might have been pooh-poohed because,
in India, most janitors are at the
bottom of the socioeconomic ladder,
while Engineering is a coveted vocation.
But Yellamma decided to check
out her options. She asked BBHfor
a scholarship for Venugopal, and her
request was granted. Te boy threw
himself into coursework, scored well and,
on graduation, was hired by Infosys, a
top Indian multinational software services
company. Now with Oracle India,
Venugopal has a bright career ahead.
Yellamma and Hanumanthappa,
whose daughters, too, have done well
for themselves, say: BBH has helped us
live a good life and experience God.
Yellamma manages a 28-strong team
at BBH. She loves the opportunity
the Hospital provides of training
and mentoring her juniors, to whom
her advice always is: Be sincere. Be
faithful. Be respectful. Be grateful.
When dreams come true Turning time back
The heart of BBH
T
he chapel at BBH is like the heart of the Hospital. Centrally located on
the frst foor, one passes it en route to the operating theatres, the labour
room, the Intensive Care Unit, Wing 1 and Wing 2.
It is a common sight to see patients or relatives walking into the chapel at any
time of day or night to pray. It is also where staf and students gather for Friday
and Sunday worship services.
Te chapel was inaugurated by Mother Teresa in 1980, which was indeed a great
privilege for the Hospital. From the pulpit of the chapel, she spoke of people all
around us who hungered for love, compassion and care, just as they had in Jesus
time. And she said: What you do here in BBH is a noble work. I will pray for the
doctors, nurses and other workers to continue to serve the sick and the needy for
Gods glory.
Mother Teresa inaugurating the BBH chapel
What you do here in BBH is a noble work.
I will pray for the doctors, nurses and other
workers to continue to serve the sick and the
needy for Gods glory.
Mother Teresa
Chaplain M.P. George with a patient
Committed to excellence
T
he Hospital was frst certifed as
per ISO 9000 in 2004. In 2011,
BBH was accredited NABH and
NABL in 2011. Te Hospital is the frst
Christian mission hospital in India to get
both accreditations and has perhaps the
highest ratio of NABH assessors to bed
strength, among hospitals in the country.
BBH is a leader in the Quality Circle
movement, a paradigm of public-private
partnership through which NABH
assessors mentor state-run hospitals on
quality improvement and accreditation.
BBH has contributed signifcantly to
the NABH knowledge base by framing
quality guidelines for NABH assessors.
Te Hospital prepared for NABH
accreditation on its own steam, rather
than engaging an external agency.
Another feather in the BBH cap was the
FICCI Healthcare Excellence Award for
2012, received in August 2012 from the
FICCI and QCI. In line with the theme,
Innovations in Healthcare, chosen by
FICCI and QCI for the competition
leading up to the award, BBH presented
two concepts, the Resident Administrator
and PRR, as innovations in healthcare
management, emerging as the winner
among over 100 contestants nationwide.
Dr Badari Datta H.C.
ENT Consultant &
Head, Quality
Quality by choice
The Hospital is the frst Christian mission hospital in India
to get both accreditations and has perhaps the highest
ratio of NABH assessors to bed strength, among hospitals
in the country.
Dr Alexander Tomas (R) receiving the FICCI Healthcare
Excellence Award for 2012 from FICCI President R. V. Kanoria
54 footprints: Celebrating 40
years of Gods faithfulness
Quality medical care 54
A chaay moment
B
BH has changed a great deal.
Ask any of the older employees
or the friends whove been
associated with it over the decades.
Te buildings have become taller; new
ones have been added. Roads have been
paved. Te number of vehicles parked
in the compound has increased. Te
staf and student populations have
grown. Te institution has evolved into
a busy super-speciality hospital.
Tose whove watched the Hospital
over the years have a sense of nostalgia
when they recall the good old days.
(One of them went so far as to say:
Even nostalgia isnt what it used to
be!) Nostalgia, an inseparable aspect
of a life that has been lived, recalls the
good that was and is no more.
But are there things that have not
changed? When I brought up the
question, many I asked replied in the
afrmative. Here are three that I believe
are typical of who we are....
Baptist chaay. Twenty-fve years
ago when, as a newcomer (a Junior
Medical Ofcer), I walked into the
Hospital canteen, I was served lovely,
steaming hot, very sweet tea (chaay)
in a stainless steel glass. Tat had
not changed. Cofee had changed:
there were many new avatars: black
cofee, caf latte, sugarless and with
and without cream! But the good old
Baptist chaay had stayed true to
its roots. Indeed just last year, a dear
surgeon friend, visiting from overseas,
said it would give me immunity for a
lifetime against hypoglycemia!
A family atmosphere. Tis came from
another colleague. Its something weve
always cherished. One of our senior
nurses, Mrs Aleyamma, who recently
received a Longevity Award said, I
cannot forget how my colleagues and
other staf were with me as I went
through a major cardiac surgery. Teir
presence, encouragement and prayers
meant so much to me. When I think of
the institution, it is that support from
the hospital administration and staf
that comes to my mind.
Gods faithfulness. And then there was
the clincher Gods faithfulness. Gods
faithfulness remains unchanged. I
got that from a lot of people. And I
thought, How true! As we celebrate our
40th anniversary, we can, with gratitude
to God, say with a resounding cry
from within our hearts: Great is Ty
faithfulness!
Dr Naveen Tomas
Chief of Medical Services &
Deputy Director
Illustration: Amith Tomas
A cup of tea that changed my life
M
y MBBS and six months
of internship completed
in Mysore, I returned to
Bangalore in 1979 to do my remaining
internship in a particular mission
hospital in the city.
An old schoolmate, Easho Jacob,
worked in what he called the American
Mission Hospital in Bangalore. I
went to see him. He took me to the
Hospital canteen for a cup of tea. As we
exchanged notes about our experiences,
what Easho told me about this hospital
impressed me deeply.
I changed my mind that moment
and decided to do my internship there
instead. I met Dr Naylor, Dr Fox and
Dr Macaden and joined BBHas its frst
male intern and then became its frst
senior houseman.
BBHthen had 80 beds and only
one doctor on call at nights. Tat meant
I did night duty for the entire hospital
three days a week!
But that was a diferent time, and
many wonderful moments compensated
for the hard work. I got special dinners
per courtesy of Mr DSouza, the head
cook! One of my patients, a senior nun
fromthe Missionaries of Charity, was
so impressed by BBHthat she, in turn,
impressed on Mother Teresa that the
Mother must inaugurate the BBHchapel!
I owe BBHa lot. While working here,
I went on to do my post-graduation in
Orthopaedics, my M.Phil in Hospital
and Health Systems Management and a
Diploma in Medical Law and Ethics. It
was here that I met Glory, my wife. Our
son was born here. Our children spent
their childhood on the BBHcampus.
And, 33 years down the line, Imstill
here enjoying the experience. I am
truly blessed.
Sometimes its just a cup of tea and
God changes everything.
Dr Alexander Tomas
CEO
Types of hospitals in India I
ndia has a private healthcare system and a government-run healthcare system.
Te hospitals run by the public healthcare system, commonly referred to as
government hospitals, provide treatment funded by the taxpayers money.
Much of the treatment and most of the drugs at government hospitals in India
are provided free of charge to patients.
Private clinics, nursing homes and hospitals are owned and operated by private
individuals, trusts or small or large corporations, including hospital chains. Tey
are run, as a rule, like a business.
Mission hospitals form a third category of hospitals in India. Established frst
by Christian missionaries in many parts of the world, they have been set up since
then by other religious faiths also. A variety of spiritual traditions inspire mission
hospitals in India as well, whose stated goal is communitarian service through
physical healing and, often, mental and spiritual healing also.
Levels of care
An important concept is that of levels of care: primary, secondary, tertiary and
quaternary care.
Primary care. Tis is our frst stop on the road to treatment. If we think we
have the fu or a broken bone or have developed a skin rash, we seek out primary
care-providers doctors, nurses or physician assistants in General Medicine or
Obstetrics & Gynaecology, Geriatrics, Paediatrics, etc.
Secondary care. If you have ever seen a specialist, on referral by a primary care-
provider, then you have been referred for secondary care.
Tertiary care. Once a patient needs more specialised care in the hospital, they are
referred to tertiary care, e.g. to a cardiologist, an endocrinologist, a diabetologist,
an oncologist and so on. Tertiary care requires highly specialised equipment and
expertise, including complex operations and procedures. BBH is at this level of
care in most areas.
M
y wife, Ruma, and I visited
BBH on 21 August 2013 to
have my gallstone removed.
But, during the investigations, I had
severe angina, which indicated CABG
surgery a huge shock for us, as I was
not prepared for such a startling event.
Dr Ajay Shetty, then Consultant
Urologist at BBH, however, told me
that BBH was commencing cardio-
thoracic surgery shortly. No news could
have been sweeter for me! Christian
mission hospitals in India are known
for their commitment to service; but
BBH stands head and shoulders taller
than them.
Dr Sanjay B.S., Dr Dattatreya
Prabhakumar and Dr Dwarkanath T.R.
operated on me. Teir surgical expertise
and post-operative care were a sheer
wonder. Dr Girish T.S., Dr Anil Kumar
N., Dr Charit Bhograj, Dr Santosh
Angadi Hiremath and Sr Flora Edwin
took over in the ICU, with incredible
diligence, supported by an army of
First CABG performed at BBH
efcient, conscientious and caring
nurses and paramedics.
From behind the scenes, BBH CEO
Dr Alexander Tomas and deputy
directors Dr Gift Norman and Dr
Naveen Tomas monitored progress
and made the treatment afordable for
me.
Another heavenly army was
mobilised, as BBH staf, led by
chaplains Rev Dr Benny Woods,
Vilbert Vallance and Arvind Inbaraj,
chain-prayed for me through the entire
duration of the surgery.
Needless to say, the surgery was
eminently successful.
May God bless BBH forever!
Dr M.K. Sahu
Budhudih Village, Jamtara
Jharkhand
Christian mission hospitals in India are known for their
commitment to service; but BBH stands head and
shoulders taller than them.
Ruma Sahu (3rd from L) and Dr M.K. Sahu (4th from L) with some
members of the treating team of BBH doctors and nurses
Because we care enough to practise Quality. No institution in a sector as critical
as healthcare deserves to exist if it does not ofer quality. Quality-consciousness is
nothing less than a mandate. So, at BBH, we work hard to maintain compliance
with the formal quality standards set by national bodies. We understand Quality
exists in informal ways, too in cohesive teamwork and multidisciplinary
approaches, sidestepping interpersonal diferences so that the patient gets the best
of care.
Because were ethical in our practice. BBHhas adopted a service model, not a
business model, fromits inception. Our medical staf work full-time. Tey come
on board knowing that private practice is not allowed here. We stay away from
gratuities. We do not have incentives for the number of patients we see or refer, the
medical tests we recommend, the surgeries we performor the drugs we prescribe.
