Project Title:                                                                                                                                                            INTEGRATED MOBILE MEDICAL SERVICES FOR VULNERABLE HILL COMMUNITIES IN SIRUMALAI (Hills), DINDIGUL DISTRICT, TAMIL NADU INDIA.

 

Submitted to:

Submitted by:

COMMUNITY ORGANISATION FOR SOCIAL TRANSFORMATION (COST) TRUST, Erandellaiparai Dindigul-624003

Tamil Nadu.

 

Project Duration:                 12 Months

Project Location:                 Sirumalai Panchayat, Dindigul District,    

                                              Tamil Nadu, India

Geographic Coverage:         5 underserved hill villages

Proposed Beneficiaries:      Approximately 2,500–3,500 people

Total Project Cost:               ₹60,50,000

Funding Requested:    ₹54,45,000

Date:

1. EXECUTIVE SUMMARY

Community Organisation for Social Transformation (COST) Trust proposes a one-year Integrated Mobile Medical Services Project to improve access to essential primary healthcare for vulnerable families living in five underserved hill villages of Sirumalai Panchayat, Dindigul District, Tamil Nadu.

The selected communities face practical barriers in accessing timely healthcare. Difficult hill terrain, limited transport, travel costs, loss of daily wages, poverty and the distance to established medical facilities can discourage families from seeking care at an early stage. For elderly people, women, children and people with chronic health risks, these barriers can be especially significant.

The proposed project will establish a fully equipped Mobile Medical Unit capable of taking basic healthcare services directly into the five hill communities. The service will combine medical consultation, preventive screening, essential medicines, basic diagnostics, women's and children's health support, elderly care, non-communicable disease screening, health education, referral and patient follow-up.

A small Sirumalai Mobile Health Administration and Medicine Centre will support the field programme. This centre will coordinate village schedules, maintain beneficiary records, manage medicines and consumables, support staff administration, maintain project documentation and coordinate referrals.

The first-year project investment of ₹60.50 lakh includes the establishment of the mobile medical van, medical equipment, administration/medicine centre, professional personnel, essential medicines, diagnostics, fuel and maintenance, community outreach, referral support, monitoring and reporting.

The project is designed as a sustainable community-health asset, rather than a series of temporary medical camps. At the end of the first year, the community will retain the mobile medical vehicle, equipment, systems, trained relationships and service infrastructure developed

2. ORGANISATIONAL PROFILE

2.1 Organisation Details

Particular

Organisation Information

Name of Organisation

Community Organisation for Social Transformation (COST) Trust

Short Name

COST Trust

Legal Form

Public Charitable Trust, CSR-1,12A, 80G & FCRA

Country: India

State:Tamil Nadu

District:Dindigul

Organisation Address: Erandellaiparai, Dindigul – 624003, Tamil Nadu, India

Primary Working Areas

Rural and hill-community development, housing, water, health,child and community development

Current Proposal Area

Sirumalai Panchayat, Dindigul District

Project Duration

12 Months

Primary CSR Theme

Community Health / Preventive Healthcare / Rural Development

Proposed CSR Partner

DSV

Total Project Budget

₹60,50,000

 

3. ABOUT COST TRUST

Community Organisation for Social Transformation (COST) Trust is a public charitable organisation working with vulnerable and economically disadvantaged communities in Tamil Nadu.

The organisation's approach focuses on identifying community needs and developing practical interventions that improve living conditions, access to basic services and opportunities for vulnerable families.

COST Trust's experience has included community-oriented initiatives related to:

1. Health Care through Rural Health Centre, Mobile Clinic.

2. Housing support for poor and vulnerable families.

3. Water and basic community infrastructure.

4. Rural and hill-community development.

5. Support for children and disadvantaged families.

6. Community health and healthcare access.

7. Social mobilisation and local community participation.

Based on the organisation's previous programme experience, COST Trust has implemented housing and water-related interventions during 2015–2025 that benefited approximately 2+Laks people, demonstrating experience in delivering community-based projects and working directly with vulnerable households.

COST Trust proposes to apply this community-based approach to healthcare access in Sirumalai.

4. ORGANISATIONAL VISION

Vision: To contribute to a more equitable society in which poor, vulnerable and geographically isolated communities have access to essential services, dignity, opportunity and improved quality of life.

Mission: To work together with underserved communities, local stakeholders and responsible partners to develop practical, sustainable and community-driven solutions addressing poverty, health, housing, water, education and livelihood-related challenges.

Core Values

Dignity – Every person should be treated with respect.

