Himalayan Healthcare for 5000: Save Lives in Nepal

by PHASE Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
Himalayan Healthcare for 5000: Save Lives in Nepal
An immunization event
An immunization event

Dear Supporters,

Please find brief update from PHASE's working areas regarding COVID-19 as well PHASE Nepal community health project and other activites. 

COVID-19 current Situation in Nepal (as of Feb 12)

The overall current national COVID-19 case load has reached 272, 557 with 1,707 active case, and 2,055 deaths.

Covid-19 cases in PHASE Working Provinces

The numbers of total active cases in PHASE working provinces and districts are: Karnali 14 (Mugu 0, Humla 2) Sudurpaschim 69 (Bajura 2), Gandaki 193 (Gorkha 19) and Bagmati 1,191(Kathmandu Valley 1,071 and Sindhupalchok 3).

PHASE Project updates

PHASE team in far-west including health and livelihood team and most of the central team have received the first dose of COVID vaccine and only few has minor side effects after the vaccine.

Girls Empowerment Program: GEP sessions is being held at Ganga Basic School, with 31 girls and 18 boys providing them leadership, health, career development and mentrual hygiene.

Urban health team in Kathmandu have been continuing regular health services and continued people living with disabilities home visit in alternative days and prescribe medicines as required.

Our Mugu staff, have also supported in the COVID vaccination program. Besides, they have continued to provide clinical service and engage in community awareness events like school health education, childcare training, FCHVs monthly meeting, village cleaning program, mother and ANC group meeting, community health education, child right protection training, nutrition workshop, traditional healer’s orientation and public audit. They are also working with local road building groups with refresher first-aid trainings and COVID orientation.

PHASE works for sustainable improvement for the people living in remote communities. Besides clinical care to the mothers and children, we directly engage and partner with the local communities to raise awareness on essentials of nutrition, hygiene, and immunization for a healthy life. We engage them with scheduled workshops and orientation events on preparing age-wise nutritious food, educate new mothers and pregnant women on the importance of ANC /PNC check-ups, and monitoring their baby’s health regularly.

As the COVID-19 situation is slowly coming back to normal, PHASE Nepal will further work on strenthening the health services in hard to reach areas and also empower the communities with other support activities.

Thank you for your support

Nutrition awareness activity.
Nutrition awareness activity.
Post natal care during the home visit
Post natal care during the home visit
Share on Twitter Share on Facebook
PHASE ANM attending a newborn and mother, Gorkha
PHASE ANM attending a newborn and mother, Gorkha
Dear Friends, 
   
PHASE Nepal Team is continuosly providing health service in the remote himalayan villages amid the covid-19 crisis maintaining best possible precautions. Here is the list of the most recent updates from our project areas.
    • In the last three weeks, our health teams have reached more than 3,700 patients with essential services like primary health care, family planning, ANC check-ups, and orientation on COVID through PHASE supported health posts and desks and a delivery of a child. So far, no cases of the corona are found in PHASE working communities. 

    • PHASE Mobile health teams were able to provide general health check-up and orientation on COVID and nutrition to road-building groups and their families. They have also successfully checked and refilled first aid kits in road construction sites for road workers and machine operators. 

    • On the occasion of World Breastfeeding week, our team involved 275 lactating mothers and female health volunteers from Mugu, HumlaBajura, Gorkha and Sindhupalchok districts in orientation events on the importance of breastfeeding. Demonstrations of safe breastfeeding in the time of pandemic were shared in the event. 

In addition to providing direct health care, PHASE is also working in Mugu, Bajura, Gorkha and Sindhupalchok in nutritious food production via home garden initiative , so that the children have access to nutritions food such as green vegetables and mushrooms.

"I am very grateful for PHASE's support in ensuring these most essential services right in the village, even in the time of this global crisis," shared the Ward Chairperson of the  Bama Village Mugu.

With your generous support, we have been able to provide this valuable service even during this difficult time. We wholeheartedly appreciate your support especially when you have problems in your own countries and communities.

PHASE Nepal Team

A child having greens and mushrooms in Bajura
A child having greens and mushrooms in Bajura
A health awareness activity, Mugu
A health awareness activity, Mugu
Share on Twitter Share on Facebook

Dear Friends,

First of all thank you very much for supporting PHASE Nepal's Himalayan Healthcare initiatives.

After 3 weeks of lockdown and our continuous endeavour to keep our Himalayan Healthcare service on we would like to send you this special updates on COVID-19 from Nepal. We hope you are in good health. Firstly, we invite you to support the fight against Corona by washing your hands with soap or using alcohol-based sanitizers frequently for 20 seconds, and taking additional precautions seriously.

