Health  Nepal Project #7746

Himalayan Healthcare for 5000: Save Lives in Nepal

by PHASE Nepal Vetted since 2011 Top Ranked Effective Nonprofit Site Visit Verified
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
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)
An ANC check at PHASE supported health facility.
An ANC check at PHASE supported health facility.

PHASE Nepal with its Community Health Programme, successfully provided maternity services to more than 1900 women in this fiscal year (July 2017- July 2018) in the 26 supported remote health posts in hard to reach mountaneous locations.

During the year, a total of 1923 pregnant women were assessed for the 1st ANC (Antenatal Care) services in the PHASE supported health facilities. Among them, about 27%  also completed their in 4th ANC checks. Similarly, a total 913 deliveries were conducted in the project areas. Of them 563 were conducted by PHASE staff and 95 were conducted by other health personal in health institution . 255 women gave birth in their home without any assistance. Within PNC (Post Natal Care) services 829 newborn examinations has been accomplished.

With increased services and improved awareness level in the community members, the level of maternity health has improved 26 mountainous villages of 5 districts-Humla, Mugu, Bajura, Sindhupalchok and Gorkha of Nepal. PHASE has been running 24 emergency services in these isolated villages working closely with Nepal government to improve the health facilities in this locality.

PHASE Nurse comforts the lady in labour pain
PHASE Nurse comforts the lady in labour pain

Successful Delivery- Saving a mother and her child right on the walking trail

PHASE Nepal health staff successfully saved the life of a mother and her newly born baby on the her to the primary health care centre in Kolti, Bajura last month.The emergency support was provided on the walking trail midway between Kotila village and Primary Healthcare Centre (PHC), Kolti. When Manisha Miya a young mother of 21 felt labour pain while working on her wheat farm, she rushed home. Her relatives hurriedly carried her on a stretcher and headed to Kolti PHC but her situation got worse. PHASE Kolti Health Staff (ANMs) rushed towards the village to her avail. The ANMs met the mother on the way and accompanied her on her way to the PHC . But the worsening situation of the mother made them conduct a successful delivery of the child saving the life of the baby and mother. Both the mother and child were taken to the PHC immediately and provided necessary support such as providing oxytocin to the mother to release the placenta. After 24 hours both the mother and her healthy child weighing 3 kg were discharged and the family happily headed to their village.

This is a recent example of how PHASE Nepal , Government Health Centre and the community work together to provide lifesaving health support to some of the remotest villages lying in the terrain of Nepal Himalaya. PHASE Support in Kolti PHC has directly benefitted patient from more than neighboring villages even from Humla and Mugu.

PHASE Nurse handovers the new born to the family
PHASE Nurse handovers the new born to the family
An examination of infant at PHASE Supported Clinic
An examination of infant at PHASE Supported Clinic

Health Services to 47000+ in 6 Months

 Mid Western and Far Western Region Mountains of Nepal have some of the most remote, isolated and deprived villages in whole Nepal. PHASE has been working in 13 of such villages working to improve health, education and livelihood opportunities of the people there. Here is a short overview of the PHASE's health project in these villages.

 Through its community health project PHASE has been providing 24-hour primary health service with the help of its dedicated team residing in these villages. PHASE team of registered nurses, health assistants and auxiliary nursing midwives have been providing quality services, awareness activities and free medicines to upgrade the government health posts and out reach clinics in these villages.

 In the last six months PHASE team has provided direct clinical services to 47,828 patients through health posts and outreach clinics. Of them 26920 are women and 8895 are children under 5 years. There have been 1137 antenatal checks, 338 successful deliveries by skilled midwives. 2147 couple started to use some kind of contraception for birth spacing.

 All these number reflect a significant change in the awareness and behavior of people of the PHASE's intensive intervention.

In addition to the clinical services and provision of free medicine, there are several other health promotional activities organized regularly by PHASE. Below is the very short description of major health promoting programmes run regularly by the PHASE team in the village.

Door to Door Visits

PHASE ANMs conduct door to door visits three times a week for raising health awareness in the project villages. 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.

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 each project villages.

Every month PHASE ANMs sit with 9 FCHV from each villages – representing each of the smaller settlements in each, 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

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.

Traditional Healers Training

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. More than 100 traditional healers from these villages have been supporting PHASE in its initiatives .

Health Education Classes to School Children

PHASE Health team has successfully managed to provide 119 events of School Health Education in the schools of project villages in Humla, Mugu and Bajura directly benefiting 3875 school children. 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 hyegine, menstrual hygiene, first aid and other related issues.

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.

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.

(PS: Photo Credit Simone Utler)

A PHASE Nurse Managing Medicine Storage
A PHASE Nurse Managing Medicine Storage
Ruga Village of Mugu
Ruga Village of Mugu
A PHASE midwife interacting with local women
A PHASE midwife interacting with local women
A PHASE Nurse attends mother after a twin delivery
A PHASE Nurse attends mother after a twin delivery

PHASE Nepal now has over a decade of experience of improving access and of quality primary health services in the remote villages through its continuous support to Government Health Posts with qualified and trained staff ; free medicine and a variety of health awareness programmes. "It is a 'model' project replicable for other I/NGO in Nepal", as evaluated by the Social Welfare Council of Nepal in 2016. 

In the last four months, over 30,000 patients including 17,604 women received primary healthcare services from PHASE Supported Health Posts in 22 remote villages in 6 Mountainous Districts of Nepal.

Our village-based dedicated health staff provide timely services to several sensitive cases from the PHASE supported clinics. A mother (aged 28) from Maila, Humla appreciated PHASE health services in the following words.

"As soon as my labour pains started my family took me to the Health Post. I met the PHASE sisters there. Following the suggestions I had got during their door to door awareness campaign, I visited health post the about five times during my pregnancy. The PHASE sisters conducted a safe delivery of my twin son and daughter. They said everything went well because I took good care of myself during my pregnancy as suggested by them. My son and daughter are both healthy. I really appreciate the service of PHASE Nepal in my village."

Professional help is particularly important during twin births, as complications for both babies and mother are much more frequent in these cases.

 

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Organization Information

PHASE Nepal

Location: Kathmandu - Nepal
Website:
Project Leader:
Jiban Karki
Kathmandu, Kathmandu Nepal
$26,475 raised of $33,115 goal
 
548 donations
$6,640 to go
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