And because our ethics demand continuous improvement fromus. Employees
at the Hospital are motivated to continually improve efciency and efectiveness
in the management of healthcare services. We are proud of our Indianness. We
extend traditional Indian hospitality to our patients, balancing it in the way we
bring cutting-edge medical technology and clinical excellence with compassion to
all patients day after day. We couch our work in empathy, caring and individualised
attention to patients, a willingness to help patients, going out of the way to help
them, and courtesy and respect towards all.
I do not mean that we are perfect, as individuals, as teams or as an organisation.
But somehow, this formula weve discovered at BBH seems to work in helping
people heal.
Which is what were here for.
Dr Anita Tomas
Former ENT Consultant, BBH
Dr T.S. Girish, Physician at BBH, with a patient
Types of hospitals in India...
I
joined BBH 17 years back, in 1995,
as an ENT consultant. I came from
Manipal Hospital, a corporate
hospital of acclaim in Bangalore.
At BBH, ENT was then a single-
consultant department, with minimal
infrastructure.
But we have grown over the years,
adding equipment (some of it pretty
advanced) and staf. Now, were a
large department three consultants,
two registrars, an audiologist and a
speech therapist, and we run a DNB
programme with no less than fve
students! BBH does not just allow you
to grow; it encourages you to reach for
the stars.
Te emphasis here is on quality
and ethical and compassionate care.
Generating income is important at
BBH. But it isnt everything. And so I
love the way all of us work as a team,
giving the best of care to patients. I
frmly believe that the focus for any
hospital should be quality care. I believe
that if that happens, the fnance will
take care of itself.
I can proudly say that I have never
done a single unnecessary surgery. Nor
is my management of a patient dictated
by fnancial motives.
I joined BBH at a monthly salary
of Rs 5,000 by todays standards, a
ridiculously low amount that makes
occasions on which a small farmer (a
patient of mine) shares with me a few
vegetables from his land...for the little
thank-you notes I get from others as
they convalesce.
I work here because being this kind
of doctor keeps my conscience clear,
and I can look my children in the eye
and tell them that there is a way to hold
onto noble ideals and values.
Dr Anita Tomas
Former ENT Consultant, BBH
Why I am at BBH
me laugh. But I dont believe I did
something heroic because none of
us doctors at BBH are here for the
money. Other corporate hospitals have
ofered many of us three times the
salary we get here. But, so far, we have
declined those ofers and feel no regret
in having done so.
Why? Because I work at BBH for
other rewards: the smile on a patients
face when he gets well because of my
treatment... the gratitude in a poor
widows eyes when we grant her a
concession... the confdence with which
I can tell a deserving patient that we
will treat him regardless of his ability
to foot the bill. I work here for the
I work at BBH to see the smile on a patients face and the gratitude in a poor widows
eyes when they get well . . . to know that my conscience is clear . . . . I can tell my
children theres a way to uphold noble ideals and values.
(facing page) Dr Tomas
examining a patient
A
bout 15 years back, Dr Stanley
Macaden, then CEO and
Director of BBH, Dr Edward
G. Shaw, Professor of Radiation
Oncology, Wake Forest University,
North Carolina, USA and Bob
Parker, Administrator were praying
for a radiotherapy unit at BBH for
palliative radiotherapy to Bangalores
underprivileged patients. Tey named
the project Believe.
Dr Shaw contributed with his
knowledge, time and efort, while
Dr Alexander Tomas spearheaded
the project, and the Edward G. Shaw
Radiotherapy Unit was inaugurated on
3 January 2011.
Since then, more than 850 adult
and child patients have undergone
radiotherapy at the Unit and 40-
45 patients are treated daily on the
linear accelerator LINAC, including
an average of 10 patients receiving
intensity-modulated radiation therapy
per day.
A dedicated chemotherapy unit has
also been added, with 8-10 patients
treated every day. Paediatric oncology
and haemato-oncology have also been
initiated.
Te prayers and generous
contributions of Wake Forest University,
Dr Shaw, Mrs Gail Mays, IMB,
Good News Health, Dayanand Pai,
the Mohammad Kapur Trust and the
Singing Churchmen are gratefully
acknowledged.
Dr Saro Jacob
Head, Radiotherapy and Oncology &
Consultant Radiation Oncologist
Project Believe, our calling
Today, the Edward G. Shaw Radiotherapy Unit
is a fulflment of the vision to serve Bangalores
underprivileged cancer patients.
Radiotherapy Team: (L-R) Dhanlakshmi, Bless Yu, Dr Murali S, Dr Saro
Jacob, Anusha, Rajadurai, Tanzeel, In front:(L-R): Mary K, Anjala
Dr Macaden, a
trash can and a
prayer
Tat describes the beginning of Project
Believe, which brought to Bangalore the
LINAC linear accelerator to serve the poor
and established the BBH radiotherapy unit.
In 1998, Dr Stanley Macaden, then CEO
of BBH, spent a sabbatical year at NCBH,
Winston-Salem, North Carolina, USA,
learning about palliative care. And the
NCBHpastoral care department featured
Dr Macadens visit in its quarterly newsletter.
I was then director of the radiotherapy
department at NCBH. I browsed through
the story and, done with the newsletter,
tossed it into the trash can.
But God said to me, I have plans for you
and Dr Macaden. Go meet him. So we
met. Dr Macaden spoke of BBHs need for
a palliative care programme, and I told him
BBHmust have a radiotherapy unit. So we
joined hands and prayed. Dr Macaden would
say, With God, all things are possible.
And Project Believe happened.
Edward. G. Shaw
Love beyond boundaries
Love beyond background
Swetha, an abandoned three-year-old
adopted by the Missionaries of Charity,
has warmed the cockles of everyones
heart in the BBH radiotherapy
department.
In 2011, Swetha developed a perineal
tumour. A biopsy showed that the lump
had been caused by rhabdomyosarcoma
(a type of muscle cancer). It was
surgically excised at the Hospital.
Radiotherapy followed. Currently on
chemotherapy at BBHs cancer centre,
Swetha will continue treatment for
some time.
Love beyond borders
Noble, a bright, energetic four-year-
old from Nigeria, had come with his
mother to BBH for cancer treatment.
He had a facial scar. His little mind
could not comprehend radiotherapy, so
his mum explained: a machine needed
to take a photo of him every day
so that the scar would go away. Only
then they could pass Immigration to
go back to Nigeria. On the day of the
last photo-session, Noble was excited.
Please ask the doctor to give me a
letter to show Immigration that I can
go home now, he cried.
We still miss him.
Love beyond words
Lal Din is a quiet young man from
Manipur. When he was admitted to
the Hospital for surgery for sarcoma
(muscle cancer) of his leg, we noticed
that he had an amazing talent for
sketching. So we asked if he would
sketch some of our paediatric patients
on cancer treatment. Lal Din agreed
instantly and, sure enough, spent nearly
six hours to produce a lovely sketch of
one child.
Bless Yu
Voluntary Counsellor , Radiotherapy
Dr Saro Jacob
Swetha
Surviving cancer
A few years back, I thought my life
was perfect loving parents, a loving
sister and caring friends. I was studying
to be an IAS ofcer a District
Commissioner (DC) who would
change society and create history.
Little did I know my whole life was
going to change in a fash. In 2006, my
whole life crashed. Tat 28 June that
year my birthday I was diagnosed
with a brain tumour.
I have had three surgeries since. Tis
is not the life I had imagined for myself.
My perfect life had me with long hair,
happily married and working as a civil
servant. But until recently, I was bald.
(My hair is cropped close today.) Im
neither married nor a DC.
But Ive learnt how valuable and
precious life is. Im very lucky to have
a family that supports me emotionally,
fnancially, morally and in every
other way possible. It has been a great
journey.
Yes, weve experienced a lot of
hardship the pain, the tears and the
fears we hide from one another, the
anxiety each time we go for a scan and
the relief when nothing shows up.
Tis has been our life for the last few
years. We try to live in the present and
not think about the future. Te Buddha
said, Te mind is everything. What
you think, you become.
I am becoming better a better
person, a better human being. Faith and
Hope have kept me going.
Shruthi
Cancer survivor, presently on
chemotherapy at BBH
The bravest women I have
ever known
Six-year-old Karen, emaciated from
battling rhabdomyosarcoma (malignant
muscle tumour) in the right cheek since
she was two, waited with her mother
a woman barely in her mid-twenties
to see me in the Oncology out-patient
department.
I was totally unprepared for what I
saw. Te tumour reeked of the pungent
stench of dead and decaying cells.
Huge and ugly, it had stretched Karens
mouth wide open and squeezed her
right eye nearly shut. Maggots writhed
inside her fesh.
A horrifed gasp escaped from me
before I could regain my composure.
I ran to the washroom, desperate to
collect my thoughts before I saw Karen
again.
Later, I discussed our options with
my colleagues. Clearly, all we could do
was ofer palliative care at Karens home.
I called Karens mother to explain the
treatment plan. I was struck by her
composure and calmness as I explained
that the time was near for her to say
goodbye to her little one.
I fnished what I had to say. Te
mother looked into my eyes, quietly
thanked me, rose and left.
As I watched her leave, I knew that
this was one of the bravest women I will
ever know.
