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May 19, 2015

NTTI's Mentor Program

Discussion with Mentor Teacher
Discussion with Mentor Teacher

In addition to offering teacher development courses, Nepal Teacher Training Innovations (NTTI) runs a Mentor Program to provide NTTI-trained teachers with the on-going support they need to move from an awareness of best teaching practices to being able to implement best teaching practice methodology with competence and confidence.

Khika Bahaur Bhandari is one of NTTI’s exceptional Mentor Teachers. We met with him at his school in Thumpikar Village Development Community (VDC) to discuss his experience as a Mentor Teacher.

Mr. Bhandari has been teaching all subjects at the primary level and Nepali language at the secondary level for the past seven years. He says his greatest pleasure in the world is interacting with his students. He was selected to become a Mentor Teacher because he is one of the most talented teachers in Thumpikhar VDC.

“The best thing about the NTTI Mentor Program, Mr. Bhandari told us, is that, teachers know they will be observed, so they feel pressure to do a good job.” “Some teachers only want to make an effort when they know they will be observed but once students know that their teacher is capable of teaching them in an engaging way, they get upset when their teacher tries to return to the traditional lecture method. So, to save face with their students, even the teachers who are not so committed keep making lesson plans and keep using the NTTI methodology“.

When asked how being a Mentor Teacher has impacted his own teaching, Mr. Bhandari told us:

Because I am a Mentor Teacher, I feel my class has to be a model all the time, so I spend a lot of time planning. Since the NTTI Training and then becoming a Mentor Teacher, my teaching is very different because I do a lot of collaborative work and the children have more of a voice. I talk less and encourage the children to talk more. Before being selected as a Mentor Teacher, I only thought of my own class while now I care about all the teachers and the entire school.

NTTI has trained more than 75 Mentor Teachers from 6 VDCs ( Thumpikhar, Tulipikhar, Hagam, Filpinkot, and Rayale) in3 districts (Sindupolchowk, Kavre and Gorkha) . Mentor Teachers observe teachers on their caseloads multiple times a year and send reports back to NTTI Master Trainers. Teachers report that being observed and getting feedback from their Mentor Teachers keeps them motivated and principals are pleased that, because they do not want to look bad with their students in comparison to their colleagues, teachers are working much harder to create engaging lessons. NTTI is the only teacher program in Nepal that utilizes Mentor Teachers and Mr. Bhandari thinks this makes our program “revolutionary”.


May 13, 2015

Management of severe dehydration

Community Health Education
Community Health Education

Humla is one of most rural district of Karnali zone and Maila is one of the rural VDC of Humla district, which is also border of two districts Mugu and Bajura. Its 4 days walk from headquarter of Humla, as no means of transportation exists except walking.

This is case about diarrhoea. It was late night, when we were studying in our stay place. Some people came to call us from village as one lady had labor pain and we quickly moved on for attending it, it was about to rise sun when we succeeded making delivery. After successful delivery, while we were returning back to our resident, we met some other people on the way who were searching us.

Upon asking what happened they said "I have brought one patient suffering from diarrhea, and her condition is very worst let's go fast".

After hearing that we rushed towards health post, there was a 51 years old woman named Padma Shahi (name changed), residence of 4 number ward of Maila VDC, she was suffering from severe diarrhea and she was in a critical condition. Although we referred her as there was no other near referral centre for her better treatment and it would be too late if sent to Nepalgunj as it was long distance. So, with no option we took oral consent as there was not enough time to take written consent and   started further treatment. On treatment procedure, we were unable to hear her blood pressure and it was very hard to count her pulse rate. Now depending and praying for god we opened vein form both side and started IV fluid. After 5-6 bottle of fluid now we had been able to count her pulse rate. When we met her, her diarrhea and vomiting had stopped because her whole body was dehydrated. After the bottles of fluid again the diarrhea and vomiting started. Patient’s symptoms showed that might be she suffering from Cholera. Then after we started antibiotics and more IV fluid too in One day we gave her altogether 22 bottles of normal saline. Gradually, we could notice improvement inpatient condition. Accordingly we kept her in our health post and sent her home back after three days continuous treatment.

Before arrival of PHASE Nepal in Maila VDC last year in rainy season 23 people untimely died due to diarrhea as they could not receive treatment. After successful treatment of this 51 years lady in whole VDC provision was set to come to Health post to seek treatment for Diarrhoea from whole VDC, otherwise they would call for PHASE Nepal staff in case of emergencies.

drying rack for kitchen utensils
drying rack for kitchen utensils
May 8, 2015

An update from some of the worst-affected areas

Although two weeks have passed since the devastating earthquake in Nepal many communities are still in desperate need of help.  Over the coming weeks and months, as this disaster starts to fall out of the news, the situation will only worsen in remote areas.

In some PHASE project areas over 90% of buildings have been destroyed – people have lost everything. As people run out of food and the monsoon rains worsen, they become more and more vulnerable – communities in Nepal need us now more than ever. 

Sindhulpalchok and Gorkha, two main PHASE project areas were among the worst affected areas. The earthquake, subsequent heavy rain and landslides have made it very difficult to access these regions, but we are working hard to get support there and have been one of the first organisations to do this. Our current priority is to get supplies of food and shelter to those most in need. We also want to get medical supplies to the villages.  Although 8 of our 16 health post building collapsed, we have managed to keep all health posts in affected areas running (from tents) and provide urgent medical support.

Our young female health workers continue to help communities despite desperate circumstances – in the days following the quake many of them dug out medical supplies from under the rubble in order to help the injured. 

Dr Elena Hazelgrove-Planel one of our of our GP volunteers was in Kashigaun village, Gorkha at the time of the earthquake. Elena reported that in the days following the earthquake they saw a mother who had very recently given birth but had a retained placenta, a life threatening complication of childbirth. PHASE health worker Anita was able to remove this. Had PHASE not been there to respond to this emergency the mother may very likely not have survived, putting her new born baby at huge risk (there is no formula milk available in these cut off communities).

The survivors of the earthquake in Gorkha and other badly affected areas are extremely vulnerable right now and we are concerned about access to food and water.  The situation remains critical and our main need is funds, both for emergency response and long term rebuilding.

Please help us to continue to support remote communites in Nepal by sharing this project with your friends and family. 

In friendship,

The PHASE team


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