(1)
ND
2
REVISED
PC – 1
FOR
CONSTRUCTION OF 100 BEDDED
MIAN MUHAMMAD SHAHBAZ SHARIF
GENERAL HOSPITAL MULTAN
(60 BEDDED – PHASE-I)
IN THE LIGHT OF ROUGH COST ESTIMATES PREPARED BY
THE PROVINCIAL BUILDING
DIVISION, MULTAN
(2)
(3)
ND
2
REVISED
PC – 1
FOR
CONSRUCTION OF 100 BEDDED
MIAN MUHAMMAD SHAHBAZ SHAREEF
GENERAL HOSPITAL, MULTAN
(60 BEDDED PHASE-I)
IN THE LIGHT OF ROUGH COST ESTIMATES PREPARED BY
THE PROVINCIAL BUILDING
DIVISION, MULTAN
BUILDING PORTION
FURNIURE / INSTURUMENTS /
EQUIMENTS / BEDDING &
CLOTHING
TOTAL COST OF THE PROJECT
OPERATION AND MAINTENANCE
COST
Rs.216.670 (MILLION)
Rs.198.865 (MILLION)
Rs.415.535 (MILLION)
Rs.52.653 (MILLION)
(4)
INDEX
Page
1.
BIRD EYE VIEW OF REVISED PC-I
2.
P.C-1 FROM
3.
DETAIL OF BEDS.
4.
ESTIMATED COSTS FOR FURNITURE,
INSTRUMENTS, ELECTRO MEDICAL
EQUIPMENTS AND BEDDING
CLOTHING etc.
MANPOWER FOR OPERATION
COMPLETION OF PROJECT.
RCE FORWARDED TO CHIEF
ENGINEER (SOUTH ZONE) LAHORE
COMPARISON OF PURCHASED
EQUIPMENT 2013-14
COMPARISON OF PURCHASED
EQUIPMENT 2014-15
COMPARATIVE STATEMENT FOR THE
PURCHASE OF EQUIPMENT 2014-15
5.
6.
7.
8.
9.
(5)
BIRD EYE VIEW OF 2ND REVISED PC – 1
CONSTRUCTION OF MIAN MUHAMMAD
SHAHBAZ SHARIF GENERAL HOSPITAL, MULTAN
CAPITAL COST
COST OF BUILDING PORTION
RS. 216.670 (MILLION)
COST OF FURNITURE/ FIXTURE
COST OF MEDICAL EQUIPMENT
COST OF OTHER MISC ITEMS
COST OF PLANT & MACHINERY
COST OF TRANSPORT
COST OF IT EQUIPMENT (HARD & SOFTWARE)
RS.18.576 (MILLION)
RS.93.976 (MILLION)
RS.1.933 (MILLION)
RS.72.574 (MILLION)
RS.11.390 (MILLION)
RS.0.416 (MILLION)
TOTAL
RS.415.535 (MILLION)
ANNUAL RECURRING COST
TOTAL PAY OF STAFF
TOTAL OF ALLOWANCES
TOTAL OPERATING EXPENSES
RS. 10.081 (MILLION)
RS. 10.131 (MILLION)
RS. 32.440 (MILLION)
TOTAL
RS. 52.653 (MILLION)
GOVERNMENT OF PAKISTAN
(6)
PLANNING COMMISSION
PC- 1 FORM
REVISED 2005
1. NAME OF PROJECT
Construction of 100 Bedded Mian Muhammad Shahbaz
Sharif General Hospital, Multan. (Phase-I)
2. LOCATION
District Multan
3. AUTHORITIES RESPONSIBLE FOR:
i.
Sponsoring.
i.
Provincial Government.
ii.
Execution.
ii.
Provincial Building Department.
iii.
Operation & Maintenance.
iii.
Health Department, City District Government Multan
iv.
Concerned Provincial Ministry.
iv.
4. (a) Plan Provision.
Total
Block
Provision.
-
Through Provincial ADP 2014-15 with allocation of
Rs.63.607 Million (Capital Rs.23.477 + Revenue
Rs.40.130)
Amount Already Committed.
A.A
Revise A.A
Capital
Rs.212.021
Revenue
Rs.127.178
O&M
Rs.38.931
Total
Rs.378.130
Provincial Health Ministry.
Capital
Rs.212.021
Revenue
Rs.198.865
O&M
Nil
.
Total
Rs. 410.886
Amount proposed for this
Project.
Excess
Capital
Rs.216.670
Revenue
Rs.198.865
O&M
Rs. Nil
Total
Rs.415.535
Capital
(+)Rs.4.649
Revenue
(+)Rs. Nil
O&M
Rs. Nil
(-)Total
Rs.4.649
Capital
(b) Provision in the Current year
PSDP/ADP
Revenue
2011-12
30.000
-
2012-13
2013-14
2014-15
105.000
70.918
23.477
158.735
40.130
(7)
The specific objectives of the project are:5. Project objectives and its relationship
with Sectoral objectives.

