Nepal: Orphanage Support

NCO Children and Staff Celebrate Holi: Q1 2019

May 22, 2019

Pragya Gautam, Program and M&E Coordinator

Summary of Activities

Currently, RMF supports two NCO children’s homes in Kathmandu, located at Naxal and Sifal, with 1 nurse and 2 auxiliary nurses. RMF’s nurses provide 24-hour, daily care for the children sheltered in these homes. Nurses provide both preventive and curative health services to all the children as well as staff of NCO. As a result of their continuous presence, they are able to diagnose children more efficiently, leading to earlier diagnosis and treatment. RMF’s nurses are especially committed to providing care for the children with chronic diseases and special needs, as these children are more vulnerable to infections and require special care.

In addition to providing nursing staff for these two NCO children’s homes, RMF provides regular doctors’ checkups to the children, as our pediatricians from Kanti Children’s Hospital visit the homes weekly. Children in need of more extensive medical treatment are referred to the hospital and accompanied by an RMF nurse.

During this quarter:

  • 400 children were treated and managed by RMF nurses at Nepal Children’s Organization (NCO) homes
  • RMF nurses continuously provided care to the NCO children
  • RMF pediatricians from Kanti Children’s Hospital continued to visit NCO homes on a weekly basis
  • Holi, the “Festival of Colors”, was celebrated with the children
Return to Top

Results &


Children Assessed by NCO Nurses

373 Children Treated in Homes

Out of 400 children who were ill, 373 children were assessed, diagnosed, and treated by RMF nurses in the NCO homes. RMF pediatricians have continued visiting the Naxal and Sifal NCO homes on a weekly basis, which has markedly reduced the number of hospital visits, and the number of children becoming ill is decreasing with time.

RMF nurses have been doing their best to prevent common illnesses such as respiratory problems and digestive problems by maintaining the hygiene and nutrition of children. They have also been working to maintain a healthful environment at NCO, especially in the infants’ and toddlers’ rooms, as young children are the most vulnerable to infection. RMF nurses also counsel NCO staff members on how to maintain best hygiene practices while working with the children. The RMF pediatrician visits have further helped reduce the frequency of these illnesses.

Growth Monitoring at NCO

Ensuring the Children’s Optimal Growth

Growth monitoring is a monthly procedure carried out by RMF nurses at NCO, which is essential to assess the growth and development of children, especially those under 5 years of age. After measuring the weights and heights of the children, the nurses check whether they are within the healthy range for their ages.

In addition to making sure that the children’s physical growth is optimal, the nurses also evaluate whether each child’s social, emotional, and vocal development is appropriate for his or her age. Children who fall below the normal range in these diagnostics receive special care, and the reason for the delay in their growth is assessed. The common cause of delayed growth and development among children is frequent illness, which has been significantly reduced since the introduction of RMF nurses, according to NCO administration.

Celebrating Holi

“The Festival of Colors”

Holi, the Festival of Colors, is celebrated in Nepal and India to mark the victory of good over evil. The name of the holiday comes from a story in the Hindu Vedic scriptures which describes how Holika, the evil sister of King Hiranyakashyapu, was burned to death while trying to kill her nephew Pralhad. Holi is also celebrated to promote healthy relationships between relatives and neighbors. It takes place on the first full moon of the Hindu month of Falgun, which took place this year on Wednesday, March 20, 2019.

Holi is celebrated by people of all ages, castes, and creeds, who apply colorful powders to their skin and clothing, throw water balloons at one another and spray each other with water guns. As part of their cultural education, NCO children celebrate all common festivals. The NCO director initiated the celebration by applying tika, or colored powder, to all of the children. RMF staff nurses also celebrated Holi with the children.

Return to Top


& Objectives


Established in 1964, Nepal Children’s Organization (NCO), also known as Balmandir (The Children’s Temple) is one of the oldest non-profit organizations in Nepal working for the protection and promotion of childrens’ rights and providing residential care to the children at risk. This includes orphans, differently-abled, abandoned and conflict affected children.

After the devastating earthquake on April 25th, followed by another strong earthquake on May 12th, an estimated 2,023 children have been confirmed dead. Likewise, the number of the injured children has been established at 876 and approximately, 200 children have lost their mothers and 112 have lost their fathers. Nearly 2 million children are said to have been affected by this mega quake and the powerful aftershocks thereafter. (Ministry of Women, Children and Social Welfare, June 2015)

Among those children who lost their parents, many have come under the tutelage of NCO, whose own shelter home was heavily destroyed by the disaster. Currently, through their 10 children’s homes within and outside Kathmandu valley, NCO has been caring for 280 children, including the earthquake-affected.

