PROJECT REPORT OF

SRUSTI FERTILITY

CENTRE

WARANGAL
 SRUSTI FERTILITY CENTRE

PROJECT HIGHLIGHTS

NAME OF THE PROJECT : SRUSTI FERTILITY CENTRE

NATURE OF HOSPITAL : Multispeciality

NUMBER OF BEDS : 40 Beds

PROMOTERS : KOTHA SANDHYA

Land PLOT SIZE : 663.27 Sq.Yds.(Land has been Purchased)

TOTAL BUILT AREA (Approx.) : 13,831.75 Sq. Ft.

BUILDING COST (Approx.) : Rs. 243.17 Lacs

TOTAL PROJECT COST (1st Phase) Rs.506.47 In Lacs

Building Cost : Rs.243.17 in Lacs

Hospital Services : Rs.16.03 in Lacs

Medical Equipment & Instruments : Rs.203.56 in Lacs

Contingencies : Rs.43.71 in Lacs

 Total : Rs.506.47 in Lacs

MEANS OF FINANCING : Promoters :Rs.211.47 Lacs

& Bank Finance : Rs.295.00 Lacs

2. HEALTH CARE – “An Overview”

2.1 THE BACKGROUND:

Today, the city of Warangal(Smart City), with a population of over

12 lacs has become one of the most crowded cities in India. There

is an exponential increase in environmental pollution and

occupational health hazards due to rapid radiations around us. The

food stuffs are largely adulterated, drinking water supply

becoming scare and unsafe for consumption, industries and

automobiles have increased the atmospheric air pollution and

lastly the stress & electronic gadgets has become one of the

reason for infertility among the people. This has led to a steep fall

in health standards of the people. There is a need for an early

accurate diagnosis and proper treatment of diseases, especially

after the growing awareness of sound health in the mind of the

public.

2.2 HEALTH CARE SCENE – A COMPARISON:

Comparison between various developed and developing countries

in respect of Hospital Bed to population Ratio, Infant Mortality,

Expectancy of Life and Birth Rates, Infertility etc., bring out the

inadequacy of the health care in INDIA. Better and quality health

care is to be made available to one and all by the Government and

Private agencies .The ability of Government owned hospitals to

render quality medical services to all has decreased because of the

population growth. The bed to population ratio in India is 1:

1238compared to 1:92 in Japan, 1:82 in USSR, 1:150 in USA and

1:350 in Sri Lanka. Joseph Bhore committee appointed by the

Government of India to go into the various aspects of medical care

in India and to suggest remedies, has recommended agencies in

the Government and Private Sector to increase the bed to

population ratio to at least 567:1000

2.3 NATIONAL HEALTH POLICY & PRIVATE HEALTH CARE:

National Health Policy of India was aiming to attain the goal of

“Health For All” by 2000 AD, which it could not. As the

concentration of the Government is on providing primary

healthcare and preventive treatment, the curative care rests mostly

with the private sector with all practitioners, consultants, Nursing

Homes, and Hospitals. The delivery of advanced health care to the

growing population has become the responsibility of the Private

Sector, religious institutions / philanthropists

3. IVF & ITS SCOPE :-

3.1 THE BACKGROUND :

Giving birth to a child can be one of life’s most rewarding

experiences – but also a fairly complicated one. Infertility is a major

gynecological disorder affecting almost 10% of couples. Lifestyle

changes have been contributing to the increase in infertility rate in

Warangal. This high prevalence shows the depth of this problem in

our society. Unfortunately government hospitals providing

infertility care are very rare. Treatment for infertility includes

repeated ultrasound scanning, medications, Lab procedures and

laparoscopic surgeries.

3.2 PROCESS :

In vitro fertilisation (IVF) involves the fertilisation of eggs with

sperm outside the body. In general, it is used after other

treatments have failed.

An IVF treatment cycle can comprise the following seven

sequential stages. However, depending on the exact protocol

being used, not all the stages are used:

 Pre-treatment. This is believed to have three potential

functions:

o improving the response to exogenous hormone therapy

o minimising the risk of ovarian cyst formation, and

o facilitating the scheduling of stimulated IVF cycles to

ensure that the timing of oocyte recovery coincides with

availability of clinical and laboratory staff.

 Down-regulation. This temporarily stops the pituitary gland

from functioning which reduces the risk of a cycle being

cancelled from early exposure to luteinising hormone (LH)

which could disrupt normal follicle and oocyte development

or stimulate premature release of the eggs before they can be

retrieved surgically (‘harvested’) prior to insemination in the

laboratory.
 Controlled ovarian stimulation. The aim of this stage is to

produce a number of mature eggs which can be retrieved

surgically prior to fertilisation in the laboratory.

