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    Corporate

    Social

    Responsibility

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    TATA MEMORIAL

    HOSPITALUNIVERSITY OF MUMBAI

    Submitted to:

    Prof. Dr. Shankaran Kutty

    Submitted by:

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    ADITI DILIP KADAM (36)

    MMS 1A

    CERTIFICATE

    This is to certify that __________________________________ has

    Successfully completed the project work as a part of academic fulfillmentof Master of Management Studies (MMS) Semester I Examination.

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    ________________________________

    Name and Signature of Project Guide

    Date: _________

    CORPORATE SOCIALRESPONSIBILITY OF

    TATA MEMORIAL

    HOSPITAL

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    Acknowledgement

    I wish to express my deep sense of

    gratitude to ProfDr. Shankaran Kuttysir for

    his valuable guidance and constant

    encouragement during the course of our

    project work. I would also like to thank all

    teaching & non teaching staff of babasaheb

    gawde institute of management studies.

    I thank the officials & staff of Tata Memorial

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    Hospital & TAMUK for giving us access oftheir data.

    For their assistance extended to me fordata collection work.

    Date : 2nd Jan 2010

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    Table of ContentsContentPage .noChapter 1

    What is social responsibility 8Importance of CSR9-12Need of CSR 13-20Scope of CSR21-27Our contribution28Chapter 2TATAS SOCIAL RESPONSIBILITY29-31

    Tata Family32Organization information33PERSONNEL INFORMATION 34Chapter 3

    Tata Memorial Hospital

    Overview of organization35-37 Hospital Ethics Committee38-40

    Chapter 4Why Tata Memorial Hospital 41Corporate social responsibility of Tata memorial hospital

    42-49

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    Tata Annapurna Mahila Udyog Kendra50-55

    Chapter5

    Conclusion

    56My experience57Bibliography58

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    WHAT IS CORPORATE SOCIALRESPONSIBILITY?

    Every company harms the environment!(Just as an individual does)

    CORPORATE SOCIAL RESPONSIBILITY is thus only about twoaspects:

    1)REDUCING NEGATIVE EFFECTS:Steps taken by a

    company toneutralize, minimize or offset the harmful effects caused byits processes

    and product usage.

    2)INCREASING POSITIVE CONTRIBUTION:Further steps

    takenusing its resources, core competence, skills, location andfunds for the

    benefit of people, society and the environment at large.

    WHY CORPORATE SOCIAL RESPONSIBILITY?

    Values - Not only wealth creation but also for the well-being of the

    Communities.

    Strategy - Being more socially responsible is importantfor the

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    strategic development of a company.

    Social Pressure - from media, the state and otherpublic bodies to become more socially responsible.

    Importance of CSR in different sector

    There have been increased demands from employees,

    customers and government bodies for businesses to be

    more open about their activities and that they reach and

    maintain acceptable standards in their business

    practice. For employers, CSR is now seen as an

    important way to increase competitive advantage,

    protect and raise brand awareness and build trustwith customers and employees.

    Corporate social responsibility is necessarily

    an evolving term that does not have a standard

    definition or a fully recognized set of specific criteria.

    With the understanding that businesses play a key

    role on job and wealth creation in society, Corporate

    Social Responsibility is generally understood to be

    the way a company achieves a balance or integration

    of economic, environmental, and social imperatives

    while at the same time addressing shareholder and

    stakeholder expectations. Corporate Social

    Responsibility is generally accepted as applying to

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    firms wherever they operate in the domestic and

    global economy. The way businesses engage/involve

    the shareholders, employees, customers, suppliers,

    governments, non-governmental organizations,

    international organizations, and other stakeholders is

    usually a key feature of the concept. While business

    compliance with laws and regulations on social,

    environmental and economic objectives set

    the official level of Corporate Social Responsibility

    performance, Corporate Social Responsibility is often

    understood as involving the private sector

    commitments and activities that extend beyond this

    foundation of compliance with laws.

    From a progressive business perspective,

    Corporate Social Responsibility usually involves

    focusing on new opportunities as a way to respond to

    interrelated economic, societal and environmental

    demands in the marketplace. Many firms believe

    that this focus provides a clear competitive

    advantage and stimulates corporate innovation.

    Corporate Social Responsibility is generally seen

    as the business contribution to sustainable

    development which has been defined as

    "development that meets the needs of the present

    without compromising the ability of future

    generations to meet their own needs", and is

    generally understood as focusing on how to achieve

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    the integration of economic, environmental, and

    social imperatives. Corporate Social Responsibility

    also overlaps and often is synonymous with many

    features of other related concepts such as corporate

    sustainability, corporate accountability, corporate

    responsibility, corporate citizenship, corporate

    stewardship, etc..

    Corporate Social Responsibility

    commitments and activities typically address aspectsof a firm's behaviour (including its policies and

    practices) with respect to such key elements as;

    health and safety, environmental protection, human

    rights, human resource management practices,

    corporate governance, community development, and

    consumer protection, labour protection, supplier

    relations, business ethics, and stakeholder rights.

    Corporations are motivated to involve

    stakeholders in their decision-making and to address

    societal challenges because today's stakeholders are

    increasingly aware of the importance and impact of

    corporate decisions upon society and the

    environment. The stakeholders can reward or punish

    corporations. Corporations can be motivated to

    change their corporate behaviour in response to the

    business case which a Corporate Social Responsibility

    approach potentially promises. This includes:

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    1. Stronger financial performance and profitability

    (e.g. through eco-efficiency),

    2. Improved accountability to and assessments

    from the investment community,

    3. Enhanced employee commitment,

    4. Decreased vulnerability through stronger

    relationships with communities, and improved

    reputation and branding.

    IN SHORT IMPORTANCE OF CORPORATESOCIAL RESPONSIBILITY IN THE CORPORATE WORLD

    A good reputation makes it easier to recruitemployees.

    Employees may stay longer, reducing the costsand disruption of

    recruitment and retraining.

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    Employees are better motivated and moreproductive.

    CSR helps to ensure you comply with regulatoryrequirements.

    Activities such as involvement with the localcommunity are ideal

    Opportunities to generate positive press coverage.

    Good relationships with local authorities makedoing business

    easier.

    Understanding the wider impact of business canhelp the business

    to develop new products and services.

    CSR can make industries more competitiveand reduces the risk

    Of sudden damage to your reputation (and sales).Investors

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    recognise this and are more willing to finance you.

