What is the Julia Hospital?
The first hospital at CRHP was created in the 1970’s by Drs. Raj and Mabelle Arole to meet the need for medical services in Jamkhed and to build trust in the surrounding communities. When the Aroles first arrived in Jamkhed, they planned to stay a few years, set up a mobile hospital, remedy the health situation, and move on to another area. As the need for medical care surpassed their expectations and the number of patients increased, the need for a permanent hospital did as well. The Old Hospital, built in 1970, served Jamkhed block for 35 years. As CRHP became more involved in secondary care and conducted more surgeries, the need for an even more advanced hospital increased, and in 2009, with the help of a donor, the Julia Hospital was built for USD $1.7 million, including all equipment. The Julia Hospital has 50 beds, three operating theaters, a lab, a maternity ward, an Intensive Care Unit, an X-ray lab, a labor room, and a pharmacy. It serves a rural, underserved population of roughly 500,000 individuals.
Who does the Julia Hospital serve?
The Julia Hospital provides low-cost secondary care to half a million people in the Jamkhed Block, 24 hours a day for emergencies and 9am to 5pm for basic outpatient care.
Services are provided to patients on a sliding payment scale: patients pay what they can afford, and for those who cannot afford anything, services are provided free of charge.
What are the goals of the Julia Hospital?
- To provide a safe, affordable healthcare to anyone in need regardless of gender, caste, class, age, ability to pay, and mental or physical disability
- To further build trust within the community by offering a comfortable and caring environment for medical needs
- To promote basic preventive and curative medical care by able family members
- To serve as a training facility for local, national, and international grassroots health workers, medical students, and practitioners
What services does the Julia Hospital supply?
The use of ultrasound for sex determination in India is illegal. Ultrasound technology is available under strict supervisions and used only when necessary to effectively identify and prepare for high risk pregnancies and to ensure healthy deliveries.
Video X-ray is an excellent way of reducing cost for the patient. Since the most expensive part of having an X-ray is printing the results onto film, CRHP does not print out X-rays unless requested by a doctor. Upon completion of an X-ray, doctors are called to view it digitally and decide if they need it printed or if they can make a diagnosis from the computer screen.
The lab at the Julia Hospital can do nearly 80 percent of the blood tests that are performed in major cities, with the thyroid test being the major exception. To keep costs down and form relationships with patients, CRHP encourages doctors to diagnose illnesses based on the patient’s symptoms, history, and information gained from a dialogue between them. Blood tests are done only to confirm the diagnosis.
- Labor Room
The labor and delivery room is a simple, standard room. If there are complications during delivery, the woman will be moved to the operating theatre. Delivery packs are reusable; sterilized and used again. Delivery packs contain soap, a razor blade, clamps, forceps, a string, a sterile cloth for the baby, and a sterile birthing mat.
- Maternity Ward
Clinically, mothers who give birth do not need to be kept long in the hospital as long as there are no infections. For many women though, after having a child is the first time they have had ever had any rest. CRHP allows women and their families to stay a few days longer than necessary for no extra charge in order to rest and bond with their baby.
- Operating Theater
There are three operating theaters in the hospital; each is well equipped, fumigated, autoclaved, and utilizes standard sterilization techniques.The medical staff at CRHP will perform surgery on any person, including HIV positive patients, whom many other hospital refuse to treat.The operating theater is equipped with laparoscopic equipment, which is most often used for orthopedic surgery and during monthly government tubal ligation camps.
CRHP abides by the World Health Organization (WHO) essential drugs list and only stocks medicines on that list at the hospital.
- Intensive Care Unit
The intensive care unit (ICU) has ventilators, defibrillators, cardiac monitors, and pulse oximeters. In addition, the ICU is used as an emergency room when needed.