 
In Nepal, taking into account the long incubation period (1-14) days of Coronavirus, the government had earlier extended the lock-down period further until 15th April- today it has been extended to 28th April. According to the Ministry of Health and Population’s daily media briefings, about four thousand corona suspects have been tested for COVID-19 where 16 of them have tested positive. Among them, the first patient has recovered and the others are being treated in COVID response hospitals. The families and friends of corona positive patients have been traced and kept in home quarantines. Besides, patients with possible corona symptoms are being observed in Isolation wards at provincial and central levels. Many migrant workers are returning from India, so local communities have established quarantine facilities for them.
 
Amid this crisis, PHASE Nepal Health team is well mobilized in the remote project areas in Humla, Mugu, Bajura, Sindhupalchok, Gorkha, which have become at risk in this pandemic owing to the large number of returnee workers from India and the middle East. The health staff in the project areas are keeping the most essential services such as safe childbirth, accident cases and other emergencies from the PHASE supported health posts while encouraging people to stay indoors otherwise. To prevent the spread of COVID-19 infection, we at PHASE Nepal have been taking the following initiatives.
 

PHASE Nepal’s Response

  • We are supporting communities in awareness and symptomatic diagnosis via COVID-19 health desks.
  • We are supporting the local government to set up quarantine facilities by ensuring the minimum standard as per MoH (Ministry of Health) guidelines.
  • We have procured Personal protective equipment (PPE) and have dispatched them to our health workers working in the remote areas, and are exploring the option of sending diagnostic kits as well.
  •  Regarding regular project activities, we have postponed all the regular community-level project activities until the situation returns to normal and have focused on the emergency services only
  • Staff Contingency Plan is operational with prevention and outbreak plans.

Following the Government’s directives, the PHASE NEPAL team in the central office will be working from home until extended lock-down dates and the health teams in the project areas will continue supporting people in emergencies, maintaining strict precaution measures. Having followed the lock-down strictly we, the PHASE Nepal team in Kathmandu, are in good health and we are in regular contact with our field team.

Your further donation in this project will support our initiatives to help prevent and respond to the possible outbreak of the infection in these remote areas as well as to keep the emergency health services in these rural health post running.
        
With your generosity, we are able to reach and support people in these isolated remote Himalayan villages. We will keep updating you on how your support strengthens communities in Nepal. 

Thank you 
PHASE Nepal Team
Share on Twitter Share on Facebook
A PHASE Nepal ANM examining a baby
A PHASE Nepal ANM examining a baby

In the last 3 months, PHASE supported health services in 6 different remote locations in Mugu provided direct clinical support to 3506 patients visiting the health posts while also providing clinical health education to them. 

This is only one aspect  of the PHASE health project in Mugu. Along with the OPD services, PHASE staff also helped strengthen the maternal and child health with 28 ANC visits 22 institutional deliveries just in the last 3 months.

While strengthening the service, PHASE health workers also spend 3 days of their work in the door to door visits, community-level awareness activities, mothers group meeting working closely with Female Community Health Volunteers (FCHVs).

In the last 3 months, only a total of 5167 men and women have taken part in the several awareness events run in these remote villages.

" We are very grateful for the PHASE supported health service in our village. As a government health worker, I feel that the service is definitely strengthened with the project's support in medicine, staff and community awareness," shares Health Post, in charge, Dhaina Village Mugu

With the support from the individual and institutional donors, PHASE has already completed its 13 years of health service in some of the remotest villages in Nepal Himalaya.

Share on Twitter Share on Facebook
PHASE ANM with a newborn in Baruwa Clinic
PHASE ANM with a newborn in Baruwa Clinic

 

PHASE has been providing direct clinical services and community awareness programme in remote villages hilly villages, Baruwa and Bhotang of the Indrawati Region, Sindhupalchok in order to strengthen the government health services since 2017.  Here is a short progress report in the past six months.

In Bhotang Village PHASE is supporting the government health post with fortnightly outreach clinics three settlements namely Chhimti , Yarsha and Larkhe. In Baruwa, PHASE is running a separate outreach clinic in Bolgaun Settlement, fortnightly outreach clinic (ORC) in three other Dalegaun , Ripar and Yangri settlements along with supporting essential medicines to the Government Health post, Baruwa.

 

The provision of two additional full-time staff in each village played a significant role to make health post and ORC services more efficient. In addition to this the provision of free medicine from PHASE has also solved the deficit of the medicine in the health post. Though the government promises to provide free medicines in its health posts, the supply is largely insufficient especially in the remote villages like them.

In addition to the regular clinical services during the day, PHASE ANMs provided 24 emergency services in both the villages.

Both the services were provided in close co-ordination with the District Health Office, Sindhupalchok and the local health posts. In the last six months, more than 2700 patients have received direct medical services in Baruwa and Bhotang clinics supported by PHASE-HDFA project.