    Need of CSR

    It is difficult to concede if CSR may is

    purely driven by the intentions of corporate members

    to exert ethical conduct or is it a distraction and/or

    opportunity to over shadow or distracts society and

    consumer perception based on the amoral standing

    of an organization. Examining some of the following

    drivers may provide some answer to the principles.

    1. ETHICAL CONSUMERISM

    Ethical consumerism can certainly be

    linked in shaping the methodologies of corporate

    processes and responsibility. The population has

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    significantly increased in the last two decades

    placing great pressure on the resources required to

    meet the demands (Grace and Cohen 2005, 147).

    Technology has provided many new tools and

    resources that meet human needs. Industrialization

    in many third world countries is booming as a result

    of technology, in turn fuelling globalizations.

    Consumers are well aware of the risk associated with

    global warming and climate change however the

    correlation between what they buy and their day to

    day needs have no relevance. Society as a whole are

    aware of the CSR, but the on a day to day level fail to

    act on belief or relate to something that is intangible,

    and invisible. Consumers relate to brands and not

    corporations (Centaur Communications Ltd 2007).

    Examples are the number of people who still

    purchase Nike apparel when it is publicly known that

    third world nations are exploited in producing these

    goods. Resource industries continue to profits from

    mining of natural resources while the R&D on newer,

    cleaner technology has a far less focus given the

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    environmental concerns even though evidence

    suggest that such technology will mean a

    competitive advantage (Fields 2002).

    2. GLOBALIZATION AND MARKET

    FORCES

    There are major challenges in todays

    corporate arena that impose limitations to the growth

    and potential profits of an organization. Government

    restriction, tariffs, globalization, environmentally

    sensitive areas and exploitation are problems that

    are costing millions of dollars for organization. It may

    be apparent that in some cases, ethical implications

    are simply a costly hindrance that potentially forces

    businesses to finding alternative means to shift

    viewpoints. It is certainly a potential strategic tactic

    to gain public support to sustain a competitive

    advantage. There is no doubting that social

    contributions provides a subconscious level of

    advertising that suggest that profit targeting may be

    the purpose and questions the ethical marketing

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    techniques (Fry, Keim, Mieners 1986, 105)

    Globalization is certainly making it difficult for

    competition and many organizations are

    merging/acquiring other businesses with competitive

    and alternative core competencies. This not only

    prolongs sustainability but enables transition to other

    business landscapes that are subject to or limited in

    terms of complex cultural differences and laws. The

    ability to claim on one hand, to support communities

    in need of assistance and development, while on the

    other hand, providing jobs and opportunity for third

    world employees that virtually earn $1.00 if that, for

    every $100 dollars profited. Further to this,

    employment conditions are far worst compared to an

    average workplace of a 1st world nation (The

    Corporation 2006) The implications could be further

    interrogated to suggest that somewhere in a

    corporate home nation, employees of that nation

    would have lost their jobs to lower paid workers in a

    foreign land.

    3. SOCIAL AWARENESS AND EDUCATION

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    There is highly visible change in

    behavior among corporate stakeholders as a result of

    high publicity on environmental and human right

    movements in present times. With global warming,

    and corporate behavior so publicly available to

    broadcast, there appears to be a trend in social

    behavior slowly changing from an individualistic

    mindset to a more holistic and collective reasoning.

    The Kyoto Protocol is an example of societies coming

    together and seeing the need for change on a global

    level (Bulkeley 2001). Peer pressure from society is

    paving the way business is conducted. Through

    education and dialogues the development of

    community in holding businesses responsible for

    their actions is growing (Roux 2007). Unlike the past,

    the public has taken a significant shift in holding

    businesses responsible for their actions. This in turn

    causes businesses to satisfy their customers needs.

    This view is also shared by Bansal and Roth (Bansal

    and Roth 2000). Amoral attitudes and behavior are

    unaccepted by consumers who have the potential to

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    impact the sustainability of the organization (Fields

    2002, A143).

    4. CORPORATE BEHAVIOR AND

    CULTURE

    Another driver changing the behavior

    and culture of employees is credited to ethics

    training. The aim of such activities is to help

    employees make ethical decisions when the answers

    are unclear. Organizations believe the rewards are

    demonstrated in the loyalty and pride employees

    hold towards the organization. This also equates to

    reducing the likelihood of dirty hands (Grace and

    Cohen 2005), fines and damaged reputations for

    breaching laws or moral norms. Caterpillar and Best

    Buys are examples of organizations that have taken

    such steps (Thilmany 2007). Tullberg believes that

    humans are built with the capacity to cheat and

    manipulate a view taken from (Trivers 1971, 1985),

    hence the need for learning normative values and

    rules in human behavior (Tullberg 1996).

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    5. GOVERNMENT LAWS AND REGULAT

    Another plausible driver of CSR is by independent

    mediators to ensure that corporate goals dont harm or

    disadvantage anyone or environment. This remark

    supported by Friedman feels demonstrates that

    governments themselves should set the agenda for social

    responsibility by the way of laws and regulation that will

    allow a business to conduct themselves without

    disadvantage or degradation. In many instances separate

    organizational bodies are established to administer the

    workings of fair-trading on a local and global front. The

    issues surrounding government regulations poses some

    problems; the first, regulation in itself is unable to cover

    every aspect of detail in a corporations process. This

    leads to the argument and interpretation of the law and

    the debatable grey areas (Sacconi 2004). General

    Electric is an example of a corporation that has failed to

    clean up the Hudson River after contaminating it with

    organic pollutants. They continue to argue via the legal

    process on the decisions of liability, while the cleanup

    remains stagnant. (Sullivan & Schiafo 2005). The second

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    issue is the financial burden this places on an economy if

    such a corporation contributed significantly to the nations

    economy. This view shared by Bulkeley, who identifies the

    Australian Federal Governments actions to not comply

    with Kyoto in 1997, on the concerns of economic loss and

    national interest especially relating to the energy and

    resources industries. Signing the Kyoto pack would have

    caused significant economic losses than any other OECD

    nation (Bulkeley 2001, pg 436). The Bush administration is

    another government body, who is opposed to regulatory

    measures along with resistance from many big US

    businesses who think alike. The burden and inconvenience

    to stakeholder are unjustified (Fialka 2006).

