Feb 5, 2019

Multiple Approaches to Rural Health Care

Clinicians and patients
Clinicians and patients

In our reports we often refer to our Rajbash Hospital.  It is in fact the DCWC Community Hospital located in the small rural village of Rajbash and opened in 2010.  DCWC refers to the founding non profit organization’s original name: Development of Children and Women’s Center.

An accupuncture clinic was held on Dec. 21st at the Hospital. 236 patients were treated, coming from villages as far as a 6 hour walk. This, our second accupuncture clinic, was jointly sponsored by the Chinese organization Care and Support. We were surprised to see such widespread participation in this event and we are delighted to be able to offer yet another healing modality to the community. Many of the treated patients expressed deep gratitude.

Another First Aid Camp was held on Dec. 28 at the Shree Khanda Secondary School near Chauri Deurali. This camp was staffed by our hospital staff and is held mainly to deal with minor injuries and health complaints. These First Aid Camps are always well attended, especially when held at locations far from the hospital. They are also an example of our outreach into communities at some distance from the hospital. We think of the hospital in Rajbash as a hub from which branches reach into even remote villages. Each camp provides points of contact in traditionally underserved areas, allows us to identify potentially serious health issues and refer these back to the hospital for treatment.

We hope you'll enjoy our photos from the Accupuncture Clinic - look for the needles in the middle four pictures.

Nov 12, 2018

New Health Awareness Center at Rajbash

Dental Camp Staff
Dental Camp Staff

To intensify our efforts of health education beyond the outreach to local schools and outlying communities,  the Rajbash hospital has recently opened a Health Awareness Center directly at the hospital. This provides an opportunity for a health educator to use patient waiting time to explain a variety of health related information to patients and visitors. While we are still in the process of sourcing books, magazines, posters and short documentary films, we believe this will particularly help us to reach an older, uneducated population who may better understand visually presented material.

Maintaining good overall health is an ongoing challenge in poor rural areas of Nepal. In spite of our intensive health education efforts, sanitation still remains an issue for many of our patients. Thus, in late August/early September we saw another uptick in the number of typhoid cases which filled our small hospital to capacity. These patients in particular are deeply grateful to have access to the care of our little hospital.

Rajbash Hospital’s most recently held free Dental Camp on October 27th again was a roaring success. 137 patients of all ages walked from their villages and waited for hours to receive treatment. Nobody was turned away. Health educators used the long waiting times to teach patients about dental hygiene, both in groups and individually. This included demonstrations of proper brushing.

The important work of this hospital has been made possible through your ongoing financial support. Please continue to help us bring this often lifesaving care to these poor communities.

check up
check up
Brushing demonstration
Brushing demonstration

Links:

Sep 4, 2018

Still performing miracles

Rural trail birth
Rural trail birth

While the town of Rajbash has been busteling with construction projects, the Rajbash hospital continues to perform everyday miracles for the people of the region. That’s its mission and that’s what it does well. 

A miracle happened one afternoon in early July.  A relative of a patient called for our ambulance. A woman was in severe pain. Immediately our doctor and nurses packed the necessary medical equipment and got on the road. By the time they reached the town of Doramba the road condition was so bad they had to leave the car and start walking. Before they got very far they met the patient on the trail. She was in the final stage of labor pain and birth appeared imminent. Our team immediately took charge, made the woman comfortable right there on the trail and helped her to successfully deliver a little baby girl. Mother and child were then safely carried across the river where the ambulance was waiting to take them to the hospital. Although born prematurely, the little girl and her mother were in good health and released to go home soon after.

Our free health camps have been very popular with the families in our district. For the month of October we would like to organize another ‘Dental‘ camp.  The need for dental care is huge in the remote villages of our district and few are the people that can afford to seek care in Kathmandu or some other bigger town. However, bringing the machinery and filling materials from Kathmandu to the village is expensive. In order to make the treatments affordable we are attempting to coordinate with a dental hospital in Kathmandu, but the details remain to be worked out. 

In addition we’d like to bring back a group of Chinese doctors who held a very well received free acupuncture clinic for villagers at the Rajbash hospital last year. 

After some personnel changes our Outreach department is in firm hands again. Our efforts to distribute sanitary pads coupled with personal hygiene training to teen girls in our schools are continuing and expanding. This effort is super successful with teen girls and has resulted in a reduction of truancy because of the shame formerly associated with menstruation.

Our mother's groups continue to provide a forum for village women in their home environment, to share information with each other and to learn about health, hygiene and nutrition from an outreach worker. This provides not only for better health outcomes for families but also a social support network for the many young women that live in these remote places.

And now a last comment about the above mentioned construction activities: You may recall us telling you that the recent improvements on the road into Rajbash involved some widening of the road bed right below our pharmacy building. As you can see in some of the attached pictures a building crew has been busy shoring up our property against erosion toward the road. A solid stone retaining wall was erected between road and hospital. It not only secures the hospital property against further deterioration but also provides a security fence making it easier to control access to the hospital.

With gratitude for your support and involvement, Karin

Little forest girl
Little forest girl
Through the river toward ambulance
Through the river toward ambulance
Proud teens with new nappies
Proud teens with new nappies
Mothers' group in village
Mothers' group in village
Rajbash Hospital's new retaining wall
Rajbash Hospital's new retaining wall
 
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