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INAUGURATION OF REHABILITATION CENTER BY THE HONORABLE CHIEF MINISTER SINDH SYED MURAD ALI SHAH AT THE DHQ BADIN MANAGED BY THE INDUS HOSPITAL

The Honorable Chief Minister Sindh Syed Murad Ali Shah inaugurated the newly established Physical Rehabilitation Center (PRC) at the DHQ Badin on Monday the 13th of January 2020. It is the first of its kind in Interior Sindh and the fourth one established by the Indus Hospital at the various Hospitals manage by it in Sindh and Punjab with the support of ICRC and Chal Foundation. The PRCs provide Prosthetic & Orthotic devices (Artificial Limbs), Physiotherapy services and mobility aids to the physically disabled who constitute the most neglected and deprived part of the society. It is worth to note that the Indus Hospital is already running 03 such centers each at the Indus Hospital Karachi, Lahore and Muzaffargarh since 2015 in which more than 16,500 patients have been registered out of which 9500 patients have already been provided more than 11500 devices. The devices included 6000 prosthetic and 5500 Orthotic devices.

Objectives:

The purpose of the Prosthetic & Orthotic devices is to provide mobility and restore the function and/or cosmetics of the residual part of patient’s body, affected by loss of function, deformity or amputation enabling them to become independent and contributive citizens than being dependent on others. Thus children with amputation or affected by polio can go back to their schools, adults can go back to their jobs and women serve their families back at home.

Besides this Physiotherapy services (Both Outpatient and Inpatient) are provided to the patients at the PRCs. This includes Physiotherapy for Neurologically impaired individuals, including exercises and gait training, Patients with Orthopedic conditions requiring Musculoskeletal Physiotherapy and exercises, patients with Stroke, and in patients with Cardiac and Respiratory problems. In addition, Obstetrical patients are provided Physiotherapy services both in antenatal and Post-natal periods. All services are provided to both Pediatric and Adult population.

The objective of The Indus Hospital Rehabilitation Directorate is to improve access of the physically disabled to quality rehabilitation services throughout Pakistan. Physically disabled being the most under-privileged segment of the society, need urgent attention, as it has remained the most neglected area in terms of priority in the health sector.

Need Assessment:

As per WHO estimates 0.5 % of a general population is physically disabled requiring some kind of rehabilitation and assistive devices. This ratio may be much higher in developing countries where health services are poor and population is affected by diseases, conflicts and road side accidents. Even if we follow these WHO estimates, in Pakistan 11,00,000 physically disables are in urgent need of Physical Rehabilitation.

The existing rehabilitation centers (both in public & private sector) in Pakistan may hardly be able to cater for less than 10% of those in need of such services. Therefore there is a need to establish more rehab centers at the divisional and district level throughout Pakistan.

Background:

Looking into the urgent need for the rehabilitation of the physically disabled in Pakistan The Indus Hospital took the initiative, and with the help of its partners (ICRC & CHAL Foundation Islamabad) and the Government to establish PRCs.

The land and utilities, were provided by the TIH/government hospitals, whereas the building/ infrastructure, machinery, tools and materials were provided and funded by the ICRC through CHAL Foundation Islamabad, being the implementing partner.

All the four rehabilitation centers are currently being managed by The Indus Hospital Rehabilitation Directorate whereas the materials and components for the devices are still being provided by the ICRC.

Establishment of PRC at TIH Badin Campus:

The idea of establishing a state of the art Physical Rehabilitation Center at the DHQ Badin was initiated in March 2018 in a meeting held between the TIH and the ICRC at Islamabad. The main reason was the lack of such services for the physically disabled throughout Interior Sindh. A five (05) years MoU was signed in 2018 in which the ICRC agreed to partially fund the construction of the center while the rest was contributed by The Indus Hospital from its own resources. Besides this the ICRC agreed to provide the required the Machinery and equipment and materials while the Indus Hospital provided the furnishing of the PRC.

The construction work started in March 2019 and the center became functional in September 2019 starting the provision of rehabilitation services. So far a total of 68 patient have been registered, out of which 54 patients have already been provided prosthetic and Orthotic devices, whereas 14 are under treatment. Most of these patients are from Badin and the number of patients is increasing and with more awareness more patients from other districts may be treated at the center.

Besides the provision of Rehabilitation services The Indus Hospital is planning to provide food and accommodation to the deserving ongoing patients at the nearby campus at Badin.

Furthermore ICRC was kind to provide 02 fully sponsored scholarships to locals from Badin for 04 year studies at the DOW University.

Upper Limb Prosthesis (ULP) Project:

Due to the high incidence of upper limb amputations owing to poor safety precautions by farmers while using the agricultural machinery in the rural areas, the Indus Hospital undertook and successfully completed a special ULP project in 2017-18 in collaboration with the ICRC & CHAL Foundation in the year 2017-18 in which 700 Trans-Radial amputees were fitted with functional ULP restoring the cosmetic and functional aspects of the lost limbs. The Indus Hospital is undertaking another such project with the ICRC to treat 300 more such patients in 2020.

The Indus Hospital is keen to expand the rehabilitation services to other parts of Interior Sindh and Pakistan in future with the support of the Government, ICRC and other donors.