 Ovulation trigger. At the end of the stimulation phase of an

IVF cycle, a drug (‘ovulation trigger’) is used to mimic the

natural endogenous LH surge which initiates the process of

ovulation. The mature eggs are collected from the woman

(‘harvested’) and fertilised with sperm in a laboratory.

 Oocyte and sperm retrieval. After triggering, mature oocytes

are aspirated from the woman’s ovaries for fertilisation in the

laboratory. In addition, in some cases of male factor infertility

the sperm has to be obtained directly from the testes.

 Embryo replacement. Once the eggs have been fertilised, one

or two of the resultant embryos are then placed back into the

woman’s uterus 2–3 days later, at the cleavage phase of

embryo development. Longer laboratory culture times can be

 used with good quality eggs with intra-uterine replacement

occurring after 5–6 days, at the blastocyst phase of

development.

 Luteal phase support. After embryo replacement, drugs may

be given to help support the early phase of pregnancy

development. This is intended to mimic what happens in

natural conception, where, once ovulation has occurred, the

endometrium prepares to receive a fertilised embryo. This

consists of a series of changes within it which are driven by

progesterone produced by the corpus luteum in the ovary.

4. HOSPITAL OVERVIEW:-

4.1 THE BACKGOUND:

Srusti Fertility Centre was established in the year 2017 by

Dr.K.Sandhya. It started as a dispensary but later it was changed in

to health centre on 2019.

Site Description: Infertility clinic will be started at Pochammaidan,

Warangal. It will be having 5 Floor Medical dispensery with total

area of 1185.42 sq. ft. The hospital will be providing the following

facilities at the proposed IVF/ICSI centre.

• Registration

• History

• Investigations

• Semen analysis

• Ultrasound scanning

• Diagnosis

• Decision making regarding treatment

• Treatment with drugs and follicular study

• Intra Uterine Insemination (IUI) & Diagnostic Laparoscopy

Presently the hospital is unable to provide adequate care for

patients with complicated diseases needing laparoscopic surgeries

and IVF/ICSI.

The construction of building for IVF/ICSI centre will be done as per

guidelines of ICMR. This includes converting the existing rooms to

Operation Theatre, IVF / ICSI laboratory, Rest room/store room,

counseling room, consultation room, changing room with toilet,

and other required facilities.

4.2 HOSPITAL SERVICES :

The hospital will have the following three major services:

a. INPATIENT SERVICES

b. OUTPATIENT SERVICES

a. INPATIENT SERVICES (IPD), facilities will be made available for all

Gynic/Obsteric cases, except in the case of infectious /

communicable diseases. The superspeciality cases like Cardio-

Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant Surgery,

etc. will be referred to big hospitals in the city / region. Special

equipment will be made available for IVF/IUI inpatients and also

for ICU/CCU.

b.. In the OUTPATIENT SERVICES (OPD), specialist consultation

facility will be available through out the week or on specified days

both in the morning and evening. The patient services will be ably

supported by diagnostic services and laboratory services.

Diagnostic Facilities: - SONOGRAPHY: Ultrasound has become a

powerful non-invasive diagnostic modality today. We propose to

use a multipurpose ultrasound machine for all medical / surgical

and Obs./Gynae work of the hospital.

LABORATORY SERVICES: Clinical laboratory plays an important role

in the diagnosis, prognosis and treatment of diseases. At our

hospital, laboratory services will function under the head a

Pathologist. Biochemistry department will have the latest multi-

channel auto-analyser and electrolyte analyser.

Name SRUSTI FERTILITY CENTRE

Location of the #11-23-1395/1(N),L.B.NAGAR, NARSAMPET

Project ROAD, WARANGAL.

Promoters DR.K.SANDHYA

Registered Office #11-23-1395/1(N),L.B.NAGAR, NARSAMPET

ROAD, WARANGAL.

Administrative #11-23-1395/1(N),L.B.NAGAR, NARSAMPET

Office ROAD, WARANGAL.

Line of Activity MEDICAL DISPENSARY,

Sector PRIVATE
Constitution PROPRIETORSHIP

Industry SERVICE
COST OF PROJECT &

MEANS OF FINANCE
PROJECTIONS
CASH FLOW &

FUNDS FLOW

STATEMENT
 DEBT SERVICE

COVERAGE RATIO
DEPRICIATION
LOAN SCHEDHULE
ASSUMPTIONS
BREAK EVEN

ANALYSIS
RETURN ON

INVESTMENT