    5. Consequences and Events

    Unfortunately many consequential

    events are a reason why CSR policies become

    evident. One of the most active stands against

    environmental management is the CERES Principle

    that eventuated after the Exxon Valdez incident in

    Alaska in 1989 (Grace and Cohen 2006). Many highly

    media publicized incidents have resulted in ethical

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    and social responsibility by corporations to rectify the

    problems. The lead poisoning paint used by toy giant

    Mattel saw a recall of millions of toys globally,

    initiating new risk management and quality control

    processes. Mageline Metals in the West Australian

    town of Esperance was responsible for lead

    contamination killing thousands of birds in the area.

    The immediate cease of business and the cleanup

    was executed along with independent regulatory

    bodies called to provide assistance and assessment

    of the impacts

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    SCOPE OF CSR

    Various CSR studies and surveys indicate that

    the most important reason to undertake CSR

    initiatives is to be a good corporate citizen. This, they

    believe, can be achieved by discharging their

    responsibilities through carrying out philanthropic

    activities around their operational sites. Such

    initiatives essentially help companies to improve

    their relationship with local communities, build a

    good public image and thus improve the brand value

    of companies over competitors. For some companies

    the compliance with the legislation is the driving

    factor whereas some old and large companies do

    maintain that philosophy of the founders is the

    guiding factor for companies to undertake CSR

    initiatives. Though a large range of factors drives CSR

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    initiatives of companies, I would put all of them into

    following three major categories and term them as

    underlying drivers for corporate to take up CSR:

    a. To have Social License to operate business

    b. To mitigate reputation and operational risks

    c. To ensure higher sales volume

    Underlying principle that companies

    follow for addressing CSR and the CSRmovement start level

    Sustainable business is the only underlyingprinciple for companies to follow CSR. Howeverdifferent companies might have different principles.

    The history of CSR is as old as business is. With

    times, the scope and magnitude of it have changed.

    Therefore no particular place or region can be said as

    the birthplace of CSR. However, the recent history

    goes back to the seventeenth century when excesses

    of the East India Company were commonly

    expressed. The tradition of benevolent capitalism is

    as old as over 150 years. Some Quakers, such as

    Barclays and Cadbury; socialists such as Engels and

    Morris practiced value based and socially responsible

    business. In 1790s, the England witnessed the first

    large scale consumer boycott over the issue of slave

    harvested sugar which finally forced importer to have

    free-labour sourcing. In India, JN Tata in the

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    beginning of 1900 wrote to his sons to pay back to

    society., the values which resulted in to several

    ethical, social and environmental practices that got

    well integrated into business culture in Tatas a

    brand name known for its social responsibility.

    Common agendas and programmes

    covered under CSR initiatives.

    The program under CSR flows from the factorthat drives company into CSR. However, the

    philanthropic mode of CSR dominates and therefore

    companies prefer to contribute to welfare programs

    under health, education and relief mostly. I would

    rather be critical saying that the philanthropic

    activities are even non- strategic as companies havefailed to achieve human development goals even in

    their spheres of influence. The stakeholders model of

    CSR, which overarches workplace issues, Human

    rights issues, customers expectations and

    aspirations, suppliers issues, environment and etc,

    has still far way to go in India. The meaning and

    scope of CSR initiatives in the country is limited to

    dealing with community as the only stakeholder,

    which is of course a voluntary action but driven

    mostly by business needs. Otherwise, programs

    dealing with other stakeholders are limited to

    compliance and hardly have companies been seen

    taking voluntary and proactive actions on those

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    counts.

    As regards corporate partnering with NGOs,

    PiCs survey indicates that 16% companies had

    worked in partnership with NGOs. Companies like to

    make cash donations mostly. But, there are

    companies have their own institutions foundations/

    trusts. Alternatively, Companies get their CSR

    programme implemented through their internal

    functions like HR and Corp Communication, which I

    would like to suggest corporate that they should hire

    CSR experts by creating separate division of CSR. I

    dont mean to do marketing of social experts but it is

    essential for corporate to understand that CSR is a

    different and very specialized function and can not

    be treated as sub function. Most companies fail to

    produce impacts of CSR just because the approaches

    undertaken by HR/Corp Comm. are always different

    from what a CSR expert would have initiated.

    Partnership is the key to the success and

    sustainability of CSR and therefore public-private

    people partnership should be given more stress.

    Common funding mechanism for CSR

    initiatives

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    There is no established mechanism for

    committing resources. It again depends on how well

    CSR is integrated as a part of business processes.

    Since the philanthropic activity is meant as CSR,

    companies allocate some budget for the community

    development programs. It is not the strategic

    giving, rather, is more of a fair weather approach

    depending mostly on the financial performance of the

    company or you can call it profit.

    What I wish to emphasize on is that companies

    first have to institutionalize CSR as a core business

    practice. If it is done so, then resources for CSR are

    committed as a part of the revenues and not a part

    of the profit. This mechanism is more sustainable as

    it goes with the business. Resources for CSR as part

    of the profit are always a risky proportion.

    Payroll contribution is related to employee

    voluntarism. Charity Aid Foundation has been

    promoting this as Give As You Earn and as a result

    companies such as Price Waterhouse Coopers and

    Glaxo SmithKline in India have provided opportunities

    to their employees to support their chosen charitable

    causes.

    CSR in building a socially sensitive brand

    for an enterprise

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    ______________________________________________________

    ___________________

    Nike suffered the consumer boycott of its

    products in the mid -90s. It learnt from their mistakes

    and attacks from NGOs and today it has emerged as

    one of the most progressive global corporations as it

    improved its CSR practices and integrated it as one

    of their core business practices. Nike is a brand

    today. Another example, Exxon Mobil, decided to

    fight the environmental movement, faces on going

    NGOs severe criticism, consumer boycotts just

    because it failed to recognize the wider importance

    of CSR as a corporate strategy. There are several

    examples as to how CSR has helped companies

    improve their brand image over its competitors. The

    best example in India is Tatas a brand known for its

    values principles and practices that have made this

    group sustain in the business for almost over a

    century.

    Allegations of CSR being a face saving

    mechanism for corporate misdeeds______________________________________________________

    _________________

    There cannot be a second argument that CSR,

    over a period of time, has been instrumental making

    sustainable business. CSR is a dynamic business

    process that mitigates the concerns and aspirations

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    of stakeholders. This form of CSR certainly does not

    leave any scope for any controversies or challenges

    for business. However, CSR in its limited form, using

    this as instrument only towards mitigating business

    challenges in short term does not long last and

    therefore be dissuaded. Such an approach even

    cannot help companies in face saving. There are

    extractive companies active in India and Africa, who

    despite having their well laid out CSR policies at the

    group level failed to deliver the same intent locally.