To provide high quality emergency services on the latest
scientific grounds to widely scattered population of low
socioeconomic income group

To deliver routine medical, surgical services by well
trained, skilled, well oriented, well equipped staff.

To provide consultant advice by highly educated
consultants from all disciplines

To provide routine and emergency gynaecological /
obstetric coverage to poor women

To provide preventive services to mothers and infants

To give good aesthetic sense by providing good looking
building in the city

To minimize the morbidity rate by providing preventive
, curative and promotive health care services

To minimize the handicapped by giving rehabilitation
services

To provide indoor / outdoor training facility to house
officers

To provide the educational facilities to general nursing
students /paramedical students

To achieve optimum improvement in health indicators
Relationship with Sectoral objectives.
Government of the Punjab Health Department is in the
process of undertaking number of initiatives to improve
health care delivery system in the province. The Govt.
of the Punjab is firmly committed to provide health care
services at the doorstep of community through
integrated approach. A number of projects to improve
emergency health care services particularly targeting on
the promptness and quality have been initiated.
Although major focus is on disease prevention and
health promotion strategies, providing specialist health
cares services to victims of various diseases in the
patients is one of the top most priority.
The instant project will be a major link of health
department with line departments
mainly the linkage with social welfare and human
empowerment, labour and manpower, Education
Department, District Government and Law Department.
The working of the project will be in a vibrant
(8)
environment in the holistic manner. The scope of the
project itself aims to establish horizontal linkage with
all the stakeholders through multi-sectoral approach.
The health care facilities and on going services
provided in the hospital will seek strength and viability
from its linkage and public ownership.
The Project is in line with Policy Initiative for Health
and fully augment the objectives of Health Sector
Justification for Revision
The scheme was originally approved at the total cost of
Rs.378.130 Million (Capital Rs.212.021 + Revenue
Rs.127.178 + O&M Cost Rs.38.931) vide Government of
the Punjab Health Department No. PO(D-II)2-232/10 (VolI) dated 17-12-2013.
The scheme requires revision due to:
i.
Price variation in Civil work component
ii.
Change in prices & quantity of equipment (on the
basis of Financial bids opened)
Revised rough cost estimate for Building & Equipment
components has been prepared and submitted for approval
by PDWP
6. Description, justification and
technical parameters.
Project Description
20 Bedded Civil Hospital at Multan is providing health
care services to more than 1400,000 people of Tehsil city.
