Stupa (Chorten) renovation and painting

Before

After

We have repair more than 100 stupas and done painting and whitewash for three gompas in the village. A new chorten has been constructed in front of dispensary.

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 28^th August to 3^rd 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 38^th of August to 3^rd 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

Mukporong Himal Primary School

During several visit to Dolpo by our founder member, they found that it is most beautiful and remote place of Nepal. Though there are many good government schools within the district, still there are some such places where the modern education stands far from the people due to several reasons. The people depend on a very low productive agriculture and trades. Very unfortunately, children have to go to pastures instead of school. They are major labor forces within their families. Elders are busy to earn the family expenses and to transfer the traditional education with is pastorals and only hold up their life.

Mukporong Himal Primary School

Particularly in upper Dolpa, due to the remoteness and difficult living conditions, the teachers would not prefer go there unless they get extra allowances. Schools are also in poor conditions in terms of infrastructure and other basic facilities. However, there is a hope for improving the education if it can be provided with some support, development of infrastructures and other teaching materials.

For the upliftment of the educational system in particular, the school of Vijer village, Shree Mukporong Himal Primary School (before Shree Shey Gompa Primary School, established in the year 2031BS), the founder member Mr. & Mrs. Pritzker and Mr. & Mrs. Roncoroni family, shows very enthusiastic to provide whatever private support they can. They decided to support it with infrastructure development, teaching materials and teachers for the improvement of the school.

They agreed to provide all the funding for the construction of the school and hostel building, teaching material and uniform for the children, private teacher and extra allowances for the government teachers and the basic medical supplies for the betterment of the people and the children. 

Restoration of Nesar Gompa

Nesar Gompa

The Nesar gompa is located in the centre of Vijer VDC. A hidden library was found by the project team in 1999. It has contains more than six hundred volume of ancient Tibetan illuminated manuscript dated from 11^th to the 16^th century. This library constitutes a cultural history of Dolpo. For more in details please read the book ‘HIDDEN TREASURER OF THE HIMALAYAS – Tibetan manuscripts, painting and sculpture of Dolpo’ by Amy Heller.

The project was executed in the year 2000 with formal approval of all the villagers and in the guidance of Lama Tenzin Gyaltsen.

The Gompa was almost ruined in condition; all the manuscripts were inside the mud wall, not properly placed and in deteriorating stage. At first, our team took out all the manuscript, wiped the dust (because it was full of dust with only wooden cover), measurement and count by page, categorized and catalogue, wraped with new cloths and finally place in the bookshelf. Secondly, the roof of main gompa was leaking and first floor of it was not in regular or good height. So we worked for replacement roof, and gave a standard height and light of the building. In addition, a new building was constructed for the new library, lama resident, kitchen and bathroom-toilet with modern facilities.

On the roof of gompa, the guilt copper deer and wheel of Dharma have been placed by the request of Lama Tenzin Gyaltsen. Despite, many other works have been done inside the gompa. The gompa is trapezoid in shape, largest of all in the village, colored with deep red and white paints which are locally available. The gompa give the impression of being traditional and an example of cultural preservation.  

Introduction

Dunai - Headquater of Dolpo 

Dolpa, the largest and one of the least populated of Nepal is situated in the remote northwestern corner of the country bordering with the Tibet. It is least develop, but one of the most pristine and unspoiled area of Nepal. It is famous for its unique intake Tibetan derived culture. It comprises of numerous ancient gompas, stupas, paintings, sculptures, manuscripts, artifact, beautiful landscape, flora and faunas, herbs of high medicinal values.

Phoksundo Lake

Dolpa suffers economically, although it has great potential for tourism. Natural resources would provide economical benefit if it is exploited in a manageable way.

Dolpo (a.k.a. upper Dolpa), which was once a province of western Tibet. After the Chinese took over Tibet, Dolpo is considered as the last enclave of pure Tibetan Culture.  Although Dolpo is culturally and geographically is a world of its own.

 Dolpa region of Nepal is rain shadowed by the Annapurna range blocking off the valuable monsoon rain. The whole of Dolpa is arid, mountainous and steppe likes terrain. Hence, the fertility of the land in this mountainous region is very low. Local people totally depend on seasonal farming, animal husbandry and trade for their livelihood.

Vijer Village

Vijer, village development committee (VDC) is one of the most isolated villages, situated at an altitude of 3,850 meter where the holy mountain Mukporong. People of this village practice Tibetan Buddhism and Bon, an ancient religion. There is two oldest (more than 800 years) Sakya monasteries (now practice Nyigmapa), Nesar and Lang, and famous gompa of Yangston Bompos called Samling monastery which is located on a mountain ridge to the south of Vijer.   

Aims and Objectives:   

The main objectives of the project were to give free and compulsory education, health and sanitation facilities, and preservation of traditional culture and restoration of heritages sides of the Vijer village. Our goal is to provide the upcoming generation with a quality and reliable education, healthy environment and sustainable development through cultural preservation.

The main program of the project:

     1.    Nesar Gompa Restoration (2001-2005)

Renovation of Naser Gompa, improvement of library, full inventory and classification of existing 642 ancient manuscripts. (All information collected has been published in the book by Amy Heller).

Author Dr. Amy Heller with her book

 2.    Shree Mukporong Himal Primary School (2001-2010).

      3.  Khunphen Shogtso Menkhang (Dispensary), 2007 - 2008.

      4.   Stupa (chorten) renovation and painting – 2009 - 2010.

      5.    Rural drinking water supply – 2009 - 2010.

6.  Lang Gompa Hermitage Center – 2010-2012.