Uterine Prolapse Health Camp

Uterine Prolapse Health  Camp
Project title: Uterine Prolapse Health Camp
Project:
Sector: Health
Location: Yamphudin, Taplejung
Local Partner: Yamphudin Health Post
P. Supported by: Himalayan Trust UK

-Yamphudin, Taplejung

“I have been aware about the pain and uneasiness around my lower abdomen for many years now,” says Subitra Rai, age 68, who lives with her five children and husband in Yamphudin. “I avoided it and did not treat it because getting medical service in the zonal hospital would bring economic burden to my family.” says Subitra.

Uterine Prolapse is a major reproductive health issue in Nepal. 10% of Nepal’s 13 million female population suffer from uterine prolapse. However, it is estimated there are more number of women with uterine prolapse case in Nepal which are unaccounted due to the negligence of women themselves about their health issues.

The condition is seen more common among the older women during their menopause. The causes range from early marriage, workload, malnutrition and lack of rest in pre and post natal period. All these causes are highly prevalent in the remote areas of Nepal where often birthing centers are not prioritized which leads to pregnant women not receiving essential pre and post natal care.

On April 17 and April 18, 2018, Action for Nepal with funding support from the Himalayan Trust UK conducted two days uterine prolapse health camp in Yamphudin ward council of Siri Jangha Village Council, Taplejung district. Our target was to reach 250 female population of reproductive age in Yamphudin but the number of registrants was 155. The health camp was conducted in the presence of two doctors, two nurses, team supervisor, Kate and Susan of Himalayan trust UK.

With transportation access being a difficult means for the resident of Yamphudin, making medical visit to the zonal hospital is rare. Koshi Zonal Hospital is the nearest hospital to get the treatment. The driving distance from Yamphudin to Koshi Zonal Hospital is 158 km.

As for the treatment methods, it depends on the degree of the disease. Usually a first and second degree uterine prolapse case can be treated through the use of ring pessaries, often in combination with pelvic floor exercises. And third degree is treated only through surgeries. Out of the 155 registrants, 2 were diagnosed with third degree uterine prolapse and needed surgery.

With collaborative efforts of government, local committee and women themselves, hopefully we will observe significant decrease in the number of uterine prolapse case in near future. Awareness program covering the remote areas of Nepal is crucial to decrease maternal morbidity rate in rural Nepal.


Bung Health Improvement Project - Phase I

Bung Health Improvement Project - Phase I
Project title: Bung Health Improvement Project - Phase I
Project: Bung Health Improvement Project - Phase I
Sector: Health
Location: Bung, Solukhumbu
Local Partner: Mahakulung Village Council, Bung Health Post, local women’s groups
P. Supported by: The Himalayan Trust NewZealand

Bung lies in the south-east of the mountainous Solukhumbu region, with limited transportation access. The nearest hospital and health post is a two-day walk for some locals in Bung region. Through the Need Assessment Study, it was found that Bung local health post lacked necessary medical and non-medical equipment, which also limited the necessary health service delivery for expectant mothers in Bung. Thus, Action for Nepal initiated a health project. In Phase I, Action for Nepal provided infrastructure support (medical and non-medical equipment) to Bung's sole local health Post. Bung Health Post is the only Health Post in the region with a population of 4000, dispersed widely.

Bung Health Improvement Project is a three-year program based on Community Action Cycle approach, which will be conducted in two phases within the three years of the project (December 2017- December 2020). In the field, our two facilitators have been conducting timely participatory programmes to help communities reflect on their priority health needs and draw out solutions collectively. The approach has also been proven to mobilize and empower the communities and make them in charge of their own development.

With a successful completion of Phase I in December 2017, in our next Phase, we will be focusing on a rigorous plan to improve maternal and child health care needs in Bung. According to Nepal Demographic and Health Survey 2011, only 52% of women in the mountain region receive antenatal care from skilled health personnel. The most common assistance during delivery is usually from the relatives and husband. And in the worst condition, the delivery is done by the pregnant women herself. And a majority of this issue all results from lack of awareness among the locals regarding safe delivery options and lack of necessary health facilities in the health post. The Phase II focuses on imparting maternal and neo-natal health awareness among the locals through the concept of CAC. The approach empowers the local communities to make informed health decisions, which eventually leads to a sense of ownership among them and also leads to the sustainability of the impact. The community is involved in the entire process of problem identification, problem prioritization, planning, implementation and participatory evaluation. Overall, this project addresses both demand (local community) and supply side barriers (health facility/ health personnel).