It is a part of secondary Health Care System and a referral
hospital for the primary health care institutions. It was
upgraded from 61 Beds to 125 Beds in 1995, but again
reverted into Civil Hospital with initial bed strength. At
present Children Hospital is functioning on major portion
of the building leaving behind Civil Hospital into only 20
functional beds. The Government of the Punjab initiated
construction of 268 Bedded DHQ Hospital Multan at
Sher Shah Multan By Pass which has been converted
into Kidney Centre Multan in March 2011. Resultantly
there is tremendous pressure on existing public sector
hospitals.
The Government of the Punjab, Health Department
letter No. PO(Dev-II)2-232/10, dated 10-05-2010
demanded feasibility report for 100 Bedded Hospital at
the proposed site, the scope for 100 Bedded Mian
(9)
Muhammad Shahbaz Sharif General Multan was
forwarded to Chief Architecture Punjab Architecture
Department Lahore vide No. 16956/EDO(H) dated 2010-2011.
The Health Department prepared PC-I amounting to
Rs.746.581 Million which was discussed in the prePDWP meeting held on 28-09-2011 and directions were
issued for reduction in total cost of the project.
Accordingly Health Department proposed the said
hospital to be executed in two phases, the scope was
forwarded to Chief Architecture Punjab vide
No.16953/EDO(H) dated 20-10-2011 for preparation of
drawings. The drawings duly prepared by Chief
Architecture Department received vide No.CA/DAI/ADA1868 dated 28-10-2011 which has been vetted by
Health Department vide No.PO(D-II)2-232/2010, dated
14-11-2011.
The scheme envisages the construction in two phases:1ST. PHASE
1.
Main Building (vertical)
a. Ground Floor
19430 Sft
b. First Floor
18400 Sft
c. Second Floor
18400 Sft
d. Mumty
500 Sft
2.
3.
B-Services Block
a. Lower Ground Floor
b. Upper Ground Floor
c. First Floor
d. Mumty
3700 Sft
3700 Sft
3700 Sft
500 Sft
C-Additional Items
a. Boundary Wall with 2 Nos. Gate and
Gate Pillar
b. Over Head Water Reservoir
c. ½ Cusic Turbine Pump
d. Construction of Parking Sheds
e. Hospital Bed Lifts
f. Electric Sub Station/ Fire Alarm / Fire
Fighting System
g. 250 KVA Generator
h. Provision of Close Circuit TV system/
Networking
i. Face lifting (Gutka)/ Tiles/ Roof
(10)
j.
k.
l.
m.
n.
o.
insulation
Additional Cost for deep foundation
15% External Development Charges
Electric Installation with Transformer
Sui Gas external connection with
internal fitting
WASA connection
2.5% consultancy Charges
2ND PHASE
a. Lower Ground Floor
3700 Sft
b. Medical Gases & Laundry
Project rationality
Health Status of the population in Pakistan is far below
the countries with similar or even lower performance in
the economic sectors, mainly because the social sector
development in Pakistan could not keep pace with the
economic development. The investment made in the
social sectors in the past was not enough to meet
growing social services needs of the rapidly expanding
population. The implication of over population on
Health resulted into: Shortage of Health Facilities