Dr Saro Jacob
When cancer knocks
Basic Specialities
Internal Medicine
Psychiatry
Dentistry
Paediatrics
Dermatology
Radiology
Surgery
Anaesthesiology
Palliative Care
Ear, Nose & Throat
Microbiology
Pathology
Obstetrics & Gynaecology
Orthopaedics
Community Health
Ophthalmology
Radiology
Super-Specialities
Endocrinology
Paediatric Surgery
Pulmonology
HIV/AIDS Clinics
Neurosurgery & Neuro-Rehabilitation
Nephrology & Dialysis
Vascular Surgery
Endocrinology
Oral & Maxillofacial Surgery
Plastic Surgery
Gastroenterology & Interventional
Endoscopy
Radiation Oncology
Neurology
Rheumatology
Urology
Cardiology with Cath Lab
Infertility Clinic & Reproductive
Medicine
Other services & sub-
specialities
Family Medicine
Sports Medicine
Speech & Hearing Therapy
Dental Surgery with Dental Implant
Paediatric Dentistry
Orthodontics
Head & Neck Oncosurgery
Paediatric Orthopaedic Surgery
Paediatric Endocrinology
Developmental Paediatrics
Geriatric Care
Dietetics
Psychological Counselling
Physiotherapy & Rehabilitation
Occupational Therapy
HIGHLIGHTS
Cancer (Radiation) Therapy
Adjuvant Therapy
Biological Therapy
Cancer Surgery
Chemotherapy
Combination Therapy
Hormone Therapy
Neo-adjuvant Therapy
Radiotherapy
Interventionl Cardiology
Angioplasty
Coronary Stenting
Drug Eluting Coronary Stenting
Implantable Cardioverter Defbrillator
Pacemaker
Peripheral Angioplasty
Coronary Artery Bypass Graft
Fertility
Egg Donation (Medical Indications)
Genetic Counselling
Intracytoplasmic Sperm Injection
Intrauterine Insemination
In Vitro Fertilisation
Male Fertility Treatment
Ovulation Induction
Surrogacy (Medical Indications)
Tubal Ligation Reversal
Vasectomy Reversal
Blastocyst Transfer
Fertility Preservation
Infertility-Related Laparoscopic Surgery
(Myomectomy & Endometrium)
Embryo Freezing
Evidence-Based Ethical Practice
Orthopaedic Surgery
Acetabular Fixation
Arthroscopy
Both Hip Replacement (BHR)
BHR with Stem
Birmingham Mid-Head Re-section
Bilateral Knee Replacement
Both Knee Replacement
Cemented Total Hip Replacement
High-Flex Knee Replacement
Hip Replacement
Sports Injury Surgery
Shoulder Replacement
Total Hip Replacement
Total Knee Replacement
Uncemented Total Hip Replacement
Unilateral Knee Replacement
Unicondylar Knee Replacement
Spine
Anterior Cervical Discectomy
Foraminotomy
Kyphoplasty
Laminotomy
Lumbar Laminectomy
Micro-Discectomy
Minimally Invasive Spine Surgery
Spinal Fusion Surgery
Spinal Laminectomy
Spinal Tumour Surgery
Total Disc Replacement
Nephrology
Renal Failure Treatment
Diabetic Kidney Disorder Treatment
Polycystic Kidney Disorder Treatment
Renal Hypertension Treatment
Gastroenterology
Piles
Endoscopic Retrograde Cholangio
Pancreatography
Minimally Invasive Gasteroenterology
Surgery
The bouquet of services at BBH
Cosmetic Surgery
Abdominoplasty
Arm Lift
Aesthetic Vaginal Surgery
Breast Lift
Breast Augmentation
Breast Reduction
Butt Augmentation
Eyelid Surgery
Brow Lift
Chin & Cheek Augmentation
Cleft Lip Surgery
Corrective Cosmetic Surgery
Dimple Creation & Face Lift
Face Sculption
Gynaecomastia
Keyhole Breast Reduction
Liposuction
Male Genital Cosmetic surgery
Ear Surgery
Nose Surgery
Scar Removal
Thigh Lift
Dermo Cosmo Treatment
Microdermabrasion
Photo-Facial Skin Polishing
Eye Surgery
Refractive Errors
Glaucoma
Diabetic Retinopathy Screening
Eye Muscle Surgery
Cataract
Intra-Ocular Lens
Pterygium Removal Surgery
Squint Surgery
ENT
Microsurgery of Ear
Microlaryngeal Surgery
Endoscopic Sinus Surgery
Rhinoplasty
Faciomaxillary Trauma Surgery
Evaluation & Surgery for Snoring
Obstructive Sleep Apnoea
Surgery for Head & Neck Cancer
General Surgery
Breast Biopsy
Mastectomy
Splenectomy
Varicose Ulcer Treatment
Varicose Vein Removal
Refux Surgery
Gall Bladder Surgery
Adrenal Surgery
Appendix Surgery
Advanced Laparoscopy
Vascular Surgery
Peripheral Bypass Surgery
Abdominal Aortic Aneurysm
Arterial Aneurysms
Peripheral Arterial Occlusive Disease
Balloon Angioplasty
Varicose Vein Surgery
Urology & Urosurgery
Laparoscopic Pyeloplasty
Lithotripsy & Percutaneous
Nephrolithotomy (PCNL)
PCNL
Radical Nephrectomy
Radical Prostatectomy
Total Cystectomy
Transurethral Re-Section of Bladder
Tumour
Transurethral Re-Section of Prostate
Male Surgery
Circumcision
Hydrocele Operation
Adult Penis Frenuloplasty
Prostatectomy
Vasectomy
Vasectomy Reversal
Rehabilitation
Neurological Rehabilitation
Cardiac Rehabilitation
Orthopaedic Rehabilitation
Sports Rehabilitation
Gynaecology Rehabilitation
Paediatric Rehabilitation
Lifestyle Conditions
Post-Surgical Rehabilitation
Laparoscopic Surgery
Laparoscopic Appendectomy
Laparoscopic Spleenectomy
Laparoscopic Cholecystectomy
Laparoscopic Hernia Repair
Anal Fissure & Anal Fistula
Haemorrhoidectomy
Advanced Lap Surgery
Advanced Paediatric Surgery
Paediatric Surgery
Neonatal Surgery
General Paediatric Surgery
Surgery for Cancerous &
Non-Cancerous Tumours
Trauma Surgery
Laparoscopic Surgery
Endoscopy
Neuro-Surgery
Brain Tumour Surgery
Spinal Cord Surgery
Dentistry
Cosmetic Dentistry
Full Mouth Rehabilitation
Braces
Root Canal Treatment
Crowns
Dentures
Empress
Extraction
Filling
Polishing & Flouride
Scaling
Routine Dental Treatment
Health Check-Up
International & NRI Health
Screening
Health Screening Plans
Complete Cardiac Evaluation
Spine Screening
Eye Screening
Dental Screening
Gynaecological Screening
MRI
CT Scan
Patient Care Facilities
State-of-the-art diagnostic services
CT Scan, Mammography, X-Ray,
Ultra-Sonography, Colour Doppler
Ultrasound Scan, Electro-
Encephalograph, Electro-Neuro
Myography, Endoscopy (including
Arthroscopy & Laparoscopy) and
Laboratory Blood Bank with Blood
Components
Round-the-clock services
Emergency, pharmacy, etc
Well-equipped diagnostic and
therapeutic centre
Radiotherapy Unit, Cath Lab, Dialysis
Unit and Operation Theatres
Psoralen and Ultraviolet A light
therapy
Sleep lab and pulmonary function
test
Well-equipped physiotherapy unit
Birthing rooms and painless labour
with antenatal care package
Diet counselling
Pastoral care
Preventive health packages
Computerised vision testing
Adult ICU, CCU, High Dependency
Unit, Neonatal ICU and Paediatric
ICU
Deluxe, private and semi-private
rooms
I
joined BBH as a young nurse, in
1979. My frst posting was in the
operation theatre one of the
busiest places in the Hospital but a
pleasure to work in because Dr Rebekah
Ann Naylor patiently taught me all I
needed to know about working and
assisting there.
I soon became a confdent theatre
nurse, able to handle any emergency at
any time.
Today, as Nursing Superintendent, I
work out of the Nursing Ofce. Tis is
another chapter in my life. Te Nursing
Division has grown from80 to 585 staf,
including 25 supervisors and 15 team
leaders who assist me.
I look back on two events that
have meant much to me. One was the
installation of the post of Resident
Administrator, which our Director, Dr
Alexander Tomas, started. Tis had
signifcant impact on our patient care.
Te other was when BBH was awarded
Let your light so shine
O
n my frst day in BBH, I
was in the Hospital canteen,
looking for a drinking-water
glass. Not fnding one in sight, I asked
the waiter. But he gave me a full jug!
Was this how folks at BBH drank
water straight from a jug? Several
others were indeed drinking deftly, the
thick torrent of water streaming from
jug to mouth without a drop being
spilt.
It looked really easy. I decided to
give it a try although Id never done it
before. Steadying myself, I took careful
aim, mouth wide open, tipping the
jug.
But in the fraction of a second,
I was totally drenched the water
had gone everywhere except into my
mouth! Everyone around me burst out
laughing. Tinking wildly, I beamed
bravely and said, Todays my frst day
in BBH and God is already showering
His blessings on me!
Shower in the canteen
the FICCI Award for Operational
Excellence because I felt it was given
to me, too. Ive always believed in the
verse that goes: Let your light so shine
before men that they may see your good
works and glorify your Father which is
in heaven.
Flora Edwin
Former Chief of Nursing, BBH
True to the joke, God has continued
to shower His blessings on me.
Onenlemla Imsong
Chaplain, PCD
Fulflling dreams
T
he IVF programmme has been
functional fromMarch 2012.
With Gods grace, the frst IVF
babies were born in November 2012.
Te frst birth was a twin pregnancy, a
boy and a girl delivered by Caesarean
section. Te joy and delight of the
parents was indescribable! Being the frst
IVF birth fromthis hospital, they will
have a life-long relationship of gratitude
and love with BBH. Subsequently, two
more joyful couples received the gift of
life: healthy babies. And the story goes
on.
Dr Korula George MD, MRACOG
Professor & Head, Reproductive Medicine
The Reproductive Medicine unit at BBH
honours the deep human yearning of couples
to have a child and battles the social stigma
of infertility in India.
I
nfertility whose stigma in a
country like India leads, more
often than not, to considerable
harassment and emotional distress for
the suferer and marital disharmony
and social ostracismfor the couple
concerned afects one in 10 couples
in India (10%-15%of the population).
However, since infertility is not a life-
threatening condition, it is low on the
healthcare sectors priority list. Advanced
treatment facilities are not available in
the public sector. Medical colleges and
large hospitals ofering comprehensive
infertility care are few. Medical
insurance is unavailable for the problem.
Although India has created guidelines
for addressing the issue, government
regulation for it does not exist.
To honour the deep human yearning
that couples harbour to have a child,
in August 2011, BBH established a
Reproductive Medicine unit under the
leadership of Dr Korula George, former
head of reproductive medicine at CMC
Bundles of joy
Vellore. Te Unit provides state-of-the-
art, evidenced-based care for infertile
couples, including services for advanced
laparoscopic surgery and assisted
reproductive techniques like IVF and
intra-cytoplasmic sperm injection.
Supported by related departments like
Obstetrics & Gynaecology, Urology,
Psychiatry and Neonatology, the
infertility care is comprehensive.
IVF is carried out monthly. Te frst
batch, done in March 2012, produced
excellent results: the frst IVF babies
twins! were born in November 2012.
Compassionate, wholistic, humane,
afordable and ethical treatment is a
priority. BBH observes a strict code of
conduct with regard to patient care and
consent. Te Unit is ISO-compliant.
40th Anniversary celebrations
I
n January 2013, through the course of a week, BBH celebrated completing 40
years. It was a wonderful opportunity for not only many BBH old-timers from
over the decades to come together but also for those associated with BBH in
more recent years to watch, listen and participate.
Te celebratory events started of with a function on the morning of 11 January
2013 to welcome and recognise many visitors and well-wishers, who had come
from far and near. Tat evening, a grand public function featured the inauguration
of new buildings and facilities. Honourable Justice Shri N. Santosh Hegde,
former Lokayata of Karnataka, was Chief Guest. He inaugurated Smrithi, our
new auditorium. Shri E.V. Ramana Reddy, Principal Secretary, Government of
Karnataka, inaugurated the new Central OPD. Dr John Wikman and Dr Rebekah
Naylor released the frst edition of Footprints, BBHs cofee-table book. A dinner
hosted by Dr Alexander Tomas and Dr Glory Alexander at their residence
followed, for the founders and staf from early days to the current time.
