Pediatric & NICU Surgery

DPR_ModularOT (DHS 2025-26, sanction pending) allocates ₹7.00 Cr for 2 modular OTs on a turnkey basis. Modular OTs provide infection-controlled environments mandatory for NICU-interface neonatal surgeries, paediatric oncosurgery (Wilms tumour, neuroblastoma), and complex reconstruction. Both OTs are cross-departmental infrastructure; paediatric surgery is the primary beneficiary by volume.

OT capacity stretched across 5,182 procedures/year. Complex neonatal surgeries requiring ultra-clean modular environments managed in general OTs — higher surgical site infection risk for immunocompromised neonates and paediatric oncosurgery patients.

2 modular OTs add 2,000–2,500 annual surgical slots across departments. Reduces SSI rates for immunocompromised paediatric patients. Enables subspecialisation of neonatal and paediatric oncosurgery environments.

DPR_ModularOT (DHS 2025-26) prices 10 ICU ventilators at ₹35 lakh each (total ₹3.50 Cr). These serve the Paediatric NICU and multi-department ICU. Ventilator availability is the binding constraint on NICU capacity — critically ill premature neonates requiring respiratory support cannot be admitted when all units are occupied.

Premature neonates requiring mechanical ventilation are referred to Nagpur when RRSH ventilators are at capacity. Neonatal transport of critically ill babies carries significant mortality risk — many do not survive the journey or arrive in severely compromised condition.

10 additional ICU ventilators eliminate capacity-driven neonatal referrals from five districts. 60–80 additional critical neonates managed annually at RRSH. Ventilator availability is the single highest-impact equipment gap in neonatal care.

NICU operational capacity is stretched for a department serving five-district neonatal emergencies. Six additional equipped NICU beds — each with radiant warmer, monitoring system, IV infusion pumps, and phototherapy unit — close the neonatal admission gap. No standalone DPR on file; figure based on DHS operational assessment and current market rates.

NICU at capacity during peak periods. Some neonatal admissions managed in adjacent areas without full monitoring. Waitlist situations occur during high-demand phases — critically ill newborns referred rather than admitted.

6 additional equipped beds increase NICU throughput by ~40%. Full five-district neonatal emergency coverage without referral. 100–150 additional NICU admissions/year retained locally.