Over crowding in Hospitals

Deteriorating level of Medical Services

Food shortage and Mal nutrition

Congestion in living space

Environmental Health problems
A 20 Bedded Civil Hospital Multan is rendering
Indoor/ out door services in the area. The
population of the Tehsil Multan City is more than
1404,914 souls. The Health statistics of the District are
far beyond than desired.
Civil Hospital Multan is working in the premises of
Children Hospital/ Complex Multan with squeezed bed
strength of 20 Beds, this 100 Bedded Mian Muhammad
Shahbaz Sharif General hospital will be beneficial for
(11)
the population of walled city of Multan
Project Justification
Construction of 100 bedded Main Muhammad Shahbaz
Sharif General Hospital in Multan City will enhance the
efficiency of public sector in provision of high quality
and effective health care services to all, particularly the
poor and disadvantaged in a cost effective, efficient and
responsive manner to have a sustainable universally
accepted health standards in the District.
Technical Parameters
The plan shall envisage the concept of modern curative
and preventive rehabilitative and specialist services
starting with the building design to cater for prompt
resuscitation, intensive care and monitoring, isolation
and infection control, dedicated operation theatres and
appropriate in patients accommodation for patients.
Gynae / Paeds section of the hospital has been deleted
keeping in view adjacent Gynae/ Paed Hospital
PHASE-I
 Ground Floor
o Emergency
o OPD 1, 2, 3
 First Floor
o Medical Ward
o Diagnostic
o Admin
 Second Floor
o Surgical Ward
o Operation Theatre
o ICU
o CSSD
 Service Block
o Lower Ground Floor
 Laundry
 Generator Room
 Equipment Store
 Maintenance Store
(12)
o Upper Ground Floor
 Cafeteria/ Store
o First Floor
 Patient Attendants Sitting
b) PATIENT MANAGEMENT
PROTOCOL
EMERGENCY:
1.
2.
3.
Initial reception and computerization of data, issuance of
medical record number and preparation of record file.
Patients seen by C.M.O. initial assessment (brief history and
physical examination) is entered on the emergency slip / file
initial treatment is started.
C.M.O. calls the medical officer / house officer of the relevant
department who takes on of the following action:-
(i)
(ii)
(iii)
4.
Discharges the patient from emergency department
after the patient is stabilized (himself or after
consultation)
Returns the patient in emergency department and
inform the consultant or call such patient is either
discharged after some time i.e 2 hours of admitted
later on.
Patient is straight away admitted by the medical
officer himself or in consultation with the consultant.
A separate record is maintained by each department. Each
patient is discussed at the morning meeting and any pitfalls in
management are corrected.
5. The patient who is admitted is again entered into the computer
in the ward, complete history and physical examination is
carried out and relevant lab & radiological investigations are
ordered. (If not already done in the emergency department).
6. The definitive management is either started by the medical
officer himself or in consultation with the consultant.
(telephone or physically). The patient is prepared for surgery
if required.
7. At the evening round of the ward, the patients admitted
throughout the day (through OPD or emergency) are seen by
the specialist. Appropriate changes in the management are
carried out.
8. During the night medical officer & house officer will be on
duty and they will remain in contact with consultants.
9. In the morning round all the new admissions and old patients
are thoroughly discussed management / treatment changed,
surgery ordered or discharge ordered.
10. The discharge certificate is either prepared by the house
officer or medical officer. If prepared by the house officer, it
is countersigned by the medical officer / registrar.
(13)
11. Appropriate changes are made in the computer record after
discharge. The file is sent to the central record.
O.P.D.
1.
After the initial registration and issuance of computerized
number patient is sent to the relevant medical officer with the
OPD slip / file.
2.
The medical officer / house officer of the relevant department
performs the initial assessment. The medical officer himself
advise the treatment / investigation and refers the patients to the
specialist or admits the patient.
3.
After admission, the same routine is followed which has
been mentioned in the case of admission through emergency.
DEATH OR END OF LIFE MANAGEMENT.
1.
