Supporting frontline health worker in remote Nepal

Dear friend,

We are back with another case study of Samjhana Shahi ( name changed) , a 17-year-old pregnant woman from Natharpu, Soru Rural Municipality in Mugu District, experienced complications during her first pregnancy. Samjhana had been following the government’s recommended prenatal care, including regular check-ups and treatment. Her previous check-ups had indicated normal health for both mother and baby.

But Samjhana began experiencing severe abdominal pain, which she initially thought was not related to delivery. However, as the pain worsened, she contacted her mother and eventually sought help from PHASE Nepal. Upon examination, it was diagnosed that her cervix had opened, and she was experiencing bleeding, indicating a breach delivery.

Then Samjhana was transferred to a health institution. Upon further examination, it was discovered that the baby’s position had changed, and the cervix was opening. Despite a drop in her blood pressure and increased bleeding, PHASE Nepal staff provided urgent care, including intravenous fluids, pain management, and close monitoring of her vitals. The baby was born through a normal delivery with breach presentation, weighing 2200 grams. Immediate care was provided for the baby, including suctioning to clear fluids and administering vitamin K. The baby was placed in Kangaroo Mother Care (KMC) and was monitored for jaundice and weight gain.

After seven days, the baby’s weight increased to 2300 grams and reached 2500 grams by 26th Asoj. Both mother and baby were healthy, and PHASE Nepal continued to provide advice on breastfeeding, hygiene, and postnatal care.

Samjhana shared, "I am very grateful for the timely support I received from PHASE Nepal. Without their help, I might have faced more complications. Today, I am recovering well, and my baby is healthy and growing strong."

We sincerely thank our generous donors for their support, which enabled us to provide essential care and assistance to Samjhana and her baby. Your contributions make a meaningful difference in the lives of individuals and families in need, and we are deeply grateful for your continued partnership in creating positive change.

PHASE Nepal Team 

Dear Friend,

Nepal is dedicated to providing essential services such as basic primary health care, safe motherhood care, livelihoods improvement, and many other community development activities. To ensure that our health workers and team can continue serving the most vulnerable, we have initiated efforts aimed at providing sustainable support for their needs. Thanks to your continued support, we can sustain our efforts and share case studies that highlight the impact of this initiative. Here is one such example.

Junita Malla ( name changed) is a 26-year-old mother living in a poor economic condition. She recently completed a 9-month antenatal care (ANC) checkup, but her challenges were far from over. With a 14-month-old daughter, another daughter aged 6, and a 4 year -old son, Junita faced severe malnutrition due to her pregnancy and lack of proper food. Her 14-month-old daughter weighed only 4.5 kg, standing at 65 cm tall with a MUAC of 8.9 cm.

During a home visit by the PHASE Nepal team in Ward 10 of Mugu district, the health workers assessed the growth of her children and provided much-needed support. They taught Junita and her husband how to prepare Sarbottam lito ( Super flour) and encouraged them to feed their daughter whenever she was hungry. PHASE Nepal also distributed essential materials, including rice, wheat, beans, ghee, chickpeas, and oil, to families like Junita's, who were suffering from malnutrition and economic hardship.

With regular visits and guidance from the PHASE Nepal team, Junita’s children showed remarkable improvement. Her son, who was initially 15 months old and severely underweight, gained weight and grew healthier. Junita herself took better care of her health, resulting in a healthy newborn weighing 3 kg. Her family expressed deep gratitude for the support, education, and resources provided by PHASE Nepal.

We are deeply grateful for your continued support. Your contributions enable us to provide essential services to those in need. We remain committed to our mission and will continue our efforts to improve health outcomes in remote areas.

Thank you

PHASE Nepal Team