Inclusion – Vulnerable people should not be excluded because of poverty, geography, age, gender or disability.

Community Participation – Solutions should be developed with communities rather than only for communities.

Transparency – Resources should be used responsibly and documented properly.

Accountability – Projects should have measurable outputs and outcomes.

Sustainability – Programmes should create benefits that can continue beyond the initial funding period.

5. PROJECT BACKGROUND

Sirumalai is a hill region in Dindigul District where communities live across a challenging geographical environment.

For vulnerable families, healthcare access can be affected by the combination of:

1. Geographic isolation.

2. Hill roads and transport difficulties.

3. Limited access to frequent medical consultations.

4. Travel costs.

5. Loss of income for daily-wage workers.

6. Limited health awareness.

7. Delayed diagnosis.

8. Difficulty in maintaining regular follow-up.

9. Particular barriers for elderly people, women and children.

 

The practical question is: Can a vulnerable family reach appropriate healthcare at the right time?

The proposed Mobile Medical Unit aims to address this access gap.

6. PROBLEM STATEMENT

The five selected hill villages are expected to include households that depend significantly on daily wages, agriculture, plantation work and informal livelihoods.

When a family member becomes ill, seeking treatment may require:

• Travelling outside the immediate community.

• Paying transport expenses.

• Spending several hours away from work.

• Losing income for the day.

• Managing additional treatment or diagnostic expenses.

For a family already living with economic insecurity, these costs can encourage delayed treatment.

Delayed healthcare can increase the risk that:

1. A minor illness becomes more serious.

2. Hypertension remains undiagnosed.

3. Diabetes is detected late.

4. Elderly people discontinue treatment.

5. Women delay preventive care.

6. Children miss timely health attention.

7. High-risk cases are not referred early.

The proposed project therefore focuses strongly on early access, prevention and referral, not only curative treatment.

7. PROJECT GOAL

To improve equitable, timely and affordable access to essential primary healthcare for vulnerable families in five underserved hill villages of Sirumalai Panchayat through a sustainable Mobile Medical Unit and community-health outreach system.

8. SPECIFIC OBJECTIVES

During the 12-month project period, COST Trust will aim to:

• Establish and operate one fully equipped Mobile Medical Unit.

• Establish a small administration and medicine-storage centre in Sirumalai.

• Provide scheduled mobile medical services to five underserved hill villages.

• Reach approximately 2,500–3,500 community members.

• Provide approximately 3,000 consultations and/or health screenings.

• Provide essential medicines for appropriate primary-healthcare needs.

• Conduct regular BP, blood-glucose and other basic health-risk screenings.

• Provide health education and preventive-health counselling.

• Support women, children and elderly people with appropriate health guidance.

• Identify vulnerable patients requiring referral.

• Develop a referral and follow-up mechanism.

• Maintain patient/service records and project-level data.

• Strengthen community participation in local health access.

• Produce transparent financial, activity and impact reporting for DSV.

 

9. TARGET POPULATION

The project will prioritise vulnerable and underserved households in the five selected hill villages.

Priority Groups

1. Poor and economically vulnerable families.

2. Daily-wage labourers.

3. Hill and tribal communities.

4. Elderly persons.

5. Women and adolescent girls.

6. Children.

7. Persons with disabilities.

8. People at risk of hypertension and diabetes.

9. Families having trouble in accessing distant healthcare.

10. Patients requiring regular follow-up.

The project will maintain a non-discriminatory approach and provide services based on health need and vulnerability.

10. PROJECT COVERAGE

Geographic Area: Sirumalai Hill Panchayat, Dindigul District, Tamil Nadu

Coverage

5 underserved hill villages are 1. Sirumalai Pudur, 2. Kadman Kulam, 3. Thalakadai, 4. Agasthiyarpuram and 5. Thenmalai.

The final village names and beneficiary estimates will be confirmed through a baseline field assessment conducted at project inception.

The baseline will document:

1. Village population.

2. Number of households.

3. Vulnerable households.

4. Elderly population.

5. Women and children.

6. Existing health facilities.

7. Distance/travel constraints.

8. Commonly reported health concerns.

9. Community expectations.

10. Referral facilities available nearby.

 

11. THE MOBILE MEDICAL UNIT

The project will establish one dedicated Mobile Medical Van that will travel according to a fixed village service schedule.