The decision regarding resuscitation is made at the initial
stages by the medical officer / house officer or specialist in
consultation with the patient himself and / or attendants.
2.
The DNR (Do Not Resuscitate) patients are only seen by the
medical officer / house officer at the time of death.
3.
For the patients to be resuscitated, a special code (blue code)
is declared when patient go onto cardiac or the terminal
events.
4.
The policy for very sick / terminal and dying patients is
formulated at the hospital administration level and appropriate
modifications are decided the relevant department for each
patients.
Every death is discussed weekly at the mortality committee at
the department and at the hospital level cleared by the Medical
Superintendent.
5.
PROJECT MONITORING COMMITTEE
A Project Monitoring Committee is hereby constituted as
under to monitor the project regarding constricting of Mian
Muhamamd Shahbaz Sharif General Hospital Multan.
i.
E.D.O. (H), Multan.
(Chairman).
ii.
Nominee of City District Nazim.
(Member)
iii.
Nominee of DCO
(Member)
iv.
District Officer Planning.
(Member)
(14)
v.
Executive Engineer, Building.
(Member)
vi. MS Govt. SSG Hospital Multan, (Secretary/ Member)
The committee will monitor the progress of the project and will hold
regular meeting in the last week of every month to review the progress.
7. Capital cost estimates.
a. Cost of Building portion.
RS.216.670 (MILLION)
b. COST OF FURNITURE/ FIXTURE
COST OF MEDICAL EQUIPMENT
COST OF OTHER MISC ITEMS
COST OF PLANT & MACHINERY
COST OF TRANSPORT
COST OF IT EQUIPMENT
RS.18.576 (MILLION)
RS.93.976 (MILLION)
RS.1.933 (MILLION)
RS.72.574 (MILLION)
RS.11.390 (MILLION)
RS.0.416 (MILLION)
Total.
415.535 Million.
Detail of cost of civil work, equipments, instruments,
furniture & bedding/clothing is attached.
COMPONENT WISE, YEAR WISE PHYSICAL ACTIVITIES.
ITEM.
UNIT.
YEAR-I
YEAR-II
YEAR-III
YEAR-IV
YEAR-IV
2011-12
2012-13
2013-14
2014-15
2015-16
14%
63%
96%
A.
Civil Work.
B.
Instruments other
60%
80%
equipment.
YEAR WISE/COMPONEAT WISE FINANCIAL PHASING.
YEAR
CIVIL WORKS
100%
INSTRUMENTS &
100%
TOTAL
OTHER EQUIPMENTS
YEAR-I
2011-12
YEAR-II
2012-13
YEAR-III
2013-14
YEAR-IV
2014-15
LOCAL
30.000
-
30.000
-
-
-
TOTAL
30.000
-
30.000
LOCAL
105.000
-
105.000
-
-
-
TOTAL
105.000
-
105.000
LOCAL
70.918
119.910
190.828
-
-
-
TOTAL
70.918
119.910
190.828
LOCAL
23.477
40.130
63.607
-
-
-
FEC
FEC
FEC
FEC
(15)
YEAR-IV
2013-14
TOTAL
TOTAL
23.477
40.130
63.607
LOCAL
-
38.558
38.558
FEC
-
-
-
TOTAL
-
38.558
38.558
LOCAL
229.395
198.598
427.993
-
-
-
229.395
198.598
427.993
FEC
TOTAL
8. Annual operating and Maintenance cost after
Completion of the project.
9. Demand and Supply Analysis
Recurring cost after completion of the project will Rs.52.653
Million (attached)
No modern health facilities scientific diagnostic and adequate
health care facility is presently available within walled City of
Multan
This hospital will cover all sorts, departments and components
of health care including Medical Surgical Psychiatric Cardiac
ENT. Ophthalmic and Paedtrician components, more over
special attention about women health i.e. Guyanese and
obstetric will be emphasized.
In emergency calamities and natural disaster valuable lives
will be saved through this facility.
INVENTORY CONTROL SYSTEM
With the view to ensure transparency and efficiency a vibrant,
interlinked and fool proof inventory control system has been
proposed. The inventory control system shall be in fat a
coherent mechanism having closer and frequent integration
with other systems of the organization like financial
management system monitoring system patient reporting
system 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, equipment, disposables,
surgical etc. Thus identifying need for either procurement or
other appropriate action planning / action as and when
required. In other words the inventory control system will also
enable the managements to design their plans and take actions
according to the needs of the organization.
The proposed projects will encompass various facilities for
store items like machinery equipments general store items,
medicines, surgical / disposables, medical gases, linen,
stationary, chemicals and transport. The inventory control will
be computerized and a database shall be established alongwith
its peripheral stations as sub data basis. The inventory control
system will generate hard copies for record verification and
audit purposes. The entry of various items shall be made in
professionally designed soft ware 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
(16)


