What we do


Presently, the hospital offers round the clock emergency services, special care for women and children and people with eye diseases, separate clinics for Tuberculosis, diabetes & infertility. These services are strongly supported by well-equipped modern laboratory, X-ray and ultra-sonography units along with operation theatres and appropriate blood storage facility. Medicines are available in hospital campus at a low cost without compromising the quality. A well-stocked library offers reference facilities for doctors, who keep their knowledge updated through regular academic meetings. Medical students and interns from India and abroad come to this hospital for regular orientation and training. Moreover, opportunities are available to youngsters for various kinds of training in India and abroad. Thus, rural society and patients of interior areas are not deprived of benefits of modern science and its know how.

Kasturba Hospital (1980 to 2016-17)

OPD Patients


OPD by Consultants


Lab. Investigations


Indoor Admissions







However, doctors as well as modern equipments do not enliven a hospital. Dedicated and competent  Paramedical staff are equally essential. Since it was difficult to get formally qualified Paramedical personnel due to   remote   area,   in early eighties SEWA-Rural decided to train local rural tribal girls & boys by extensive practical training and demonstration. As a result in house trained nurses, Lab & xray assistant, counsellor, maintenance supervisor help managing hospital in an effective way. This brought a new and better change into their lives. The hands doing all sorts of labour began caring for patients and giving new hope of life to them.

A glance at the achievements of the hospital while it is in  the 4th decade, reveals that people of the 2000 surrounding interior villages take advantage of the hospital having about 24 full time doctors. About 400 patients from these villages receive medical treatment daily in OPD. Every year about 125000 OPD & 20000 Indoor patients are treated & about 5400 deliveries & 7500 operations are carried out. Despite of concessional charges, about 55% of OPD and 80% of Indoor patients are treated free.

About Rs. 5.0 Crores are being spent for hospital services per annum. Of this 50% is met from State Government grant.Various central government schemes like 
Chiranjivi, Balsakha, Rashtriya Swasthaya Bima Yojana Etc. meant for poor people help  SEWA Rural achieving  its objective of serving marginalized families. The expenditure of 2/3rd of the patients is borne by SR and only 25% expenditure is met by patients who can afford it. Hence, for meeting the deficit of about Rs. 180 lacs, support is constantly solicited. Every year the deficit is met by the co-operation and support of benevolent organisations like Lilavati R. Shah Medical Relief Trust & Ur Asha Javeri Foundation Trust (both from Mumbai) beside donations from other sources. In recognition and appreciation of the excellent management of this rural hospital, the Bajaj Group of industries and the Bombay Management Association bestowed a national award on the hospital in 1989 for innovative hospitals & health care management in non-Govt. Rural hospital category. SEWA Rural was awarded “Best First Referral unit” in tribal area in 2011, 2012 and 2013 consecutively for three years.

Recently the hospital has expanded in order to take care of its constantly increasing patients from the tribal area. A new ward of 50 beds has been constructed to accommodate the maternal patients. A neonatal intensive care unit of 20 beds has been made which is the biggest in Bharuch and Narmada districts.

Sharada Mahila Vikas Society

Sharada Mahila Vikas Society

Please visit SMVS’s website at   shardamahilavikas.org

From the outlet, women have been at the center of most of the activities of SR. Several specific programmes for women have been initiated since 1985. This programme have been transferred to an independent organization, Sharada Mahila Vikas Society (SMVS) since July 2002.  The main programmes under SMVS are economic activities like papad and snacks and garment making, savings/credit programmes, self defence training courses, education and awareness.

Papad and snacks programme: Under this programme 100-110 women are active, producing worth Rs. 50-60 lacs, which  in turn  gives them an income of Rs. 13-15 lacs.

Garment Programme:  For this programme women having little experience in stitching are selected for training. Hence they work on modern machines for stitching and buttoning and produce uniform for the workers of industrial houses, boiler suits and school uniforms. For this 25-30 women produce goods worth Rs. 20-22 lacs and earn Rs. 5-6 lacs

Saving and credit Programme :  Besides the economic activities, group of women are also actively participating in saving /credit programme so that  at the time of family needs, these women’s can get loans and support each other to avoid getting into the vicious  circle of money Landers.

Child Education programme : This programme is for children from weaker  family for std. 1 to 7. They are provided with life skill activities such as hygiene, family and social responsibilities, along with visits to banks, post office and panchayat offices and celebration of important occasions like festivals and birth anniversaries of leaders etc.  In these activities approximately 200 children are participating.