15 January 2013, the anniversary day, started with symbolic tree planting by
former and present leaders and important guests. Dr Naylor turned the sod for
the new nurses hostel. In the evening, a special thanksgiving service recalled afresh
Gods faithfulness over the four decades of BBHs existence.
Facing page: (L-R) BBH Nursing Tutors Blessy Anu Tomas and Arul
Shanthi M. render a celebratory Bharatanatyam recital in the Smrithi
auditorium
40th Anniversary Celebrations
Smrithi
An aesthetically designed hollow-frame
structure covered with tensile fabric
spread over multiple pyramidal and
triangular sections, Smrithi (meaning
memory) is the new BBH auditorium
that will seat up to 700 people. Te
total foor area measures nearly 6,000
sq. ft. Smrithis ceiling ranges from
17 ft high, at the lowest points, to
a maximum height of 23 ft. Te
surrounding outdoors, green, imbued
with Nature and picturesque, elegantly
augment Smrithis seating capacity.
CAHO
With the inception of NABH in 2005, the Indian health sector saw signifcant
improvement in the quality of healthcare systems. Today, the NABH standards
are an acclaimed benchmark. Te idea of establishing a consortium of accredited
hospitals was, in fact, conceived by NABH as far back as 2011.
CAHO was launched at the NABHs second National Conclave in 2012.
CAHO was envisioned to be a common platform for all NABH institutions.
CAHO shares the assessment and accreditation concerns of member hospitals,
with a view to improving NABHs efectiveness and efciency. It is a network of
200 hospitals and 400 laboratories.
BBH is a founding organisational member; BBH CEO Dr Alexander Tomas is
the current CAHO President; and P. Sunny Kuruvilla is a founding member.
My heartiest congratulations to the leadership team and staf of BBH.
Teir eforts over the past 40 years have made BBH as a living example
of the efectiveness of organisations like NABH and CAHO. BBH CEO
Dr Alexander Tomas is a visionary leader. His efort
in acquiring NABH accreditation for BBH, launching
CAHO and enhancing healthcare communication skills
at BBH have made the Hospital a model organisation
in healthcare quality. I wish all of you more success and
many achievements in the years to come.
Dr Arati Verma
Senior Vice-President - Medical Quality, Max Healthcare
Secretary-General, CAHO
Co-Chair, NABHTechnical Committee
CCHI
BBH has played a signifcant role in bringing together the Christian Medical
Association of India, the Catholic Health Association of India, the Emmanuel
Hospital Association, CMC Vellore, the Christian Medical College, Ludhiana
and St Johns Medical College, Bangalore to form a coalition, the Christian
Coalition for Health in India (CCHI).
BBH is one of CCHIs founding members. CCHIs purpose is to take up
proactive advocacy on health issues, including advocacy for policies to
support and strengthen Christian healthcare work in India and promote
appropriate frameworks at national and state levels. As on date 1,000
hospitals are part of CCHI, enabling the Coalition to provide services to its
80,000-bed network.
A QCI initiative for the gram panchayat
QCI now covers Indias local rural government system the gram panchayat
(village-level administrative council) for quality in administration and services.
Te uniqueness of this quality initiative lay in the Government of Karnataka
agreeing for panchayat assessment by independent third parties. Twenty-fve
assessment teams covered 104 councils selected from a total of 1,341 councils.
Te top performers were honoured with a Grant of Accreditation at a
QCI conclave in New Delhi. Te former Chief Minister of Karnataka, Shri
Sadananda Gowda, gave away cash awards amounting to Rs 10 lakh to the
winning councils.
A. Suresh Babu
Senior Social Worker
ANBAI
ANBAI is a national body for improving post-graduate medical teaching
programmes. ANBAI works closely with NBE. BBH has played a very
important role in ANBAI from its inception. Trough ANBAIs eforts, the
Medical Council of India has now recognised DNB as being on par with
MD and MS programmes. ANBAI was successful in efecting the withdrawal
of the National Commission for Human Resources for Health bill, which
would have otherwise deprived large populations from accessing essential
healthcare services. ANBAIs Karnataka chapter helped organise the National
Conference at BBH in 2013.
Dr Naveen Tomas
Member, ANBAI
Above (L) Dr Bipin Batra, Dr Anurag Agarwal, Dr Devi Shetty, Dr H.S. Ballal,
Dr Prem Nair, Dr S. Rajasekaran and others in ANBAI
Collaboration at
its best
Over her 65 years of independence,
India has increasingly embraced
multi-sectoral development through
well-designed national- and state-level
policies and programmes. However,
gaps in implementation exist.
Observing this, the Planning
Commission of India, together with
India@75, a national multi-sectoral
initiative to realise Prof C.K. Prahalads
vision of India in 2022, launched
the India Backbone Implementation
Network (IbIn), with 40 members
across the country.
IbIn is based on Japans Total Quality
Management (TQM) paradigm, which
focuses on improving implementation
of policy. Te primary goal is to identify
bottlenecks in policy implementation
and facilitate better inter-agency
coordination.
BBH CEO Dr Alexander Tomas,
an IbIn member, and other leaders
Aruna Newton (of Infosys), Julia
Middleton (of Common Purpose),
Meera Harish (of Tata Cofee) and
Raising public
healthcare
standards in
the state using
mentors
BBH has taken the initiative
of improving quality levels in
government hospitals via a joint
partnership with the Government
of Karnataka, using a group of
mentors from Bangalore, led by
BBH CEO Dr Alexander Tomas.
Te Jayanagar General Hospital
and the K.C. General Hospital have
achieved notable improvements
and submitted their applications
for NABH accreditation, as a
result. BBH is providing guidance
and technical support to the state
government for the initiative.
Dr Badari Datta H.C.
Head, Quality Division &
ENT Consultant
A. Chandrashekaran (of Infocareer)
identifed elder care as a focus area, in
the light of the changing demographics
in the country. An innovative Open
Space workshop was facilitated by
Common Purpose at BBH, with
participation from the social, corporate
and public sectors. Te workshop
helped identify the major needs of the
elderly as being social, fnancial, health
and media-related. Geriatrics experts
have come together as part of a national
think tank, to evolve implementation
strategies and replicable models for
elderly care in the country. Planning
Commission Member Arun Maira
continues to provide support to the
initiatives of IbIn.
Dr Nancy Ramya I.
Executive Programme Manager
Handbook of Healthcare Quality & Patient Safety released
Te Handbook of Healthcare Quality & Patient Safety was launched by His
Excellency, the Governor of Karnataka, Shri Hans Raj Bhardwaj, in the
presence of its co-editors, Dr Girdhar Gyani and Dr Alexander Tomas.
Te launch took place at Healthex International 2013, an exhibition-cum-
conference on hospital, medical, surgical equipment, drugs, disposables and
allied services. Healthex was held during 5-7 September in Bangalore.
BBHs Dr Badari Datta H.C., Dr R. Sindhulina Chandrasingh and P. Sunny
Kuruvilla and former BBH Consultant Urologist Dr Ajay Shetty are among the
books co-authors.
Te handbook is the frst of its kind to be authored in India and is expected
to fll the huge skill gap in experienced Quality professionals in the healthcare
arena in India and to accelerate the Quality movement across South Asia.
Supporting NSDC initiatives
HSSC is an initiative of the Confederation of Indian Industry and NSDC. Te
Councils key objective is to create a robust and vibrant ecosystem for quality
education and skill development in paramedical and allied healthcare personnel
in India. BBH has helped review the curricula of various courses released by
HSSC and is expected to start some of these in due course. BBH is represented
in its Governing Council as a special invitee.
Says Dr Naresh Trehan, HSSC Chairman: I congratulate BBH, which has
scaled great heights and taken quality initiatives in training. I wish them the
best as they work with us in our endeavour to train and provide skilled support
services to address the shortage of skilled workers in healthcare.
Dr Sindhulina Chandrasingh
Head, Health Sciences Training
Te BBH urban Paliative Care team (L-R) Dr Amy Siew, Sabita Mathew and Chaplain K. K. Abraham during a home visit
Adding life to days
A birds-eye view
P
alliative care, states the World
Health Organization (WHO),
is an approach that improves
the quality of life of patients and their
families facing problems associated
with life-threatening illness, through
the prevention and relief of sufering
by means of early identifcation and
impeccable assessment and treatment
of pain and other problems, physical,
psychosocial and spiritual.
1

As a specialisation, Palliative Care
goes back about 130 years. In 1879, the
Irish Religious Sisters of Charity who
helped develop the hospice model
opened Our Ladys Hospice in Harolds
Cross, Dublin, Ireland. In 1905, they
opened St Josephs Hospice in London.
Te next major development came
in the 1950s and 1960s. Dame Cicely
Saunders, pioneer of the modern
hospice movement, developed many
foundational principles of modern
hospice care
2
the concept of total
pain, the importance of patient-
centred care, etc and developed St
Christophers Hospice in London.
Around this time, also in the US,
Swiss psychiatrist Elisabeth Kbler-
Ross began to consider the social
response to terminal illness. Her 1969
bestseller, On Death and Dying, was
infuential in understanding how the
medical profession had responded to
the terminally ill until then. Trough
these pioneers, the modern hospice
movement spread to Canada, Europe,
Australia and many other regions of the
world.
In 1992, WHO took up Palliative
Care as an important but neglected area
of care and began promoting it all over
the world.
In 1986, the frst hospice in
India, the Shanti Avedana Sadan,
was established in Mumbai. In 1994
followed the Indian Association of
Palliative Care. Most palliative care
services are based in Kerala, including
Dr. Stanley Macaden visiting patients with the Palliative Care team
the two WHO Collaborating Centres
for Palliative Care, which are located in
Kozhikode and Tiruvananthapuram.
However, the overall coverage of
palliative care in India is only around
2%. Further, despite being the highest
producer of legal morphine in the
world, India has not yet made the drug
easily available to treat the severe pain
that patients sufering from cancer
experience.
BBH did well to initiate, as long
back as 1995, a fully integrated
palliative care programme that used
a unique hospice and home care
approach and ofered bereavement
support services as well. Te Hospital
aimed to restore wholeness to people in
the face of life-limiting illness.
Dr Stanley Macaden
Consultant, Geriatric Care
CSI Hospital, Bangalore &
Former CEO, BBH
Paliative care 97
As long back as 1995, BBH initiated a fully integrated palliative
care programme that used a unique hospice-cum-home care
approach that offered bereavement support also.
Te BBH Rural Palliative Care teams Dr Shiny Bosco
with a patient during a home visit
Palliative care: a wholistic model
T
he integrated Palliative Care
model followed at BBH is
unique. It upholds the four
cardinal principles of palliative care
that apply in the context of respect for
life and the acceptance of the ultimate
inevitability of death. Te model
derives its strength and motivation from
the Christian scriptures, in which Jesus
tells a parable about how God rewards
unself-conscious acts of compassion
toward the destitute, the lonely and the
sick (Matthew 25:36).
