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Needs identified
Chronic Kidney Disease affects over 17% of India's adult population, and of the approximately 2.2 lakh patients who require dialysis each year, fewer than 20% can access it. In the Panvel taluka and rural Raigad district adjoining Kharghar, Navi Mumbai, three specific gaps were identified through the Rotary Club of Kharghar Midtown's twenty years of medical camps in these communities.
First, treatment is unaffordable. Private dialysis costs âせ1,500 to âせ3,500 per session, and patients require two to three sessions weekly for life â€" âせ12,000 to âせ28,000 monthly, which is catastrophic for families from economically weaker sections.
Second, access is severely constrained. Existing facilities in the Kharghar vicinity are overcrowded with long waiting lists, forcing most patients to travel considerable distances three times a week. No hospital in the Panvel area currently sits on the District 3131 Global Grant shortlist.
Third, and most consequentially, disease is detected too late. Rural Raigad has minimal routine kidney screening, so most patients present only at end-stage renal failure, when prevention is no longer possible and lifelong dialysis becomes the only option.
How the project will meet these needs
The project builds a comprehensive kidney care programme rather than simply donating machines, addressing prevention, treatment and continuity of care together.
Early detection is addressed through village screening camps across rural Raigad, delivered by the club's chartered Rotary Community Corps, Rotary Kharghar Health Horizon, which comprises doctors and paramedical staff. Camps will offer uACR microalbuminuria testing, point-of-care serum creatinine, blood pressure and blood glucose screening with risk counselling. Patients identified at early or moderate stage begin inexpensive medical management with ACE inhibitors or ARBs, which can delay progression to kidney failure by years.
Treatment capacity is addressed by expanding the Rotary Kharghar Dialysis Centre, located within the 50-bedded Kharghar Multi-Speciality Hospital, from one machine to five haemodialysis stations. At full capacity the Centre will deliver 10 to 20 dialysis sessions daily, benefiting 120 to 150 patients each month, all treated free of cost.
Patients who cannot travel are addressed through a Continuous Ambulatory Peritoneal Dialysis deployment, including catheter coordination, sterile exchange sets, starter fluid supply and structured family training at the base hospital, with home visits by RCC paramedical staff through the first three months.
Patients requiring transplant or advanced intervention are guided into Ayushman Bharat, India's national health assurance scheme, for which the Centre has already applied for empanelment. A beneficiary liaison manages enrolment and authorisation so that no patient is left without a pathway forward.
Use of project funds
Grant funds will purchase three Fresenius 5008CorDiax haemodialysis machines (âせ27,00,000), one Fresenius 6008 Series haemodialysis machine (âせ13,50,000), two Contec CMS8000 five-parameter patient monitors (âせ70,000) and one Fresenius KABI syringe pump (âせ45,000). Funds will also cover one CAPD deployment including kit, fluids and family training (âせ1,20,000); screening equipment and village camp kit comprising point-of-care creatinine analyser, uACR testing capability, glucometers, BP monitors and consumables (âせ8,00,000); a comprehensive maintenance contract covering years three to five following the two-year manufacturer warranty (âせ9,00,000); and administration and contingency at 7% of project value (âせ4,50,000). Total project value is USD 67,031, equivalent to âせ64,35,000 at âせ96 per USD.
Costs deliberately excluded from the grant are borne by the Rotary Kharghar Charitable Trust: the medical-grade RO water treatment plant and its maintenance, annual operations and consumables funded through the club's annual fundraiser of âせ5â€"6 lakhs, and the cost of free treatment to all patients.
Timeline
Partner commitment and MOU signing in August 2026. Global Grant application submitted on the RI portal in September 2026. Grant award and equipment procurement through competitive quotation in October 2026. Installation, commissioning and staff training in November 2026. Full programme launch across screening, in-centre and home care in December 2026. Interim stewardship report in January 2027. Final Global Grant report in February 2027.
Club member involvement
Approximately 15% of RCKMT's membership are practising doctors who will provide clinical protocols, screening oversight and monthly audit of the screening-to-treatment pathway at no cost to the grant. Club members lead and staff the Rotary Community Corps Rotary Kharghar Health Horizon, which delivers village camps, patient registration, follow-up and home visits. A twelve-member project team drawn from the club governs implementation, with the Trust Chairman responsible for financial governance and asset management. Club members conduct community outreach and beneficiary identification, coordinate with village leaders on camp scheduling, and manage the Ayushman Bharat liaison function. The Rotary Kharghar Charitable Trust, governed by club members, owns and operates all project assets and holds fiduciary accountability to The Rotary Foundation.
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