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Zakat is one of the five pillars of Islam. It is the specific amount of wealth that a mature Muslim, who is Sahib-e-Nisaab, gives to the poor with the intention of Zakat, upon the completion of the Zakat year.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

The meaning of Nisab is a specific amount of four types of wealth, which if owned by a mature Muslim, Zakat will be compulsory upon. The four types of wealth are:

  • Gold (7.5 Tolas, 87.48 Grams)
  • Silver (52.5 Tolas, 312.36 Grams)
  • Business wealth (value of which equals 52.5 Tolas Silver)
  • Currency/Cash (value of which equals 52.5 Tolas Silver)

Zakat is not just a fundamental pillar of Islam. It is also a revolutionary concept with the potential to ease the suffering of millions around the world.
As Allah (SWT) tells us in the Holy Qur’an:
“And be steadfast in Salah (prayer), and give Zakah. Whatever good you send forth for yourselves, you will find it with Allah. Certainly, Allah is watchful of what you do.” (Qur’an 2:110)
It is also a right that the poor have over us.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

Zakat is 2.5% of the wealth one possesses above the Nisab.

If someone is a Muslim, non-Sayyid, and they do not possess 52.5 Tolas silver, or its value in gold, currency, business wealth, or wealth surplus to their needs, they are eligible to receive Zakat.

No, Zakat is only obligatory upon Muslims.

There are eight categories of people who are eligible to receive Zakat:
  1. The poor
  2. Needy
  3. Administrators of Zakat
  4. Those whose hearts have been recently reconciled
  5. Those who have been enslaved
  6. Those in debt
  7. In the cause of God
  8. Travellers (including refugees)
As Allah (SWT) tells us in the Holy Qur’an: The Sadaqat (prescribed alms) are (meant) only to be given to the poor, the needy, to those employed to collect them, to those whose hearts are to be won, ¹⁹in the cause of the slaves and those encumbered with debt, in the way of Allah and to a wayfarer. This is an obligation prescribed by Allah. Allah is All-Knowing, Wise.

‘Hawl’ refers to a lunar year. E.g. When a person achieves the Nisab for the first time, then from this date till the same date in the next lunar year his ‘Hawl’ is complete.

For Zakat to be due, it is a condition for one lunar year to have passed. If one lunar year hasn’t passed on someone’s wealth, then Zakat is not due.

Yes, Zakat will be due at the time of Zakat due date for this amount. Even though a year hasn’t passed on having the amount. This is known as ‘Maal-e-Mustafaad’ in Shariah terms, as in wealth received midway through a year.

The midway of a year is not taken into consideration, but the zakat due date is considered. For example, you Zakat due date is the first of Ramazan , and before the first of Ramazan, your wealth decreased to below the Nisab, but on the coming of the first of Ramazan, your wealth met the Nisab criteria, then Zakat will be due. The drop earlier in the year beneath the Nisab criteria will not be considered

Yes, you will still be required to pay Zakat of 2.5%. For the payment of Zakat, ‘intention’ or ‘Niyyat’ is mandatory and common charity/donation cannot be considered as Zakat. Therefore, you are required to calculate your Zakat on your Zakat calculation date and then the calculated amount may be given to the identified Mustahiq-e-Zakat either in full or in tranches throughout the year, with the intention of that amount being considered as Zakat only.

For every year that you owe Zakat, take 2.5% from the total wealth you had at the end of that year and pay that in Zakat. If you are not sure how much wealth you had, you must estimate it to the best of your ability. For example, it is now Ramazan 2022. You have not paid Zakat for the last 5 years. You need to work out how much wealth you owned every Ramadan for the last five years and pay 2.5% of that.

The best way for you to do this would be to take the jewellery to a jeweller and ask them to value just the gold and silver parts of the jewellery. The valuations they give will be the total on which you have to pay Zakat. Precious stones are not liable for Zakat.

If money for Hajj has been paid and the place has also been confirmed, then there is no Zakat on this amount. But if the Zakat date falls before payment, then there will be Zakat due on this amount.

Yes, Zakat is due on this amount. But it is up to you – you can either pay Zakat on the amount each year, or when the money is received, you can pay for the previous years.

If your friend accepted that he had the debt and did not deny it, then Zakat is due on this amount. Calculate your zakat here

In this scenario, there is no Zakat due on the house value. However, whatever rent was received, add this to your other wealth on which Zakat is due and pay the total due Zakat amount for the Zakat year. Also, there is no Zakat on the house until you sell it. Once you have sold the house and received the money, then there will be Zakat payable on that amount, if it remains in your possession till your Zakat due date.

Every year at the time of paying Zakat, you would need to calculate the total selling price for all the goods for sale in your shop. For example, all the clothes for sale in your shop add up to a total selling value of a particular sum of money. You would add this to your other wealth when calculating your total payment.

If you haven’t received the funds, then Zakat isn’t due. But if you have received the funds, Zakat is due.

This amount is the group’s collective ownership. Thus, each participant will pay Zakat on his/her share, or permission can be given to one person who will pay Zakat from the fund on behalf of everyone.

In Shariah terms, poor and needy is classified as someone who does not have the Nisab amount in their ownership. The meaning of Nisab here is 52.5 tolas silver or the equivalent of that in cash/gold, or extra to what is needed.

Zakat cannot be given to ‘Usool’ and ‘Furuu’. ‘Usool’ is parents, grandparents and so on. ‘Furuu’ is children, grandchildren and so on. Similarly, Zakat cannot be given to husband or wife. Besides this, Zakat can be given to other relatives.

If the orphan doesn’t possess the ‘Nisab’, and he isn’t a ‘Sayyid’, then he can be given Zakat. If he possesses something of the value of nisab, he cannot be given Zakat.

Zakat can only be given in those projects wherein possession is achieved of the Zakat amount. This means the person who can claim Zakat and is eligible for Zakat payment becomes the owner of the amount. Thus, to give food, clothing, medicine etc. to a poor person from the Zakat money is permissible. And those projects wherein ownership of the Zakat money is not achieved, Zakat cannot be given for example, spending in Masajid, digging wells etc.

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