RMF will be supporting NCO in improving orphanage-based children’s health by providing better quality primary health care, including nutrition, sanitation and hygiene.


  • Provide psychosocial counseling to deeply affected children
  • Construct a room for infants
  • Health and sanitation trainings for house mothers and children
  • Construct a room for differently-abled children
  • Provide better quality primary healthcare
  • Provide qualified staff nurses at NCO’s centers
  • Enhance knowledge and awareness of health and nutrition
Return to Top



Click to enlarge

Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Return to Top



Patients Served This Quarter

400 Children Treated

  • Treated at Hospital: 27
  • Treated at NCO Homes: 373
Return to Top



An RMF Nurse gives medication to Birendra

Birendra Kadhka

7-year-old boy treated

Birendra, a 7-year-old boy living at NCO home Sifal, suddenly developed a fever of 101°F. Without an obvious cause for the fever, and due to the absence of other significant symptoms, RMF Nurse Ranjana decided to use standard fever reduction methods. She removed his outer clothing and applied a tepid sponge to cool his body. However, after 15 minutes of sponging, the fever was not reduced, so she administered paracetamol syrup for immediate management. A few moments after receiving the medication, Birendra’s fever started dropping. The fever continued for 6 days, and he was only given paracetamol as medication. An RMF pediatrician confirmed that it was viral fever and praised Nurse Ranjana for her accurate treatment. Birendra is doing well now.

Sunil BK

Kanti Hospital Provides Care

Sunil suddenly developed a fever, a sore throat, and abdominal pain. He became frail and appeared very ill. He also became restless, which spurred RMF Nurse Ranjana to take him to the hospital immediately. At the hospital, he was diagnosed with tonsillitis and prescribed antibiotics. Nurse Ranjana and other staff members took good care of him, and he is doing well.

Laxmi caring for another child

Laxmi Mahara

15-year-old girl receives help

Laxmi, a 15-year-old disabled girl, suddenly developed a fever along with a cough and chest pain. The fever was high grade at 103°F and subsided only for a couple of hours even after administering antipyretics. Over time, her situation got worse. RMF Nurse Ranjana arranged for transportation and other necessary arrangements to take her to the hospital. At the hospital, a number of investigations were carried out. The reports were not alarming, but she had a chest infection, for which she was prescribed antibiotics for a week. After being well cared for by RMF nurses and receiving timely medications, Laxmi’s condition improved drastically.

Baby Pramish at NCO Home

Pramish Balak, age one month

Treated at NCO Home

Pramish Balak is 1 month of age and weighs just 2 kg. He was brought to NCO home from Patan Hospital after being treated at the neonatal ICU for low weight at birth, during which time his mother fled from the hospital (a number of children are brought to NCO after being abandoned at Patan Hospital). Due to his low weight, Pramish is prone to developing recurrent infections and cannot gain enough weight. RMF Pediatrician Shreeram attended the child at the NCO home and prescribed him antibiotics, antipyretics, and nebulization therapy. He was cared for by RMF Nurses Shriya and Bina, and his hygiene was also maintained. Pramish was also immunized for tuberculosis with a BCG vaccine. His condition is improving, and the staff of NCO is satisfied with the RMF nurses for the meticulous care they provided to such a sick child.

A nurse gives Rishav his medicine

Rishav B.K., age 10

Happy in NCO Home

Rishav is a 10-year-old boy from the outskirts of Hetauda, a city near Kathmandu. He belonged to a very poor family, and after the death of his mother, Rishav and his sister lived a very difficult life. The Police Department of Hetauda handed the two children over to NCO home after completing the formal procedures. He is happy to live in the NCO home, as he sees that many children are similar to him. However, after being at NCO home for a few days, he suddenly started to lose his appetite, his abdomen distended, and eyes yellowed. RMF nurses immediately took him to the hospital, as they knew he had jaundice and needed immediate attention. After blood investigations, the jaundice was confirmed, and he was prescribed medicines for his condition. In addition to the medicines, RMF nurses have been making sure that his diet is nutritious. His condition is slowly improving. 

Return to Top

More Reports on: Orphanage Support Archive

Country Page: Nepal

Initiative Page: Orphanage Support