    They are working with conviction that doing CSR in

    form of community development initiatives will save

    their misdeed in terms of Human rights abuse, poor

    work-place practices, environmental violations and

    corruption bribery. No, it is their mis-belief. It is

    therefore these companies have continuously been

    facing threats from different stakeholders.

    Future of CSR initiative______________________________________________________

    ___________________

    In a globalising world where companies are

    increasingly relying on brand strength to add value

    and product differentiation, and where NGO-driven

    consumer activism is increasing, role of CSR will be

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    inevitable as it makes good business sense. Malcom-

    Baldrige and EFQM models of Business Excellence

    have already positioned CSR as one of the core

    business processes. Companies following these

    models have to integrate CSR in to their business

    culture. Still, CSR is in evolving process and therefore

    there is no uniformity in understanding and

    approach. This has been understood and articulated

    differently continent to continent; country to

    country; companies to companies and even

    individually therefore I foresee a huge scope of CSR

    in future.

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    OUR CONTRIBUTION AS A HUMAN BEING

    TO CORPORATE SOCIAL RESPONSIBILITY______________________________________________________

    _______________

    Be a responsible citizen Please driveslowly and safely.

    Say No to Child Labour.

    Save every drop of water today, to live and let

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    live tomorrows generations.

    Stop smoking in public places.

    Help to reduce Global Warming.

    TATAS SOCIAL RESPONSIBILITY

    TOWARDS THE SOCIETY_____________________________________________________________________

    Long before the establishment of the Rockefeller andCarnegie Trusts, as early as 1892, Jamsetji Tataestablished the JN Tata Endowment Scheme toprovide higher education for deserving Indians. Sincethen 3,500 Tata scholarships have been awarded,

    including to President KR Narayan and Dr RajaRamanna. Before the dawn of the 20th century,

    Jamsetji had already introduced accidentcompensation for his textile workers, something thenunheard of, and he said, "We do not claim to be moreunselfish, more generous or more philanthropic thanother people. But we think we started on sound andstraightforward business principles, considering theinterests of the shareholders our own, and the health

    and welfare of the employees the sure foundation ofour prosperity."

    Those who followed Jamsetji have built on the legacythey inherited. His son, Dorab, even went to theextent of inviting well-known socialists Sydney andBeatrice Webb to Jamshedpur in 1917 to organize themedical services of Tata Steel. Through the 1940s,several philanthropic trusts were set up Trusts that

    have given to the nation a host of pioneeringinstitutions IISc, TIFR, TISS, Tata Memorial

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    Hospital, TERI and NCPA. Most of these are nownational institutions.

    Indeed, JRD Tata was very conscious that the social

    responsibility of his companies should not be left toindividuals; it should be institutionalized. The trustsare only one instance of that. Therefore, in the1970s, the Articles of Association of the major Tatacompanies were formally amended to read that the"company shall be mindful of its social and moralresponsibilities to the consumers, employees,shareholders, society and the local community".Companies commit themselves to their social

    expenditure in their business plans and this outlay issacrosanct. In the last few years, when businessconditions have been difficult, this has gone up fromRs 52 crore in 1995-96 to Rs 169 crore in 2002-03.

    This is apart from what the Trusts do, which is quiteindependent of the companies.

    The Group institutionalized its social responsibilitycharter further when it included a clause on this inthe Code of Conduct, by which companies have toactively assist in improving the quality of life in thecommunities in which they operate. In recent years,the Tata Council for Community Initiatives wascreated to give the Group's community activitiesgreater focus and cohesion. Yet another institution isthe Tata Relief Committee standing groups ofvolunteers for disaster relief, which operate out of

    Jamshedpur and Mumbai. There are heroic storiesabout the work done by these volunteers for the

    victims of the Koyna earthquake, the 1999 Orissacyclone, and later for the victims of the Bhujearthquake.

    From my perspective, the most salient experiencewas the Group's approach after the Kargil war in1999. The Group's cash collection was perhaps thelargest from any business group, Rs 12 crore. But Iwas personally struck by the natural sincerity of

    purpose that drove the whole effort. Considerable topmanagement time was invested to assure that the

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    money it collected would not just vanish into somelarge pool where it may be less than optimallyutilized. So the Group worked closely with the Armyto understand the real needs of war victims and their

    families what finally emerged was a Tata DefenseWelfare Corpus, which is now being administered bya committee comprising both Tata and Defiancepeople.

    The Tata Group and the Army jointly decided thathelp would be provided to victims of not just theKargil War, for whom a fair quantity had already beencollected, but for the families of the victims of all

    conflicts since 1972. It was also decided that thecorpus would focus its financing on education andrehabilitation anything that would ensure alivelihood. Five years down the road, everything is inplace and the disbursals have begun, and willundoubtedly go on for a long, long time. The numberof beneficiaries of this scheme by now aggregates178 individuals.

    But social responsibility, as we know, is not justabout coming to the aid of those hit by disaster: it isengaging with and solving society's most pressingcurrent problems, like illiteracy. A few years ago,some of the finest minds in Tata Consultancy, led bythe redoubtable FC Kohli, bent their minds to theissue of how they could leverage technology to makea dent in the problem of illiteracy. The problem wasthat, while literacy was growing at the rate of 1 percent per annum, the population was growing at the

    rate of 2 per cent. Even if the rate of growth of bothindices remained constant, total literacy would be adistant dream. However, if the rate of growth ofliteracy by some miracle could be stepped up 10times, then the backlog of illiteracy could be wipedout within our lifetime.

    The National Literacy Mission, the Tata Consultancyteam recognized, had done very good work. But it

    was doing two things which could perhaps beimproved: it was insisting on teaching the illiterate

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    how to write and we all know how much moredaunting writing is, compared to reading andspeaking. And it was going from alphabets to words which is how we are all taught in schools. After six

    months of study, they came out with a package thatwould go from words to alphabets and would makeadults functional literates able to readnewspapers, shop signs, bus numbers through acomputer-aided programmed of 30-45 hours oflearning.

