COVID-19  Nepal Project #48767

Covid-19 Treatment for Frontline Health Workers

by PHASE Nepal
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Covid-19 Treatment for Frontline Health Workers
Orientation for pregnant women.
Orientation for pregnant women.

Dear Friends,

Our lives have all been impacted by the corona virus in different ways since its inception. In line with an increase in daily living costs, vulnerable residents in Nepal's rural Humla, Bajura, Mugu, Gorkha, and Sindhupalchok districts now have wider access to basic health care.

We sincerely appreciate your support, which has been continuous ever since the COVID-19 pandemic began. As of July, 70.03 percent of people have received the entire recommended dosage. With your help, we were able to acquire enough personal protective gear and materials for infection control for our rural health workers. It enabled them to serve the community while feeling healthy and motivated.

Meet Ms. Manisha (Staff member, name used with permission), one of our pandemic warrior, who has continued to provide service at Huma-Jair, Maila, and Bajura-Bichhya since the outbreak of the infection. Together with her team, she is able to ensure that services like covid screening, prevention measures orientation, safe delivery services, immunization services, and regular checkups for pregnant women, new mothers, and senior citizens are provided.

"I feel quite grateful to be able to serve in these communities, especially during the pandemic," she said. This medical facility serves as the only guardian medical facility for areas up to three or four hours distant.

When the pandemic began, even we were unsure of how to respond to the pandemic. But immediately once, the central office provided us with orientation, protective gear, and infection prevention kits, which encouraged us to continue on with the service.

We perform at least eight to nine deliveries per month at our health post. In the midst of the pandemic, we were able to diagnose complicated cases like twin babies (one of them had spinal bifida), postpartum hemorrhage, and successfully refer them to the hospital. As we continued to focus on the COVID infections, we also dealt with other serious cases such as retained placenta, chronic respiratory issues, and injuries, and encouraged the community to keep their distance, wear masks, and practice good hygiene."

In the last three months, our frontline workers have been able to provide 91 safe deliveries in remote areas of Humla, Bajura, Mugu, and earthquake-affected districts Gorkha and Sindhupalchok, including 11 complicated deliveries such as retained placenta, prolonged postpartum hemorrhage, breech with footing, and twin delivery.

In addition, 15,793 cases were treated, with 2,749 children under the age of five receiving treatment for life-threatening illnesses such as diarrhea and pneumonia. Local residents were encouraged to practice healthy habits through 1,306 community events. Our staff was able to provide primary health care and a 24-hour emergency service, as well as provide community members with information on how to respond appropriately throughout the pandemic.

PHASE Nepal is committed, as always, to the safety of its team members. Adequate supplies were maintained at each location and every staff are advised to use personal protective equipment while making patient consultations for infection prevention. 

All of our work would not have been possible without the kind contribution of our donors like you. We really appreciate your willingness to ultimately empower Himalayan frontline health workers during the pandemic.

Practice of handwashing before attending meeting.
Practice of handwashing before attending meeting.
Safe motherhood service.
Safe motherhood service.
Child growth monitoring service.
Child growth monitoring service.
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Family planning counselling at Bajura, Nepal.
Family planning counselling at Bajura, Nepal.

During the devastating second wave last year, hundreds of people lost their life in Nepal. This time, the majority of health care workers were also infected. Resulting, shortage of medical staff in Nepal.

Our frontline health workers who serve in remote areas were also infected, but fortunately, they had only mild symptoms. PHASE Nepal is committed, as always, to the safety of its team members. Adequate supplies were maintained at each location and every staff were advised to use the personal protective equipment while making patient consultation to infection prevention. All PHASE staff are got full set of COVID vaccination.

The situation in Nepal is improving after the third wave of crisis. For the first time since the COVID-19 outbreak, local governments have begun the training for frontline workers.

