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Jan 22, 2019

Appreciations and suggestions to the programme

A local of Natharpu Village expressing his view
A local of Natharpu Village expressing his view

Appreciations and suggestions to the community development programme in Mugu

This quarter, PHASE participatory video team travelled more than 18 days to some of the remotest project areas of Mugu, Humla and Bajura, the Karnali Region to prepare a participatory video.

This quarter the theme of PHASE's work itself was selected by the people themselves as it is the pioneer organization reaching and enhancing Health, Education and Livelihood services in the villages which are days and weeks away from the nearest bus roads and are only accessible travelling on foot. In the attached video people have expressed appreciation  as well as provided constructive feedback from their side ragarding PHASE Nepal's community developoment work in the remote villages.

For video please click here or refer to the link at the end of this report.

In the coming quarter PHASE plans to cover sever other topics as identified by the community members themselves in new participatory videos. Most of the topics will reflect social and development problems.

Through this participatory video project plans to bring the voice of people in the forefront of development. PHASE participatory video project team also provides consutancy services to other organization seeking to do make similar kind of videos.

A local from Bichhiya expressing her view
A local from Bichhiya expressing her view
Local youth learning to video tape
Local youth learning to video tape

Links:

Jan 9, 2019

HIMALAYAN HEALTHCARE UPDATE OF LAST 3 MONTHS

Growth monitoring at PHASE supported Health post
Growth monitoring at PHASE supported Health post

HIMALAYAN HEALTHCARE PROJECT UPDATE IN THE LAST 3 MONTHS

Health program has been one of the core programmes of PHASE Nepal since its inception 12 year ago. PHASE has been providing health services rural, deprived communities of 5 remote districts of Nepal reaching more than 25 most isolated himalayan communities through rural health improving concept.  Here is the short summary of overall health project activites of PHASE Nepal.

OPD services:

During the reporting period 10430 male and 13796 females were treated for different reasons within working areas . Among them, total 5594 number of children under five.

Numerous cases are examined from OPD and outreach clinics, which more often are treated within the centers. For serious cases, discussion were made with central emergency team and were referred to the higher centres. 

Maternal Health

Mother and Child health (MCH) is top most priority component in our working areas, for which PHASE has been regularly conducting different activities. PHASE has been working on all aspects of safe motherhood program i.e preventive, promotive and curative sectors.

Detail achievement of maternal health programme has been described below:

Antenatal care (ANC):

Total 377 pregnant women visited the health facility for 1st ANC checkups in all project sites in the last 3 months. The data showed that 1st ANC visit is good and 4th ANC visit is also in increasing trend, as in most of working areas more than 50% pregnant women came for 4th ANC visit, which really indicates that our interventions (health education, awareness raising program for motivating women) are showing its effects.

Delivery and Postnatal Care:

During this reporting period 119 women received Institutional delivery service and 53 women were assisted by our health workers for home delivery. PNC services was provided to 204 mothers, similarly 204 newborn examinations have been done within project areas. 

Family Planning

A total of 482 men and 1248 women were benefitted with modern temporary family planning services. While 482 men used condoms women chose several methods. 280 used pills, 944 used depo 3 montly injection and 24 chosed arm implants.

Health Awareness Activities

PHASE conducts a number of health awareness activities based on the need of the  communities it is working. Some of the major activtie are Nutrition workshop, Traditional healers training, CBIMNCI training and Child protection training , door to door visits, school health education and street drama. Public audit is conducted twice a year for the trasparency of the service and expenditure.

Similarly, meetings with FCHVs, mothers’ group and health facility management committee were done monthly.  

During the reporting period various awareness-raising programs has been conducted rigorously, 1715 events were organized and 22,014 community people were participated in such different activities.

Urban and Environmental Health

PHASE Nepal has initiated working in the field of research combining this with an intervention on Environmental and Occupational Health issues of informal waste workers in Kathmandu valley as well as Sisdol landfill site in Nuwakot district of Nepal. The project is providing medical care to vulnerable populations affected by natural disasters, disease, famine, poverty or exclusion. First Phase i.e baseline has already been accomplished and project implementation activity has been ongoing.

During the reporting period, 257 number of informal waste workers visited urban OPD for various reasons. 35 couples were provided with different measures of temporary family planning services. Detail of other programme activities is as follows:

Environment and Occupational Risk Awareness

The Peer Educators and Health care workers of PHASE have been providing health education to the informal waste workers of Kathmandu on various health related issues such as personal hygiene, environmental sanitation, Safety at work,various disease condition and their prevention.

Support to waste workers group

In this quarter , three additional waste workers groups were formed successfully in Sisdole, Nuwakot. With this, eight sub-groups of waste workers have been formed comprising a total of 200 waste workers including scrape dealers and waste workers. Monthly meeting of all eight groups has been conducted .

Environmental Risk Mitigation Measures

This quarter , sample Personal Protective Equipments (PPE) were purchased to test on peer educators. Peer educators will examine quality, comfortability and practicability of PPEs purchased. Based on their decisions, PPEs will be purchased in the next quarter.

Medical Outreach Activities

Awareness session on health and hygiene has been provided at Shantinagar and Sisdole areas. Moreover, door to door visits have also been performed in Shantinagar and Sisdole areas.

Environmental and Occupational Health Research and evidence-based information sharing

Pre-tested Key Informant Interviews (KII) were transcribed and translated and send to the research team for getting feedback. After getting feedback from the research team, qualitative tools were revised and re-phrased. Key Informant Interviews were conducted at Shantinagar and Teku.