Integrated healthcare is part of
the Hospitals motto. BBH therefore
seeks to understand the needs of
dying patients and their families
and take meticulous steps towards
providing wholistic patient-centred
care. We respect the feelings such
patients and their families experience
acceptance or denial of the illness
and its consequences and the refusal
to access palliative care services. We
cannot be condescending toward the
patients or their families because we
believe in developing a partnership with
them, which is the cornerstone for any
successful provision of healthcare and,
especially, of palliative care.
Te BBH model is sensitive to
patients changing priorities. Terefore,
it provides a wide range of continuous
services in inpatient, outpatient, respite
or terminal-care contexts. We believe
that patients should spend quality time
with their loved ones and complete
unfnished family, social or personal
tasks arranging marriages and
weddings in the family, writing a will
and so on.
Over more than 5,000 home
visits, we have become sensitive to
the practical, physical and emotional
difculties our patients and their
families undergo. Some may live on a
third foor that has narrow staircases
leading to it. For others, medical nurses
may not be available within a nine-
kilometre (fve-mile) radius. Yet others
Chaplain Leelavathi H. with a patient
may live where no roads go. It could
also be that the patients sole caregiver
doubles as the familys sole breadwinner
and head. So our approach is to consult
with the patient, the family and our
multi-disciplinary team and take a
collective decision.
Te Palliative Care team at the
Hospital pays bereavement visits and
provides care to the bereaved, once the
patient has passed from this world. Tis
allows BBH to give that special touch
moral, emotional and social support,
facilitated psychiatrist consultations
and other help, as needed that means
much to the relatives left behind. Tis is
unique to BBH and leads to its lasting
relationship with families and the
community.
Dr Ravi Livingstone
Former Senior Medical Ofcer
Palliative Care, BBH
Paliative care 99
BBH therefore seeks to understand the needs of dying
patients and their families and take meticulous steps
towards providing wholistic patient-centred care.
Dr Shiny Bosco and Ruth Devaprasad with an elderly couple
When care prevails
K
umar was eight years old
when he was brought to BBH
outpatient department by his
parents, Shivappa, 42, and Gangamma,
29. Te boy had a lump the size of a
tennis ball on his right ear.
Shivappa looked anxiously at
the doctor on duty at BBH, while
Gangamma wrapped her arms
protectively around Kumar, their
youngest child.
Te family hailed from the village
of Sadahalli, 30 km (18 mi) from
Bangalore. Kumar had two older sisters,
Jaya, 18, and Lakshmi, 15, who were
unmarried. Shivappa, Gangamma and
Jaya were farm hands. Together, they
earned Rs 450 in a good season.
Tree months earlier, Kumars lump
had been the size of a marble. But it had
been ignored. When it grew to tennis-
ball size, however, Jaya took Kumar to
the village barber, who doubled as the
village doctor. Te lump was sliced of,
a herbal poultice applied. Te wound
healed. But the lump grew back rapidly
and Kumar was brought to BBH.
He was posted for biopsy. Te
diagnosis was rhabdomyosarcoma
arising fromthe right ear, for which the
treatment costs alone were upwards of
Rs 4 lakh anywhere in India evidently
unafordable for Kumars family.
However, the BBHoncologist asked
the social worker to assess the familys
socioeconomic situation, and Kumars
treatment costs were fully waived.
Radiological investigations showed
that the disease had, unfortunately,
spread to the liver. Kumars parents
were counselled about this and the poor
prognosis. Tey were broken on hearing
the news but took courage after the
Oncology and Palliative Care teams had
spoken to them.
Chemotherapy was started. During
the treatment, Kumar lost weight and
all the hair on his head. He was then
started on radiotherapy for almost a
month. He came daily for treatment,
Pastor K.K. Abraham and Dr Amy Siew at the home of a Palliative Care patient
which lasted 15-20 minutes each time.
Chemotherapy was continued for four
more cycles.
Kumar developed jaundice. Te
Palliative Care team visited every two
to three weeks and, later, weekly, as
Kumars condition worsened.
Te fnal day for Kumar and his
loved ones came as the doctors had
estimated, early one morning. He had
slipped away during the night.
When the palliative care team
reached Sadahalli, Shivappa rose to
meet the doctor, and broke down.
Gangamma was sobbing. Te couple,
through their tears, said to the BBH
team: If you were not here, we dont
know what we would have done. You
have been like our family!
Inaugurated in January 1995 by then
BBHDirector Dr Stanley Macaden,
the Palliative Care department ofers
wholistic healthcare to those with life-
limiting illnesses. BBHrecognises that,
at the end of a persons life, relieving
their sufering is all that is possible.
Approximately 20% of all families
in BBHs Palliative Care ambit are
from Indias poor, who are treated free.
(Payment is accepted from those who
can aford the cost.) BBHs palliative
care aims are early identifcation of
the terminal health status of a patient,
adequate control over the symptoms
and improvement in the patients
quality of life through a multi-pronged
approach that combines hospice-,
home- and outpatient clinic-based care.
Te BBH Palliative Care team is
multidisciplinary, composed of one
or more doctors, nurses, a pastoral
counsellor and, whenever needed, a
social worker. Home visits to patients
and their families are made up to the
moment of death, with bereavement
visits made subsequently. Wherever
patients and families grant permission,
spiritual support and counselling are
also provided.
A regional centre of the Indian
Association of Palliative Care and
a recognised centre of the National
Fellowship in Palliative Medicine,
BBH also conducts regular training
programmes in the specialisation for
volunteers and medical personnel.
Paliative care 101
Dr Amy Siew, Anu Tomas and Honey providing care at the bedside
Because you
prayed for me
In 2008, I had such a series of losses in
my business in Sanjay Nagar [a locality
near BBH] that I became mentally
distressed and physically sick. I did the
rounds of some hospitals in the city
but my condition did not improve.
With a wife and two small children,
I didnt know where to turn. And
then my brother said, Go to Baptist
Hospital. And I did. Ive been coming
here ever since. Each time, I go back
feeling happier because whenever I am
admitted here, people come and pray
for me and encourage me. Although I
still havent gotten over my difculties
completely, I know God cares for me.
Ramesh
57-year-old BBH patient
Chaplain Vilbert Valence praying
with a patient
Paliative care 103
The Indian scenario
Te term life-limiting illness is used to describe
illnesses where it is expected that death will be a
direct consequence of the illness. Such illnesses
include but are not limited to cancer, heart
failure, chronic obstructive pulmonary disease,
dementia, neurodegenerative disease, chronic
liver disease, end-stage renal disease and HIV/
AIDS.
Around 30 lakh patients sufer from cancer at
any given point in time, with 10 lakh new cases
being reported every year. As much as 70% of
all cancer victims are beyond cure at the time of
diagnosis.
End-stage renal disease claims 94% of those
it afects. Te remaining 6% survive through
kidney transplants, a precarious and often
exorbitant route to an extended life.
35 lakh Indians are infected by HIV/AIDS.
Over 30,000 of them die from the syndrome
every year.
ART suppresses the progress of HIV/AIDS and
is used to prevent its transmission. However,
only 6%-10% of those infected have timely
access to ART.
Te rapid rise in the population of aging
Indians, from 7.7% in 2000 to an estimated
12.6% in 2025, forecasts that the highest
number of patients in need of palliative care will
increasingly be from the elderly terminally ill.
Paliative care 103
Out in the community
I
n India, those with the greatest
need for healthcare have the
greatest difculty in accessing it
and are the least likely to have their
health needs met. Tey are up against
two important barriers physical and
fnancial. Physical barriers to accessing
preventive and curative health services
are signifcant for Indias villages,
which account for over 70% of the
nations population. Since distance
from facilities is a key determinant
of the lack of access (especially for
women, children, the elderly and
the diferently abled) and adequate
infrastructure for transportation and
communication is still lacking in
many parts of the country, community
outreach is an important means of
reaching disadvantaged and physically
isolated people groups.
However, physical access alone
does not assure the use of health
services, since the high cost of seeking
healthcare often precludes the use
of these services even when they
are available. Tose who are poor,
regardless of whether they live in rural
or urban India, are the worst afected
by cost; they are, therefore, less likely
than their wealthier counterparts
to seek care when ill. Research in
developing countries confrms that
out-of-pocket expenditure on health
exacerbates poverty. During 1999-
2000, for instance, the total increase
in the poverty headcount because of
out-of-pocket expenditure was 3.24%
of the total population in the country:
in other words, 325 lakh people were
plunged into poverty during that year
because of healthcare payments. Other
research, conducted in 40 low- and
middle-income countries, concluded
that, on average, 25.9% households
in those countries borrowed money or
sold items to pay for healthcare.
Te community health department
at BBH helps to improve the quality
of life of the poor and marginalised in
Taking health to the people
the rural and urban areas of Bangalore
children, women, the elderly, the
diferently abled, those with terminal
or life-limiting illnesses and other
vulnerable groups. Trough its work,
BBH aims to demonstrate its love
and care for even the poorest of the
poor, bringing relief for their physical,
socioeconomic and psychological
sufering just as Jesus would with
passion and excellence.
Dr Gift Norman
Deputy Director &
Head, Community Health
T.S. Leela, Paramedical Worker with CHD,
with women from DJ Halli
BBH loves and cares for even the poorest of the poor, bringing
relief for their physical, socioeconomic and psychological suffering
just as Jesus would with passion and excellence.
Outreach 109
Healthcare and poverty
I
ndia is the third largest economy in
the world, in terms of purchasing
power parity (PPP). However, the
benefts of this growth have accrued
only to a minuscule section of society.
In 2010, the World Bank stated
that 32.7% of all Indians fell below
theinternational poverty line(in PPP
terms) ofUS$1.25 per day, and 29.8%
Indians fell below the poverty line as
per our own national standards.
1
A multi-dimensional poverty index-
based study by the Oxford Poverty and
Human Development Initiative found
that there were 65 crore people in
India (55%of the population) living in
poverty, of which 34 crore (28.6%of
the population) lived in severe poverty,
with another 198 mn (16.4%of the
population) vulnerable to poverty.
2
No doubt India has made great
strides in healthcare since Independence.
For instance, life expectancy has
nearly doubled to around 64 years
and maternal and infant mortality
have fallen signifcantly. Yet the overall
access to quality healthcare for the vast
majority remains poor. Te governments
share in total national healthcare
expenditure as a percentage of gross
domestic product is 1.4%, as compared
with the global median of 5%. Brazil,
South Africa, Tailand, Sri Lanka and
Vietnamfare better than India on this
score. Te number of beds per 10,000
population in India is 9, as compared
to 24, the global median. Te number
of physicians and nurses per 10,000
Indians are 6.5 and 10, respectively; the
corresponding global median fgures are
12 and 28, respectively.
3
In 2004-05, about 3.9 crore Indians
(3.06 crore and 84 lakh from the
rural and urban areas, respectively)
fell below the poverty line when they
incurred out-of-pocket expenditures
on healthcare. Te fallout of these
expenditures on the poor has merely
increased, more so in rural areas and
poorer states, with the burden falling
heavily on scheduled tribes and
scheduled castes.