also be controlled and monitored through closer supervision
and checks and balance system build in the soft ware. The
stock and expense of durable and consumable items will be
kept in the system and also as hard copies. The main stores
computers will be linked with the sub stores computers
through net working. The areas like emergency. Out Patient
Department, Indoor Registration desks, Laboratory and
Radiology Department, ICUs, etc, will have linkages with the
main and sub stores 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 details of account shall be link with the
financial and according control system.
A schematic plan of inventory control system is depicted as below:
INVENTORY CONTROL SYSTEM
Sub Databases
Computerized
Other System
General Items
Machinery &
Equipment
Central Database
Patients Satisfaction
Reporting System
Machines/Surgical
/disposable Items
Professionally
Designed Software
Clinical Management
Information System
Chemical Stores &
Medical Gases
Head Copies for
Record Verification
Performance
Appraisal System
Linen
Stationary Items
To ensure efficient stock keeping in transparent manner.
The authorization for access to this inventory control system will be categorized so that clinicians,
managers, nurses and ministerial staff could make judicious use of this electronics facility. In order to ensure
provision of high standard and specialized facilities in the said project apart from inventory control system some
other systems will be introduced and practiced. Some of these are as under:1.
PATIENTS SATISFACTION SYSTEM:
(17)
To know about the quality of services as feedback from patients and their attendants.
CLINICAL MANAEGMENT INFORMATION SYSTEM:
To keep record and track of patients for information and guidance for the doctor and
nurses / paramedics.
3. PERFORMANCE APPRAISAL SYSTEM:
By the assistance of performance indicator, to access the performance of staff viz a viz
resource utilized for carrying out difference procedures and operations etc.
2.
10. Financial Plan and mode of financing
11. Project Benefits and Analysis
i.
Financial
The project will be executed on cost sharing basis Government of
Punjab. In respect of building and structure equipments and
other allied requirements like recurring operating expense
including medicines and surgical disposables are over Government
of the Punjab. Health Department will also take up
establishment portion of the project through regular budgetary
grant while annual budget . Since the project aimed to
providing special services to the paying clients a substantial
revenue generation is anticipated through private room. Coupled
with these said project is likely to out source its certain venues.
FINANCIAL BENEFITS & ANALYSIS
There is direct need of financial / budget for requirements of
entire staff. There is no Hospital in the area of Mian Muhammad
Shahbaz Sharif General Hospital Multan financial expenditure for
infrastructure equipments and recurring charges is required.
The yardstick of staff is in accordance with international level
and as reflected by Health Department Tremendous public
will be benefited from this institution specially.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Mortality rate will be decreased.
Health standard of public will enhance.
Better Health Facilities to mother and child.
Prompt and scientific facility for operations.
Rehabilitation of disables and injured.
Blindness in this area will be decreased and controlled.
Better social and mental health to addict.
Provision of better health facilities at doorsteps.
Awareness and control of communicable diseases.
Survival of heart failure patients.
This all will decreased load of patients on teaching
hospital and specialized institution by promoting physical and
mental health and adopting preventive and Hygienic principal
the number of patients and diseases will decrease resultantly
budget lowed of Government for treatment and saving will be
utilized for development programmes.
It is expected that more than five Lacks patients will visit
out patient department about 35000 patients will get admission
more than 15000 procedure and about 10000 major operations
will be carried in newly established Mian Muhamamd
(18)
Shahbaz Sharif General Hospital Multan in a year. This project
will also provide M.C.H care facilities to more than one Lac
Patients. The family planning services trainings of Doctors and
paramedics shall also be provided.
REVENUE GENERATION.
Revenue will be generated from
1. Out door patients
2. Laboratory fees.
3. Diagnostic facility fees.
4. X-Ray and ultra sonography.
5. From other fees prescribed by Government.
6. From private rooms.
The Targets of MDGs will be achieved.
SOCIAL BENEFITS WITH INDICATORS.
ii. Social benefits with indicators
iii. Employment generation (direct
and indirect)
iv. Environmental Impact.
v. Impact of delays on project cost and