With this initiative in Bung, we hope to bring significant changes in healthcare of Bung region. A Hearty Thanks to all the supporters of this project, contributing to making difference in the quality of health of Bung region and believing in Inclusive Health Care.

 


Taplejung First Aid Training

Taplejung  First Aid Training
Project title: Taplejung First Aid Training
Project: Taplejung First Aid Training
Sector: Health
Location: Lelep, Tapethok, Yamphudin, Olanchung, and Ikhabu
Local Partner: Red Cross Society, Village Developement Committee
P. Supported by: The Himalayan Trust UK, REED Nepal

Accidents are usually prone to become fatal in the difficult topography of the Himalayan region. Limited access to Health Personnel and most importantly, lack of First Aid training among the locals can easily aggravate a simple case of injury in such rural areas. It is said it takes only a few minutes for the human brain to expire due to lack of oxygen. First Aid helps ensure that the right method of administering medical assistance is provided.

Considering the urgent need to spread awareness on First-Aid Training and to impart the knowledge, Action for Nepal has initiated First Aid Training Programme in 5 Village Development Committee of Taplejung district, with REED Nepal as implementing partner and Himalayan Trust UK as funding partner in January 2016 and May 2017. The 5 VDCs of Taplejung are Lelep, Tapethok, Yamphudin, Olanchung, and Ikhabu. The participants of the programme were teachers and health personnel. Along with the First Aid Training Program, the participants were also provided First Aid Kit to ensure the participants have access to First-Aid necessities in case of emergency. The First-Aid training was provided by qualified trainers from Nepal Red Cross Society Taplejung through a participatory approach such as group discussion, demonstration, practical exercise, simulation and interactive lecture. Prem Khatiwada, one of the participants, shares,

“The area where our school is located doesn't have easy access to health post. So, we are compelled to provide over-the-counter medicine to villagers and students. In such condition, First-Aid training has been very helpful during emergencies.”

All the participants agreed that the training was successful in updating their knowledge and skills. Prem Khatiwada has committed to share the learning from the training with his fellow teachers in his school. The training has also made the participants more confident about dealing with emergencies. A refresher first-aid training for the teacher of Ikhabu school was also conducted to revise on what the participants have learned on their previous training.

Through this project, we aim to ensure a significant decrease in the number of deaths caused by the lack of a simple First-Aid knowledge among the key communities i.e. teachers and health personnel in Ikhabu, Yamphudin, Tapethok, Lelep and Olanchung Gola VDC of Taplejung district. 


School Health Club Program (First Aid Training)

School Health Club Program (First Aid Training)
Project title: School Health Club Program (First Aid Training)
Project:
Sector: Health
Location: Lukla Lower Secondary School, Lukla
Local Partner: Lukla School, Teachers / Students
P. Supported by:

The Government of Nepal has declared free education to all the government schools of Nepal, but there are still a high number of students dropping out of school in the remote areas. One of the major reasons for students leaving school is due to the financial burden faced by their families. More than half the population, in the remote regions of Nepal lives below the poverty line.

Every day is a painful reminder of their impoverished life and the arduous struggle they face. These people living below the poverty line can never think of sending their children to school because the cost of providing basic necessities like stationery, school uniforms, school bags and text books, is beyond their financial capabilities.The materials required for the children to attend school and succeed at learning, can only be obtained, if the family can afford to buy them.

This is beyond the imagination for many of the families; therefore Action for Nepal runs a scholarship project to promote literacy and help decrease the number of school dropouts related to financial difficulties. AF Nepal at moment is supporting to 20 needy children at school level around the country and 2 students on the high school level in Ramechap district with its scholarship projects.