4

For these disadvantaged populations,
ignorance and lack of information
are major contributors to ill-health
and death. Poverty and powerlessness
worsen the situation. Women and
children are particularly vulnerable.
Morbidity and mortality due to
preventable causes are still high.
Stigmatising conditions such as leprosy,
tuberculosis and HIV are endemic.
Alcoholism is rampant. Malnutrition is
very common.
BBHs work among the poor
therefore covers awareness-building,
local capacity enhancement, improving
access to information and services,
advocacy, community development and
rehabilitation. Te community health
department at BBHendeavours to restore
human rights, dignity, self-esteem, self-
confdence and hope to those who are
disempowered or dispossessed.
110 footprints: Celebrating 40 years of Gods faithfulness Outreach 111
BBH CHD Project Manager Kakkat George conducting an awareness programme for schoolchildren in DJ Halli
BBH also reaches out to other mission
hospitals in an advisory capacity. It
supports these hospitals by sending
professional staf for short-term
postings. Seniors from BBH are also on
the boards of these hospitals.
In fact, part of the BBH annual budget
is allocated for this purpose.
So far, BBH has been involved with
the Baptist Mission Hospital, Tezpur;
the Holy Cross Hospital, Chikmagalur;
the CSI Hospital, Chikballapur; Shanti
Bhavan Hospital, Ranchi; Christa Mitra
Hospital, Ankola; St Marthas Hospital,
Bangalore; SDA Hospital, Bangalore;
and Christian Institute of Health
Sciences & Research, Dimapur.
Mission outreach
I
n 2005, Dr Ashoojit and her BBH
CHD team in Devanahalli taluk
(county; located about 28 km (16
mi) north-north-east of the Hospital)
discovered that 95% of the population
of Bovipalya, a village in the taluk,
sufered from alcohol misuse. (Also,
many of its schoolchildren sufered
from tobacco misuse.)
Devanahalli is where Bangalores
new international airport has been
built. Tere has thus been rapid
socioeconomic transition in the taluk.
Drastic lifestyle changes caused by
relatively sudden shifts in spending
power and land ownership have resulted
in large sections of the local population
succumbing to alcohol misuse.
In 2011, therefore, BBH set up
Restore, an alcohol de-addiction
programme. Along with encouraging
abstinence, Restore, through
community sensitisation, facilitates a
Restore: transforming lives
community response toward alcohol
avoidance. Community involvement
has created a supportive environment.
Te programme is well-tailored,
combining free de-addiction services
delivered at camps, systematic
and regular follow-up and family
counselling. Alcoholics Anonymous and
NIMHANS provide technical support
to Restore.
Ramesh is a walking, talking story
of transformation. After attending a
Restore camp, he gave up drinking and
now divides his time between running
a barber shop in his village and driving
an auto-rickshaw loaned to him by the
BBH CHD. Im a new man now, he
says.
Tere was a time when time, for
Ramesh, would slip through his fngers,
days turning into nights without his
knowing, so drunk would he be for
hours on end. He lost a well-paying,
stable government job. His wife,
Gowramma, recalls the violent evenings
Outreach 115
Ramesh in his auto-rickshaw
when Ramesh would beat her up
mercilessly. Te family took him to
numerous temples in search of relief,
but to no efect. Te turmoil in the
family only multiplied.
One day, Ramesh and some others
went to a de-addiction camp conducted
by BBH in a nearby village. It had
tremendous impact on him. He gave
up drinking immediately. Determined
to quit the habit, he took all the help
he could get from the CHD team for
individual and family counselling and
support.
Today, he volunteers at de-addiction
camps in other villages. In fact, one
time, he sponsored a special meal for
the villagers who attended a camp!
Rameshs dream is to support others
in the grip of alcoholism and to be an
instrument of transformation for them.
F
or more years than
Madhuramma, 75, cares to
remember, she would hide
her left eye with her sarees pallu (the
trailing end of a saree). Tat eye had a
large, grotesque tumour. It disgusted
my loved ones, she recalls. My family
put me out of the house. Everyone
wanted Madhuramma out of sight. Te
village temple became her home, where
she would lie, forlorn and withdrawn.
In Winter 2011, when the BBH
CHD team visited Singarahalli,
Madhurammas village, located 7 km
(4 mi) from the Mother Teresa Rural
Hospital, one look at her revealed the
ladys plight. Te team took her to St
Johns National Academy of Health
Sciences, Bangalore, where the tumour
was successfully removed. One member
of the CHD team donated blood for
her surgery.
Today, Madhuramma, relieved and
happy, waits for a prosthetic eye from
St Johns. Meanwhile, she goes regularly
Empower: mainstreaming the differently abled
to a BBH-run senior citizens support
group in her village. Her life is moving
on.
Te BBH CHDs Empower
programme, started in Devanahalli
taluk (county) in 2010, is aimed at
bringing new hope to thousands of
diferently abled people who, like
Madhuramma, make up 5%-6% of the
population of the state of Karnataka.
For this diferently abled population,
Indias Persons with Disabilities (Equal
Opportunities, Protection of Rights and
Full Participation) Act (1995) provides
for services related to rehabilitation,
education, economic assistance and a
barrier-free life, to facilitate their re-
integration into the social mainstream.
Empower has been helping the
government deliver on the primary
commitments embedded in the Act.
Empower reaches also those who
sufer fromdisabilities related to
sight, speech, hearing, movement and
mental health. Te BBHCHDteam
is currently engaged in empowering
people with disability through awareness
creation, capacity-building and home-
based therapy, providing themwith
entitlement cards, aids and appliances;
facilitating the creation of a barrier-free
environment; and helping themform
self-help groups to develop self-reliance,
self-confdence and self-esteem.
Te Government of Karnatakas N.
Subramanya Raje Urs, Project Assistant
at the District Disability Welfare Ofce
in Bangalore Rural District, is pleased
to have been closely associated with the
BBH CHD team since 2010. Says he:
Im confdent that the government will
get good results through the work of
BBH. BBH must continue and expand
its work across the entire Bangalore
Rural district.
Madhuramma after her surgery
I
ndias 2001 census data reported
that 2.13 % of the Indian
population were persons with
disability (PWDs). However, the
actual fgures are between 5% and
10% which translated roughly to a
12 crore population of PWDs in India.
It is reported that 90% of
this population has no access to
rehabilitation services.
PWDs face multiple challenges in
accessing healthcare, education and jobs
and in participating in social activities
as equals with their abled counterparts.
CHD at BBH started a community-
based rehabilitation (CBR) programme
three years ago in 40 villages of
Devanahalli taluk (county). Around
500 PWDs were identifed, and
comprehensive rehabilitation services
provided, most at the doorstep.
BBHs dream to scale the initiatives
to beneft more people was fulflled
when the Government of Karnataka
approved the setting up of a District
Disability Rehabilitation Centre
(DDRC) for Bangalore Rural District
and chose BBH as the implementing
agency, providing a part of the fnances
needed for capital and operational
expenses.
Trough the DDRC, BBH aims
to reach out to an estimated 60,000
PWDs in the 10 lakh population
across the four taluks of the district.
Shivanand B.
Project Coordinator, CHD
Sudhakar G.
Physiotherapist
DDRC scales up rehabilitation for the differently abled
Outreach 117
(L-R) Shivanand B, Sudhakar G and Dr Gift Norman receiving the Key symbolising the
inauguration of the DDRC, Bangalore Rurak District from Former Devanahalli Member
of Parliament C. Narayanaswamy in the presence of Karnataka Home Minister Shri K.J.
George, and Former Karnataka Minister for Haj, Wakf & Minority Welfare Shri Mumtaz Ali
Khan, Devanahalli Member of the Legislative Assembly Shri Pilla Munishamappa and others
A photograph from the late 1970s of mothers with their children
at the Nutrition Rehabilition Centre
F
rom 1975, BBH has been
fghting child malnutrition in the
rural areas around Bangalore. In
1977, the Hospital started a Nutrition
Rehabilitation Centre (NRC) on
its premises, to which mothers of
malnourished children were admitted,
along with their wards, for six weeks
during which the mothers were taught
to prepare diets for their children using
locally available and afordable food, a
principle that is foundational for child
nutrition. Dr Rebekah Naylor, Dr S.J.
Michael and others guided this phase of
the programme.
From2010, the nutrition programme
has been transformed into a feld-
based activity. It is a home care-based
programme carried out in the villages.
Currently, 540 children in about
40 villages in the Devanahalli taluk
(county), near Bangalore, are covered.
Te children range fromnewborns to
three-year-olds. Field health workers
and community health nurses from
Responding to child malnutrition
BBHvisit the homes in the villages,
weigh the children and identify which
of themare malnourished. Te degree
of malnutrition of a child is ascertained,
based on which the community health
teamprovides nutrition rehabilitation
counselling, advice on supplementary
feeding and regular follow-up and
periodic growth monitoring.
In the past two years, this has
resulted in approximately 60% of
severely malnourished children
improving their nutritional status.
BBH is thankful to see this measure of
improvement in child health in such a
short duration.
Malnutrition has been defned as a
situation where there is an unbalanced
diet in which some nutrients are in
excess, lacking or wrong proportion.
Malnutrition occurs in two types,
protein-energy malnutrition (PEM)
and micronutrient defciencies, both of
which are pervasive in India.
In Karnataka, the National Family
Health Survey (NHFS) 3, conducted
during 2005-06, noted that 42.5%
of under-5s had low weight for
their age and 48% were chronically
malnourished, while 19.8% sufered
from severe malnutrition. In poorer
districts, the situation was even worse,
with more than 50% of the children
underweight. Te childrens nutritional
status had improved slightly since
NFHS 2 was conducted (during 1998-
99). However, many of the under-3s
were chronically undernourished. To
add to the challenge, nearly 70% of
Karnatakas children were recorded to
be anaemic.
Te dangers of malnutrition among
young children and their mothers need
to be addressed with robust health
delivery systems. Te BBH community
health department is continuing its
battle against malnutrition.
Outreach 119
Dr Ranjitha Dev, Medical Ofcer with
BBH CHD, at a mobile clinic
O
ne of the frst initiatives
of CHD at BBH was the
mobile clinic a van driven
from village to village, treating people.
Te vehicle arrived in December
1975 to roll out a feeding programme
for malnourished children up to fve
years in age. Te mood was upbeat:
Dr Rebekah Naylor wrote in her
journal that she was excited that the
programme had been well-received.
Because the villagers turned out in
large numbers, the original half-day
camps had to be extended to full-day
ones. Dr Naylor noted: Already much
[nutrition] education [for the mothers]
has taken place.
Deaths due to communicable diseases
and preventable mother-and-child
disease conditions were high in the area.
