In 1996, the Karnataka State Government handed over the management of Gumballi PHC to the Trust as a unique and pioneering example of Public-Private Partnership in health care. This partnership allows civil society to engage with the government to help reach the unreached to provide comprehensive primary health care. Mother and Child Health care (RMNCH+A), Communicable (Tuberculosis, Malaria, Dengue, Leprosy, HIV) and Non Communicable (Blindness Control, Epilepsy and Mental Health, Diabetes and Hypertension) important components provided free of cost. The standard features of a model PHC managed by Karuna Trust are :

• Total responsibility of Preventive, Promotive, Curative and Rehabilitative Health Services to 20,000 to 30,000 population
• 24×7 emergency/casualty services
• Out Patient and Five to Ten bed in-patient facility
• 24×7 labour room and Essential Obstetric Care facilities
• Minor operation theatre facilities
• Availability of essential medicines and laboratory tests.
• Management of sub centers attached to the PHC
• Community Participation through strengthening VHSNC’s and PHC Committees

The success of Gumballi PHC and its impact as a “Model PHC” have enabled the model to scale up in collaboration with State Governments and throught CSR initatives. Karuna Trust manages Health facilities at the following places :

In 1996, the Karnataka State Government handed over the management of Gumballi PHC to the Trust as a unique and pioneering example of Public-Private Partnership in health care. This partnership allows civil society to engage with the government to help reach the unreached to provide comprehensive primary health care. Mother and Child Health care (RMNCH+A), Communicable (Tuberculosis, Malaria, Dengue, Leprosy, HIV) and Non Communicable (Blindness Control, Epilepsy and Mental Health, Diabetes and Hypertension) important components provided free of cost. The standard features of a model PHC managed by Karuna Trust are :

• Total responsibility of Preventive, Promotive, Curative and Rehabilitative Health Services to 20,000 to 30,000 population
• 24×7 emergency/casualty services
• Out Patient and Five to Ten bed in-patient facility
• 24×7 labour room and Essential Obstetric Care facilities
• Minor operation theatre facilities
• Availability of essential medicines and laboratory tests.
• Management of sub centers attached to the PHC
• Community Participation through strengthening VHSNC’s and PHC Committees

The success of Gumballi PHC and its impact as a “Model PHC” have enabled the model to scale up in collaboration with State Governments and throught CSR initatives. Karuna Trust manages Health facilities at the following places :

Karnataka

Arunachal Pradesh

Meghalaya

Manipur

Orissa

Rajasthan

Karuna Trust manages 4 Mobile Health Units in remote tribal areas in collaboration with Government and CSR initiatives.

Karuna Trust has evolved several innovative approaches in delivering comprehensive primary health care.

1. 1. Integrating Comprehensive Eye Care into Primary Health Care: Providing quality and affordable comprehensive primary eye care services in primary health centres including Vision Centres with spectacle dispensing units.
   2. Repositioning Family Planning in Primary Health Care in collaboration with Population Foundation of India : The project and empowers women and men through Reproductive Rights approach to lead healthy and productive lives, enabling them to regulate their own fertility through acceptable family planning services with emphasis on spacing through temporary methods.
   3. Integrating Mental Health into Primary Health Care : Mental Health Services in primary care began in Gumballi PHC in 1996 with support from NIMHANS, and it is a practicing model of how mental health care and epilepsy control can be mainstreamed into primary health care. Community Mental Health Programme is in place in most of our PHCs.
   4. Mobile Dental Health : Gumballi PHC has a mobile dental clinic equipped with essential equipments to provide dental care in remote villages on designated days. Fillings, tooth extractions, composite restorations, root canal treatments are some of the services provided.
   5.  ICT in Primary Health Care :
      • Logistimo: Mobile phone based technology for management of Vaccines, Emergency and Essential Drugs.
      • Coprehensive Primary Health ICT progam in collaboration with EMC2.
      • e-partograph with Blue Crimson
      • School Health with Cerner

6. Management of Non-communicable Dieseases like Cardiovascular Dieseases, Diabetes and Hypertension in the primary health centres.

7. Mainstreaming Traditional Medicine Ayurveda, Yoga & Homeopathy (AYUSH) in primary health care complementary to the existing system.

8. Emergency Medical Services : EMS kit with essential equipments and medicines for managing all emergencies at PHCs.

9. Community Health Insurance : Karuna Trust has successfully managed a Community Health Insurance program in collaboration with UNDP and Government of India at T Narasipur Taluka in Karnataka. At present we actively participate in the Health Assurance programs of the Karnataka Government.

10. Management of Communication disorders in Primary Health Care in collaboration with All India Institute of Speech and Hearing (ALLSH).

11. Model Urban Primary Health Care Centers (UPHCs): The health status of people in urban slums is worse than the rural poor. UPHSCs provide Comprehensive Primary Health care, MCH, Management of Communicable & Non-communicable dieseases.