First of all, this report is dedicated to ALLAH

Almighty without whose help and mercy,

Everything was impossible.

Secondly, this report is dedicated

to my parents who introduced me to the

joy of reading from birth,

enabling such a study to take place today

and who have never failed to give me

financial and moral support.

 In order to fulfil the requirement of the Kinnaird College for Women, Lahore for
bachelor’s degree, the community service program was done by the students in
Jinnah Hospital, Lahore under the supervision of the Medical Social Officer Madam
Tayyaba Zahid Khan in the due course of 19 days i.e. from 26th June 2010 to 17th
August 2010. I am grateful to ALLAH Almighty who enabled me to complete 115
credit hours.

I owe a special word of thanks to the Medical Superintendent Dr. Mohammad

Hassan for providing us with a good environment and facilities to complete this
project and also for giving me an opportunity to participate and learn about the
operation of Social Welfare, Women Development and Pakistan Bait-ul-Mall.

I would also like to express a special word of thanks and gratitude to Madam Saira
Farooqi (head of business studies) for the valuable guidance and advice. She
inspired us greatly to work in this project. Her willingness to motivate us contributed
tremendously to our project.

I am also really very thankful to the clerical staff of Social Welfare Office (SWO)
which includes Madam Noreen and Mr. Afzal (clerical staff). They helped us a lot
during our community service program. I am highly obliged to them.

Finally, an honourable mention goes to my family for their expert advice and
unfailing patience during this project. I would also like to express my special thanks
to my friends and class fellows who tirelessly listened to my ideas and offered
encouragement and support whenever it was needed.
1) Working Days Summary

2) Introduction to Community Service

3) Introduction to Jinnah Hospital

4) Introduction to Pakistan Bait-ul-Mall

5) My Experience In Jinnah Hospital, Lahore

6) Case Histories

7) Suggestions and Recommendations

8) Self Evaluation
Date of placement at project ------------------------------------------------ 26th July 2010

Last date at project ------------------------------------------------------------ 17th August 2010

Total number of days attended --------------------------------------------- 19 days

Total credit hours completed ------------------------------------------------ 115 credit hours

Meeting with internal and external supervisors ------------------------- 01

 “Community service is a donated service or activity

which is performed by someone or a group of people for

the benefit of the public or its institutions.”

Some people associate community service with punishment, since it is often offered
to small-time offenders as an alternative to fines or jail time. However, community
service can also be altruistic, and it is a vital part of many small communities. Getting
involved in your community makes it healthier and livelier, and numerous
organizations around the world support community service activities.

Some people engage in community service out of a desire to connect with their
communities by helping out. For people who are new to a community, community
service can be a great way to learn more about the place in which they live and the
people they live with. Community service may also be required for things like high
school graduation or membership in an organization, in which case the school or
organization often helps to organize community service opportunities.

Things which could be considered community service include tutoring children,

building homes in low income areas, assisting the elderly, socializing animals at
animal shelters, being a museum docent, performing habitat restoration, contributing
to the operations of volunteer fire departments and emergency services, or helping
with civic beautification. In all cases, community service work is performed by
volunteers who are not paid for their time. In some instances, the work would not be
accomplished without the work of such volunteers, and many small organizations
rely on people with community spirit to survive.

Many people engage in community service because they believe that it carries
rewards beyond the obvious and tangible. Clearly, engaging in things like
environmental restoration and civic beautification will make your life enjoyable by
making the world around you more pleasant. But community service can also help to
ensure that important services like meals for the elderly and volunteer fire
departments continue to run. It also helps to build a rich and supportive community
of people who know each other and lend each other a hand when it is needed.

However, it is not necessary that everyone who provides community service is seen
as a volunteer, because some people who provide community service are not doing
it of their own free will; they are compelled to do so by:
  Their government as a part of citizenship requirements, in lieu of military
service
 The courts, in lieu of, or in addition to, other criminal justice sanctions
 Their school, to meet the requirements of a class, such as in the case of
service learning or to meet the requirements of graduation
 Their parents’ will, required to provide a certain number of hours of service in
order for their child to be enrolled in a school or sports team.

Community service performed by youth is also referred to as youth service. Youth

service is intended to strengthen young peoples' senses of civic engagement and
community, and to help them achieve their educational, developmental and social
goals.

Though technically not a requirement, many colleges make community service an

unofficial requirement for acceptance. However, some colleges prefer work
experience over community service, and some require that their students also
continue community service for some specific number of hours to graduate. Certain
academic honour societies such as Delta Epsilon Sigma have rejected 4.0 GPA
students that lacked community service experiences on their applications, because
they honour community service so much.

