Category Archives: Developing World

Post Earthquake Situation in Rural Nepal is Getting Worse

SINDUPALCHOWK, NEPAL

After providing shelter for victims of the earthquake in Kathmandu, our team is now moving towards areas outside the valley.

According to the official numbers from the Government of Nepal, 2071 people have lost their lives in the district of Sindhupalchowk and more than 648 people have suffered from injuries due to the devastating earthquake that has recently occurred in Nepal.

We currently have 10 volunteers that are working hard to assist the people in Sindhupalchowk. The aim of our team is to provide the basic needs of the people in this district which will be adequate for the next month or a month and a half. We also aim to provide medical support. Some of the basic needs at the moment includes food, tents, blankets or quilts (if tents won’t be available green house plastics, thermal plastics), mats or profiles, medications, sanitations and cloths.

Based on the first number of donations from Denmark, the team has bought bagged foods (as shown in the images below), as the risk of Hepatitis and Cholera are high in local stored food.

The current situation is worsening and the safety in Sindhupalchowk  is compromised. Many people are still missing their relatives and friends.

You can now help AHC with the necessary support on our front page in order to aid the people in need in Nepal. The ressources will be transferred directly to our team of volunteers that is currently active in Sindhupalchowk.

Support Our Earthquake Efforts

We currently have 10 healthcare workers and volunteers that are working hard to assist the people in Sindhupalchowk. The aim of our team is to provide the basic needs of the people in this district which will be adequate for the next month or a month and a half. We also aim to provide medical support. Some of the basic needs at the moment includes food, tents, blankets or quilts (if tents won’t be available green house plastics, thermal plastics), mats or profiles, medications, sanitations and cloths.

Support our team’s efforts using the paypal donation function below. The money will be transferred directly to the official Access Health Account in Denmark and will then be transferred directly to the AHC-workers in Nepal!

AHCN #10 – Bhattechaur and Sisne Views

After a 14 hour walk we had finally arrived in Bhattechaur, the furthest village we would reach.

Before we would proceed to conduct our first health camp in the village, we went to an incredible view point from which we could see the Southern end of the Dhaulagiri mountain range, namely Sisne peak of 5911 metres, the highest point of Rukum.

This gallery contains photos of mountain side villages, the people of Bhattechaur and the mountain views. The gallery is one of my favourites; it really shows the true beauty of Nepal.

The Harsh Reality for the People of Rural Nepal

The featured image above is a labour bed. This is where mothers of the region give birth – if they go to the hospital at all.

At Access Health Care Nepal we believe that health care is a human right: Everyone has the right to the highest attainable standard of physical and mental health, which includes access to all medical services, sanitation, adequate food, decent housing, healthy working conditions, and a clean environment.

After seeing the current state of the Salle Bajjar District Hospital however, we had to conclude, that if one of us was a patient in this region, we would avoid all contact with its health care system if possible at all. Looking through this gallery speaks for it self. You don’t have to ask yourself whether or not you would like to be admitted here to know the answer. This is the largest public hospital in Rukum and the condition of it is devastating for the people.

After an initial meeting with the doctors of the hospital we were given a tour of the hospital. A quick inventory (made during the tour) showed that more than 66% of the equipment is out of order – and we were not counting the piles of broken equipment in the storeroom as the storekeeper was on leave.

The hospital has 15 beds and an occupancy rate at all time of at least 150% – and 200-300% is not uncommon. The hospital has no biomedical engineering staff and in consequence they have no preventive maintenance program. If something breaks, a request for new equipment is made to the government. Whether the request is met or not is completely unpredictable.

During the Maoist insurgency Doctors Without Borders were active in the region and the hospital was quite well off. However, since activity of the Maoists came to an end around 2011, the activity of Doctors Without Borders did the same, and today the hospital has become completely neglected.

At a hospital like Salle Bajjar District Hospital, the presence of Access Health Care Nepal as well as Engineering World Health would not only be helpful, but would be a part of fulfilling every individual’s fundamental human right to health care.

A central aim of for Access Health Care Nepal is to create awareness of the health care circumstances in rural Nepal. You can help us by sharing this article.