Adolescent Programme : 800-1000 :This programme is aimed at cultivating health behaviours and address common issues and emotions experienced during adolescent period. Educational sessions are conducted for school going and drop-puts in villages. Subjects include addiction, sexual health, menstrual hygiene etc. Along with these sessions, field trips, exhibitions, picnics, overnight retreat at headquarter are arranged for developing life skills among this group.

Women empowerment programme : Periodically, women awareness shibirs, group discussion, and visit to various organizations are arranged with the purpose of improving our women beneficiaries’ abilities and understanding.

Self protection programme :  Several methods and systems are employed to learn how to protect themselves from physical and psychological exploitation. This self protection training is also being provided to school going and non-school going adolescent girls in our project areas and beyond.


2006– 07









Garment Department
Sahyogi Women










   Total Production in Rs.










   Sahyogi Income in Rs.










Papad Department
   Sahyogi Women










   Total Production in Rs










    Sahyogi Income in Rs.










Snacks  Department
   Sahyogi Women










   Total Production in Rs.










   Sahyogi Income in Rs.












Training Centre for Community Health

Training Centre for Community Health

Many organizations and individuals look forward to understand and learn from the SEWA Rural’s experiences. To facilitate this, a training centre was established in 1990 with modern facilities for which financial assistance was graciously given by theUSbased Share & Care Foundation. Students from various faculties fromIndia& abroad, workers from voluntary organizations (grassroot workers & paramedical workers of community health project, comprehensive eye programme and rehabilitation programme for the blind) and Intern doctors from Medical Colleges of Gujarat & also fromUSAtake advantage of the training centre. Every year about more than 80 varied organizations and over 1000 trainees are benefited. Various training programmes and workshops are also organised for the staff of SEWA Rural so as to enhance as well as reaffirm their competence, knowledge and involvement beside the informal core value of organization.

On 18th Feb 2010, a newly constructed Health Training and Resource Centre was inaugurated with the Helping the MacArther Foundation and Govt. of India. SEWA Rural’s training centre is the first recognized NGO facility by UNICEF and Governement  for training of IMNCI (Integrated Management of neonatal and childhood illness.


Community Health Project

The ultimate goal of SEWA Rural was not limited to the four walls of the hospital. It was soon realized that due to a numbers of complex social & cultural factors, the hospital remains inaccessible to the vast majority, very often until it is too late.

A baseline survey of the surrounding villages in the year 1982 revealed the gross neglect of health services. Children often suffer from measles, diarrhoea, malnutrition, high incidence of anaemia, malaria and TB beside apathy towards women’s health. As a result there is a high mortality rate among women & children. Many of these deaths were related to diseases which were unfortunately preventable.


The above mentioned rural health scenario prompted SEWA Rural to formulate & commence project of health care at door steps initially in 10 villages in 1982. Later on it was expanded to cover 40 villages and Govt. entrusted Jhagadia PHC was managed for more than 10 years. Such innovative public-private partnership model was experimented for the first time in the country. The targets of Health for all by 2000 were achieved by SEWA Rural much before the target deadline due to new approaches and innovations. Please click here to read evaluation of this project carried out by IIM-Ahmedabad.




Crude Birth Rate



Crude Death Rate



Infant Mortality Rate



Immunization Coverate



Couple Protection Rate



Severe Malunutrition



Maternal Care



Vit. A Deficiency



Measles Epidemics



2003-2011: Family Centered Safe Motherhood and New Born Care Project

SEWA Rural since 2003 managed “Family Centred Safe Motherhood and New Born Care Project” in entire Jhagadia Block covering a pop. of about 175,000 and in partnership with district and block level govt. health dept. The main aim of the project was to develop an evidence based model to reduce maternal and neonatal mortality and morbidity in resource poor settings. Community level and family centered interventions were introduced for ensuring proper antenatal care (including aspects of birth preparedness and complication readiness) and intranatal and postpartum care. This were made possible by building up the cadre of front line volunteers which include village level ASHA alike women volunteers (Arogya Sakhis) and Trained Birth Attendants ( TBAs). There has been about 74% reduction (from 19 to 5 deaths/100,000 live births) among cases of maternal deaths and about 39% reduction (from 47 to 29 neonatal deaths/1000 live births) in Neonatal Mortality Rate as compared to baseline information. Over and above the increase in institutional delivery rate from 22% to 66%, there has been significant improvement and positive increase in coverage of various services and process indicators in aspects of prenatal care, intranatal care, immediate new born care and postnatal follow up both for mothers & babies at the field level. SEWA Rural received prestigious MacArthur Award for being a “creative and effective institution” in area of reproductive health for its efforts. Please click here to read complete report of this project.