Ignorance and superstition clouded
the peoples vision, discouraging them
from accessing useful services. Many
mothers and children died at delivery
due to unhygienic conditions and other
complications. Reaching them where
they lived was thus a powerful strategy
in helping them fght the battle for life,
health and development.
Mobile clinics reached out to
nearly 20 villages of Devanahalli every
fortnight, come rain or shine (as they
do today). Te team, which comprised
a doctor and a nurse, often worked
from early morning till late evening.
Nearly 600 patients, including the
elderly, who needed the service at their
doorstep, benefted every month from
this service, many of them sufering
from chronic diseases. Recalling
the clinics of that time, 68-year-
old Muniamma, of the village of
Yerthanganahalli, says, Te clinics were
so useful! My diabetes and high blood
pressure were being treated. I used to
have a serious kidney problem, too.
But, through your health workers and
doctors, Im doing very well now.
Knocking at their door
Outreach 121
The mobile clinics treated people with diabetes, high blood
pressure and other chronic diseases and benefted mainly
the elderly and the poor.
I
t was during the 1970s that
our country hailed the Green
Revolution, which would
supposedly fll granaries and bring food
in plenty to people. Yet in some villages
bordering the growing metropolis of
Bangalore, access to food continued
to be a major issue. Te impact was
felt by children under fve years of age,
pregnant women and lactating mothers.
Te malnutrition in the children was
extreme marasmus and kwashiorkor.
It was at this time that BBH established
the Nutrition Rehabilitation Centre,
as part of its community health
programme.
Te main focus of the Centre was
nutrition education, through nutrition
rehabilitation for malnourished
children, aimed at the mothers who
trekked to the Hospital.
Te Centre created an environment
similar to that in the homes of the
mothers and children who came to it.
As part of the education, the mothers
were involved in the preparation of
food for the children. Health education
played a critical role in building
awareness among the mothers about
the health of their children and making
them conscious of its importance.
Vanaja Ramprasad
Memories after four decades
Outreach 123
Te CHD Team
M
igrant rural populations
come to the cities in hordes,
in search of livelihood and
a better life. But, to do so, they accept
unhygienic, makeshift dwellings; large
pools of disease-infested, stagnant
water; heaps of foul-smelling garbage;
and cramming into overcrowded living
spaces slums.
According to the Karnataka Slum
Clearance Boards 2012 report to
the World Bank, Bangalore has 862
slums, where about 20% of Bangalores
population resides. Of this, 42% have
migrated from other parts of India,
while 43% of the households have
been slum-dwellers for over 10 years.
Although Karnatakas municipal bodies
have attempted to shift some 300 slum
families to newly constructed buildings,
the families dont seem to want to
move. Te peoples reasons usually
revolve around the lack of facilities,
poor income-generating opportunities
and loss of social mooring.
DJ Halli is one such slum teeming
with people and deafened by shrieking
trafc. A growing population places
an increasing burden on limited
resources. DJ Hallis perpetual problems
include water shortage, poor sewage
and drainage, mosquito infestation,
infrequent garbage disposal issues that
have no straightforward answer.
But it is precisely in the face of
such challenges that BBHs Urban
Health Centre is attempting ambitious
interventions. Te team was like a
child on its frst day at school: clueless
about what was in store. Beginning
by working out of a church in Roshan
Nagar, we often wondered about how
we would reach the 90,000-strong
population of the area. Rainy days
were messy and the crowds were often
difcult to manage. We would work till
9.30 pm. But we did not stop.
A survey the Hospital conducted
earlier in the area had revealed a need
for interventions in malnutrition,
cardiovascular disease prevention and
maternal and child health services,
which BBH has since provided. Today,
an average of 35 patients, presenting
with various health problems, line up
to meet the BBH doctor every day at
the Centre. And BBH, in collaboration
with government and private health
agencies, provides relief and helps the
inhabitants of DJ Halli help themselves.
I remember Jesus said we were to let
our light shine so that people might
see the good that we did and praise our
heavenly Father. I suppose the light
did shine through because the Urban
Health Centre is today fooded with
patients!
Glory Zac
Former Staf Nurse, CHD, BBH
An urban saga
Te DJ Halli slum
Outreach 127
BBH: my extended family
I
t was just four days after our
wedding that I frst had an inkling
that there was something wrong
with my wife Daisys heart. But this
paled against the vibrant colours of the
young, new life we had begun together,
and I put it out of my mind.
It was August 1985, and I was Junior
Laboratory Technician at BBH.
Two years later, Daisy became
pregnant. What should have been
routine check-ups revealed instead that
she had mitral stenosis (thickening of a
heart valve due to chronic exposure to
infections). Soon after, she contracted
a severe lung infection and had to be
admitted to BBH in critical condition.
Dr Glory Alexander, then the Hospitals
physician, closely supervised Daisys
medical management until her
condition improved.
Tat the damage to Daisys heart
valve was severe
became clear.
Surgery was indicated at the earliest
despite her ongoing pregnancy and was
planned jointly with cardiothoracic
surgeons from CMC Vellore.
But how on earth would I pay for
it? I had nowhere near the kind of
income needed! However, Dr Rebekah
Naylor had already guessed this. She
raised money through contributions
from fellow staf members and the
operation (a digital mitral valvotomy)
was performed at CMC Vellore in
January 1987.
Daisy was six months pregnant at
the time. She came through a very
stormy post-operative period and was
discharged after 55 days. But our baby
was safe and sound in the womb and,
when the big day came, our daughter,
Sylvia, was born. (She is now [at the
time this story went to press for the 1st
edition] the mother of a 7-month-old
child.)
In early 1990, Daisy started showing
S. Jeyapaul today
signs of re-stenosis. Tis warranted a
second surgery with valve replacement.
I was again caught on the wrong foot,
money-wise. But again, the zeal and
unity of the BBH staf in supporting
me emotionally and fnancially were
overwhelming.
Tis time, it was Dr Alexander
Tomas, then head of Orthopaedics,
around whom everyone rallied.
Trough his friends, fellow alumni
and a business contact, he put together
the needed funds. He also arranged an
interest-free loan from the Hospital.
Dr Glory contacted the cardiothoracic
surgeon at St Johns National Academy
of Health Sciences, Bangalore to
arrange early admission and the best
fnancial package. Not a single day did
any of them including BBH seniors
fail to visit Daisys bedside. Daisy
recovered well and was soon discharged.
Tings went well until September
1998, when Daisy developed symptoms
that bafed BBH for nearly eight
months. Te problem was fnally
diagnosed at the Wockhardt Heart
Institute: severe mitral regurgitation
and atrial fbrillation owing to loosened
stitches of the prosthetic valve. A third
surgery was needed.
I have no idea how Daisy managed
to cope with all this.
I felt utterly helpless, pushed by
circumstance against a wall. But
again, this time, Dr Tomas, then
BBH Director, Dr Stanley Macaden
and C.M. John, Social Worker at
the Hospital, mobilised the needed
fnancial resources, and the third
surgery was performed in July 1999.
Daisys heart beat one last time on
8 October 2008; it had swum against
the tide for too long. But her real heart
and mine and Sylvias continue to
beat with eternal gratitude toward the
staf and management of BBH for their
care, compassion, commitment and
selfessness.
S. Jeyapaul
Retired Sr Lab Technician
(Selection Cadre)
Outreach 129
A SILVER LINING
My father was
Berappa. He was a
day-labourer. He
passed away in August
2011 from cancer.
When we brought
him to BBH, we
were told it was too
late. But they also
said that, as long as
he lived, they would
take care of him; and
the Palliative Home
Care team Dr Ravi
Livingstone, Sr Ruby, Sr Vinayashree and Sr Asha looked after my father
well. Dr Livingstone was always a source of strength.
My father and I were like friends. After he passed away, Dr Livingstone
spoke with me about the realities of life. He said my life should become
a life of helping and caring for others. With their encouragement, Ive
enrolled in the Diploma in MLT course.
I will always miss my father. But I will never be able to forget Dr
Livingstone and Sr Ruby, Sr Vinayashree and Sr Asha, who have played a
signifcance part in my life.
Sudha
II Year Student in the Diploma in MLT course
As Cabinet Minister for Health & Family
Welfare Shri Ghulam Nabi Azad and Dr. Bipin
Batra, Executive Director, NBE look on, Smt
Meira Kumar, Speaker of the Lok Sabha, presents
Dr Alexander Tomas with the National Award
for Excellence in Teaching, given for 2012 to
BBH for the DNB programmes
T
he large number of medical
cases from the villages near
Bangalore prompted BBH
to start post-graduate training.
Accordingly, BBH applied to NBE,
a government body that focuses on
quality medical post-graduate training.
As a result, the DNB programmes in
General Medicine and in Obstetrics
& Gynaecology started in 1993 and,
subsequently, in Surgery, Orthopaedics,
Paediatrics, Anesthesiology, ENT and
Family Medicine.
DNB graduates are well-placed both
in India and abroad. Many of them
work as full-time consultants at BBH,
some holding positions as department
heads in the Hospital.
NBE has strict guidelines,
conducting periodic inspections and
closely monitoring a variety of aspects
concerning the DNB programmes.
BBHs DNB programmes have run
successfully till date. Te emphasis is
not only on imparting quality training
but also on teaching ethical practices. In
2012, NBE presented to BBH the Best
DNB Teaching Hospital 2012 award,
for excellence in teaching.
BBH has also taken the lead in
forming ANBAI, which aims at creating
win-win partnerships between NBE
and accredited hospitals.
Dr P. Padmaja
DNB Coordinator
The DNB thrust
His Excellency H.R. Bhardwaj, Governor of Karnataka and Kerala (centre) with (L-R) BBHs
Dr T.S. Girish, Dr Ajay Shetty, Dr Alexander Tomas and DNB Co-ordinator, Dr P. Padmaja
with the National Award for Excellence in Teaching, given for 2012 to BBH for the DNB
programmes
Academic excellence 141
DNB graduates are well-placed both in India and
abroad. Many of them work as full-time consultants
at BBH, some holding positions as department
heads in the Hospital.
