Page 1 of 6
PC-I FORM
1
Name of Project
UP-GRADATION OF DHQ HOSPITAL OKARA UP TO 425 BEDDED
DHQ HOSPITAL OKARA (CITY)
2 Location
3 Authority Responsible Health Department, Govt., of the Punjab, Lahore/
iiiiii
iv
4
5
for: -
District Government. Okara.
Sponsoring
Execution
Operation &
Maintenance
Concerned Federal
Ministry
Govt. of the Punjab
Communication & Works Department Okara
Plan Provision
Project Objectives and
its relationship with
sectoral objective
Health & Works Departments.
Not Applicable
The scheme has been initialed under the direction of Honourable Chief
Minister of Punjab No. PS/SECY (IMP)/CMO/14/AA-144/024710 dated:
23.04.2014 and reminder dated: 26.5.2014 and subsequently Health’s Department
letter No. PO (D-11)1-35/05 dated: 19.05.2014 on the subject Up-Gradation of
DHQ Hospital (City), Okara 425 bedded.
Rough cost Estimate Capital:
1446.710 Million
Revenue:
591.035 Million
TOTAL: -----------------2037.745 Million
1. The PC-I has been prepared to provide latest/modern and organized
health care services to the patients attending DHQ Hospital (City),
Okara.
2. The existing facilities are not only less in number and quantity but
are also deficient in quality.
3. Keeping in view and considering the ground realities, it is the need of
the hour to enhance and up-grade the DHQ Hospital (City), Okara
up-to the capacity of 425 bedded to cope and facilitate the health care
need of 29 lac population of Okara District.
AFTER COMPLETION IT: 1. It will provide facilities of highly specialized nature, inclusive of
diagnostic interventional and surgical treatment.
2. It will improve the General Health of drainage catchment population.
3. It will train medical, para medical personnel and nurses.
4. It will become a centre of dissemination of knowledge and research.
5. It will provide indoor health care up-to 425 patients.
6. It will provide outdoor health care services to more then 2500-3000
patients / day.
7. It will certainly help to achieve the health related Millennium
Development goals by decreasing infant mortality rate and by
improving maternal health and decreasing maternal mortality rate
and also to combat with T.B, Malaria & HIV aids by providing
quality treatment and health care facilities at the indoor steps.
RELATIONSHIP WITH SECTORAL OBJECTIVE:
Government of the Punjab, Health Department is undertaking number of
initiatives to improve health care delivery system in the province. The Government
of the Punjab is firmly committed to provide quality health care services at the door
step of the community through integrated approaches.
To provide the quality emergency, diagnostics and therapeutic Health
services to more than 29 lac people of the area and to curtailing the referral time of
critical ill patients to distant tertiary care level hospitals in Punjab, thus reducing
morbidity and mortality.
Okara was declared as District on 01-07-1982. Civil Hospital Okara
was declared as DHQ Hospital on 01-07-1984.
6
Description Justification
and Technical
parameters
The detail of area of DHQ Hospital (City) Okara is as under: Total Area:
1060710 S-Fts.
Open Area:
857788 S-Fts,
Covered Area:
202922 S-Fts,
Residential Area:
107612 S-Fts
Non-Residential Area:
35310 S-Fts
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It is stated that Okara City is situated at Main G.T. Road and Main
Railway Track is passing through the centre of the city. Okara city is thickly
populated. DHQ Hospital (city) Okara is the only hospital which is providing health
care services to whole of the District. About more than 1200-1300 patients visit
OPD of DHQ Hospital (City), Okara on daily basis. Due to shortage of beds and
other facilities, often this office has to arrange two patients on one bed for
treatment. The present structure of DHQ Hospital Okara is insufficient to meet the
requirements of huge population which is about 29-Lac. Many patients have to be
shifted to Lahore due to non-availability of missing facilities in different
departments.