2011 onwards:

1. ImTeCHO is an innovative mobile phone application to improve performance of ASHAs through better supervision, support and motivation for increasing coverage of proven maternal, newborn and child health interventions among resource-poor settings in India. ImTeCHO stands for “Innovative mobile-phone Technology for Community Health Operations”. ImTeCHO project leverages upon 30 years of grass-root experience and community-based safe motherhood and child survival platform created by voluntary organization SEWA Rural.

ImTeCHO is rooted in SEWA Rural’s experience and conviction that frontline workers perform better if they are adequately supported and supervised. The Department of Health and Family Welfare, Government of Gujarat is actively partnering in this project. This joint project is being implemented by the health department in Gujarat within existing primary health care system with active facilitation from SEWA Rural. More information can be found at www.imtecho.com

2. Village Health and Sanitation Committees (VHSC) capacity building project: VHSCs are created in every village under central government’s National Rural Health Mission (NRHM) for community based monitoring, and decentralized planning and implementation. SEWA Rural has taken up responsibility of capacity building of all 87 VHSCs of Jhagadia block. After completing training in 2010, SEWA Rural’s facilitators are attending village based meetings of the committee to provide guidance.

Research and innovations in community health

Along with service delivery, SEWA Rural has a long tradition of experimenting with innovative ideas and documenting results in scientific manner. SEWA Rural pioneered in using of clean delivery pack, empowering community health workers, organizing monthly vaccination day (which now celebrated as monthly village health and nutrition day), using Kangaroo-jholi for low-birth-weight babies and other micro-level interventions. Click here to read SEWA Rural’s selected scientific publications. SEWA Rural is a member of Multi-institutional Ethics Committee, Mumbai. Please visit http://www.cser.in/iec.php to read standard operating procedures and other vital information regarding the ethics committee.


Comprehensive Eye Care Project

Comprehensive Eye Care Project

SEWA Rural is proud of the fact that it has been able to satisfy primary and advanced eye care needs of rural population of thousands of villages of Bharuch, Nandod, Suratand Vadodara districts along with border areas of Maharashtra. An unique comprehensive eye programme which encompasses all components of eye care, prevention, promotion & rehabilitation was born out of the need of community. Under this programme Jhagadia & Valia blocks were made cataract free in past as per WHO guidelines. The programmes include state of the art treatment of eye diseases by advanced equipments in hospital as well as in Netra Raksha Kendra for the tertiary eye care. Arrangements have been made for operations by microsurgery like Keratoplasty and intraocular lense placement for cataract. Spectacles are made available in the hospital campus as well as camps through optical shop at low cost.

Netra Raksha Kendra: This is a state of art clinic for diseases of retina, Glaucoma, Cornea and oculoplasty.

Operating rooms: The hospital has modern operating rooms with equipments such as operating microscopes, Diode & Yag lasers, auto refractor, Phaco-emulsification & automated perimeter.

Diagnostic eye camps: Camps are organised once week in interior villages of Bharuch,Narmada, Surat & Vadodara districts. As a result people get treatment & spectacles near their homes. Patients with cataract are identified and brought to the hospital at Jhagadia to get operated.

1986 – 2014

Total OPD


Hospital 4,62,107


Satellite Centres


No. of Diagnostic Camps




IOL Implants




Laser Capsulotomy


Training programmes for ophthalmic assistants: Trainings are organised for organizations from Gujarat & beyond so far total 192 paramedical workers coming from various voluntary organizations fromGujaratand beyond have availed necessary training.

Comprehensive Blind rehabilitation Programme: Aged blinds were given training for social mobility and youth were trained for economic rehabilitation in different vocations like petty shop, animal husbandry and benefit of Govt. schemes like certificate of blindness, free bus pass, pension scheme etc. More than 190 clients have been rehabilitated economically. Many of them have been provided with interest free loans by SEWA Rural. Total incurable blinds have been benefited following their identification under the project. Similarly, blind children are being educated in their village schools or in special schools with the help of 2 Braille teachers under integrated education programme. The unique experiment of adding primary Eye care to traditional CBR was done for first time in the country. This includes school screening, Identification of cataract cases, distribution of vitamin A, capsules, vaccination, health education & primary treatment.