Index of
terms and
frst names
Symbols
40th Anniversary celebrations
83
A
Academic milestones 144
A. Chandrashekaran 92
Administrative Committee 8,
13, 38, 49
AHPI 4, 86, 87
Ajay Shetty 62, 90, 93, 143,
145
Alexander Tomas 7, 8, 10,
12, 23, 35, 36, 44, 48, 55,
62, 66, 73, 83, 86, 87, 88,
90, 92, 93, 119, 131, 136,
142, 143, 152, 154
Aleyamma 54
Amith Tomas 54
Amy Siew 90, 102
Amy Siew Raichur 90
A. Narayanaswamy 154
ANBAI 4, 89, 143
Aniamma C. Joseph 90
Anil Kumar N. 62
Anita Tomas 63, 64, 157
Anurag Agarwal 89
A.P.J. Abdul Kalam 34
Arati Verma 88
ART 78, 105
Arul Shanthi M. 83
Aruna Newton 92
Arun Hubert 8
Arun Maira 92
Arvind Inbaraj 62
ASHA Foundation 78
Asha Tomas 8, 157
Ashoojit 117
Awards 52, 53, 54, 73, 90, 91,
136, 142, 143
AzamMohamed Jillani 149
B
Badari Datta 52, 87, 90, 92,
93, 147
Balaji Srihari 145
Balan 132
Baptist Balasuraksha 146
Baptist Mission Hospital,
Tezpur 116
Barbara Wikman
Barbara 16, 25, 26
BBHDevanahalli 154
Beenamma Kurian 87
Benjamin Pulimood 7, 9, 21
Benny Woods 44, 45, 62
Berappa 131
Beulah 78
Bhardwaj 93, 143
Biju J. John 8
Bill Marshall 18
Biogas 153
Bipin Batra 89
Blessy Anu Tomas 83
Bless Yu 68
Bob Parker 66
Bouquet of services 70
C
CABG 4, 62
CAHO 4, 88, 90, 141
Carolyn Woods 44
CCHI 4, 88
Celina 29
Charit Bhograj 62
CHD 4, 111, 113, 115, 117,
118, 119, 122, 123, 126, 129
Chemotherapy 70, 102, 103
Chicken coop 24, 25
Child abuse 146
Child Response Unit 146
Christa Mitra Hospital,
Ankola 116
Christian Institute of Health
Sciences & Research,
Dimapur 116
C.K. Prahalad 92
Clementia Moses 132
Clyde Meador 7, 23
CMAI 4, 78, 141
CMC Vellore 6, 7, 9, 11, 13,
17, 19, 21, 23, 28, 35, 75,
76, 88, 130, 134, 140, 141
C.M. John 131
C. Narayanaswamy 154
Col Deepak Bunyan
Col Bunyan
Bunyan 12, 136, 153, 157
Common Purpose 92
Communicate. Care. Cure. 90
Counselling 33, 70, 137, 141
C. Padmaja 136, 143
CSI Hospital, Chikballapur
116
D
DaCosta & DaCosta 26
Daisy Jeyapaul 131
Dame Cicely Saunders 98
Dattatreya Prabhakumar 62
Dayanand Pai 66
DDRC 119
De-addiction 114, 117
Derek Murray 33
Derick Mendonca 79
Devanahalli 39, 79, 117, 118,
119, 121, 123, 126, 154, 155
Devaraj Urs 19, 21
Devi Shetty 86, 89
DJ Halli 4, 111, 113, 129
DNB 4, 64, 77, 89, 90, 136,
141, 142, 143, 144, 145
Dominic Benjamin 76
Dorothy McPhail
Dorothy 19
DSouza 55
Dwarkanath T.R. 62
E
Earl Goatcher 21
Earthquake 151
Easho Jacob 25, 55
Edward G. Shaw 66
Elaine Meador 23
Elisabeth Kbler-Ross 98
Elsa G. Korah 8
Emelia Josephine 20
E.V. Ramana Reddy 83
F
Fakhruddin Ali Ahmed 27,
46
FHQM 4, 87
FICCI 4, 52, 53, 73
Floods 150
Flora Edwin 12, 40, 62, 73
Florence Charles 136
FMB 4, 18, 19, 21
Frederica Samuel Sorte 30
Freeda David 31
G
Gail Mays 66, 134
George Chandy 7
George Korah 8
Gerard Santamaria 8
GhulamNabi Azad 142
Gif Norman 8, 62, 111, 157
Girdhar Gyani 86, 93
Girish T.S. 62
Glory Alexander 55, 78, 83,
90, 129, 130, 131
Glory Dennis 90
Glory Zac 129
Gokula Education Trust 140
Government of Karnataka 60,
83, 89, 92, 118, 119
Grampanchayat 89
H
Handbook of Healthcare
Quality & Patient Safety
93
Hannah Sinclair 8, 60, 157
Hans Raj Bhardwaj 93
Healthcare communication
88, 90, 91
Healthex International 2013
93
HIV/AIDS 13, 70, 78, 105
Holy Cross Hospital,
Chikmagalur 116
H.S. Ballal 89
H. Siddaveerappa 21
HSSC 4, 93
Hughey 18
I
IbIn 92
IMB 4, 7, 11, 13, 16, 21, 23,
44, 66, 136
IMS 4, 141, 144, 147
India Home Health Care 141
Indian Association of
Palliative Care 98, 103
Indian Baptist Mission 18
Indira Gandhi 11, 19
Indira Teophilus 135, 136
Ivan Miles 24, 26
IVF 4, 74, 75
J
Jasper McPhail 7, 11
Jayanagar General Hospital
92
Jerry Rankin 7
Jessie 34
Jeyapaul 29, 130
John Anand 30
John Wikman 7, 10, 12, 18,
26, 27, 31, 83
Joyce Ponnaiya 7, 9
Julia Middleton 92
K
Kakkat George 113
Kavitha Wilson 58
K.C. General Hospital 92
Khurshid AlamKhan 126
Kingsly Gnanadurai 90, 154
K.J. George 119, 154
K.K. Abraham 102
K. K. Kalra 87
Korula George 74, 75
Koshy Muthalaly 41
Krishna Chivukula 34
L
Lal Din 68
Leena Raj 12, 148, 157
Life-limiting illness 99, 105
LifePoint Church 44, 45
LINAC 66, 67
Lizette 26
Lorna Murray 33
Luke Srinivasulu 126
M
Madhuramma 118
Mahendra Varman 137
Malaysian Medical Council
147
Malnutrition 112, 121
Manjunath 77
Mano 79
Meera Harish 92
Meira Kumar 142
Memorial service 106
Mercy Christudas 90, 157
MICA 4, 90
Michael Dean 45
M.K. Sahu 62
MLT 4, 131, 144, 149
Mobile clinics 123
Mohammad Kapur Trust 66
Mohandas Karamchand Gandhi 11
Mohan Singh 35
Mother Teresa 42, 55, 118, 126
Mother Teresa Rural Hospital 118
M.P. George 41, 43
MSU 4, 144, 147
Mumtaz Ali Khan 119, 126
Muniamma 123
Muriel 29
N
NABH 4, 13, 52, 87, 88, 90, 92, 141
NABL 4, 52
Nagesh Rao 90
Nancy Ramya I. 92
Narendra S. 90
Naresh Shetty 86
Naresh Trehan 93
National Fellowship in Palliative
Medicine 103
Naveen Chandra 149
Naveen Tomas 12, 28, 54, 62, 89,
136
NCBH 4, 67
Neelima S. 77
NFHS 2 121
N. Gopinath 11
Nightingales Medical Trust 141
NIMHANS 4, 117
Niranjan 48, 59
Nithya Manyath 145
Noble 68
N. Santosh Hegde 83
NSDC 4, 93
Nutrition Rehabilitation Centre
NRC 121, 125
O
Onenlemla Imsong 73
Owen Cooper 19
P
Palliative care 3, 98, 100, 157
PamMcPhail 19
Paramashivan 18, 26, 46
Pat Hood 44, 45
Paul Dass 134
Paul Dearing 32
PEM 121
Philip Tomas 12
Pilla Munishamappa 119, 154
P. Karunakaran 8
Planning Commission 92
Pongulali S. 145
Praveen Kumar 150
Pravin Mishra 90
PremNair 86, 89
Professional training programmes
141
Project Believe 66, 67
PRR 4, 52, 95
Q
QCI 4, 52, 87, 89, 90, 91
QCI-D.L. Shah National Quality
Award 2013 90, 91
Queeny Philips 132
R
Rainwater harvesting 153
Rajnish Samal 12, 90, 149
Ralph Bethea 18, 26
Ramachandra Gowda 119, 154
Ramesh 104, 117
Ranjitha Dev 122
Ravi Livingstone 101, 131
Rebekah Naylor 7, 10, 12, 21, 45, 46,
83, 121, 123, 130, 134, 136, 152
Reconstructive surgery 79
Reproductive Medicine 70, 74, 75
Retirees 49
RGUHS 4, 141, 149
Rhabdomyosarcoma 68, 69, 102
Richard Fox 31
Richard Hellinger 7, 18, 31
Roshini Susan Poonnen 12, 95, 157
R. Spurgeon 76
Ruby Ruth 145
Ruma Sahu 62
Ruth Dearing 32
R.V. Kanoria 53
S
Sadananda Gowda 89, 136
SamRufus 36
SamTaylor 25
Samuel Roshan 145
Sandhya H. 145
Sanjana Isabella Samal 156
Sanjay B.S. 62
Santosh Angadi Hiremath 62
Santosh Benjamin 7, 10, 13, 34
Saro Jacob 66, 69
SBC 4, 11, 16, 18, 19, 21, 26
School of Nursing 140, 144, 148,
152, 157
SDA Hospital, Bangalore 116
Shamanna 27
Shanthi 34, 83
Shanti Avedana Sadan 98
Shanti Bhavan Hospital, Ranchi 116
Shiny Bosco 99
Shivanand B. 119
Shruthi 69
Shuttle service 60
Sindhulina Chandrasingh 12, 93,
141, 157
Singing Churchmen 66
S. Jeyapaul 29, 130, 131
Slum 129
Smile Foundation 115
Smile on Wheels 115
SMOM 4, 152
Smrithi 83, 85
Smrithi auditorium 83
Solar power 153
Solomon Raj 18
Spoorthi 137
S. Radhakrishnan 11, 19
S. Rajasekaran 89
Srinath Reddy 90
S. Sahu 2, 8
Stanley Macaden 7, 10, 11, 66, 67,
99, 103, 131
St Johns National Academy of Health
Sciences 118, 131
St Marthas Hospital, Bangalore 116
Strategic Planning 36
Subramanya Raje Urs 118
Sudha 131
Sudhakar G. 119
Sujatha 40
Sunil Chandy 6, 7, 23
Sunitha 34
Sunny Kuruvilla 12, 23, 37, 38, 40,
86, 88, 90, 93, 157
Suranjan Bhattarcharji 7
Suresh Babu 89, 90
Sushila Nair 11, 19
Swetha 68
T
Taarika Chandy 47
Tara Chandavarkar 18
TankamRangala 39, 157
TimMays 134
Travis Avenue Baptist Church 45
Tree house 156
Tripartite 9, 13, 23, 28, 152
T.S. Girish 63, 143
T.S. Leela 111
Tsunami 151
T.T. Ranganathan 114
T. Uday Kumar Daniel 8, 136
U
Usha Barnabas 133
V
Vanaja Ramprasad 125
Van Williams 10, 11, 12
Vijayamani Barnabas 29
Vilbert Vallance 62
Vimala Vinolia Smilee 60
Vimal Raj 149
V.I. Mathan 7, 9
Vinayashree Palekar 107
Vinaykumar Samuel 132
W
Wake Forest University 66
Ward 31
WilliamC. Mason 11, 27
WilliamRowlett 27
Wockhardt Heart Institute 131
World Health Organization
WHO 98, 157
Y
Yellamma 41

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