viability
Social economic burden will be decreased due to availability of
better medical services in the district. Time and money of
community will be saved which were expended in other cities like
Lahore. Islamabad etc on treatment of patient and for boarding and
logging of attendance. The social status of community will up rise.
Establishment of Mian Muhammad Shahbaz Sharif General
Hospital Multan will lead to generation of employment in the
highly skilled professional fields to staff of lower scale of
unskilled nature leading to reduction of unemployment and to the
job satisfaction to the skilled and needy members of the society. A
large number of employments opportunity raised from the
establishment
of the
project.
The Medical doctors and
paramedics who are trained in this discipline or intended to
specialize in this field can make maximum use of training. 46
Gazetted & 119 Non Gazetted post will be available for
employment.
It will have no hazardous effect on the environment
On the other hand addition of green belts to the area will provide
healthy environment and relaxation / comfort to the general public.
Establishment of proposed project will enable a very
positive impact on the society by relieving their diseases and
making them useful member of the society. This will also lessen
load of dependant individual beggars and criminal. This facility
will help to provide sign of relief in different segments of society
who have been demanding the same for comprehensive care of
specialties cases. The impact of this facility will be everlasting
to improvise stability through technical assistance of experts.
Delay in the implementation of the project will lead to increase
in cost and increase financial burden on the government and
general population of this area will continue
to suffer for
longer period of time incoming. Since the project is one of
(19)
the major needs and has been a long awaited desire of the
community therefore government of the Punjab contemplated
plan for early execution of District Headquarter Hospital. The
delay will not only deprived the victims of the state of the art
facility but also distort the public image. In case of delay the
price hike in coming years in one of the major threats in its
completions Being a specialized health care facility. The capital
as well recurring cost will be increase alarmingly with even
delay of months. The project is an on-going facility which vibrant
mechanism in place for its sustainability.
12. Implementation schedule
If approved project will be completed within (5) financial years.
Building will be completed within (3) and purchase of
equipments and recruitment of manpower will take two years.
13. Management Structure and Manpower Requirements
(i) Administrative Arrangements
MANAGEMENT STRUCTURE
Institution will be run under the administrative control of Medical
Superintendent, who will control this with the collaboration and
cooperation of Additional Medical
Superintendent and
Deputy Medical Superintendent. Each medical and surgical unit
will be further controlled by head of concerned department.
While the account section will be headed by accounts officer.
Similarly budget and finance sorts will be controlled by
Budget & Finance Officer Official record will be kept up to date
under the supervision concerned Office Superintendent.
(ii) Manpower during Execution and
Operation of the Project.
Detail of manpower for operation is attached.
(iii) Job Description, Qualification,
experience, age and Salary of each job.
Detail attached.
14. Additional projects / decisions required to
maximize socio – economic benefits from the
proposed project.
Following additional services in this 70 bedded state of the Mian
Muhammad Shahbaz Sharif General Hospital Multan (Phase-I) will
increase the utility / benefits of the project and maximize socioeconomic benefits.
1.
Increase of beds upto 100 Beds
2.
Provision of Rehabilitation Centre.
3.
Provision of Burn Unit.
4.
Provision of Post Graduate Nursing College.
(20)
5.
Provision of Public Health Nursing School.
6.
Provision of Paramedical School.
7.
Training Facility of Doctors, Paramedics, Nurses etc by
provision of District Health Development Centre.
15. Certified that the project proposal has been prepared on the basis of instructions provided by
the Planning Commission for the preparation of PC-1 for Social Sector projects.
PREPARED BY:-
MEDICAL SUPERINTENDENT,
MIAN MUHAMMAD SHAHBAZ SHARIF GENERAL HOSPITAL
MULTAN
CHECKED BY:-
EXECUTIVE DISTRICT OFFICER (HEALTH),
CITY DISTRICT GOVERNMENT,
MULTAN
APPROVED BY:-
SECRETARY,
GOVERNMENT OF THE PUNJAB,
HEALTH DEPARTMENT,
LAHORE.
(21)
DETAIL
OF
BEDS
(22)
DETAIL OF BEDS.
Sr.No.
Name of Ward.
MALE BED
FEMALE BED
TOTAL.
1.
Medical ward
15
10
25
2.
Surgical ward
10
10
20
3.
Orthopedic ward
5
5
10
4.
Eye ward.
10
5
20
5.
ENT ward.
10
10
20
6.
Emergency ward
3
2
5
7.
ICU
3
2
5
Total.
100