Wednesday, January 16, 2013

Kunphen Shogtso Menkhang (dispensary)

Kunphen Shogtso Menkhang


In order to provide modern health services to the villagers, dispensary is built in Vijer village. The main purpose of the dispensary is to provide twin health services comprising both allopathic and traditional herbal treatments. Before, they use only Tibetan medicine (Amche system) and healing method for curing various diseases.

The Vijer VDC comprise of three more villages namely; Tata, Phod and Khugaon. Altogether there are about four hundred people living. Further the people of Shey monastery, Karang and Saldang villages can also received health services from this dispensary.

Amchi Tenzin Gyaltsen Lama
The village new born child mortality rate was more than fifty percent. Most of the child suffer from pneumonia, diarrhea, common-cold and fever. Women health condition is very poor. There was no good maternity care and family planning program before. Adult people are suffered by the diseases like tuberculosis, hepatitis, arthritis, asthma, chest and eye problem (mainly cataract).










The newly built dispensary is a two storied stone building build in a traditional local style. The ground floor comprises of six rooms – two rooms for western medicine and doctor, a laboratory, a waiting room, kitchen – dining, attached bathroom with shower. In the first floor we have two bed rooms for the resident of western doctor and a nurse with attached toilet – bathroom. And there is also a room for Tibetan doctor and Tibetan medical propose, a library, a puja (worship) room and spacious terrace. All the rooms are well furnished.


We have installed solar electricity and inverter to make AC system with the capacity to light twenty lamps, to run a computer and a refrigerator for vaccine and medicine.
The project is run by private fund and it is register in the name of Khunphen Shogtso Menkhang. The physical function of the dispensary will be in cooperation with department of health, government of Nepal.
We had appointed an experienced MBBS doctor (pediatrician), a staff nurse and lab assistant from the year 2009. Their services have been excellent so far and above said problems have controlled in a satisfactory level.  







Annual Report of Kunphen Shogtso Menkhang Vijer, Dolpa 2012  




 ACKNOWLEDGEMENT


First and foremost, I am deeply incepted to Mr. and Mrs. Roncoroni for providing such a golden job opportunity to serve the needy people there at Vijer and other nearby villages. Without this golden opportunity I won’t be able to see the life of the people living there.
I can’t remain unspoken without acknowledging our coordinator, Mr. Chandra Bahadur Gurung for his full support, encouragement, guidance and providing valuable information regarding logistic materials.
 I am indeed grateful to our Health Assistant, Mr. Bushal, and Lab Assistant, Mrs. Ram Maya, for their expertise and kind cooperation and providing necessary information regarding the cases that I have come across.
 Lastly, but not the least I would like to thank  the clients and the patients  for  providing complete, adequate information and cooperation  during the check up ,ANC, and examinations.
                                 
                                                                                                                                                                                     

                                                                                                                                                   With due respect,Tashi Bhuti Lama (Staff Nurse)



OBJECTIVES


GENERAL OBJECTIVES


During six months of duration, to provide holistic care to the needy patients and serve the needy people those are out of reach.

SPECIFIC OBJECTIVES

1. To provide OPD services related to general medicine both to adults and pediatrics.
2. To keep the cases under observation if necessary and provide complete nursing care.
3. To do routine lab investigations.
4. To provide services to maternal and child health like ANC
5. To conduct deliveries.
6. To provide the patients medicines according to their conditions Check up; provide care during intrapartum and postnatal care.