ALREADY EXISTING FACILITIES (SPECIALTY WISE):
Name of Department Bedded Name Of Department Bedded
Surgical
Medical
Gynae / Labour Room
Cardiac
EYE + ENT
Children
Orthopedic
Side Room
24
24
13
12
10
16
12
05
Emergency
40
High Dependency Unit
04
Burn & Tetanus
05
Dental Department for OPD Services
Physiotherapy Services
Immunization Services
Homeo Pathic Services
Unani / Hikmat Services
In District Okara there are total 140 Primary Health Care (PHC)
facilities. The detail of PHC facilities is as under: S.#
PHC Facilities
1
BHU,s
RHC,s
Rural Dispensaries
MCH Centers
2
3
4
96
10
10
24
Total
140
The Primary Health Care (PHC) services provided by these facilities
during the last five years is as under: Sr
.
#
1
2
Year
Male
Female
Grand
Total
2010
2011
2012
2013
2014
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
471,158
449,721
477,101
458,377
356,525
555,805
537,278
580,370
543,857
428,994
1,026,963
986,999
1,057,471
1,002,234
785,519
The detail of Secondary Health care facilities is as under:  District Head Quarter Hospital City
1
 Additional DHQ Hospital (South City)
1
 THQ Hospital Depalpur
1
 THQ Hospital Haveli Lakha
1
The SHC facilities collectively provided health services during last five
year is as under:
YEARLY PATIENT REPORT, SECONDARY
Year
Total
2010
2011
2012
2013
2014
No. of
Patient
551,187
No. of
Patient
607,082
No. of
Patient
689,667
No. of
Patient
639,825
No. of
Patient
496,291
The Health Care services provided by the DHQ Hospital (City), Okara
alone during the same tenure is as under: -
Page 3 of 6
2010
2011
2012
2013
2014
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
Gen. OPD
32,929
28,050
37,973
55,153
27,984
2
Medicine
17,158
14,959
17,268
21,929
22,901
3
Surgery
3,859
4,741
5,627
7,130
7,529
4
Pediatrics
13,114
17,325
23,146
12,651
14,375
5
Eye
22,895
24,993
27,707
25,929
23,406
6
ENT
15,637
14,166
18,528
15,353
12,455
7
Ortho.
5,270
1,651
5,034
0
3,993
8
Psychiatry
681
1,964
13,648
2,581
0
9
Dental
8,813
12,940
13,039
11,297
9,144
10
Skin
3,532
13,732
15,280
22,384
16,781
11
OB/GYN
5,885
13,948
11,622
11,797
13,197
12
Emergency
93,422
106,914
123,271
133,161
110,010
13
Homeo
10,440
4,816
7,031
5,084
4,899
14
Tibb
4,744
4,212
2,828
3,187
2,813
15
Cardiac
3,055
4,589
1,365
2,424
2,869
16
Others
0
9,554
1,041
14,999
10,993
241434
278554
324408
345059
283349
Sr
.
#
1
Department
Name
Grand
Total
Comparing the services provided by the Secondary Health Care
Facilities to the people of Okara, it is evident that the DHQ Hospital (City), Okara
bear the major burden. At present the available bed strength of DHQ Hospital
(City), Okara is 165 beds.
The major indoor services provided during the last year i.e. 2013 is as
under: 1. Emergency patients treated:
133773
2. Indoor admission in diff. wards:
49946
3. Total general operation performed:
952
4. Total C-Sections Performed:
977
5. Normal deliveries conducted:
1898
6. Total dialysis performed:
3566
7. Pathological Lab. Tests Performed:
44953
8. Total X-Rays performed:
32181
9. Total Ultrasonography Performed:
15282
10. Dental Procedure performed:
11236
The data of indoor & outdoor patients of DHQ Hospital Okara City during
the last five years is as under along with Bed Occupancy Rates: -
Sr.
#
1
2
3
Department
Name
Outdoor
Indoor
B.O.R
2010
2011
2012
2013
2014
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
241434
21214
35.2%
278554
45980
76.3%
324408
40506
67.2%
345059
40355
67.0%
283349
35136
94.6%
DHQ HOSPITAL (SOUTH CITY) OKARA
The data of indoor & outdoor patients of DHQ Hospital (South City) Okara
during the last five years is as under along with Bed Occupancy Rates: -
Sr.