School Earthquake Reconstruction Project

 School Earthquake Reconstruction Project
Project title: School Earthquake Reconstruction Project
Project:
Sector: Earthquake Reconstruction Efforts
Location: Solaban and Pelmang, Lower Solukhumbu
Local Partner:
P. Supported by: Himalayan Trust UK , Himalayan Trust New Zealand

When the world heard the news of a massive earthquake in Nepal in the year 2015, the number of lives lost was innumerable. However, the extent of the aftermath in the form of persistent fear among the children and parents, who had to send their kids to study in the damaged classroom was still there.

Future of children at stake

Schools in Pelmang and Solaban, Solukhumbu were seen with cracked walls, provoking ever more mental and emotional stress among the victim parents and children. The unfavorable learning environment hampered the students’ concentration in the classroom and posed much risk to the students’ safety.  

Thus, after a thorough Need Assessment Study, Action for Nepal checked the classrooms in Pelmang Lower Secondary School and Buddhi Bikash Primary School and found that the classrooms needed an immediate reconstruction. Following this study, we built three classrooms each in Pelmang Lower Secondary School and Buddhi Bikash Primary School with generous funding support from Himalayan Trust New Zealand, technical support from Himalayan Trust Nepal. Likewise from the funding support from individual supporters from Australia, Action for Nepal built two classrooms each in Pelmang Lower Secondary School and Buddhi Bikash Primary School. The parents are now assured of their children’s safety in the classroom and are willing to send them to school.

On May 12, 2015, Bishal was in his class, when the second earthquake struck. He was doing his classwork with his friends when he felt the ground beneath him moving and soon heard his friends screaming in the classroom. Luckily, Bishal and his friends ran out of the classroom to the school ground. They are safe with no injuries.

"I was very scared, many of my friends were crying. After a while, the earthquake stopped, but many of us were still scared to go home. We had no idea what was happening. Our teachers advised us to sit on the ground for a while and we did what our teachers asked us to do. Later our parents came to receive us in school and we all went home with our parents. None of us were injured so I felt we were lucky enough to have survived the horrifying earthquake. I wish, this kind of earthquake will never happen in the future.”


Solaban Earthquake Housing Project

Solaban Earthquake Housing Project
Project title: Solaban Earthquake Housing Project
Project:
Sector: Earthquake Reconstruction Efforts
Location: Solaban
Local Partner:
P. Supported by: Burwen Education Foundation

 

A lost hope revived following the major earthquake in Nepal

Nepal is prone to earthquakes, given its geographical position in earthquake fault line. Though the tremors have stopped, scientists predict it is likely that Nepal will experience another major earthquake in near future. Following such prediction, it is imperative to focus on building structurally strong houses that will not crumble as easily in future natural disasters.

As witnessed in many parts of Nepal, Solaban was also much damaged by the 2015 massive earthquake in Nepal. The poor community of Solaban sustained much destruction, ruining lives of 37 families in the community. With an aim to help the Solaban community, our project ‘Solaban Earthquake Housing Project’ was initiated. Action for Nepal, with the funding support from Burwen Education Foundation has completed the first phase of the project. With a tough challenge of transporting the construction raw materials along the difficult terrain of the Himalayas, we have built earthquake resistant houses for six Solaban families. And the project target is to build 37 houses within three years.

Solaban is a tiny Sherpa village with 87 households in the Lower Solukhumbu District. After the massive Nepal Earthquake in 2015, 37 out of the 87 houses in the village were destroyed. Pema Lhamu, a resident of Solaban Community shared an emotional story about her earthquake experience. Pema shares,

"Being a single mother of six children, it was especially difficult for me to cope with the disaster. I lost my home and was hopeless until I came to know about the BEF and AFN team's initiative to help the Solaban community. Now, I am hopeful for a better future for my children".

We thank all the supporters for this project. Action for Nepal team is all set on working towards second phase of the 'Earthquake Relief Housing Project'. With successful completion of first phase of the project, our team is all the more enthusiastic on working harder to benefit the remaining families of Solaban.


Building and Beautification Project

Building and Beautification Project
Project title: Building and Beautification Project
Project:
Sector: Education
Location: Hemaganga VDC, Ramechap District
Local Partner: Renuka Devi School Management Committee
P. Supported by: Mike Dillon (Australian Film Maker)

Until the year 2016, the students in grade four, five and six of Renuka Devi Secondary School had to study in a poorly constructed classrooms, having holes in its sheet metal roofs and consisting insufficient benches and desks for the students. Often the students also had to shift to other classrooms during heavy monsoon season. Each class room is designed for 25 to 30 students.Witnessing such condition of the school, Action for Nepal initiated a project to rebuild the school in way that it not only provides a safe area but also build a structure which kindles an excitement in the students, whenever they go into their classrooms.

