Project information

Village Health Clinic at Melung, Nepal

To bring basic health care to a remote mountain village in Nepal for the first time. Currently villagers have to travel considerable distances through difficult terrain to access care. (If we exceed our target we will be able to establish other clinics in similarly remote areas)

February 2019 - July 2019

Charity information: The Nestling Trust

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  • Need

    Need

    A child born in Nepal is ten times more likely to die within its first year of life compared to a child in the UK. Sick people living in this remote area of Nepal currently have to walk for many hours to access any health facility. Young children and expectant mothers are particularly vulnerable. The 2015 earthquake destroyed many of the basic facilities and much of the housing that existed previously.

    Solution

    Establishing and staffing a small health clinic in Melung will enable a poor disadvantaged population of approximately 5,000 people to access local health care for the first time - including immunisation against infectious diseases, wound care, treatment of acute illnesses, contraception, and antenatal and post natal care. Basic heath education covering areas such as hygiene, nutrition, sexual health and drug and alcohol use will also be provided to compliment the improvements to health care.

  • Aims

    Aim 1

    Construction of a basic health clinic


    Activities

    » The trust will provide funding for the purchase of materials
    » Villagers have undertaken to donate land and will voluntarily construct the clinic under supervision

    What success will look like

    Our partner 'not for profit' organisation ('Social Transformation Nepal' SITARA) will supervise construction and ensure completion to a satisfactory standard


    Aim 2

    Staff the clinic


    Activities

    » Provide initial funding, over 18 months, for employing one nurse and one assistant

    What success will look like

    Successful recruitment and regular supervision (by our local partner SITARA) of the staff


    Aim 3

    Provide the clinic with the necessary equipment to administer basic health care


    Activities

    » Purchasing equipment including an autoclave, fridge, examination bed, privacy curtains, medical instruments etc.

    What success will look like

    A full inventory of necessary equipment


  • Impact

    Impact

    Much improved access to local basic health care will enable villagers to receive appropriate treatment more quickly from trained primary care staff. Children will be immunised against common infectious diseases much more readily and receive life saving treatment more promptly. Immunisation rates will improve and will be monitored. More women will receive antenatal and post natal care close to their homes. Attendances at the clinic and presenting conditions will be recorded and evaluated

    Risk

    Changes to the health care plans of the recently devolved local district administration. Trust representatives in Nepal are maintaining links to the relevant authorities and will liaise with them to ensure plans for the project remain in line with their aims and objectives

    Extreme weather events and/or earthquakes causing transport disruption etc.

    Reporting

    Via regular project updates in newsletters, at Trust events, on the trust website, and social media posts (on the Trust Facebook page)

  • Budget

    Budget - Project Cost: £10,000

    Loading graph....
      Amount Heading Description
      £4,000 Building Purchasing building materials
      £1,600 Equipment Purchase of basic equipment
      £2,730 Staffing Pay for one nurse and assistant
      £1,670 Local admin' Obligatory Nepalese admin' fees and travelling/subsistence expenses supervising/monitoring
  • Background

    Location

    Melung village is located in the beautiful but remote and geographically challenging Dolakha region of Nepal some 140 miles to the East of the capital Kathmandu.
    Most of the houses were damaged or destroyed in the 2015 earthquake.
    The village has a development committee which will be actively involved in identifying land and volunteers for the construction of the clinic.

    Beneficiaries

    The poor and largely disadvantaged people living in this remote area of Nepal who have previously not had access to local basic health care. Young children who are especially vulnerable to acute illnesses, elderly residents who find travelling difficult, and young mothers will benefit particularly, though the clinic will provide for all age groups. Health education sessions will improve the villagers' understanding of hygiene, good nutrition, sexual health issues etc.

  • Why Us?

    Why Us?

    The trust has established productive and successful partnerships with a number of individuals, 'not for profit' organisations, local communities and government agencies working in this area of Nepal. It has experience of establishing and maintaining similar community health clinics in other areas, and also provided emergency assistance in rebuilding clinics after the destruction caused by the 2015 earthquake.

    Read more about the Charity running this project.

    People

    Subash Shiwakoti

    A highly experienced Nepalese trustee Subash will supervise the successful implementation of the project 'on the ground'

    Susan Hamblin

    Enthusiastic Community Nurse and co-founder of the trust, with many cooperative links in Nepal, Sue will personally review and supervise the project

£20

will pay for a stretcher, a fully stocked first aid bag, or 2 stethoscopes and bp monitors

Dolakha is a mountainous region of Nepal where remote villages were devastated by the earthquake in 2015. Thousands of people live in villages where there is no health care at all, and people have to carry patients on their backs trekking for many hours to reach medical care

Sue Hamblin