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Shifa International Hospital - Islamabad.

The hospital was incorporated on September 29, 1987 as a private limited company and converted into public limited company on Octobet 12,1989. The primary objectives of the hospital are two: First, to set up a primary, secondary and tertiary care hospital in federal capital, Islamabad with state-of-the-art medical technology and second, to provide the highest quality of medical care to the people of Pakistan through the extensive network of satellite hospitals and modular clinics all over the country.

The idea of hospital project "SHIFA" was conceived and nurtured by a group of dedicated Sponsors, Pakistani doctors and other health care professionals who were working in the United States of America (USA). It was the vision and desire of the Founding Sponsors to bring a level of excellence to Pakistan's Total Health Care Delivery System which will be a model for others and future generations to follow.

The sponsors' concern over the absence of any comprehensive Health-care Delivery System in Pakistan has motivated them to rededicate their capabilities and financial resources in planning managing, regulating and bringing improved medical services and facilities in the private sector to the common person in Pakistan. Health-care today in modern and industrialised work is more business oriented - big business, an industry in itself. This means it is more important than ever to introduce commercial health enterprises in Pakistan. It can be undertaken with the help of experienced entrepreneurs who have the management skills, information and resources necessary to run a highly capital and professional-intensive business successfully.

Various market segments in Pakistan have exposed to Shifa's entrepreneurs its potential beyond their imagination. Health-care and hospital industry has yet to undergo enormous change. Where Shifa is already in and plan to expand further in years to come. The medical and surgical staff have been selected with the same care and meticulous attention to detail with which the entire Shifa international Hospital is planned. Each Consultant and Specialist has extensive experience in his or her field. The nurses are trained to provide with the best in nursing care. The staff is the most important resource. A knowledgeable and interested staff, whether medical or nonmedical, working continuously with the patient's well-being in mind, is the best guarantee for a good standard of medical care. They are all dedicated professionals who have a commitment to the quality, safety and comfort of the patient, and they have made this facility a cut above the rest.

Health services research studies undertaken by Shifa indicate that the northern had of Pakistan, (i.e. north of Lahore and away from the metropolitan cities of southern half of Pakistan) disproportionately represents in-patient bed ratio and poorly served with highly skilled and experienced medical staff. Health study has also brought to surface the need of advanced state-of-the-art integrated technology and a well-designed hospital facility.

After extensive surveys of several cities in Pakistan, Islamabad was chosen as the site for the first model project (Primary-Tertiary Care Centres) in Pakistan. Set at the base of Murree Hills, pictorial Islamabad is a city of today and tomorrow. At the crossroads of Central and South Asia, Islamabad is well-placed at the epicentre of the region. Shifa sees the potential to become the Region's standard heafth-care facility of international model in the area and intends to serve its state-of-the-art medical services to the neighbouring countries of Central Asia and the Middle East as well.

The master plan of the hospital is designed by Center Research Inc., Princeton, New Jersey, USA. Restablishes literally under one-roof (sic) three zones on the site, running north-south in three bands of space. The hospital facility is outspread on 11.2 acres of land consisting of eight (Blocks from "A" to "H"). Each block is 5-storey structure with a total covered are aof 700,000 sq. ft. The implementation of the project is being carried out in two phases (Block "A" to "H" with the provision of further expansion of 250 additional beds (Block "I").

The current running Phase-I and oonstruction activity of Phase-II is underway in the zone on the west side of the site which is the location for all public and commercial activities. It includes the main hospital entrance lobby, the 24-hour inpatient and outpatient pharmacy, library, 300 persons capacity auditorium, multipurpose halls, and lecture rooms.

To cater for the need of patients and their attendants, mini-mall with multiple shops of flowers, books, gifts, surgical supplies, optometry, patient sundries health and beauty aids boutique, cafeteria, mosque, and residential units of studio and efficient styles to accommodate patient's attendant or family members are being built.

The under-deck area in front of Blocks A, B and C houses outpatient facility which support a range of speciality clinics. The Clinic Mall includes 20 consulting suites to cover Internal Medicine, Cardiology, Pulmonary, Gastroenterology, Neurology, General and Vascular Surgery, Urology, Nephrology, Plastic Surgery, Psychiatry, Orthopaedics, ENT, Neurosurgery, Ophthalmology and various other clinics. The outpatient clinics represents the main referral base to the inpatient facilities in the hospital.