PHASE frontline workers received an refresher training on essential nutrition, where they practiced preparing a diet with local ingredients. Nine PHASE health workers completed a two-month long Skilled Birth Attendant (SBA) training organized at the Maternity Hospital in Kathmandu following the national health curriculum.

After the training, one of our ANM who has been practicing maternal and child care in various areas of Bajura, Humla and Mugu for more than 5 years shares, “Our training was on hold past two years due to the pandemic. It was finally possible. With this opportunity to train at the national maternity hospital, I learned a lot about saving the lives of mothers and babies. I am more confident that I will be able to provide the right diagnosis, calmly manage the situations and make timely referral decisions.”

Even in the midst of the epidemic, our front-line health workers have continued primary health care and emergency services in Nepal's most remote districts. Thank you for your continued support. Our team's confidence in continuing to save the lives of underprivileged communities is intact as a result of your contribution.

In the last four months, our frontline workers (21 Auxiliary Nurse Midwifery, 3 Staff Nurses, 4 Health Assistants, and local social mobilizers) have been able to provide 133 safe deliveries in remote areas of Humla, Bajura, Mugu, and earthquake-affected districts Gorkha and Sindhupalchok, including 7 complicated deliveries such as retained placenta, prolonged postpartum hemorrhage, breech with footing, and twin delivery.

In addition, 17,166 cases were treated, with 2,884 children under the age of five receiving treatment for life-threatening illnesses such as diarrhea and pneumonia. Local residents were encouraged to practice healthy habits through 1,430 community events. Our staff was able to provide primary health care and 24-hour emergency service, as well as provide community members with information on how to respond appropriately throughout the pandemic.

All of our work would not have been possible without the kind contribution of our donors like you. We really appreciate your willingness to ultimately empower Himalayan frontline health workers during the pandemic.

Nutrition workshop for mothers at Photu, Mugu.
Nutrition workshop for mothers at Photu, Mugu.
Pregnancy checkup at Maila, Humla.
Pregnancy checkup at Maila, Humla.
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PHASE Staff assess child nutrition, a regular work
PHASE Staff assess child nutrition, a regular work

This October PHASE Nepal health workers took essential training with physical presence for the first time, after the advent of the COVID-19 pandemic almost after 2 years. The staff reinforced their knowledge and skills on psychosocial counseling, installing contraception implants, attending safe deliveries as well as providing palliative care. Most of all the staff were further oriented on providing the best possible health services while maintaining the most strict infection prevention procedures. 

" It's really great to have met in the group and received training after nearly two years. We are committed to providing the best possible primary health care services in the remote communities while being safe from and keeping others safe from the COVID-19 infection", shares an Auxiliary Nursing Midwife (serving in Mugu), age 29.

The availability of health staff right in the field area enabled PHASE to quickly plan and execute the activities responding to the Covid-19 impact for the last one and a half year. During this course, the PHASE Health team has been supporting in screening, antigen testing, isolating, providing emergency medicine as well as supporting in vaccinations, and running health desks. By now PHASE Nepal has supported several emergency materials along with providing 24/7 services via field health staff.

At present, 23 oxygen concentrators of 10-liter capacity, 4 sets of petrol engine generators to run concentrators in the remote, 80 sets of pulse oxymeters 1000s of sets of masks, sanitizers, and emergency medicines have been supported by PHASE in the neediest locations. The equipment and materials will serve to provide safety and emergency care to the staff themselves as well as the community members when needed.

PHASE Nepal frontline staff have the dual responsibility of responding to the pandemic as well as ensuring quality primary health service in the supported communities at present. All this work has been possible only because of the generous support from our donors like you. We thank you wholeheartedly for joining hand to ultimately empower the most marginalized communities of Nepal Himalaya via quality healthcare services.

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A PHASE Staff attending a neonate after delivery
A PHASE Staff attending a neonate after delivery

PHASE Frontline health workers has been proving 24 hours emergency services, regular OPD services, child delivery, ANC checks and COVID-19 prevention works from 15 different himalayan health posts it supports in remote location of Sindhupalchok, Gorkha, Humla, Mugu and Bajura.

