Project information

Himalayan Healthcare for 6000 People

PHASE believes everyone, everywhere should have access to healthcare. We work in the Himalayas, in some of the most remote communities in the world, supporting the government to provide healthcare services. This project will help earthquake affected families in the isolated community of Manbu.

One Year

Charity information: PHASE Worldwide

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  • Need

    Need

    Delivering healthcare in remote villages in Nepal is very challenging, especially following the 2015 earthquakes. Typhoid, leprosy, burns and toothache are just some problems affecting communities. Families walk for several days to access care. Due to a lack of essential medicines and health awareness, children die from diarrhoea and other treatable illnesses. Malnutrition rates are alarmingly high, as is maternal & child mortality - childbirth is rarely assisted by a skilled healthworker.

    Solution

    Manbu was identified as the community suffers from high levels of poverty, is one day’s walk from a road and was severely impacted by the earthquake. Currently the government lacks the capacity to run the health post effectively - PHASE will place two Auxiliary Nurse Midwifes in the health post alongside government staff, will supply additional medicines and ensure government allocations reach the community and will carry out health education and advocacy to improve health-seeking behaviour.

  • Aims

    Aim 1

    To provide primary healthcare and maternal services to communities in Manbu, Gorkha District, Nepal

    Activities

    » Place trained health staff in Manbu health post to support government health workers to see and treat 4000 patients per year
    » Employ health workers to support the delivery of babies and carry out antenatal and postnatal checks.

    - Number of patients visiting the health post
    - Illnesses patients attended with
    - Number of babies delivered and antenatal and post natal checks conducted


    Aim 2

    To improve health education and advocacy for communities in Manbu, Gorkha District, Nepal

    Activities

    » Provide 72 sessions of health education in the community (including mothers groups, school health sessions, community street dramas, etc)

    - Number of sessions of health education conducted
    - Change in knowledge about health issues (measured by baseline survey)
    - Community demonstrating more awareness of rights


    Aim 3

    To revitalise the government health service in Manbu, Gorkha District, Nepal

    Activities

    » Include government health workers in PHASE training
    » Liaise with community opinion leaders and the local government to ensure they are moving towards taking over the health service provision

    - Number of days the government health worker is in post
    - Number of engagements with district level representatives and key community personnel


  • Impact

    Impact

    This project will increase the number of families with improved access to basic primary healthcare (within two hours walk), increase the number of births attended by skilled health personnel, reduce the number of deaths in children under five, improve health knowledge and health-seeking behaviour within the community. Ultimately the project will leave behind a sustainable health service. Changes will be measured by conducting household surveys and data from the health post.

    Risk

    Nepal is earthquake prone and experiences floods and landslides every year. This is a risk to staff, beneficiaries and project activities. Considerations significantly depend on the type and severity of the disaster. Mitigations - PHASE have a staff insurance policy. PHASE have an emergency budget allocated to each project area. PHASE have risk management plans in place at different levels. Staff are briefed on security and PHASE have collected learning from 2015.

    Reporting

    Donors to this project will receive a monthly email from PHASE outlining the impact of their gift and receive six-month and one-year reports with updates on the project – particularly case studies and information about outcomes and impacts.

  • Budget

    Budget - Project Cost: £18,630

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      Amount Heading Description
      £4,078 Health Supervisor Employ a health supervisor for the project duration
      £1,200 Clinical Equipment Healthcare equipment to run the health post
      £3,143 Community Training Community meetings, workshops and demonstrations to increase knowledge on health
      £2,846 Medicines and Transport Medicines for the health post and transport of PHASE staff
      £5,655 Two Auxiliary Nurse Midwife Two Auxiliary Nurse Midwife for the project duration
      £1,708 Staff Training Training in family planning, dental care, healthcare

    Current Funding / Pledges

    Source Amount
    PHASE core fundraising £13,676 Guaranteed
  • Background

    Location

    Manbu is situated in the very remote, north eastern corner of Gorkha district, Nepal. It covers an area ranging from 700m to 3500m above sea level and is very mountainous and unstable terrain – landslides are common. Manbu was very close to the epicentre of the 2015 earthquakes, resulting in 27 people losing their lives and most families left with the task of rebuilding their lives and homes. There are high levels of food insecurity as most agricultural infrastructure was damaged in 2015.

    Beneficiaries

    6,016 people live in Manbu and they will benefit from this project through improved access to healthcare. The women and children will particularly benefit as they are less able to leave their village to seek care, however the service will be open to the whole community. People in this community are from the Tamang and Gurung ethnic groups. The community was selected because of high levels of poverty and very limited access to healthcare.

  • Why Us?

    Why Us?

    PHASE has been working in remote areas of Nepal for 12 years and currently employs over 140 trained Nepalese members of staff there - the majority of whom work in remote communities. Over the last decade we have empowered people to access knowledge, skills and services, and at the same time, strengthened local government provision – this helps families to achieve a life beyond poverty. To ensure our work is sustainable we aim to hand services over to the government within five to seven years.

    Read more about the Charity running this project.

    People

    Dr Jiban Karki

    Management - 20+ experience in rural health in Nepal. Executive Director of PHASE Nepal,12 years. Completed a PhD in public health (Sheffield)

    Sarah Galvin

    Monitoring - Director of PHASE Worldwide, 5 years. Masters in Education and Global Development. Worked in rural international development for 9 years

    Ganga Maya Sunuwar

    Delivery - Experience of working as a nurse midwife in rural Nepal, trained twice a year at PHASE bi-annual training, specialist in maternal care.

    Dr Gerda Pohl

    Health Support - GP based in Kathmandu working at international hospital. Trustee PHASE Worldwide. Medical technical adviser.