PHASE Team wholeheartedly expresses its gratitude to its numerous individual and intitutionals donors and supporters to make all this essential services possible in some of the most needy communities of Nepal.

PHASE Health worker with a patient
PHASE Health worker with a patient
An awareness programme about health (street drama)
An awareness programme about health (street drama)
Nov 19, 2018

Year 2018 - What is finished and What is ongoing?

PHASE has been rebuilding health posts and school buildings in the 2015 earthquake affected areas. Here is the short summary of the finished and ongoing project in the year 2017/18.

School buildings

Ghurdanda Primary School

Single floor, four class room reinforced concrete frame structure building completed in Ghurdanda, Syangja district and handed over to the school management committee. With this construction, 60 students and 8 teachers have safe learning environment. The school still needs at least two more rooms, one for classroom and other for office for which, funding has not been assured yet.

Reconstruction of Ganesh Basic School in Baruwa, Sindhupalchok

Three class room earthquake resilient building with WASH facilities has been completed and is in use now. The 2015 earthquake destroyed the school building and teaching/learning was continued in a temporary arrangement. The SMC and the local people, parents of the students, were extensively involved relevant to their skill and availability. The completed construction has provided safe space for teaching and learning. Local people feel confidence and have started sending their children to this school thus there is about 100% increase in number of students compared to just before completion.

Reconstruction of Bankali and Jaldevi Schools in Hagam, Sindhupalchowk

Two blocks with three classrooms each have been nearly completed for Bankali Secondary School in Sindhupalchok. The classrooms are now in use with temporary partition to make 10 classrooms and office room. About 320 students and 11 staff have better and safer teaching/learning space available in the monsoon. Construction of one administrative block and other facilities are in progress.

Similarly, one block with three classrooms, two boys’ toilet and one administrative block with 4 rooms completed for Jaldevi Secondary School. The classrooms and the administrative block are now in use. These constructions have provided safer and better space for teachers and students. Remaining construction. The red roof is new construction and the blue roof was completed by PHASE in 2016.

Local people are preferred as worker for the construction. This construction has created 2360 workdays for them.

School management committee (SMC) of both the school is involved in procurement decisions. SMCs of both schools have identified most vulnerable people to support construction so that they also get an opportunity to participate in the rebuilding process.

Total construction is expected to complete by 2019.

Health Posts and Out Reach Clinics

Kashigaun and Keraunja Health post

Health post buildings in Kashigaun and Keraunja in Gorkha have been handed over with equipment and furniture for proper functioning as a rural birthing center. Both the health posts facilities are in use.   

Hagam Health post

Construction work for this health post has been completed. Minor interior works are remaining to handover to the health post authorities. Staff quarters are in use by the health post staff.

ORC construction in Yanglakot, Hagam and Dhuskot, Fulpingkot

Construction work of four room, single story, reinforced concrete frame structured building for ORC in Yanglakot has been completed.  Painting work is ongoing. Hagam ORC will be handed over to the local government by mid September 2018.

Similarly Dhuskot ORC in Fulpingkot has been completed, door and window fixing, electrical works and painting is ongoing. This building will be completed by October 2018 for handover.

School Toilet Construction

Gender friendly school toilet with running water facility has been constructed in three government schools in Keraunja and Kashigaun, Gorkha.

Community Buildings

Five community buildings with earthquake resilient features are under construction in five project areas, namely Baramchi, Dhuskun, Chokati, Tauthali and Piskar in Sindhupalchok district. The community buildings will be used for community activities such as meetings, training etc. During any disaster in the community, these buildings will be used as an emergency shelter.

Irrigation Canals

Along with other infrastructures, irrigation canals in the PHASE project areas were severely affected by the 2015 earthquake. Three of them are under construction, two in Baramchi and one in Hagam in Sindhupalchok. After completion, these canals will provide irrigation water for timely plantation, mainly of rice and wheat to the farmers field.

Resilient Rehabilitation of Trail

Resilient Rehabilitation of Trail  (Unnat Goreto project was designed to rehabilitate/construct trail damaged by earthquake of 2015 in four wards (Kashigaun, Kerauja, Mambu and Hulchuk) of two rural municipalities (Arughat & Dharche) in Northern side of Gorkha District. Project was conducted in consortium partner between PIN (People In Need) and SW (Scott Wilson) Nepal funded by DFID.

Project was designed to benefit victims of earthquake directly and indirectly, making ease in transportation and mobility, as trail is only means of transportation; cash for work model was adopted to construct their own path, so that ownership develops for future maintenance.  

 

All together 70.57 km trail was rehabilitated/ constructed. Figure shows about 48 percent rehabilitation was made in Kerauja, about 29 percent in Kaahigaun and about 23 percent in Manbu .

Similarly, 5 truss bridge were constructed in very needy area of Kerauja and Manbu (2 Manbu & 3 Kerauja) and for ease of pedestrian 8 rest areas were built, 3 in Kashigaun and 5 in Kerauja. Numerous unskilled workers were turned to skilled workers due to regular guidance of technical person.

Social discrepancy related to daily wage rate for male and female was break down by project with providing equal wages.

School Toilets in earthquake affected schools.

Three earthquake affected schools of Kashigaun, Keraunja and Hulchuk have new gender friendly toilets built as a part of integrated project running in these 3 villages of Dharche Rural Muncipality Gorkha. The beneficiary schools are Manjushree Secondary School, Kashigaun; Keraunja Secondary School, Keraunja; and Ichchhya Basic schools hulchuk. These schools who have new school building rebuilt after the earthquake but were falling sort of enough gender friendly toilets.

Links:

 
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