More than one million population belonging to Jhagadia, Valia, Dediapada Sagbara, Nandod Ankleshwar  and Hansot blocks are covered in this project. Financial assistance from Sight Savers International & Govt. ofIndiais available for this programme

Railway Concessiom Pass for blind children


1997 – 2014

Incurable blinds




Blindness certi. issued




Sant. Surdas Yojana


Economic rehabilitation
[Loan from Sewa Rural]



Sent for agricultural training


No. of children for education


Advocacy: SEWA Rural is a member if the Vision 2020 right to sight India Programme which is an advocacy group to provide impetus to the goal of National Programme for control of blindness. We have prepared a manual & a video DVD in English & Gujarat on “Operation theatre Protocol “based on our protocol & scientific literature search on the subject. It is turning out to be very useful for fractional implementation particularly in view of obscene of such guideline being available in the Rajasthan, U.P., M.P., Bihar, Chhatisgarh, Jarkhand andWest Bengal. Please click here to access the manual.

In the year 2008 SEWA Rural received the award for outstanding work in the field of community ophthalmology from community Ophthalmology Society of India Which is on initiative ofDelhibased Venu Eye Institute & Research Centre.

Many philanthropic trusts, well wishers & local community organizations provide necessary financial assistance beside state Government grant  Bharuch District Blindness Control Society. As a result about 75% patients get free treatment.


Vivekananda Gramin Tekniki Kendra

Vivekananda Gramin Tekniki Kendra

Youth & women have remained in the focus of all the non health activities of SEWA Rural. Youngsters in rural India are trapped in a vicious cycle of poverty, ignorance and lack of opportunity. To bring about some change in the situation and to provide opportunities to the deprived youth, a vocational training centre was started in 1987. Now every year some 200 youth are trained in Vivekananda Gramin Tekniki Kendra. The trades include Turner, Fitter – welder, Electrician, Environment Operator machinist, computer hardware technician, nursing assistant. etc. in which 10 months of theoretical and in campus practical training is followed by first hand exposure & experience of 2 months in nearby Ankleshwar & Bharuch industries. Beside technical competence various other components like group prayers, sports, library etc. activities inculcate values of discipline, punctuality and hard work for value based life. As a result industries give preference to our trainees. After completion of 2 years training, 100% students are placed on jobs. To minimize dropout from jobs, VGTK supports students in various ways.

(1)   Achievements of 2 decades

• Total students admitted (28 batches) – 2348
• No. of student completed training – 1967
• Tribal students – 1057 (54 %)
• SC / OBC – 406 (27 %)
• Others economically poor. –432(22 %)
• Job placement – 1967 (100 %)
• Operating Self Employment Units – 37

At present 29th batch is under training.

(2)   Students’ family conditions (2006 & 2007) as revealed in survey during their home visits

74 % live in huts.
44 % don’t have cattle
67 % without tape water
85 % don’t have toilet


Students Enrolled 2348
Training Completed 1967
Gainfully Employed 1967

Several indigenous industries and trusts, including CAPART, Mumbai based Sir Ratan Tata Trust and Ur Asha Javeri Foundation, organizations and individuals from India & abroad made possible the training as well as economic betterment of more than 1900 youth & their families.
Expansion & Revitalization of VGTK campus:

With significant financial assistance from Tribal Development Department of Gujarat Government under Vanbandhu Kalyan Yojana & US based well wisher, Chandrabhai & Kumudben Shah, VGTK campus has been expanded and renovated.
Main Finding of Evaluations :
Centre of Social Studies Surat (2003) :

• 65% of trained students belonged to socio economically disadvantaged class
• 80% students belonged to below poverty line families
• 66% students of trainees of last 15 years are stable in jobs.
• Life style of majority of trainees has improved
Evaluation of Sarvangi Vikas Ahmedabad(2007)
• 70% Students came from marginalized families.
• 50% came from tribal areas
• 50% students are from landless labourer families
• 80% admitted students completed training
• 99% students were placed on jobs
• 90% assisted families to repay debt.
• Average income of student is up to Rs. 6000 p.m.
• 49% feel socially elevated compared to similar village youth




Latest News

  • Use of technology for surveys

    SEWA Rural is organizing a workshop with title “Use of technology for surveys” on 20th & 21st December 2017The objectives of the workshop are - participate should be able to narrate the concepts involved in use of technology,  advantage - disadvantages of technology, task involved in technology, non-technology tasks to maximize use of technology in the survey, primary orientation of open source survey, and also able to make the basic application for the field survey. 
     Interested persons can contact us on bhatthardk@gmail.com and kapil.dave88@gmail.com with subject title “Technology
    workshop”. The closing date for receiving application is 11-Dec- 2017.