 

Proposed Mobile Van Facilities

The van will include, subject to final technical specifications and quotations:

1. Doctor consultation area.

2. Patient examination area.

3. Examination couch.

4. Medical storage cabinets.

5. Medicine storage.

6. Secure equipment storage.

7. Basic diagnostic area.

8. BP monitors.

9. Pulse oximeters.

10. Thermometers.

11. Weighing equipment.

12. Glucose-testing facility.

13. Portable ECG.

14. Nebulizer.

15. Oxygen support equipment.

16. First-aid and emergency equipment.

17. Appropriate electrical/backup-power arrangements.

18. Medical refrigerator/cold-storage provision where required.

19. Internal lighting.

20. Ventilation.

21. Safety equipment.

22. External project branding.

The National Health Mission's Mobile Medical Unit framework also recognises the need for appropriate medical/paramedical staffing and a vehicle-based service model.

12. SIRUMALAI ADMINISTRATION & MEDICINE CENTRE

A small centre will provide the operational backbone for the project.

Functions

Administration

1. Staff coordination.

2. Village scheduling.

3. Attendance and duty records.

4. Procurement records.

5. Communication.

Medicine Management

1. Secure medicine storage.

2. Stock register.

3. Expiry-date monitoring.

4. Monthly stock verification.

5. Replenishment planning.

6. Distribution documentation.

Patient Records

1. Beneficiary registration.

2. Consultation records.

3. Screening results.

4. Referral records.

5. Follow-up records.

Project Coordination

1. Community mobilisation.

2. Medical team scheduling.

3. DSV reporting.

4. Documentation.

5. Monitoring and evaluation.

The centre is especially important because the mobile van should remain focused on field service delivery rather than becoming the sole storage and administrative location.

13. MEDICAL SERVICES

13.1 General Primary Healthcare

1. General consultation.

2. Basic clinical examination.

3. Common illness management.

4. Essential medicines.

5. Health counselling.

 

13.2 NCD Screening

1. Blood pressure.

2. Blood glucose.

3. Cardiovascular risk identification.

4. Lifestyle counselling.

5. Referral of high-risk cases.

 

13.3 Women's Health

1. Women's health counselling.

2. Reproductive-health awareness.

3. Maternal-health awareness.

4. Nutrition counselling.

5. Referral when required.

13.4 Child Health

1. Basic health screening.

2. Nutrition awareness.

3. Growth-related counselling where appropriate.

4. Identification of children needing referral.

 

13.5 Elderly Health

1. Basic health assessment.

2. NCD screening.

3. Medication adherence counselling.

4. Referral and follow-up.

 

13.6 Emergency First Response

1. First aid.

2. Basic emergency assessment.

3. Oxygen support where appropriate.

4. Referral/stabilisation according to clinical need.

 

14. COMMUNITY HEALTH EDUCATION

The project will not depend only on treatment.

Regular village sessions will address:

1. Personal hygiene.

2. Safe drinking water.

3. Sanitation.

4. Nutrition.

5. Maternal health.

6. Child health.

7. Adolescent health.

8. Prevention of communicable diseases.

9. Hypertension and diabetes prevention.

10. Tobacco and alcohol-related health risks.

11. Healthy lifestyle practices.

12. Early treatment seeking.

13. Importance of completing referrals and follow-up.

 

15. REFERRAL & FOLLOW-UP SYSTEM

The Mobile Medical Unit will not attempt to provide services beyond its appropriate scope.

Patients requiring higher-level medical care will be referred to appropriate health facilities.

Referral mechanism

Step 1: Screening / consultation
↓
Step 2: Identify risk or need for further investigation
↓
Step 3: Explain referral requirement to patient/family
↓
Step 4: Record referral
↓
Step 5: Link patient with appropriate health facility
↓
Step 6: Follow up
↓
Step 7: Record outcome where information is available

This will improve continuity between community-level service and higher-level healthcare.

16. HUMAN RESOURCES

The proposed first-year team is:

Position

Main Responsibility

Medical Officer / Doctor

Consultation, clinical decisions, screening, referral

Staff Nurse / Community Health Nurse

Patient assessment, nursing support, health education

Lab Technician / Medical Assistant

Basic diagnostic support and records

Pharmacist / Medicine & Records Assistant

Medicine management and dispensing support

Driver-cum-Support Staff

Safe vehicle operation and field logistics

Project Coordinator / Community Outreach Support

Scheduling, mobilisation, monitoring and reporting

The final staffing arrangement will comply with applicable professional and statutory requirements.

17. IMPLEMENTATION APPROACH

The project will use a community-first, village-based and scheduled approach.

