Citta's most established project was opened in 1996 in Juanga, Orissa, one of the most rural and poorest states in India. The state has little infrastructure and the highest infant and maternal mortality rates in the country. This coastal area of Orissa is prone to cyclones before and after monsoon season (June-September). During monsoon rains, the area of the hospital is isolated from urban areas because of poor, impassable roads. As there are no other medical facilities, the local people depend on this hospital to carry them through these months when residents are often subject to dysentery, cholera, serious fevers, and other dangerous infections.

The hospital provides healthcare to a radius of approximately 25 kilometers (15 miles) and serves a diverse community of approximately 100,000 people. 25% of the population are low or scheduled caste and a majority of the population are below the official poverty line established by the Indian government.

The new operating room was funded through a grant by Energis, UK with the help of Sharon and Marie Keegan. After its completion additional staff were required and new surgeons joined us to provide excellent care in the new facility.

Our dental suite was provided through the assistance of World Response (not-for-profit organization) and has enabled us to provide excellent dental care in this region. Visiting staff member Niladry Padra, a renowned dentist from Cuttack, generously volunteers his time weekly. Due to his growing reputation in the area, we are receiving upwards of fifty patients per visit.

The pathology lab, managed by Ranjit Kumar Sahoo, is equipped to test a wide range of diseases from blood, stool, and urine samples. The pathology is well-equipped thanks to the kind contribution of Subruto and Irmgard Sircar (Board members of The Orissa Project).

The state of Orissa has the largest rate of infant and maternal mortality in India. The Leir Women's Center, next to the hospital in Juanga, offers institutional delivery, pre- and postnatal healthcare, and education to pregnant womanin the area. The center provides educational seminars for mothers on nutrition and hygiene for the improvement of family welfare. The center has developed a mobile team that will hold outreach seminars in villages in the area with the goal of developing relationships with the women of the surrounding village communities and of increasing the women’s confidence in the center. 

The Woman's Center works to empower woman in the Juanga area. Women in Orissa labor under a number of social barriers (such as caste, dowry demands, and stigmas connected to single, divorced, and widowed women). The center benefits the woman struggling to recover and rebuild their lives and serves to revitalize the local traditions that have taken a low priority because of economic hardship.

One local woman commented on the hospital saying, "The hospital here has changed our outlook on life completely. Now sickness does not automatically lead to the fear of death. Our minds are more relaxed."