According to many researches, it is also found there is huge corelation between classroom environement and student's learning outcomes. Classrooms are the place where the student's majority of academic growth as well creative opportunity is attached. The surroundings of the classrooms play a crucial role in building concentration among the students. A proper classrooms should have sufficient lighting as well as proper ventilation. With proper classrooms, we are taking a step towards making a family educated and removing them from their poverty cycle, by giving a child an opportunity decide its future into new possibilties.

Thanks to the generous support of Mike Dillion, who has selflessly been willing to provide funding for building the school. The children no longer have to sit on the floor and no longer have to get wet from holes in classroom roofs. The school building is completely constructed with modern technology, which will ensure it to withstand heavy rain and wind in the longrun. The school management committee has also committed to take care of the school building.


Building and Beautification Project

Building and Beautification Project
Project title: School Building and Beautification Project
Project:
Sector: Education
Location: Hemaganga VDC, Ramechap District
Local Partner: Renuka Devi School Management Committee
P. Supported by: BEF, USA and AF Nepal Austria

Most of the Nepal's infrastructure are based on poor technology. This was also evident during Nepal Earthquake in 2015 during which we witnessed massive loss interms of lives and infrastructure. However, faulty design of school infrastructure is unacceptable, specially when it comes to safety of children.

Renuka Devi Secondary School in Solukhumbu district of Eastern Nepal was also based on poor infrastructure. The old school building was built about 30 years ago. The building was old and made up of red mud and stones. Each class room had a small window and small door, having poor ventilation and limited lighting. This was also causing much disturbance in the student's concentration in the classroom. The classrooms were also poorly furnished with limited tables and benches not sufficiently enough for the students.

Observing such poor learning environment in RenukaDevi Secondary School, Action for Nepal initiated a project to rebuild the school. The children from grade one, two and three from Renuka Devi Secondary School now have the new school building with well furnished class rooms. The project is benefitting more than 100 students, who would otherwise be studying under sheet metal roofs with holes in it. The school building is completely constructed with modern technology, ensuring a strong foundation, which is comparatively sturdier than its previous buildings. The school management committee has now pledged to monitor the school infrastructure and conduct any repairing of the classrooms, when necessary.

A hearty thanks to the Burwen Education Foundation USA and AF Nepal Austria, for making it possible for the students in Renuka Devi Secondary School to study in a proper learning environment. Providing proper learning environment has been a global priority but a very few have been actually working in hard-to-reach places like Solukhumbu.


Chaurikharka Toilet Project

Chaurikharka Toilet Project
Project title: Student friendly toilet
Project: SFT - No: 2
Sector: Education / Health
Location: Chaurikharka, Solukhumbu
Local Partner: Mahendra Jyoti Higher Secondary School Management Committee
P. Supported by: BEF, USA

 

Access to clean toilet- A necessity for girls education

Isuues related to sanitation and toilets have been a global priority and also a constant discussions in Nepal too. According to many researches, there is a corelation between lack of proper toilets in school and girls drop-out rates in schools. With this issue untackled, we are falling back on the possibilty of women empowerment in the future, which is also a prime issue in Nepal. With such interrelated issue all depending significantly on proper toilets in every school in Nepal, investing in proper toilet is a key for development.

Young girls in grade eight, nine and ten from Mahendra Jyoti School struggle to regular classes due to menstrual health issue. Realizing this problem in Mahendra Jyoti Higher Secondary School, Action for Nepal with funding support form BEF USA  has built four toilets in the school. The four environmentally friendly toilet is mainly built for the girl students of secondary and higher secondary level. It was hard for the girls students when there was no properly built toilet in the school during the school hours. Due to poor toilet facilities during mensturation time, every month the absent rate in the class was seen high among the girls. The newly built toilets has encouraged the girls to attend their classes. Prior to the construction of new toilet, students had to miss out on their classes because the old toilet was completely out of order. It was built in a tradition way, with no water facilities. With no availablity of water, the students had to resort to tree leaves, after using the toilet.