Phase 1 – Establishment

Months 1–2:

1. Baseline survey.

2. Village mapping.

3. Beneficiary identification.

4. Community consultation.

5. Vehicle procurement.

6. Vehicle conversion.

7. Equipment procurement.

8. Administration centre establishment.

9. Staff recruitment/engagement.

10. Medicine procurement.

11. Referral mapping.

Phase 2 – Service Delivery

Months 3–10:

1. Regular mobile clinic visits.

2. Medical consultations.

3. Screening.

4. Essential medicines.

5. Health education.

6. Women/child/elderly support.

7. NCD screening.

8. Referral.

9. Follow-up.

 

Phase 3 – Consolidation & Evaluation

Months 11–12:

1. Final screening cycle.

2. Beneficiary review.

3. Referral follow-up.

4. Community feedback.

5. Outcome assessment.

6. Financial reconciliation.

7. Final CSR report.

8. Sustainability planning.

 

18. INDICATIVE 12-MONTH WORK PLAN

 Months

                         Key Activities

1

Baseline, village mapping, community consultations

2

Vehicle procurement/conversion, equipment and medicine setup, staff mobilisation

3

Mobile service launch in all five villages

4

Regular clinic schedule + health education

5

NCD screening + referral strengthening

6

Women and child health outreach

7

Elderly health and chronic-condition follow-up

8

Preventive-health campaign

9

Expanded screening and high-risk follow-up

10

Community health awareness and referral review

11

Final major screening and outcome review

12

Evaluation, community feedback, CSR reporting and sustainability plan

 

 

19. EXPECTED OUTPUTS

During Year 1, the project aims to achieve:

Direct Outputs

1. 1 fully equipped Mobile Medical Unit established.

2. 1 small administration/medicine centre established.

3. 5 hill villages covered.

4. Approximately 3,000 consultations/screenings.

5. 2,500–3,500 community members reached.

6. Regular medical service schedule established.

7. Essential medicine stock maintained.

8. Regular health-awareness sessions conducted.

9. Referral and follow-up system established.

10. Patient/service database maintained.

 

20. EXPECTED OUTCOMES

The project is expected to contribute to:

1. Improved access to primary healthcare.

2. Earlier identification of health risks.

3. Increased preventive-health awareness.

4. Better knowledge of healthy lifestyle practices.

5. Improved access for elderly and vulnerable patients.

6. Better referral of high-risk cases.

7. Improved continuity of follow-up.

8. Reduced practical barriers to initial consultation.

9. Stronger community-health linkages.

 

21. MONITORING & EVALUATION FRAMEWORK

Indicator

Target / Measurement

Villages covered

5

Mobile medical unit

1

Administration/medicine centre

1

People reached

2,500–3,500

Consultations/screenings

Approx. 3,000

BP screenings

Recorded monthly

Blood glucose screenings

According to clinical need

Women reached

Recorded separately

Children reached

Recorded separately

Elderly reached

Recorded separately

High-risk cases identified

Recorded

Referrals made

Recorded

Referral follow-up

Recorded

Health-awareness sessions

Regular monthly activities

Medicine utilisation

Monthly stock report

Community feedback

Periodic feedback

 

22. DETAILED FIRST-YEAR PROJECT BUDGET

Total Project Cost: ₹60,50,000

No.

          Budget Component

Amount (₹)

A

Mobile Medical Van – Capital Investment

1

Suitable new medical/passenger van platform

15,00,000

2

Professional medical interior conversion, consultation area, medicine cabinets, seating, work counter and storage

4,00,000

3

Medical refrigeration/cold storage, inverter/UPS, auxiliary power, lighting and safety fittings

1,50,000

4

Registration, road tax, branding, safety and initial documentation provision

2,00,000

Subtotal A

22,50,000

B

Medical & Diagnostic Equipment

5

Examination couch, clinical furniture and examination lighting

75,000

6

BP monitors, pulse oximeters, thermometers, weighing and vital-sign equipment

75,000

7

Glucometer, Hb/basic point-of-care diagnostic equipment and consumables

1,00,000

8

Portable ECG and cardiac screening equipment

1,25,000

9

Nebulizer, oxygen equipment, emergency medical kit and basic resuscitation equipment

