Himalayan Healthcare for 5000: Save Lives in Nepal

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.