The aims and objectives of doing community service include:

 Helping those who are less fortunate keeps you from being a spoiled, self-
centered and uneducated person.
 It increases students' personal, interpersonal and social development.
 It increases motivation, student engagement, and school attendance.
 It leads to new perspectives and more "positive lifestyle choices and
behaviour."
 It contributes to decreased psychological distress and buffers the negative
consequences of stressors; it increases life satisfaction and decreases
depression.
 It is related to longer life spans and improved mental health.
  It can also leads to increased care for others and a desire to cooperate
and get involved in positive ways, even among those who had previously
exhibited antisocial tendencies.
 It also boosts the feelings of social connectedness that appears to be
waning in our increasingly segmented society.
 In individuals, It develops a keener appreciation for civic affairs and make
them able to understand more completely their obligations to participate in
the political process. Indeed, people learn about the politics of their civic
systems by experiencing and observing the effects of the policies on their
communities.

Some example projects given to a person, doing community service may include:

 Cleaning a park.
 Collecting items for charity such as clothes, food, or furniture.
 Cleaning roadside verges.
 Helping the elderly in nursing homes.
 Helping the local fire or police service.
 Helping out at a local library.
 Tutoring children with learning disabilities.
For every Pakistani 'Jinnah' is the symbol of Unity, Faith & Discipline and moral
ethics like dedication, commitment, hard work and selfless services. Named after
the father of the Nation, Quaid-e-Azam Mohammad Ali Jinnah, the Hospital has a
strong history of serving hundreds of thousands of poor and deserving patients,
providing practical training opportunities to the medical graduates.

Jinnah Hospital is the second largest teaching hospital in the Pakistani province of
Punjab spread over 105 acres and with 1100 beds. It is the first autonomous hospital
that has been properly built according to a premeditated design with three main
areas. First there is a residential area for doctors, students and for the first time a
rest area by the name of "Sarai" where the relatives of the patients can find
temporary lodgings.

The Affiliated medical college is Allama Iqbal Medical College.

Jinnah Hospital is where all major or minor accident cases from the Motorway are
brought for immediate management being the best Level I trauma centre of Lahore.
A majority of patients at Jinnah come from the surrounding poor suburbs like Bhai
Pheru, Pattoki, Raiwind and all the near villages. Jinnah also caters to the southern
localities of Lahore as well as southern Punjab. Jinnah is a teaching hospital as well,
with 1416 students studying to be doctors at Allama Iqbal Medical College and
learning practical procedures at Jinnah, over 7,000 doctors have graduated from
here over the last ten years.

It has a team of 65 consultant physicians and surgeons which are among the top
ranking professionals in the country. It has all departments like Obstetricians, Gynae,
Ophthalmology, Orthopaedics, Laboratory and General Surgery. What make, Jinnah
stand out among the other public hospitals, are its additional departments like
Oncology, Radiology, Plastic Surgery, Dermatology, Urology and
Neurosurgery departments.

Jinnah Hospital's services in terms of equipment also make it shine. Complete

pathology tests and scans including x-rays, ultrasound, mammography and CT
scan are performed here. There are certain services, machines and equipment
which, although easily available in the private sector are too expensive to purchase
or maintain in the public sector. Jinnah Hospital has an edge over the other public
hospitals in having certain machinery like a Radiotherapy Machine (Cobalt 60)
which is functional in Jinnah Hospital.

Approximately 550,000 patients visit Out-Patient and Emergency Department every

year, where 70% of the treatment is given completely free. During year 2004, the
Accident and Emergency department has treated 134,477 patients, which were not
charged even a single penny for admission, tests or in case an operation is carried
out.

M.S. Jinnah Hospital:

Dr. Mohammad Hassan.

Principal Allama Iqbal medical college:
Prof. Dr. Javed Akram.

Pakistan Bait-ul-Mal (PBM), an autonomous body set up through 1991 Act works
under the umbrella of Ministry of Social Welfare and Special Education. PBM is
significantly contributing towards poverty alleviation through its various poorest of
the poor focused services and providing assistance to destitute, widow, orphans,
invalid, infirm & other needy persons, as per eligibly criteria approved by Bait-ul-Mal
Boards.

 Financial assistance to the destitute, widows, orphans, invalids, infirm and

other needy persons with emphasis on rehabilitation
 Educational assistance to needy orphan and stipends for the outstanding,
non-affording students for higher professional education
 Residential accommodation and necessary facilities for the deserving
 Free medical treatment for indigent sick people, set up free hospitals and
rehabilitation centres for the poor
 Financial aid to charitable institutions including educational & vocational
setups.
 Sponsor and promote self-employment schemes.
 Any other purpose approved by the Board.
 To provide for free medical treatment for indigent sick persons and to set up
free hospitals, poor houses and rehabilitation centres and to give financial aid
to charitable institutions, including industrial homes and other educational
institutions established specially for poor and needy.
Pakistan Sweet Home:

As the name implies, “Pakistan Sweet Homes” mean the children who are
living in these centers shall be nice, intelligent and well-groomed. These
homes are meant to provide residential accommodation to the poor and
deserving.

