Health Care available at 5 surgical outpost centers in Nepal.
Like most developing countries, agriculture is the primary way of life. The government offers minimal support services or benefits. An estimated 50% of the population is living on less than $1.25 a day, and as a result the day to day life for the Nepali people can be harsh. Therefore, specialist medical care is difficult to access and a luxury that few would be able to afford. The inability for most patients to afford corrective surgery, means many individuals must endure a life tragically inhibited by their disabilities. The negative stigma associated with disfigurement can be equally devastating. There is so much more to be done, but always, the children are our inspiration to keep pushing for improved access to quality care. We have a fantastic team of volunteers and excellent logistical support from our Nepali partners. We are grateful to our donors who are helping us transform the lives of Nepali children struggling with congenital defects.
Syndactyly and polydactyly are the most common problems seen. The severity of syndactyly varies. In more complex syndactyly, the bones of adjacent difits are fused. Polydactyly may range from small skin tags to fully formed extra fingers with bone, blood vessels, and muscle tissue.
Namilta, a 7 year old girl lives in a 10"X12" mud house with 3 siblings. She must walk 1 hour on a dirt path to school every day and 5 hour walk to the nearest road were transport is available. Because Namita was unable to wear proper shoes to school she sufferd from embarrassment and teasing from classmates but now she will be able to walk proudly to school in comfortable shoes that keep her feet warm and protected.
Akish, a 2-year-old Hindu girl that lives near the Indian border in a house made of mud and brick with 6 family members. It is a Hindu belief that all extremities must be free of disfigurement. A girl with disfigurement or deformity is not acceptable for marriage and will suffer from stigma and shame. The perfect time for surgical correction is between 1 -2 years of age. Akish has come to us early and is one of the lucky ones as she will avoid the stigma and shame associated with deformities and have full function of her right hand before learning to write.
The name has been changd to protect privacy
The World Health Organization reports that fire related burns represent a significant global health burden, especially for children and women. Flammable structures, kerosene and open fires are the common causes of these burns. Very little access to adequate burn care is available, and those fortunate enough to survive endure painful suffering and are left with disabling scars and emontional trauma. These unfortunate victims become social and invisible outcasts and are lifelong burndens to their families.
When corn is harvested in Nepal all parts of the plant are utilized except for part of the husk which is gathered into a pile and then burnt. The pile appeared to be out when a 2 year old girl ran through it and receivd a 3rd degree burn of both feet. We will call her Shanti to protect her identity. Shanti is now 8 years old and because there was no burn care available at the time of her accident she has disfigured feet caused by burn contractures. Shanti found her way to Kirtipur Burn Center where she will undergo corrective surgery and post op splinting to insure that her feet heal in good alignment.
The average wait for burn victims to receive help is 17 years. It will take time but we can change that.
Samiksha is a 7-year-old Nepali girl living in a small hut with 7 members of her family. She is the middle child living with 4 brothers and a 6-year old girl cousin. Samiksha has been unable to speak clearly due to a tongue-tie that was present at birth. Her teacher had great difficulty understanding her hence a communication problem in the classroom affected her progress and acceptance by other children.
Fortunately her teacher was familiar with our outreach program in Nepal and was able to influence Samiksha's parents to contact Dr. Shankar Rai, chief surgeon and Nepal Director of CMAF. On June 12, 2014 a 5 min surgical procedure released the tongue-tie. With speech therapy she will soon be speaking distinctly and clearly and back in the classroom with acceptance and pride. A little thing like this can make a difference that lasts forever.
God bless you Samiksha. (This childs name has been changed to protect her privacy.)
*tongue-tie (ankyloglossia) is a problem that is present at birth. It happens when the tissue that attaches the tongue to the bottom of the mouth is too short. This can limit the movement of the tongue.
Like most developing countries, agriculture is the primary way of life. The government offers minimal support services or benefits. An estimated 50% of the population is living on less than $1.25 a day, and as a result the day to day life for the Nepali people can be harsh. Therefore, specialist medical care is difficult to access and a luxury that few would be able to afford. The inability for most patients to afford corrective surgery, means many individuals must endure a life tragically inhibited by their disabilities. The negative stigma associated with disfigurement can be equally devastating.
Carol Vernal, CEO is returning to Nepal to attend the March 22, 2014 opening cerimony for the Kirtipur Cleft & Burn Center. This Clinic makes it possible for those who would otherwise be unable, to access the opportunity to receive the surgery they require. Our CMAF sponsored patients will be among those receiving cared in this brand new facitly.
Dr.Shankar Rai,Nepal Director of CMAF and 5 members of his surgical outreach team visited California to attend a medical conferance. This was a dream for most of them and we took advantage of their visit by loading them up with donated medical supplies destined for Nepal. Carol accompaned Dr. Shankar Rai to a reception of the Yuba City Medical Society where he was a guest of honor and then onto Salt Lake City for a fund raising event. A good time was had by all.
Pictured below is a 17 year old girl with polydactyly. She lives outside of Kathmandu with 8 family members in a small mud & brick house. She has lived through her school years experiencing difficulty with writing and working. Now she will become an adult with pride and dignity. It has never ceased to amaze me of how a simple surgery can so dramatically change a child's life.
CORRECTIVE SURGERY PROGRAM: Over the past 10 months 125 children received corrective surgery with 30% done in Kathmandu and 30% done in 10 rural outreach camps including Butwal, Nepalganj, Pokhara, Suket, and Biratnagar.
Kirtipur Cleft & Burn Center is a satellite facility of Kathmandu Model Hospital. Although it is still under construction, the operating room suite, recovery room, and 20 bed ward is functioning to accomodate patients. The CMAF sponsored patients are among those now being cared for in this new Kirtipur facility. The Plastic Surgery Department will move from Kathmandu Model Hospital into the Kirtipur Cleft & Burn Center facility in July 2014 and at that time all surgical procedures will be done in Kirtipur.
CMAF has participated in the design and development of the Kirtipure Cleft & Burn Center's cafeteria. This is a sustainable enterprise to support corrective surgery patients. In April 2013 the kitchen staff was trained in food safety and sanitation by Nepal Vocational Hospitality Services(NVHS). Weekly visits by NVHS will ensure that high standards are maintained and nutritional food is available for patients, visitors, and staff. In November CMAF organized and supervised the preparation of 2 meals and 3 snacks a day for 40 people attending a 3 day conference in Kirtipur. This eliminated the need for catering and earned dollars for the cafeteria. Within 12 months with the hospital and clinic in full operation we expect to be serving 300 - 400 meals a day and realizing a profit of $1,000/month which translates to changng the lives of 5 children every month.
Shrawan Pandit is a sweet 2 year old girl with Symbrachydactly of right hand. Any women with a visual disfigurement or handicap has a very difficult time in finding a husband. An unmarried women is not respected and has limited opportunities for employment. Shrawan will no longer be different from other little girls and now it is possible for her to marry a suitable husband.
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