1,25,000

10

Basic laboratory equipment and sample collection equipment

1,00,000

11

Minor medical instruments and reusable clinical equipment

1,00,000

Subtotal B

7,00,000

C

Sirumalai Administration & Medicine Centre

12

Rent/deposit provision for one year

1,20,000

13

Furniture, medicine racks, cupboards and storage

75,000

14

Computer, printer, internet, backup and basic digital records

75,000

15

Electricity, water, cleaning, communication and office operating expenses

80,000

Subtotal C

3,50,000

D

Medicines & Medical Consumables

16

Essential medicines

3,00,000

17

Medical consumables

1,00,000

18

Women's, children's and elderly-care consumables

50,000

19

Emergency/referral medicines and stock replenishment

50,000

Subtotal D

5,00,000

E

Human Resources – 12 Months

20

Medical Officer / Doctor

4,20,000

21

Staff Nurse / Community Health Nurse

2,40,000

22

Lab Technician / Medical Assistant

1,80,000

23

Pharmacist / Medicine & Records Assistant

1,80,000

24

Driver-cum-Support Staff

1,80,000

25

Project Coordinator / Community Outreach Support

1,20,000

Subtotal E

12,20,000

F

Vehicle Operation & Maintenance

26

Fuel and hill travel

2,40,000

27

Servicing, tyres, repairs and maintenance

1,20,000

28

Insurance provision

80,000

Subtotal F

4,40,000

G

Community Health Outreach

29

Village health-awareness meetings and preventive campaigns

60,000

30

IEC materials and health education materials

40,000

31

Community mobilisation and health volunteers

40,000

32

Women/children/elderly/NCD outreach

60,000

Subtotal G

2,00,000

H

Referral & Follow-up

33

Referral coordination and follow-up

40,000

34

Limited emergency/referral transport support

40,000

Subtotal H

80,000

I

Monitoring, Evaluation & CSR Reporting

35

Baseline assessment and registration

30,000

36

Data management and monitoring

30,000

37

Documentation, case studies, photography and reporting

30,000

Subtotal I

90,000

J

Contingency / Unforeseen Requirements

38

Minor equipment replacement, operational contingencies and price variation

2,20,000

Subtotal J

2,20,000

GRAND TOTAL [A-J]

₹60,50,000

 

Total Project Budget                                  --  ₹ 60,50,000/-

Organisation & Other Contribution (10%) –  ₹   6,05,000/-

Funding Requested:                 (90%) -  ₹  54,45,000/-                       (Fifty Four Lakh Forty five Thousand Only)

The figures are proposed budget estimates for planning, to be validated through supplier quotations and final technical specifications before procurement.

 

 

23. BUDGET SUMMARY

S.No

      Budget Components

Amount

A

Mobile Medical Van – Capital Investment

22,50,000

B

Medical & Diagnostic Equipment

  7,00,000

C

Sirumalai Administration & Medicine Centre

  3,50,000

D

Medicines & Medical Consumables

  5,00,000

E

Human Resources – 12 Months

12,20,000

F

Vehicle Operation & Maintenance

  4,40,000

G

Community Health Outreach

  2,00,000

H

Referral & Follow-up

     80,000

I

Monitoring, Evaluation & CSR Reporting

     90,000

J

Contingency / Unforeseen Requirements

  2,20,000

 

Total

 60,50,000

 

24. BUDGET RATIONALE

The budget has been deliberately structured so that the first-year investment creates both:

A. Long-term Assets

1. Mobile medical van.

2. Medical equipment.

3. Administrative infrastructure.

4. Medicine-storage system.

5. Digital records system.

B. Direct Community Services

1. Medical personnel.

2. Medicines.

3. Diagnostics.

4. Fuel.

5. Village outreach.

6. Referral.

7. Monitoring.

This provides DSV with both visible CSR assets and measurable annual social impact.

The project therefore moves beyond a short-term medical camp model toward a community-health service infrastructure model.

 

25. ORGANISATIONAL CONTACT & DOCUMENT CHECKLIST

COST Trust – Contact Information

Organisation: Community Organisation for Social Transformation      

                        (COST) Trust
 

Address       : Erandellaiparai, Dindigul – 624003, Tamil Nadu, India

 

Authorised Person: Dr.Boraian M.A.,M.Phil., Ph.D., (Emeritus Professor) Designation: Project Manager / Consultant

 

Mobile: 9486145595, 9245893158

Email: admin@costtrust.org, consultant@costtrust.org

Website: www.costtrust.org

**********

Documents Attached for DSV Due Diligence

1. Trust Registration Deed.

2. CSR-1,

3. PAN,

4. 12A,

5. 80G,

6. FCRA

7. Audited Financial Statement

8. Annual Report

9. Consultant’s Profile

Vehicle/equipment quotations Will be provided after your Confirmation