#
1
2
3
Department
Name
Outdoor
Indoor
B.O.R
2010
2011
2012
2013
2014
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
No. of
Patient
59691
3645
01%
65485
5636
13%
80140
5145
13%
59496
4727
16%
74994
7867
18%
Page 4 of 6
7
Capital Cost Estimate
8
Annual operating and
maintenance cost after
completion of the
project
9
Demand and supply
analysis
The Bed Occupancy Rate of DHQ Hospital (SC) is lowest due to under
mentioned reasons.
 DHQ Hospital (SC) is out of the city Okara.
 No proper security is available at evening and night.
 The basic needs, electricity, gas, water etc are not properly supplied.
 The residential colony is not utilized.
At present, the DHQ Hospital (City), Okara have three separate blocks.
The old block (original THQ, Hospital building) have a joint Surgical, Orthopedic
& Gynae wards. The new medical block was constructed when this THQ level
hospital was up-graded to DHQ level hospital. The medical block is divided in
Cardiology, Dialysis unit, pediatrician ward & medical ward.
It is further added that double story OPD block & double story emergency
departments were constructed separately from the main hospital across the road.
In propose scheme of up-gradation of DHQ Hospital (City), Okara to 425
beds, the old surgical block will be demolished and six (06) stories will be
constructed. Detail of drawings are attached in with PC-I.
After completion of this project, the department wise bed distribution will
be as under: Name of
Bed
Name of
Bed
Sr.#
Sr.#
Department
Strength
Department
Strength
Emergency
40
Skin
10
1
11
Paed & Nursery
30
Urology
10
2
12
Gynee
60
Dialysis
10
3
13
Gen. Surgery
55
Dental
05
4
14
Medical
55
Cardiac
Surgery
20
5
15
Ortho.
20
OT. CCU
05
6
16
Private Room
15
Cardiology ward
25
7
17
Eye
10
Neuro Surgery
20
8
18
E. N. T.
10
Burn & Tetanus
05
9
19
TB & Chest
10
Psychiatry
10
10
20
Capital Estimate:
1446.710 Millions
Officer & Establishment
122.00 Millions
Cardiac & Neuro
39.00 Millions
Total Operating (Drugs & Medicine
129.00 Millions
POL, Misc, Utilities etc)
Total
290.00 Millions
The demand of establishing 425 bedded DHQ Hospital Okara for comprehensive
care in a vibrant and high skilled environment through the process from reception
to follow up of these patients will bring out put in the form of well being of a large
number of patients admitted, operated upon and rehabilitated. It is hoped that DHQ
Hospital Okara City will emerge as center point in providing health education,
awareness, care, cure, training and re-habilitation services in a comprehensive and
precise manner. The quality of life of these patients, generation of economic
activity in general and value and effect of training for health man power will be one
of the major outcome indicators.
INVENTORY CONTROL SYSTEM:
With a view to ensure transparency and efficiency interlink and fool proof
inventory control system has been proposed. The inventory control system shall be,
in fact a coherent mechanism having closer and frequent integration with other
systems of etc. The system will itself help facilitate various functions of the
organization and at the same time ensure transparency and activate mechanism in
case of shortage, expiry and demand of any medicines, equipments, disposables,
surgical etc. thus identifying need for procurement or other appropriate action
planning / action as and when required. In other words the inventory control system
will also enable the managers to design their plans and take action according to the
need of organization. The Cardiology & Neurology Block will encompass various
facilities for store items like machinery, equipment, general store items, medicines,
surgical / disposable, medical gases, linen, stationery, chemicals and transport.
Inventory control will be computerized and database shall be established along with
its peripheral stations as sub-data bases. The inventory control system will generate
the copies for record, verification and audit purposes. The entry of various items
shall be made in a professionally designed software to keep record of items which
are available in the stores and also which have been issued. The stock keeping and
issuance of such items shall also be controlled and monitored through closer
supervision and check and balance system build in the software. The stock and
expense of durable and consumable items will be kept in the system and also as
Page 5 of 6
Financial Plan and
10 mode of financing.
Project Benefits and
11 analysis
i)
Financial
Ii
Social benefits with
indicators.