    This programmed is currently being implemented insome 40 villages in Guntur district. The package hasnow also been taken by the Madhya Pradesh

    government, which intends to adapt it in over 600centers from July onwards. A TV version of thelessons has been created, with the help of Siticable,which is being telecast every night for one hour inGuntur district. It's been found that the TV versionworks just as well as the computer version. SomeNRIs have been so inspired that they have committedto financing 200,000 machines every year for theprogrammed. Today the project is up and running

    and it has helped more than 20,000 people learn themost basic of the three Rs

    TATA FAMILY

    The Tatas are a wealthy Parsi family in India.Originally a priestly family in Navsari, they have beenactive in industry and philanthropy since the

    http://en.wikipedia.org/wiki/Parsi_peoplehttp://en.wikipedia.org/wiki/Indiahttp://en.wikipedia.org/wiki/Navsarihttp://en.wikipedia.org/wiki/Parsi_peoplehttp://en.wikipedia.org/wiki/Indiahttp://en.wikipedia.org/wiki/Navsari
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    nineteenth century. TheTata Group, founded byJamsetji Tata, is one of the largest private employersin India. Other prominent members of the familyinclude Dorabji Tata,J.R.D. Tata and Ratan Tata.

    PROMINENT MEMBERS:

    Jamsedji Nusserwanji Tata, known as thefather of Indian industry

    Dorabji Tata, Indian industrialist andphilanthropist

    J. R. D. Tata, Indian pioneer aviator and

    founder of Tata Airlines

    Ratan Tata, present chairman of the TataGroup

    Simone Naval Tata, chairperson ofTrent

    http://en.wikipedia.org/wiki/Tata_Grouphttp://en.wikipedia.org/wiki/Jamsetji_Tatahttp://en.wikipedia.org/wiki/Dorabji_Tatahttp://en.wikipedia.org/wiki/J.R.D._Tatahttp://en.wikipedia.org/wiki/Ratan_Tatahttp://en.wikipedia.org/wiki/Jamsetji_Tatahttp://en.wikipedia.org/wiki/Dorabji_Tatahttp://en.wikipedia.org/wiki/J._R._D._Tatahttp://en.wikipedia.org/wiki/Ratan_Tatahttp://en.wikipedia.org/wiki/Simone_Tatahttp://en.wikipedia.org/wiki/Trent_(Westside)http://en.wikipedia.org/wiki/Tata_Grouphttp://en.wikipedia.org/wiki/Jamsetji_Tatahttp://en.wikipedia.org/wiki/Dorabji_Tatahttp://en.wikipedia.org/wiki/J.R.D._Tatahttp://en.wikipedia.org/wiki/Ratan_Tatahttp://en.wikipedia.org/wiki/Jamsetji_Tatahttp://en.wikipedia.org/wiki/Dorabji_Tatahttp://en.wikipedia.org/wiki/J._R._D._Tatahttp://en.wikipedia.org/wiki/Ratan_Tatahttp://en.wikipedia.org/wiki/Simone_Tatahttp://en.wikipedia.org/wiki/Trent_(Westside)
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    CANCER IS CURABLE, IF DETECTED EARLY

    ORGANISATION INFORMATION

    Areas of business : HealthCare

    Subsidiary companies : Nil

    Awards : Globalaward for fighting Cancer

    Community initiatives :Cancer detection camps, exhibition andlectures on the ill effects of tobacco, cancerawareness programme for school children andschool personnel, Clinic based and communitybased opportunistic screening programmes forcommon cancers etc. are regularly conducted.

    66 Blood donation camps were arranged duringthe year 2002.

    Contact details :Tata Memorial Centre,

    TataMemorial Hospital,

    Dr.Earnest Borges Marg,

    Parel,

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    Mumbai 400 012

    PERSONNEL INFORMATION

    Board of Directors

    CEO/MD : Dr. K.A.Dinshaw,

    Director, Tata Memorial Centre

    CAO : Mr. T. Anbumani,Chief Administrative Officer

    CFO : Mr. N.C.N. Moorthy,Offg. Joint Controller

    Head of HR : Mr. K.

    Subramanian,Human Resource Development Officer

    Head of Communications : Mr. T.K. Ghosh,Head, Information Technology

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    Overview of Organization

    In 1932, when Lady Meherbai Tata died of leukemia,

    after treatment abroad, Sir Dorabaji Tata was

    determined to establish facilities for the treatment of

    Cancer in India. Unfortunately Sir Dorabaji also died

    in 1932. However, the Trustees of the Sir Dorabji

    Tata Trust, after consultations with outstanding

    Cancer specialists committed themselves in 1935 to

    establishing a cancer centre. Out of this

    humanitarian concept was born the nucleus of a

    Hospital, in 1941, called the Tata Memorial

    Hospital.

    The Tata Memorial Hospital was initially

    commissioned on 28 February 1941 with 80 beds and

    was managed by the Sir Dorabji Tata Trust from 1941

    to 1957.The Trustees of the Sir Dorabji Tata Trust

    being desirous of dedicating the hospital to the

    nation with all its assets requested the Govt. of India

    to take over the control and management of the

    hospital with effect from 1.4.1957. The Government

    of India agreed to manage it at the + ir own

    expenses on the terms and conditions set forth in an

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    agreement dated 4th February 1957. Accordingly, the

    Ministry of Health took over the Hospital.

    In the year 1952, the Indian Cancer Research Centre

    (ICRC), now called Cancer Research (CRI) was set up

    at the same premises by the Govt. of India in

    collaboration with the Trustees of Sir Dorabji Tata

    Trust for basic research in Cancer.

    The administrative control of the Tata Memorial

    Hospital and the Indian Cancer Research Centre was

    transferred from the Ministry of Health to the

    Department of Atomic Energy with effect from

    1.2.1962 due to the role that radiation would play in

    cancer treatment and because a strong base existed

    in BARC in allied areas of Health Physics and

    Radiation Protection. The Tata Memorial Hospital and

    Indian Cancer Research Centre were amalgamated

    into one body called the Tata Memorial Centre with

    effect from 6.1.1966, with a mandate for Service,

    Education and Research in Cancer. Tata Memorial

    Centre is a grant-in-aid institution under the

    administrative control of the Department of Atomic

    Energy.

    The Tata Memorial Centre was registered under the

    Societies Registration Act (1860) on April 22, 1988

    and the Mumbai Public Trust Act (1950) on June 28,

    1988.

    The progressive policies of the Dept. of Atomic

    Energy and infusion of funds have kept the Tata

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    Memorial Centre in the forefront of research,

    treatment and education in cancer in India. The

    number of beds has grown from 80 in 1941 to 565 in

    2005. The area occupied by the TMC including

    Golden Jubilee Block, Service Block and ACTREC is

    84,812 sq. mtrs. As against 15,363 sq. meters. In

    1941. The annual budget was Rs.5.00 lakhs in 1941

    today it runs close to Rs.120 crores.