Now that each village have their own local governments and have rights to allocate funds in the needy areas of the villages the situation is expected to be better in the coming years. However, the transition has been very slow and several sub committees like health committee, education committee are not yet fully functional. Nevertheless, the local government seem to catch up a bit from this year. This year with PHASE's efforts in upgrading the infrastructure of Bolgaun Clinic, it has allocated a fund of Rs. 4,00,000 (~AUD 5000) to the management committee. PHASE Nepal is working to find additional funds and plans to construct a permanent building for the health facility this winter.

The major services that have been provided at PHASE supported clinic till now can be summarized as follows:

  • General OPD services
  • ANC, delivery and PNC services
  • Immunization –BCG, DPT Hepatitis B, Oral Polio Vaccine, Pneumococcal Vaccine, Measles & Rubella, In-attenuated Polio Vaccine and Japanese Encephalitis
  • Distribution of deworming tablets.
  • Family planning counselling and contraceptive services such as providing the pills, condom and Depo-Provera and implants.
  • 24-hour emergency services

2.1.2 Awareness Activities

Health promotion and awareness raising is another major priority of PHASE health intervention programme. This is very important, first to make people aware of proper health habits and second to make them aware of the government provision of free health service so that they become able to raise their own voice to demand their rights in the course of time. This year, a series of promotional activities were conducted to move a step towards this goal.

I. Door to Door Visits

PHASE ANMs conduct door to door visits three times a week in Bhotang and once a week in Baruwa for raising health awareness in the village. In these visits, ANM's work to make sure that nobody is staying ill as their homes relying on traditions remedies; to make sure that every young couple in the village knows about contraception, antenatal checks (ANCs) and proper care during pregnancy; to coach people on proper sanitation of home and around; to counsel people on preventive measures of communicable and non-communicable diseases and related immunizations; to counsel people on regular visit to the health post during any kind of illness; and to spread the word of several practical aspects of a healthy lives. In the last six months a total of 218 instances of home visits directly reaching 968 people at their homes and counselling them on better health practices, care and cures.

II. Strengthening the capacity of Female Community Health Volunteers (FCHVs)

FCHVs are motivated individuals willing to work free of cost to work on health sector recruited as per the regulations of district public health office. These include: female, permanent resident of the related ward of VDC, interested to work as FCHV for at least 10 years, between 25 and 45 years, married, has children under age five, committed to serving the community, with priority given to those who can read and write and are from underprivileged and marginalized groups. Currently there are 9 FCHVs in Baruwa and 9 in Bhotang.

Every month PHASE ANMs sit with 9 FCHVs – representing each of the smaller settlements in each village, to follow up on health-related issues from their localities as well as to coach them on proper handling of their major roles such as:

-       To act as community-based, voluntary health educators, promoters, community mobilizers, referral agents and service providers in areas of health, as per trainings received.

-       To promote utilization of health services and adoption of preventive health practices.

-       To link the community with available PHC services and play key roles in services for family planning, maternal/neonatal health, child health and selected infectious diseases

A total of 6 FCHV follow up meeting, problem sharing and orientation were conducted this year.

 

III. CBIMNCI Training – In addition to the regular monthly coaching and discussion the FCHVs have also received a full package of Community Based Integrated Management of Neonatal and childhood Illness (CBIMNCI). Training 18 FCHVs from 18 different settlement will enable efficient addressing of neonatal and childhood healthcare at the community level. In the last six months, 2 batches of CBIMNCI training was conducted reaching 45 ladies with under 5 children, mothers group members and FCHVs.

IV. Strengthening the Health Management Committee

 Every month PHASE calls for the meeting of Health Management Committee to reflect on several issues of health post management and to make them aware about their roles and responsibility for efficient running of the health post. Although the committee is the governing body of the health posts at the community level the members are common villagers still not fully aware of their rights and responsibilities. PHASE team is working regularly to bring this to body to become fully functional. A total of 8 Health Management committee meeting has been facilitated by PHASE in the last 6 months.

V. Working with the Traditional Healers

Baruwa and Bhotang like all the remote communities have tendency to visit Shamans (Dhami or Jhankri in Nepali) and traditional healers as the first contact person whenever they fall ill. This is because people blame gods and goddesses or some evil spirit for their illness instead of germs. PHASE has started to work and counsel these healers in a way that they redirect the patient to visit health post after they have finished the prayers or ritual for gods and goddesses. Working in the community, PHASE respects indigenous culture and practices while working for change. After a series of counselling the healers agreed to sit on a one-day training run by PHASE in both the villages. A total of 29 healers in Bhotang and 24 healers participated in PHASE workshops last year following up on their first training in the first year of the project. These people are continuously recommending the patients to PHASE Clinics after performing the traditional rituals and are acting as opinion leaders.