The hospital is supported by an extensive laboratory to address chemistry, hematology, blood banking, histology, cytology, immunology, tissue matching, microbiology and pathology. It is the largest laboratory in the northern part of Pakistan with state-of-the-art technology and fully equipped and capable of being called reference laboratory.

The Block A of the hospital, which is currently in operation, contains all the hospital support services. The major diagnostic and the treatment areas include radiology, radiation oncology, centre for kidney diseases and Emergency room. Diagnostic imaging technology includes radiography, fluoroscopy, computer tomography (CT Scan),nuclearmedicine, gamma camera, ultrasound, colour-doppler, mammography, mobile X-rays, and C-arms. It consists of 40-bed in-patient unit on 2 floors, 3-Operating Rooms, 4-bed Recovery and 4-bed ICU.

In supporting the cardiovascular programmes, the facility contains a complete cardiology unit to perform EKG, Holter, Stress and Echo testing Department has also fully equipped Real Time Digital Cardiac Catheterisation Laboratory unique in this part of Pakistan.

Shifa also provides treatment of Kidney stones (Lithotripsy) with its latest state-ofthe-art equipment from Dornier/Philip, model MFL 5000. The Centre for Kidney Disease at Shifa is equipped with 3 Hemodialysis machines and can expand to 8 in near future. The Phase-II of the project is under completion and expected to completed by the end of 1995. The zone on the east side of the site of Phase-II of the hospital project will offer:

Trauma Centre (Block "E"), Kidney Transplant, Heart Transplant, 15-Operating Rooms, 60-Beds ICU-CCU-Recovery, 12 LDRP's, 20-bed Neonatal Unit (NICU), 2-bed "Burn Unit", (Block "F"), Physical Therapy, Rehabilitation Center, Helicopter Ambulance Service, School of Nursing, Shifa Institute of Health Sciences, College of Medicine, Department of Dentistry, Global Satellite Linkage, inhouse image transfer capabilities of fibre-optics linked computer network and satellite clinics in 100-mile radius.

The central zone is planned as a quiet "Shalimar-style" garden courtyard with fountains between the public services to the west and the support services to the east. This quiet zone in the centre of the she is the location for the in-patient units (Block-"G" and "I") and further 60-specialist Outpatient clinics (Block-"D")withtheirown independent access from the south. The hospital will have a parking area for a total of 1,000 cars along with spaces for motorcycles.

Today, Pakistan is the world's ninth most populous country, with approximately 120 million people. During the past few years Pakistan has seen a very rapid pace of develo pment. The drive for free and open market has set the stage for investment, diversification and growth. Trading on the local stock markets has risen to record volumes and price levels. Expressions of interest in private sector projects are on the increase and enjoy support from foreign equity participants and lenders.

Shifa will soon be offering its shares to the general public. According to CCI approval, sponsors were required to raise the capital to the tune of Rs. 425 million, which had been done. Shares valuing Rs. 120 million will be offered to general investors, NIT and 30 percent of the amount to overseas Pakistanis. This public offering is unique and different to other companies who would keep their debt/equity ratio to 80/20. Contrary to that Shifa has not borrowed money from any financial institution and hence did not incur any borrowing cost.

We have strengthened our financial base to the benefit of our shareholders through equity participation, and turn their capital many times in real asset over the last few years without being fuelled by borrowing money. We have equipped ourselves well for future growth. Creating of value is the cornerstone of all our long-term objectives - value for our patients, shareholders, professionals and employees, and for the markets where we operate. This philosophy has served us well in the past as we have consistently focussed on the basics in an increasingly responsive environment. We are confident that our inherent strengths will also enable us to continue to create value in the years ahead.

Our commitment to quality health-care goes beyond bricks and mortar. All of us at Shifa International Hospital are united in pursuit of a single goal; to provide the highest quality health-care possible. Our technology will continue to be state-of-theart. And our care will continue to be "state-of-the-heart." Quality people - Quality care That will never change.
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Author:Zahid, Muhammad
Publication:Economic Review
Date:Sep 1, 1994
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