The team which ealier supported COVID-19 vaccination in different working location is also currently  assisting Nepal governments' new lot of COVID-19 vaccination programme  aimed for the people aged 45 and above in places like Gorkha.  PHASE Nepal health workers are proving to be rare manpower to provide skilled services as such as vaccination in the remote.

" We really value PHASE Nepal's health workers presence in our villages. Apart from their regular services, the have been supporting in COVID-19 responses too. Recently, we have brought  the Verocell (SARS-CoV-2 Vaccine) in the cold boxed to our village which cannot be stored for long. It is a relief that PHASE's skilled staff have been providing providing their time and efforts in the inoculation of the jab to the general public in quick and efficient manner. The best pad of working with PHASE is that they are very experienced-I appreciate that they are maintaining strict infection prevention guidelines during these vaccination camps too." A Local Leader, Manbu Gorkha

While the staff are giving their best in the field. PHASE Management team is making sure that they themselves do not get infected. With generous support from donors like you we are working our best to keep our health staff are safe. We have made sure that all of our 15 mountanous stations have enough antizen testing kits, emergency medices and personal protective equipments. All our 40+ health staff have already received the both the doses of COVID-19 vaccines and are all fine. In case of any infection or complication we are standby to provide emergency support that has been made possible  from the funds received from the people who donate in the project like this one.


Thank you for your support.

PHASE staff providing COVID-19 vaccination
PHASE staff providing COVID-19 vaccination
An antigen test performed by a PHASE Health Worker
An antigen test performed by a PHASE Health Worker
Children's regular immunization by PHASE
Children's regular immunization by PHASE
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PHASE Nepal auxiliary midwife receiving vaccine
PHASE Nepal auxiliary midwife receiving vaccine

Dear Supporters,

        In this update we would like to share a good news that our frontline staff specially health workers have got an opportunity to receive the 1st dose of Covid- 19 vaccine (Oxford/AstraZeneca COVID-19 ). Here is a short note of thanks from the PHASE Nepal's Executive Director Dr. Jiban Karki

Special note from the Execute Director.

          I would like to express my sincere thanks and heartfelt appreciation to Nepal Government, Ministry of Health, Department of Health Services and its line agencies in the province, districts and local levels, hospitals, primary health care centres and health posts for providing an opportunity to get the 1st dose of covid-19 vaccine to PHASE Nepal's health staff and frontline workers.

          By the first week of March, 123 members of PHASE staff and the Executive Board have already received the vaccine in the 1st round. I hope the remaining 38 members from the staff and the Executive Board will also get the vaccinations soon. We are further motivated to continue our work to strengthen the primary health care services in hard-to¬reach areas and vulnerable communities further supporting them with better education, livelihoods, disaster resilience, and research initiatives.

We are also grateful to all of our supporters in this difficult time.

-Dr. Jiban Karki, Executive Director and PHASE Nepal family

       This recognition and support from the government has been possible because of your genereous contribution in our project activities. Your support enabled us to play the role of one of the lead NGOs to providing esential health services in the remote himalayan communities, thus being recognized as the team eligible to receive the vaccine in the first lot.

        Although the 1st dose of vaccines has been provided the risk of infection is always there expecially when the cases are rising in our neighbouring countries like India at the moment. Therefore, we have been extremely careful and have been maintaining strick protocols in running the project activities in the communities such as wearing a mask, making the partipants wear a mask , maintaining social distancing and hand sanitizing. 

        PHASE Nepal will continue to provide its essential services in the remote communities and expresses thanks to all the donors who have contributed to this project to set up funds to support the front line healthworkers.

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Organization Information

PHASE Nepal

Location: Kathmandu - Nepal
Website:
Project Leader:
Bikash Koirala
Kathmandu, Kathmandu Nepal
$4,282 raised of $45,000 goal
 
34 donations
$40,718 to go
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