AHCN #7 Musikot

Musikot (in the same area as Jumlikhalanga and Salle Bajjar) is the administrative centre of Rukum. Dr. Justin of our team lived here while still a child, before moving to Kathmandu. During our visit we stayed at their beautiful traditional Nepali house, where Justins grandmother still lives.

During our stay we also met Mr. Chandra Bahadur Malla, a teacher from Rukumkot, who would be our guide on the way to Sisne and back the following 3 days.

AHCN in Rukum #4 – Getting there and Team Profiles

As some of you may have read, the current AHCN effort in Nepal is comprised of three phases:  1) documenting the health care needs of rural Nepal, 2) conducting rigorous in-field medical, biomedical engineering and public health research 3) providing sustainable solutions for rural health care services and financing hereof in regions of interest.

Of these, our project in Rukum makes up the first phase. In the following days we will post about from our work in Rukum. This first post is a collection of photos of getting from Kathmandu to Rukum. This took three days as we had several stops on the way: the first day we visited Chitwan Medical College Teaching Hospital and agreed to collaborate in this project and in the future. The second day we visited the Nepal Youth Foundation nutrition centre in Dang and that night we would arrive in Musikot/Jumlikhalanga, the administrative centre of Rukum.

Before we start writing about our actual work, we wish to present out team. Hereby short profiles on each member of the in-field team that conducted phase one of our project:
Dr. Justin Jung Malla, M.B.B.S, Licensed Doctor: N.M.C no. 11941. Position at AHCN: Founder and Field Clinical Expert.
Experience:

  • Emergency Dept. Besi Sahar Hospital, Lamjung, Nepal (6 months)
  • Emergency Dept. Chitwan Medical College Teaching Hospital, Chitwan Nepal (6 months)
  • Emergency Dept. Norvic International Hospital Nepal (14 months)

Dr. Saujan Shrestha (M.B.B.S),  Licensed Doctor: N.M.C-no.12162. Position at AHCN: Field Clinical Expert.

Experience:

  • Chitwan Medical College Teaching Hospital, Emergency Department , Chitwan, Nepal (6 months)
  • Neuro Cardio Multi-speciality Hospital, Biratnagar, Nepal (6 months)
  • Emergency dept. and General medicine dept., Biratnagar Hospital Pvt. Ltd. Biratnagar, Nepal (14 months)

Mr. Rajkumar Silwal, MBA graduate from University of West London with great enthusiasm to support and improve health care in rural Nepal. Good management skills with a combination of leadership, communication, strategic planning and effective decision-making attributes. Experienced semi-professional photographer.
Position at AHCN: Director of Finance and Administration. Photographer. 

Mr. David Kovacs, B.Sc of Biomedical Engineering from the Technical University of Denmark and University of Copenhagen. Position at AHCN: Founder and President. 

Experience:

  • President of Engineering World Health at the Technical University of Denmark (10 months)
  • DUKE-EWH Summer Institute in Tanzania 2014 participant (2 months)
  • Volunteer at Chitwan Medical College Teaching Hospital (4 months)
  • Research Assistant at Rigshospitalet, Copenhagen University Hospital (12 months)
  • Accepted as On the Ground Assistant at EWH Gutatemala Winter Institute 2014/2015 (to be 1 month)

The following gallery is a collection of pictures of our team on our way to Rukum.

Traveling to Rukum: Nepal Youth Foundation

Today we will arrive in Rukum, traveling through Lamahi, Ghori, Tulsipur, Shitalpati, and Kotmola before reaching our destination of Jumlikhalanga.  Here we we will visit the local district hospital to identify areas of need.  Our meetings with the NRC and the district officer Mr. Bharat will help us understand more about the infrastructure in the region and determine where we can travel to and how we can get there.

On our way to Jumlikhalanga, we visited the Nepali Youth Foundation (NYF) nutrition center in Ghorani.  The center admits malnourished children and their mothers for free for periods of around three months while the children are nurtured back to health.  During this time, the mothers are educated on how to cook inexpensive but nourishing food.

During our trip, we will work with the NYF to identify malnourished children, who will then be transported to the center with their mothers free of charge.