INTRODUCTION


 Kunphen Shogtso Menkhang runs for six months from May to October.  Now it is running its fourth year serving the needy people at grass root level of upper Dolpa. During this six months period, people get golden opportunity regarding their health problems from the health care centre. It runs for 24hours for emergency cases.  It not only serves the people of Vijer VDC but also other 8 villages that are included in Saldang VDC and the needy travelers who pass by.
After establishment of this health centre, it has brought an immense change in the health of the people living there. Every year we do some sort of health camp around the nearby villages. These activities have brought good impact on people those who are ignorant about health. Now they have realized the importance of health and the good impact that brought to their health by using the health services provided by Kunphen Shogtso Menkhang.
                                             





 

 ACTIVITIES OF THIS YEAR

 The main objective of Kunphen Shogtso Menkhang is to serve the needy people regarding their health without any partiality. We provided health services regarding medicines as well as obstetrics. We even immunized under one to prevent from five killer diseases.  
 As same as before, we even ran health camp in different villages like Ku village, Namgung village, Saldang and at Shey during the festival which held from 28th August to 3rd September.
We even went those places where patients are not able to come and get the health facilities due to their poor health and unfortunates fractures.





 DATA OF THE PATIENTS

 The overall flow of the patients including outpatients, inpatients at Vijer and all the clients came during the camps were ………


The total flow of the patients from May to October in Vijer is 642. All of them came with different diagnosis. 123(19%) patients with pneumonia, 114(17%) patients with diarrhoea, 96(14%) patients with gastritis, 12(2%) patients came with Urinary Tract Infection (UTI), 80(12%) patients with Rheumatic Arthritis (RA), 12819%() with Upper Respiratory Tract Infection (URTI), 14(3%) patients with conjunctivitis, 15(4%) with Hypertension (HTN) and 60(10%) patients with others like neurological problem, eye and ear infection, stomatitis,etc.





During Namgung health camp, we had total ten patients with different complaints like neurological problem, gastritis, common cold, etc.

We even held a camp at Saldang. The total flow of patients was 150. 25% came with diarrhoea, 19% came with pneumonia, 16% came with gastritis, 17% came with Upper Respiratory Tract Infection (URTI), 10% with Rheumatic Arthritis (RA) and 13% came with other complaints like headache, neurological problem, body ache, etc. Here is the illustration of different diseases that affected the patients from saldang.





  The health camp that held at Ku village was in September. The total flow of the patients were 72, 12 came with diarrhoea, 15 patients came with pneumonia, 10 patients came with gastritis, 8 patients came with Rheumatic Arthritis(RA), 18 patients came with Upper Respiratory Tract Infection(URTI) and 9 patients with other complaints like headache, body ache, weakness, etc. the diseases are illustrated in bar graph below.



The health camp that held during Shey Festival was from 38th of August to 3rd of September.  The total flow was 360. That health camp has been very effective for people who had come for pilgrimage.  The data is illustrated below on pie chart. It shows that 4% came with diarrhoea, 20% with pneumonia, 26% with gastritis, 15% with URTI, 23% with Arthritis, and 12% with other complaints like neurological problems, ear and eye infection, stomatitis, altitude sickness, etc.



THE REPORT OF LAB
This year the total test that we have done was 71 tests. The number different tests are given below:
1. Total count and differential count = 4.
2. Haemoglobin  =8
3. Uric acid         =16
4. Stool               =1
5. Urine               =28
6. Sugar              =5
7. Widal               =1
8. Bilirubin           =3
9. HBsAg             =2
10. HIV                =2
11. Montoux test  =1




   









     EVALUATION:


 The six months of stay serving the needy people at grass root level was interesting, learning the real life of the people. Not only provided them services but also learned from them some important practices that they apply during delivery and other problems. We had patients for general check up, some mothers came for their Antenatal visits and postnatal visits, mothers brought their child for vaccinations, etc. The clients acted very normal without any language problems. They shared all their problems without any hesitation. Therefore, my set objectives were fully met

























2 comments:

  1. Since then after the implementation of western medicine. It is more pronounced that there is a dramatic change in the health condition of the local people there...May god bless the faithful broad minded sponsors who have invested so much to this ignorant village which is located in the nook and corner of Midwestern region of Nepal.

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  2. I appreciate the initiative taken by Kunphen Shogtso Menkhang for the betterment of health service in such rural places of Nepal. All the people behind this selfless service should be encouraged and provided with needed support to continue their work.

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