Based on governmental recommendation and the results of a District Needs Assessment, One Heart World-Wide (OHW) confirmed Dolpa District as the next expansion site for our programs
Þ One Heart World-Wide has established an administrative field office with two dedicated master trainers in Dolpa to oversee local program implementation.
Þ As per Nepali legal guidelines, we have established an official partnership with one local non-profit organization at the district level (Dharma Karma) to facilitate field program implementation.
Þ One birthing center has been fully refurbished and equipped. Solar panels were installed for electricity; plumbing was installed for running water; walls were repainted and basic furniture built. UNICEF donated medical equipment and supplies for safe and clean deliveries, which OHW shipped from Kathmandu and installed in the newly renovated birthing center.
Þ Three nurses from Dolpa were sponsored to attend the midwives training in Kathmandu (which they will complete next month)
Þ We are getting ready to start training our community health volunteers and have signed a Memorandum of Understanding with the Nepali Ministry of Health and Population to be the agency deploying the Nepali Government Community-Based Newborn Package (C-BNCP) and the Birth Preparedness Package with Miso programs in Dolpa. To this effect we organized a TOT (Training of Trainers) program in Kathmandu for our staff and district-level governmental representatives from the Dolpa district.
Þ Partnerships have been established with the government, Save the Children, UNICEF and other partners to facilitate overall program implementation in Dolpa.
Successful Delivery Stories from the newly renovated birthing center in Dolpa: (by Dr. Fassl, Nepal Program Manager)
One case involved a mother who had hiked from Saldang in Upper Dolpa to camp outside the hospital until her water broke. She had heart disease and signs of congestive heart failure, making her a high-risk delivery. Despite her condition, she managed the eight-day hike over two passes above 17,400 feet, all while being 8 ½ months pregnant. After camping for several days outside of the Dunai birthing center with her family and herd of sheep, her water broke and we assisted her in delivering a healthy baby boy without complications in the newly equipped birthing center.
Another young mother delivered a low birth weight and apparently premature baby, weighing only 2100g (4.6 lbs.), and we were instructed by staff to “not do too much because the baby will die anyway; they always die.” Over the course of the next few days, we worked intensely with the mother and father to feed the baby hourly, provide extra warmth through skin-to-skin contact, as well as initiating antibiotic therapy. As the baby was too weak initially to latch and suck from mother’s breast, we taught the mother manual expression of breast milk and to feed ten spoonfuls (about 20ml) every one to two hours. The baby gained strength and was able to breastfeed at three days of life.
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