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
Attending a neonate after delivery
Attending a neonate after delivery

Dear Friends,

 

In this report, we would like to share with you a summary of achievements in our health project in the remote Himalayan communities that we were able to achieve with the generous support from our donors and with the dedicated service provided by our project staff in the past year.

Our health efforts are focused on enhancing maternal and child health care by providing vulnerable people with access to primary healthcare, essential and emergency services, and community health and nutrition awareness programs. Below is a brief summary of our activities in this completed year.

  • During the reporting period a total of 68,825 contacts  (29,899 males and 38, 926 females) took place for treatment and advice in PHASE supported health post for various illnesses among them 17,137 contacts were for under-five children for illnesses like diarrhea and pneumonia
  • 50,604 participants were counted in PHASE community health education and awareness events like workshops, door-to-door visits, clinic education, meetings and orientation.
  • 1,348 pregnant women received antenatal checkups and counseling services on minor and major neonatal danger signs, timely checkups and maintenance of hygiene, nutritious food, regular check and essentials of institutional delivery. Of these, 733 had the recommended minimum 4 antenatal visits. This represents a significant improvement over last year’s achievement.
  • 1,113 deliveries were recorded at the PHASE working areas. In which 905 were institutional deliveries (almost all at PHASE supported health posts, except for 3 which were referred out) and 7 supported home deliveries.

With PHASE Nepal's support, our health post services are strengthened and the local government is ready to take over and run on its own. Thank you for your support for the past decade, amid earthquake and pandemics. - Elected representative, Ward Government

PHASE Nepal was also successful in fully strengthening and handing over 2 health posts to the local government this year phasing out from its 2 remote Himalayan villages of Kashigaun and Keraunja of Gorkha. We thank all of our donors for this success.

Support to COVID-19 vaccination
Support to COVID-19 vaccination
An awareness events with the mother groups
An awareness events with the mother groups
Share on Twitter Share on Facebook
PHASE ANM attending  a child after delivery
PHASE ANM attending a child after delivery

PHASE Nepal's continuous efforts on ensuring quality health services in the remote mountainous village have kept enabled women to have better antenatal care, better nutrition, and safer delivery attended by PHASE Nepal nurses. In this report, we would like to share 3 such stories for to you have a glimpse of PHASE Nepal's Health Services in the remote.

The names of the women as well as the staff members are changed for privacy.

#STORY 1 Regained weight and Natural delivery

This is a story of twenty-one years old Maya, who lives in Bhee, Soru, Mugu. Just like many of the people in her village, her family also mostly relies upon their farm production for daily needs. On which her family of five can rely for half of the year.

In her village, sharing about pregnancy with family members is still a thing of shame. She already has a daughter of three. Binita knew her period was missing for the last few months. She had assumed she might have become pregnant again, but she hadn’t share it with her in-laws and even her husband.

PHASE ANMs Devi and Tara were at her home for a regular home visit when they found that she was already four months pregnant.

Tara shared, “When we asked her if she had any health issues, first, she was reluctant. She whispered to us that her period was missing for few months! Openly talking about pregnacy is a taboo which are working to change"

On examination, we found out she was pregnant. She looked lean and tired. Soon, we informed her family members about her condition and suggested them to bring her to the health post for further examination.”

Maya showed up to health post, the next day. While checking her vitals she was only 46 kg and her blood pressure was low(90/70mmHg)

Maya, remembers her condition then, “I mostly felt tired, dizzy and did not want to eat food. I thought that this is because I work a lot. After coming to the health post, I knew I was underweight and that was dangerous for my baby’s growth. Then I started to eat healthier foods. I fed myself in small quantities and frequently. That helped me gain weight. By the time of my delivery, I was 52 kg and I was feeling less tired.”

As advised by the PHASE ANMs, she was regular for her monthly antenatal checkup but yet she didn’t come to the health post for her delivery. Her neighbor informed that her labor had started, then our ANM reach her home quickly. There they found that she was at a shed with labor pain.

Tara, PHASE ANM shares, “As she was already on labor we quickly examined her vitals and supported her through the process. She was able to deliver her baby successfully.

We counseled her husband to continue her on providing warm soups, vegetables, and meat and take care of the baby.”

Maya’s mother-in-law shared, “She was going through labor and I didn’t know what to do. Sisters came for her rescue, then I felt relief. Thank you for your support!”