    The Hospital is a comprehensive cancer patient care

    centre of international reputation where about

    38,000 patients visit every year from all over India

    and neighbouring countries. About 1,000 patients

    attend the OPD daily for medical advice,

    comprehensive care or for follow up treatment.

    About 70% of the patients are treated free of

    charge.

    The Tata Memorial Hospital was the first Centre in

    the country to initiate Bone Marrow Transplant in

    1983. This has been possible due to better total

    supportive care using better antibiotics, nutritional,

    blood transfusion support, nursing and other areas.

    Tata Memorial Hospital has set up a Tissue Bank,

    which is unique, and only ISO, 9001:2000 certified

    Tissue Bank in the country. The Tissue Bank collects

    normal tissues from cadavers from different hospitals

    in Mumbai and these tissues are then processed,

    irradiated and preserved in sterile packs.

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    A Digital Library was set up in the year 2000, which

    collects information in the form of books, compact

    discs, journals and e-journals in the field of Oncology

    and covers all subject streams and facilities

    necessary for the hospital. The Library has been

    completely automated and for this it has library

    management software customized to its needs.

    On March 30, 2002 the Advanced Centre for

    Treatment, Research and Education in Cancer

    (ACTREC) was commissioned in the new campus in

    Kharghar with the relocation of the Cancer Research

    Institute. The Clinical Research Centre was

    subsequently inaugurated on March 30, 2005

    completing the project ACTREC.

    They also have their CONSITITUTION OF HOSPITAL

    ETHICS COMMITTEE which helps to give the

    information about ethical issues in society. And help

    to create the awareness about importance of ethics.

    The Hospital Ethics Committee is constituted by theauthority vested in the Director Tata Memorial Centre

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    by the Governing Council of the Tata MemorialCentre.

    The Hospital Ethics Committee of Tata Memorial

    Centre was established in 1996 to function inaccordance with ICH and GCP guidelines and thoselaid down in the Ethical Guidelines for BiomedicalResearch on Human Subjects by Indian Council ofMedical Research New Delhi.

    PURPOSE

    The HEC was established to formalize and specify theInstitution's commitment to promotion of high ethicalstandards in patient care, professional education andclinical research, community interests.

    The mission of the HEC is to provide amultidisciplinary forum for the analysis anddiscussion of ethical standards effecting TataMemorial Centre in all its activities. This mission isfulfilled through the Committee's advisory,educational, policy development, and service

    functions.

    The HEC, through its delegated sub-committees andtask forces, is charged with assisting the Institution inconducting its patient care and operations within aconsistent ethical framework and in the integration ofethical values into practice, policy, relationships, andorganizational activities.

    Mandate

    The purpose of the IEC is to cultivate a pluralistic anddemocratic exchange of ethical values and concernsand to critically analyze that discussion foropportunities to enhance the ethical integrity of theInstitution.

    HEC has responsibility within the

    institution for the following objectives:

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    To ensure the competent review and evaluation of allethical aspects of the research project received, to ensurecompliance with the appropriate laws and safe guardwelfare of subjects

    Patient care services Clinical ethics consultation Education of professional, administrative, andsupport staff about ethical issues Continuing education and training programs thatassure that HEC members are qualified to perform theirspecific duties within the HEC.

    COMPOSITION

    The HEC is composed of a Chairperson, a Secretary,and 15-20 active members who represent anappropriate balance of professional, ethical, legal,cultural, educational, and community interests. Themembers will be selected to have an equitablerepresentation of all specialties in the institution. Itincludes scientists, clinicians, members of thecommunity, a lawyer /expert in ethics, a social

    worker.

    There will be adequate representation of age,gender, community, etc. in the Committee to safeguardthe interests and welfare of all sections of the community /society. Members should be aware of local, social andcultural norms, as this is the most important social controlmechanism. The committee will comprise a diverse working groupwithout any gender bias.

    The following qualities are sought in HECmembers:

    interest and motivation, commitment and availability, experience or education, respect for divergent opinions,

    interest in committee work, integrity, and

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    diplomacy.

    The Hospital Ethics Committee can have as itsmembers, individuals from other institutions or

    communities if required. If required, subject expertscould be invited to offer their views, for example fordrug trials a clinical pharmacologist, may beincluded.

    The Chairperson of the Committee will necessarily bea person of stature with a scientific slant andadequate familiarity with the principles of ethics andrelated issues. He/she will preferably be from outside

    the Institution to maintain the independence of theCommittee. The Member Secretary will belong toTMC to conduct the business of the Committee.

    The composition may be as follows:-

    1. Chairperson2. 1-2 basic medical scientists.3. 1-2 clinicians from each specialty4. One legal expert or retired judge5. One social scientist / representative of non-governmental voluntary agency6. One philosopher / ethicist / theologian7. One lay person from the community8. Member Secretary

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    Why Tata Memorial Hospital?

    The Tata Memorial Centre is not just India's

    best cancer hospital. It is a global centre of

    excellence where 70 per cent of patients get free

    primary care. About 10 to 12 million people the world

    over suffer from cancer. Almost 52 per cent of them

    are from developing countries. In India 800,000 are

    diagnosed with this dreaded disease every day. At

    any given time there are 2.5 million old and new

    patients. If you think this is bad news, there's worse

    to come. By 2020 the number of patients globally will

    shoot up to 20 million, and 72 per cent of them will

    be from the third world. Is India geared for this

    future? Not at all, says Dr Ketayun Dinshaw, director,

    Tata Memorial Centre (TMC), adding, "We need a

    Tata Memorial Hospital in every state." She says it

    was extraordinary vision which made the Tatas set

    up a specialty cancer centre at a time when there

    were only a handful of them in the world. Today TMC

    treats one-third of the cancer patients in the country.

    Because of this I selected this organization for

    my project for the sole reason that the name itself

    reflects CSR. All the activities done by the hospital

    comes under CSR. When I started collecting more

    information about their work, I come to know that I

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    was on a right path. Tata Memorial Hospital is not

    only indulged in a various social activities but also

    providing support to other organization for serving

    the society.