Lungar Project:

Most of the patients and their attendants, who come from far flung areas for
treatment in Hospitals, belong to poor families. These helpless attendants are in
need of basic necessities like food etc. PBM Management has, therefore, decided to
launch “Lungar Project” for the poor attendants of patients.

Jinnah burn and reconstructive surgery centre:

It reduces the mortality and morbidity of burn victims significantly.

Child Support Program:

It promotes primary school education and reduces dropout ratio by providing

additional resources to ultra poor families for sending   their children to schools.

National centres for rehabilitation of child labour (NCRCL):

 Wean away children from the hazardous child labour environment 

 Impart primary education to them in conductive class room environment.

 Afford opportunities for secondary and higher education to bring them into the
mainstream of social milieu. 

There are basically three departments functional that are as follows:

 Social Welfare Department.

 Women Development Department.

 Bait-ul-Mall Department.

Social Welfare Department:

The Department provides training and other facilities required for development of
communities through Non-Governmental Organisation (NGOs), Community Based
Organisations (CBOs) and other organizations.

The Medical Social Services Projects are established in big hospitals and District as
well as Tehsil Headquarters Hospitals to provide much needed` social, financial and
medical assistance to the poor and deserving patients with the help and assistance
of Zakat Funds (through Health Welfare Committees ), Bait-ul-Mal Funds ( through
District Bait-ul-Mal Committees) and Public donations and contributions (through
Patient"s Welfare Societies).

Women Development Department:

Following are the goals and strategies of the Women Development Department:

 Over all social and economic uplifts of women through development schemes
and programs of Federal Ministry of Women Development and youth affairs
Islamabad and provincial development plans.

 Professional and financial support to voluntary women welfare and

development agencies/organizations.

 Research studies and surveys about women related issues and problems for
identifying areas of immediate actions and development.

 Proposing and implementing legislation on Social and Economic rights and

privileges of women.

 Trainings in income generating skills and rendering opportunities of income

generation to poor women both urban and rural areas.

 Strengthening linkages with other Departments and agencies in Federal and

Provincial Governments and ensuring women development program to get
due share in future policies and budgetary allocation.

Bait-ul-Mall Department:

Bait-ul-Mall Department accomplishes following goals:

 Relief and rehabilitation of the poor and needy particular needy widow and
orphanage.

 Educational assistance to the poor and deserving students.

 Medical assistance to the poor.

 Assistance to register NGOs including those registered under the social
welfare agencies (RNC) Ordinance 1961.

 Any other purpose approved by the council.

 Collection of the voluntary donation including Sadqat, Khairat and Atyat.

Madam Tayyaba Zahid Khan MSO

Madam Razia Sultana MSO

Madam Noreen Clerk

Mr. Afzal Clerk

Mr. Mudassir Ali Clerk

Mr. Ishfaq Dispenser

Mr. Adrees Clerk

Mr. Ishfaq Peon

It was a very articulate learning experience. From the very first
day, when the first foot was set inside the hospital everything gave
a new experience and a new understanding of the world. The
nature of work given to each and every student required a lot of
patience. I was required to sit in the medical social services room.
All the poor and deserving patients come there to fill certain forms
that they are required to submit in bait-ul-Mall office.
Then, bait-ul-Mall assists them with money which they submit in
the hospital and enjoy free medical check-up or test or operation.
As, 90% of the patients coming there were illiterate as they had no
money to get themselves educated, so, they are unable to fill-up
those forms up to the requirements of the hospital as well as Bait-
ul-Mall.
So, there comes my community service. I had to ask them certain
questions mentioned in their forms like who is the bread owner of
the family and what is his/her income, and how many people are
being fed on this income. After evaluating all these things and
seeing each and every circumstance, I had to decide how much
free amount should be allowed for them. But, the final decision
was made by the medical social officer there.
In the beginning, i was very bad at this work. There were a lot of
mistakes done by me. But as said, practice makes a man perfect i
got perfect within a few days time. After getting the whole
procedure done and getting their cheque from Bait-ul-Mall,
patients used to come back and then we had to guide them in
which ward they have to go, what they have to do and how they
will get operated.
Each and every question was supposed to be asked keeping in
view the patient’s perception level and the severity of the situation.
It was not easy at first to deal with patient when the tolerance level
of the patient was low and also when the patient was non co-
operative. The language had to be simple and the sentence must
be brief so the patient could understand every word and it was
also necessary to develop interest in conversation. It developed
confidence and increased tolerant level and cooperation of the
student.
In the whole scenario, the student had to be reserved in certain
areas. The student had to follow the word of the medical social
officer and they could not do anything for the patient contrary to
what medical social officer has said.
 Altogether that was a very prolific experience and I learned a lot
and gained a lot of experience and understanding from this
community service program. Seeing people, having less facilities
and a less privileged life than you, makes you satisfied with what
you have and make you more thankful to God for whatever He has
blessed you with.
I would end at the words that the behaviour of the medical social
officer with us was very nice and cooperating and every one out
there, from officer to clerk was very cooperative, helping and
listened tirelessly to our problems and solved them.