Maya shared, “I changed my eating habits as per the Sisters' (PHASE ANMs') advice, I gained weight and was successful in delivering a healthy baby. Still, I have continued to balance my diet with pulses, meat, and vegetables.”

#STORY 2 Underweight baby regained weight

Chaya, is a twenty-one-year-old female living in Mugu. She had delivered a baby in July, at the PHASE-supported health post. She was regular in our touch, she attended all the ANC checkups and our counseling session. But her delivery happened to be a month earlier than her date. So, her baby was low in weight.

Our ANM shared, “As her baby was underweight on each alternate day we personally went at her home to know the condition of mother and baby. We guided her to breastfeed her baby as frequently as possible and also suggested her mother-in-law to feed the mother enough soups, meat, and vegetables. That would help in milk production.”

Now after, eight months, she recalls, “When born my baby was extremely small. I was scared to hold it. I did exactly what sisters (ANMs) advised, to frequently feed my baby with breast milk and also feed myself with plenty of soups, meats, and vegetables. In just a month my baby was 2.5kg. The baby I almost gave up is now 7kg and the arm circumference is 13cm (healthy baby). I feel surprised and also thankful to sisters’ advice.”

Her mother-in-law, who is also local FCHV, shared, “I don’t know how her baby was underweight. After birth, we didn’t expect the baby to survive because the baby looked tiny and weak and couldn’t suck the breast milk. As suggested few months after only frequent breastfeeding, we started to feed her enriched food paste (super flour) using locally available grains. That changed everything!”

Chaaya further explains how she found ANC and mothers' group meetings useful for her child.

“Steps like keeping my baby covered in my chest (Kangaroo mother care), age was feeding super flour, increasing food quantity, maintaining hygiene, regular monitoring of weight and height, immunization has supported me. In the super flour-making session I learned that proper proportion is essential to get the correct amount of nutrients for my child. I learned we need one part of pulses/beans, two-part of cereals, which need to be roasted and grounded to powder. That super flour can be served with milk/hot water with a small portion of ghee/oil and egg.

All these ideas, I learned in orientations and home visits were helpful for me to grow my baby healthy,”

Her mother-in-law shares, “People say that Mugu is the most remote area of Nepal. I am thankful to sisters who have come to our rescue even at the time of the pandemic. It is of great care and support. This is a new beginning for me and my family!

#STORY 3 A Complicated Delivery During Lockdown

Patali was expecting her first child and her due date was coming near. She was in regular contact with PHASE supported clinic at Humla, Tumcha. As her husband had left for India for work, she was living with her parents.

During her last antenatal check-up, she tested positive for Hepatitis-B in the kit. This means she had to be referred to a higher center to safely deliver her baby. I not could easily be transmitted to the baby. 

PHASE ANM explained to her about her serious condition and treatment plan. She was referred to district headquarter hospital Gamgadi, Mugu for medical attention and further confirmation.

She traveled with her parents to the hospital. But there she could not get the shots she required for the safe delivery of her baby. As she was already a week overdue for her delivery, the paramedics at the hospital referred her to the Provincial Headquater hospital.

To reach there was a great challenge for her. She had less option to travel to a long off-road trip of 24hours or an airway, which is both time-consuming and extremely expensive for her.

Our team immediately started looking for evacuation, they coordinated with district authorities to arrange an emergency helicopter evacuation. She was safely reached to the hospital and was able to deliver a healthy baby.

She shares, “At one time I could not think anything, what to do next. I felt completely helpless. But with sisters' (ANM) support and effort, everything went well. We are safe now.”

PHASE ANM shares, “If not managed according to the need the baby would have been infected with a lifelong chance of developing an infection. When we found her condition, we tried everything to have her delivery safe. We even contacted to get vaccines in the district level, but that would take a longer time. We had no time so we did what was best for her.”

During the COVID-19 lockdown, PHASE’s health staff are continuing to serve vulnerable, remote communities in Nepal, throughout the health and economic crisis caused by COVID-19. Our PHASE ANMs and health staff continue to serve as a link between vulnerable communities and quality healthcare, identifying patients with health problems, counseling, diagnosing, treating, and referring patients to higher centers. During this uncertain time, we were able to save lives of mothers and babies.

A nutritious food workshop
A nutritious food workshop
Share on Twitter Share on Facebook
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
 

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
$44,819 raised of $50,000 goal
 
826 donations
$5,181 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:

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.