    SOME OF THE MAJOR AREAS IN WHICH TATA

    MEMORIAL HOSPITAL IS WORKING FOR BENEFIT OF

    THE SOCIETY:

    1] HEALTH CARE: [PATIENT CARE]

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    Tata Memorial Hospital is not making any kind

    of profit through treatment of patients. Every

    year nearly 38,000 new patients visit the clinics from

    all over India and neighboring countries. Nearly

    60% of these cancer patients receive primary

    care at the Hospital of which over 70% are

    treated almost free of any charges. Over 1000

    patients attend the OPD daily for medical advice,

    comprehensive care or for follow-up treatment.

    During the year 2004, over 22000 new cases were

    registered in addition to over 11000 Referral Cards

    issued for only special investigations.

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    Nearly 8500 major operations are performed

    annually and 5000 patients treated with

    Radiotherapy and Chemotherapy annually in multi-

    disciplinary programmes delivering established

    treatments. At the TATA MEMORIAL HOSPITAL,

    Evidence Based Medicine is the keystone of our

    Endeavour. Apart from the patient care and service,

    clinical research programmes and randomized trials

    contribute increasingly to improved delivery of care

    and highest standards of work ethics.

    Supportive care in the form of total rehabilitation and

    counseling of patients is widely recognized to be very

    important aspects of therapy. Excellent work has

    been carried out in areas of rehabilitation,

    physiotherapy, occupational therapy, speech

    therapy, psychology and medical social work

    that also at free of cost or at very minimum

    cost.

    2] Tata Memorial Hospital makes greetingcards and calendars with drawings by

    terminally ill children:

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    3] Femina White Ribbon Initiative

    Femina Miss India beauty pageant who transcendsinto the final phase, the

    20 gorgeous finalists launched a commendable and

    classic nationwidecampaign to throw light on the myths surroundingcancer, called Femina

    White Ribbon Initiative.The campaign is a combined CSR led initiative

    supported by three powerful bodies Femina, Tata

    Memorial Hospital (TMH) and Nargis Dutt

    Foundation (NGF).

    And the funds collected from the sponserors

    will again be used for the treatment of cancer

    patients in Tata Memorial Hospital.

    It will focus on the importance of early detection and

    prevention and curability of cancer if discovered well

    in advance. This initiative will comprise of a series of

    informatory articles on prevention, detection and

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    management of cancer in the forthcoming issues of

    Femina magazine, several Mumbai-based events/

    awareness campaigns to sensitize the Indian citizens

    about cancer, fundraising by NGF to support the

    treatment of underprivileged patients and research

    on cancer at Tata Memorial Hospital.

    The emotive moment of the afternoon was a fashion

    show put together by the 20 Miss India 2009

    contestants who walked the ramp hand in hand with

    the cancer-affected children. Post the fashion show,

    each child was crowned and sashed as a Femina

    Little Princess.

    For the Miss India contestants, this benevolent act

    was just the beginning of their social mission of

    lending a helping hand towards the needy and

    engaging themselves in crucial social issues affecting

    our societys growth.

    To bring a broadened smile to the faces of children

    further, Walt Disney India organized a movie

    screening for the 150 children which indeed made

    their day!

    As a part of the Femina White Ribbon Initiative, the

    participants of the Pantaloons Femina Miss India

    2009 pageant will spread cheer and smiles in the

    lives of little children afflicted by cancer. This was a

    day will not only be remembered by the children and

    guests but also by the 20 Miss India contestants, who

    will file this moment in their beauty diaries.

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    4] Womens Cancer Initiative Tata MemorialHospital {WCI-TMH}

    The Foundation (WCI TMH) has been designed totake care of various issues related to cancers inwomen. It has undertaken numerous initiatives tocreate awareness & emphasize the importance ofearly detection. It aims at alleviating physical,emotional & financial sufferings associated withBreast & Cervical Cancer. The Foundation also

    supports a large number of socially disadvantagedpatients with Breast Cancer, aids R&D on the causesand cures of the disease, and facilitates interactionbetween professionals through annual breast cancerconferences at the Tata Memorial Hospital. The Annual Womens Cancer Initiative TataMemorial Hospital (WCI-TMH) Conference is beingorganized from 26-28th October 2007 at TataMemorial Hospital. This is 5th in the series of

    conferences that have focused on the issues specificto Womens cancers. The Conference is an important

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    event in the annual academic calendar of Oncologistsin this country. The previous WCI-TMH Conferenceshave built a reputation for high quality academicdeliberations involving internationally renowned

    Faculty and intensive participation from practicingOncologists from all over India.This year the Conference is focused on the

    problems and challenges of treating metastaticbreast cancer and ovarian cancer. These are two ofthe most challenging situations for Oncologists andare also the subject of intense worldwide research.

    The International Faculty Members are the foremostexperts in these malignancies and have several

    original contributions to their credit. They will delivertalks on a variety of issues related to metastaticbreast cancer and ovarian cancer. The NationalFaculty Members are the leading academicOncologists and opinion leaders who have vastexperience in the management of these twomalignancies. They will contribute to the academicdeliberations in the form of invited talks, paneldiscussions etc.

    As is the tradition every year WCI will take thisoccasion to organize a FREE``Open Forum for members of the general public,patients, press and others to facilitate the interactionwith the expert panel. The ``Forum is scheduled on27th October (Saturday) 4.15 pm at the ChoksiAuditorium, 2nd Floor Golden Jubilee Building, TataMemorial Hospital, Parel, Mumbai. This would be animportant opportunity for members of the General

    public to interact with the experts on matters ofgeneral Importance related to Womens cancers.The members of the panel will include Dr. K ADinshaw, Director Tata Memorial Centre andPresident of WCI; Mrs. Devieka Bhojwani, Vice-President of WCI; Dr. Sudeep Gupta, Gen-Secretary ofWCI; Dr. R A Badwe, Prof. and Head of SurgicalOncology, Tata Memorial Hospital; Dr. H B

    Tongaonkar, Prof. and Head of Gynecologic Oncology

    Services - Tata Memorial Hospital; Dr. IndraneelMittra, Senior Surgical Oncologist;

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    Sir Ganga Ram Hospital New Delhi; Dr. JonathanCosin, Gynecologic Oncologist, WashingtonUniversity, Missouri, USA; and Dr. Peter Hoskin,Consultant Clinical Oncologist, Mount Vernon

    Hospital, UK.