Name: Muhammad Nawaz

Father’s Name: Saleh Muhammad

Address: Flat No. 104Block-D,

Street 11, Jinnah Colony,

Lahore.

CNIC No.: 35202-6934948-3

Religion: Islam
Marital Status: Married

Monthly Income: 6000 Rs.

Number of People fed: 5

Recommended: Hepatitis C test

Free Amount Allowed: 80% of the total amount.

Name: M. Shafeeq

Father’s Name: M. Hassan

Address: House No. 6, Ferozwala

Road, Street 7, Shehzad

Colony, Gujranwala

CNIC No.: 35103-3727036-2

Religion: Islam
Marital Status: Married

Monthly Income: 4500 Rs.

Number of People fed: 3

Recommended: MRI and CT scan

Free Amount Allowed: 90% of the total amount.

Name: Zahid Hameed

Father’s Name: Muhammad Hameed

Address: House No. 1, Street No.1,

Abdullah Town, Pipli

Pahaad Road, Deepalpur,

Okara.

CNIC No.: 36402-4599034-1

Religion: Islam
Marital Status: Married

Monthly Income: 10,000 Rs.

Number of People fed: 9

Recommended: Stomach Cancer

Free Amount Allowed: 100% Free.

By the blessing of Allah Almighty, It was a very prolific and articulate experience
working there and there is no doubt in saying that I learned a lot and gained a lot of
experience and understanding of the outer world from this community service
program. Everyone was very cooperative and helping, we hardly faced any problem
while working there but I would also like to give some suggestions that are:

 If it is possible transport facility should be provided to the students.

 The meeting of the internal and external supervisor with students should be
conducted every week.
 There should be strict check and inspection on the working of the students by
the medical social officer. He/she should visit at least once daily.
 The work given to us was very limited. More assignments should be given to
the students.
  Photocopy of the forms should be arranged from the hospital funds and a
clerk should be arranged for this purpose as it is not possible for every patient
coming there to get the forms photocopied.
 There should be proper communication among students and medical social
officer.
 Bait-ul-Mall forms should be submitted in Jinnah Hospital and hospital should
arrange for the delivery of the forms in Bait-ul-Mall office as it is impossible for
every patient to go there. Some patients do not have anyone with them to go
to bait-ul-mall office to submit the forms.
 The process of filling the forms should be precise and simple.
 Annual reports should be kept in the library so that the students may consult
them at time of their need.

There is a common saying that "you learn something new every day." This definitely
holds true for community service. With each new experience, old skills are
developed as new ones are learned. New information is integrated with past
experience, and one’s knowledge base grows.

Additionally, the lessons learnt from community service support and enrich
understandings of how our community is set up to function. Furthermore, this
program gave me a vested interest in my community and changed my perspective of
how things are viewed. At the same time, i have learnt a lot by conversing with
those, whom i helped or worked with, as i have encountered new points of view. As
said:

"Ideals of democratic life cannot encompass all members of 
the national community until people of different traditions
listen to the voices of others." 

By talking with people of different ideas and opinions and different way of thinking, i
have gained communication skills. Having face to face interaction and talking with a
person having less tolerance level and non-cooperative at the same time made me
gain good communication skills and made me polite and increased my tolerance and
confidence level.

I was given the opportunities and responsibilities of decision making that was
interesting and important to me, and I tend to think more deeply about the issues at
hand and used my most complex thinking skills. I have also learnt team-building
skills while working with other students coming there. I have become more active as
a citizen and i have found a new sense of purpose and a sense of caring for the
people around me.

At the same time, this program has enhanced my overall morale. I have gained a
“real life” experience and i am able to think about the important things in my life. This
program kept my busy and active; it gave me a sense of being needed and valued
for my contributions while keeping me mentally and physically active. There is no
doubt in saying that it has increased my mental health and life satisfaction.