Lukla Toilet Project

Lukla Toilet Project
Project title: Student friendly toilet
Project: SFT - No: 2
Sector: Education / Health
Location: Lukla Lower Secondary School
Local Partner: Lukla Lower Secondary School Management Commettee
P. Supported by: Childreach International UK

Open defecation creates risk of public health issue

The toilets in Lukla Lower Secondary School had been made many years ago and was out of order. Due to this, the school children were bound to defecate in nearby forests openly.  As a result of open defecation, the school and the village was in much risk of public health issues.

In consideration to this issue, Action for Nepal initiated a project with a funding support from ChildReach International UK to build toilets in the school. The 400 school children and the teachers  from Lukla Lower Secondary School now have proper toilets in their school. The school children no longer have to go to the nearby forest or behind the school building for defecation. Each toilet is also built with water facilities. As a part of community level ownership of the project, the teachers in the school initiated an activity where each class as well as the teachers will be involved in cleaning the toilets in the assigned days of a week. The students were also provided gloves, toilet cleaner, mask and toilet brush to ensure a clean toilet that will sustain in longrun. The School Management Committee and the teachers have committed to ensure a proper maintenance of the newly constructed toilets. 


Ramechhap Toilet Project

Ramechhap Toilet Project
Project title: Student friendly toilet
Project: SFT - No: 3
Sector: Education / Health
Location: Ramechap District
Local Partner: All the School Management Committee
P. Supported by: United Nation 1% Development Fund

Community Level Participation- Impetus for a cleaner village

It is a rare sight to see toilets in schools of Ramechhap district of Eastern Nepal. WASH programs has been a global priority but still schools in rural Nepal struggle to provide a proper toilet to the students. Prior to the construction of toilets through our project, the six schools in Ramechap where we built toilets never had any toilets in the school. Open defecation was a major problem of the area, resulting in spread of many communicable diseases. The school surrounding was completely polluted. Each school had students from one hundred to three hundreds in numbers.

However, the bigger challenge for a success of this project was to bring about change in behaviour related to open defecation. At one of our team's visit to the site, surprisingly the team witnessed the teachers defecating openly. With this concept of bringing awareness among the students as well as the teachers, a training was also conducted to teach the ways to use the materials to keep the toilet clean. 

As a result, within the following six months, there was tremendous changes as we found the surroundings of the schjools much cleaner than before. Infact, the most inspiring part of the project was that our initiation had also encouraged the nearby villages to also build toilets. This has not only made surroundings clean but also has brought about significant improvement in public health of the region.

A huge thank you to United Nation 1% Developement Fund for funding this initiative.


Tree Planting Project

Tree Planting Project
Project title: Tree Planting Project (Environment Conservation)
Project: LTP - No: 1
Sector: Environment / Education
Location: Lukla, Chaurikharka, Basum
Local Partner: Lukla forest committee, Local people, Students
P. Supported by: Mike Dillon (Australian Film Maker)

Sagarmatha National Park, where Everest is located, is an area of exceptional natural beauty with dramatic mountains, glaciers and deep valleys. But climate change is seriously threatening the park’s ecosystems. Glacial melting is eventually leaving Sagarmatha National Park snowless and destroying the habitats of endangered species such as the snow leopard, red panda etc. AF Nepal therefore runs Environmental Conservation Projects in Lukla (the gate way to Mt Everest) with the aim of saving this exceptional natural beauty for tomorrow’s upcoming generations and to encourage the visitors to be responsible on their tours. We are working in partnership with the local forest community, Sagarmatha National Park, Local schools of the region and inviting all those visitors, volunteers and students from abroad to promote responsible travel and join us in planting a hundred thousand trees. By working together we can work towards reducing Carbon Dioxide (CO2) emissions and decreasing the effects of climate change, which are rapidly destroying the Himalayas. The new trees are being planted in the heavily deforested land of the Everest region. Visitors will also be able to gain a greater understanding of the importance of environmental sustainability in the developing and developed world, the impact of climate change in Nepal and the impacts of deforestation in the Everest Region.