    5] TATA TIED UP WITH LANDSAND HOTEL:

    LANDSAND is a very premium hotel in Bandra.Tatahospital has Collaboration with hotel Landsand.Landsand hotels banquet hall Is always booked forvarious functions like birthday parties, Marriages,anniversaries etc. And lot of food remain left almost9\10 times and instead of wasting this food Tata buysthat food From the hotel and give that food to theirOPD patients at free of Cost. Such food comes tohospital after the specific hygiene taste.

    Tata motors tempo is available to Tata Hospital tocarry that food to hospital. Every day tempo left fromhospital at 8.45a.m. To take Food from hotel. Theygive them food in air tight containers after Hygienetaste and after proper heating.

    The purpose is not just To give food to patients butalso to stop wastage of food.

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    We are focusing on the following activity.

    TATA ANNAPURNA MAHILA UDYOG KENDRA

    [TAMUK]

    Staff of TAMUK

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    Take a moment to feel..for the mother who see their children go

    hungry day after day..for women who walk miles to get a pot ofwater..

    for the young ones who work for a livinginstead of enjoying childhood..

    for those who are stricken with illnessesthat can be cured if only they had the means

    Yes, it touches our heart and makes us grateful for what wehave. And we

    want to do something to make a difference to those lessfortunate.

    What you do matters. If every one of us decides to do a littlebit, you would

    be surprised at the difference we can make to thousands oflives.

    The same thing happens with these women in picture, spousesof the

    employees of Tata Memorial Hospital. When the managementof Tata

    Memorial Centre asked them to work for TAMUK, it met with afirm YES.

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    Its nice to roll chapattis for cancer patients battling for life atthe premier

    hospital. They were quite happy to be able to have time on

    their hands and

    gossip all afternoon.

    This charitable scheme was introduced by the Tata hospital toensure

    patients had nutritionally balanced food, which is needed for a

    bodys

    healing. Also they had realized that poor patients often fend offmedical

    treatment because of the difficulty in arranging meals for thesick and their

    attendees.

    Therefore TAMUK was established on 13th October 2005. At thattime all

    the facilities were provided by the Tata Memorial Hospital.These facilities

    include 800sq.ft flat in Tata Colony at Mulund east, two

    machineries,

    utensils, gas, electricity, all the raw material required forcooking food and

    many more. The staff strength is 60 women. The Rs 85 permonth wage has

    increased to Rs 1000, the number of chapattis from 500 to5,000 per day

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    and from the "only chapattis" USP, it is also idlis, dosas, chakli,sev, thali and

    many more. From 80p per chapattis, they now charge a rupee

    and 60paise

    for all other than patients of Tata Memorial Hospital.

    From being a support service, they are also selling food fromacross the

    counter. Even the customer profile has increased from ailingpatients and

    their relatives to doctors and nurses who order regularly. Chief

    Administrative Officer, Ambuvani is no exception. He told "I eatthe same

    food."

    From a two-meal service - lunch and dinner to be precise - worknow is

    almost round-the-clock beginning with breakfast for 30 nurses.Add to this

    the counter sale that begins at 8 am with 1,000 chapattis readyto be sold.

    Two more lots, double the quantity, are transported during theday by a

    special bus shuttle service between TAMUK's operation unit inMulund and

    the Tata Memorial hospital.

    Between them, the women now make Rs 1.25 lakh per month.What's more

    the "pocket money" has now been converted to help poorpeople like by

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    helping patients of Tata Memorial Hospital and bank accounts:recurring

    and individual PPF accounts.

    The purpose is to generate income for the employeeswives and to

    serve hygienic food to the patients at cheaper cost.

    TAMUK's Lakshmi aunty has already thrown up her hands. At60, she does

    more than a 20-year-old can.

    But this is not just about chapattis or food. Neither is it aboutmoney, it is

    all about helping people and empowerment .Because TAMUKhas helped

    change things for the better.

    As it is said by TAMUK Chief Surekha Satpal that ,

    Open your heart and just give. That is all it takes toput a

    smile in some ones face.

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    Financial Analysis of TAMUK of May, 2009 :-

    Sr.No.

    Expenses

    Amount (in

    Rs.)1 Milk 4002 Vehicle 19343 Raw

    Material57347

    4 OtherExpense

    1755

    5 Gas 37556 Raw

    Vegetables3827

    7 Telephoe

    627

    8 Salaries 600009 F.D. 5000

    Total Income of May, 2009:Rs195848

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    Total Monthly Expenses of May, 2009:Rs.134645

    Total Profit of May, 2009: Rs:61203

    Their CSR -20% of their total profit: Rs.12240

    TAMUK employees donates 20% of theirprofit to Tata Memorial Hospital patients everymonth.

    Financial Analysis of TAMUK of October, 2009 :-

    Sr.No.

    Expenses Amount (inRs.)

    1 Milk 8802 Vehicle 34203 Raw

    Material63265

    4 Light 1300

    5 Gas 3232

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    6 RawVegetables

    4605

    7 Telephone 455

    8 Salaries 600009 F.D. 5000

    Total Income of October,2009 :Rs.194000

    Total Monthly Expenses of October, 2009 :Rs. 142157

    Total Profit of October, 2009: Rs. 51843

    Their CSR - 20% of their total profit :Rs. 10369

    Conclusion

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    Thus I can conclude that Tata Memorial Hospital issetting an

    Example of how one can contribute effectively to

    Corporate Social Responsibility. The number ofactivities they are conducting under CSR with such agreat pace & intensity, it really makes every Indianproud.

    If anyone ever tried to search information aboutthese activities On their official site or any othertrade magazine, they will never Succeed. It provesthat they are not making any PUBLIC RELATION (PR)but just the CORPORATE SOCIAL

    RESPONSIBILITY (CSR)

    Tata memorial hospital set a outstandingexperience for every patient .they treat them verywell and they are always ready to help their patient.Many times free of cost according to me they arereally contributed very well towards the socialresponsibility.

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    My

    Experience

    I had personally visited the TATA MEMORIALHOSPITAL and

    the TAMUK. It was my first visit to any of suchorganization and was a nice experience. They didtheir best to give us all the

    Information which we needed. They treated us liketheir guests and Served us snacks as well. All thestaff of Tata Memorial Hospital And all womenworking in TAMUK were very cooperative and Helpful.

    I feel proud that I have chosen Professional andcooperative organization for my project.

    This gives me a lot of information about corporatesocial responsibility.

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    Bibliography

    www.tatamemorialcentre.com

    www.google.com

    www.karmyog.orgwww.encyclopedia.com

    http://www.google.com/http://www.karmyog.org/http://www.google.com/http://www.karmyog.org/