Iii
Employment
generation
(direct and indirect).
hard copies. The main stores computer will be linked with the sub-stores computer
through networking. The areas like emergency, out-patient, indoor, laboratory,
radiology, CCU and ICU departments will have registration desks interlinked with
the main and sub-stores to ensure efficient stock keeping in a transparent manner
and to know about.
 Stock in hand of various items.
 New receipt of these items.
 The items, which have been issued to other departments.
 The items, which are not available.
 The expenditure incurred on the purchase.
 The budget and detail of accounts shall be linked with the financial and
accounting control system.
In order to ensure provision of high standard and specialized facilities in the said
project, apart from inventory control system, some other system shall be introduced
and practiced. Some of those are as under:I.
Patients satisfaction system to know about the quality of services as
feedback from patients and their attendants.
II.
Clinical management information system to keep record and track of
patients for information and guidance for the doctors and nurses /
paramedics.
III.
Performance appraisal system by the assistance of performance indicators
to assess the performance of staff viz a viz resource utilized for carrying
out different procedures and operations etc.
1st Year
2nd Year
3rd Year
Preparation of PC-I
Allocation and
Release of Capital
along with drawing
release of Funds Funds 100% and
Approved of PC-I
for Capital up to compilation of
Allocation and release
70% and
100% funds
of funds 25%
compilation of
Release of Revenue
construction
Funds, purchase of
work
equipments and
approval of SNE
TOTAL:
The project will also serve as research & training center in the province since the
senior consultants / doctors shall impart theoretical as well as practical training to
junior doctors, bedsides, clinical management and treatment of all age group being
of specialized nature. It shall serve a long way in providing specialized services.
Improvement in health care facility for the masses will ultimately lead to
marked enhancement in productivity of the nation and will save the
individual / Government financial expenses when calculated on long term
basis. Social benefits to the public & Government of this project, are going
to be tremendous, public will be benefited by gaining treatment at their door
steps and Government will be benefited by decrease in the burden of the
budgetary spending and decrease in burden of social sector. So treatment in
specialized hospital will reduce.
I.
II.
III.
Mortality
Shorter hospital stay
Rehabilitations will restore morbidity and enable patients to resume their
daily activities and will not remain the burden on state and their families.
Revenue generation from other sources.
All the parallel, the project has equally good prospects of Revenue Generation
through.
 Private Rooms
 Out sourcing of various venues like care parking, cafeteria, pharmacy shop,
diagnostic investigation etc.
Patients have to travel to bigger cities to avail most of the sophisticated health care
facilities. This creates lot of social problems for the already suffering patients and
their families. These problems will mostly be alleviated through provision of such
facilities at a lesser distance of drainage area and remote place like Okara.
A large number of employment opportunities will arise from the
establishment of 425 Bedded DHQ Hospital Okara. The medical doctors,
nurses and paramedics who are trained in this discipline or intend to
specialize in this field can make maximum use of training and research
facilities.
Page 6 of 6
The opportunities for employment would be an on going feature of the
project coupled with development of human resources.
Environmental
impact.
Impact of delays on
v
project cost and
viability.
Implementation
12
Schedule
Management structure
and manpower
requirements
13
including specialized
skills during
execution and
operational phase.
Iv
No risk for environment.
Additional funds will be demanded due to increase in the market rates.
1- Completion of Building work as per schedule.
List attached
Additional Projects/
decisions required to
maximize socio14
economic benefits
from the proposed
project
This proposed center will provide the required facilities of all nature for
general patients. Due to non availability of interventional, diagnostic &
cardiac & neuro surgical facilities, the patients are referred to other hospitals
at Lahore, Multan & Islamabad. With the establishment of this center at
DHQ Hospital Okara, will be able to provide facilities to all these patients,
who are usually very poor and cannot bear even the expenditure of journey
to big cities for treatment.
Certified that the
Project proposal has
been prepared on the
15 basis of this reaction
provided by planning
commission for
preparation of PC-IV.
It is certified that Project prepared on PC-I from is as per instructions
provided by the planning commission for social sector projects.
PREPARED BY:
Medical Superintendent
DHQ Hospital Okara
CHECKED BY:
Executive District Officer (Health)
Okara
APPROVED BY:
District Coordination Officer
Okara