VI. Support in Immunization

Baruwa and Bhotang has been declared completely immunized Villages. PHASE, as a major stakeholder of the primary health services in these villages, provided all the necessary support in both the events. Since the start of the project, PHASE has also been spreading awareness about immunization in children while providing vaccination service from the government Health posts. A total of 230 immunization took place in the last six months at PHASE Supported healthposts and outreach clinics.

Recognizing the contribution, District Immunization Unit had also awarded letter of appreciation to both PHASE Nepal Baruwa and Bhotang team last year.

VIII. School Deworming Programme

In addition to the supporting the immunization for the new born and under 5 children, the project team is also running school deworming programme in which Albendazole tablets are fed to all the school going children every six months to prevent the infestation from hookworms, roundworms, tapeworms etc.  In the last six months, 834 children who have not taken the medication from any other places such as health post were provided with the medication.

Declaration of Open Defecation Free Ward in Baruwa

Baruwa (Ward no. 3 of Panchpokhari Thangpal RM) has been declared as open defecation free ward ensuring every household in the village to have a toilet of some kind. PHASE has received an award of appreciation from the local government for its contribution in raising health and hygiene awareness and the prevention of communicable diseases via use of toilets.

VII. Health Education Classes to School Children

PHASE Health team has successfully managed to provide 23 events of School Health Education in Bhotang and 21 events in Baruwa directly reaching a total of 641 children directly in the last six months. During these sessions where the participant students took part in interactive classes provided by health workers and fulfilled any queries related to the topics. This is a unique opportunity for students to interact with real health workers and learn first-hand information about various diseases, preventive measures, personal hygiene, menstrual hygiene, first aid and other related issues.

VIII. Empowering Mothers Groups

Every month PHASE ANMs sit with mothers' group who are also the mothers-in-law of the families especially to inform, counsel and address the need of extra care of their daughter-in-law during their pregnancy and after the delivery of child. In the villages the daughter in law are expected to do all the household chores such as fetching water from tap, doing the cooking, working in farm even during the time of pregnancy. This burden could be lessened if the mothers-in-law are sensitive of these issues. In addition, the mother groups meetings also address common health-related awareness like in other health education events. A total of 6 meetings and orientation events have been conducted in each village by PHASE in the last six months while the groups were encouraged have the periodic meeting as per the needs to discuss and solve mutual problems.

IX. Participatory Village Cleaning Campaign

With the initiation from PHASE, village cleaning committee has been formed in both the villages and regular cleaning events were conducted. This was done to implement what has been learned in real practice. During the events the villagers were also taught about proper management of waste and reduce the practice of littering. It takes time to bring behavioural change in people's habit but guided events and regular follow up during home visits have brought gradual change in the sanitation behaviour of the residents. 10 cleaning campaigns were conducted in different settlements were conducted in this reporting period where 177 members from different families took part in cleaning and burning the village trash in the last six months.

With support from several individual donors and partner organizations, PHASE aims to continue the service for the next 3 years until these clinics are fully strengthened to run on their own.

PHASE ANM with a patient in Bhotang Clinic
PHASE ANM with a patient in Bhotang Clinic
PHASE Health staff installing a contraception
PHASE Health staff installing a contraception
PHASE ANM attending a patient in a home visit
PHASE ANM attending a patient in a home visit
A child's nutrition assessment in the community
A child's nutrition assessment in the community
Share on Twitter Share on Facebook
 

About Project Reports

Project Reports on GlobalGiving are posted directly to globalgiving.org by Project Leaders as they are completed, generally every 3-4 months. To protect the integrity of these documents, GlobalGiving does not alter them; therefore you may find some language or formatting issues.

If you donate to this project or have donated to this project, you will get an e-mail when this project posts a report. You can also subscribe for reports via e-mail without donating.

Get Reports via Email

We'll only email you new reports and updates about this project.

Organization Information

PHASE Nepal

Location: Kathmandu - Nepal
Website:
Project Leader:
Bikash Koirala
Kathmandu, Kathmandu Nepal
$41,819 raised of $50,000 goal
 
767 donations
$8,181 to go
Donate Now
lock
Donating through GlobalGiving is safe, secure, and easy with many payment options to choose from. View other ways to donate

PHASE Nepal has earned this recognition on GlobalGiving:
Add Project to Favorites

Help raise money!

Support this important cause by creating a personalized fundraising page.

Start a Fundraiser

Learn more about GlobalGiving

Teenage Science Students
Vetting +
Due Diligence

Snorkeler
Our
Impact

Woman Holding a Gift Card
Give
Gift Cards

Young Girl with a Bicycle
GlobalGiving
Guarantee

Sign up for the GlobalGiving Newsletter

WARNING: Javascript is currently disabled or is not available in your browser. GlobalGiving makes extensive use of Javascript and will not function properly with Javascript disabled. Please enable Javascript and refresh this page.