Approved design for the RMF clinic building
Summary of Activities
Since opening in January 2016, the RMF Health Clinic has treated 13,171 patients. Between October and December 2017, it served 1,644 of these patients, including 818 female and 826 male patients, with an average of about 548 patients per month.
RMF headquarters has approved a building design for the RMF clinic and is in the process of signing an agreement with the contractor. The design includes an OPD, patient waiting room, health education corner, maternal and child health (MCH) unit, delivery room, pharmacy, and a room for wound dressing and injection purposes. The local council of the rural municipality has decided to provide land with a total area of 1,526 square meters for construction of the clinic.
Providing Quality Care
1,644 Patients Served
RMF Health Clinic is dedicated to providing health services to the residents of Arupokhari and its neighboring villages free of charge. The clinic served 733 patients in October, 490 in November, and 421 in December, for a total of 1,644 patients throughout the reporting period, averaging at 548 patients per month.
During this 3-month period, respiratory disease was the leading health problem registered in the clinic with 305 patients, followed by skin infection, fever, digestive system disorders, and accidents/fall injuries.
Sabita Surkheti, an 18-month-old girl, was brought to RMF clinic with a cough and fever which she had been suffering from for 3 days. The RMF clinical officer checked her temperature, respiratory rate, chest, and pulse and took her medical history. She was diagnosed with pneumonia and given a course of antibiotics, paracetamol, and cough syrup. When Sabita’s parents brought her in for a follow-up appointment after 3 days, she was playful and feeling well again.
Aayush Baram, a 5-month-old boy, was suffering from pneumonia. After being treated with antibiotics and recovering at home for 5 days, the child was well again.
Daauri Baram is 72-year-old woman from Arupokhari village. She had been suffering from a fever continuously for 5 days when she came to RMF clinic with her son. The RMF clinical officer checked her and diagnosed her with typhoid. The officer gave her medicine for 2 weeks and suggested bedrest. After 14 days, she came to the RMF clinic for a follow up. At this time, her fever had subsided, but she was still feeling weak. is 72-year-old woman from Arupokhari village. She had been suffering from a fever continuously for 5 days when she came to RMF clinic with her son. The RMF clinical officer checked her and diagnosed her with typhoid. The officer gave her medicine for 2 weeks and suggested bedrest. After 14 days, she came to the RMF clinic for a follow up. At this time, her fever had subsided, but she was still feeling weak.
Saari Baram, a 7-year-old girl, came to the RMF clinic with throat pain and difficulty swallowing. Her body temperature was also elevated. The RMF clinical officer checked her and found she had tonsillitis. After a week of treatment, she completely recovered.
Saroj Pariyar was brought to RMF clinic by his mother. He was 7 months old and not playing as usual. During the checkup, the RMF clinical officer noticed discharge coming from his ears. He was suffering from otitis media, an ear infection. Painkillers and a course of antibiotics were given, and the mother was advised to keep the baby’s ear clean and dry. After a week, the ear discharge stopped, and the baby’s health was restored.
Tikaram Baniya, 20 years old, came to the RMF clinic after his leg was cut by an axe. The RMF clinical officer sutured the wound and dressed it. The officer also gave him antibiotics and painkillers and advised him to come back to the clinic for daily redressing. Tikaram followed the clinician’s instructions and is completely well now.
Maita Kumari Pariyar
Maita Kumari Pariyar
Maita Kumari Pariyar has suffered from low blood pressure for many years. She is 66 years old and attends RMF clinic regularly to monitor her blood pressure.
Krishna Bahadur Surkheti
Krishna Bahadur Surkheti
Krishna Bahadur Surkheti is a 40-year-old man from Arupokhari village. He had been suffering from diarrhea for 2 days when he came to RMF clinic with the help of his neighbor. His blood pressure was low, and he was moderately dehydrated. The RMF nurse opened an IV line and treated his dehydration with Ringer’s lactate, then administered intravenous antibiotics. His health was back to normal after 3 days.
Dil Maya Pariyar
Dil Maya Pariyar
Dehydration and Hypotension
Dil Maya Pariyar, a 59-year-old woman, came to RMF clinic due to diarrhea. She was dehydrated and her blood pressure was low. The RMF nurse gave her intravenous fluids and medicines, and she recovered after 2 days.
Sangita Gurung had an abscess on her left upper arm. Due to pain from the abscess, she came to RMF clinic. After the initial assessment, the nurse incised and drained the abscess and asked the patient to attend the clinic daily to have the wound redressed. Sangita was also given a course of antibiotics and painkillers. After following the nurse’s instructions, Sangita is well now.
- Rebuild the village as a replicable model, which will include earthquake-safe structures designed by architects and engineers
- Use local natural and human resources to ensure ownership and sustainability
- Improve healthcare access and education based on the needs of the communities and with the leadership of the local people
In line with RMF’s concepts and the government of Nepal’s vision for a comprehensive and eventually sustainable Model Village, RMF, in close partnership and collaboration with Sarswati Foundation will be working towards the development of a Model Village in Arupokhari. Sarswati Foundation has been working in Arupokhari, Gorkha since 2009 as a non-profit. This was co-founded by Subhash Ghimire, a native from that village and editor-in-chief of the Republica, Nepal’s leading English daily that publishes with the New York Times in Kathmandu.
Following the devastating earthquake, the non-profit has been actively engaged in relief and reconstruction works in the area, which includes providing food and temporary shelter relief to the affected people. So far, the foundation has delivered 7.5 tons (100 sacks of 30 kg rice, 50 sacks of 50 kg lentils, 500 sacks of 0.5 L of oil, 500 packets of 1 kg salt, 495 blankets, 350 tents) to the community, and aims to rebuild the village as a replicable model, which will include earthquake-safe structures designed by architects and engineers, utilizing local natural and human resources to ensure ownership and sustainability, improved healthcare access, education and livelihood programs, based on the needs of the communities and with the leadership of the local people.
Similarly, the village also holds a huge potential as a thriving Manaslu trekking route, along with a 600-megawatt hydro project being planned around in the area. In addition, the community is also actively engaged in production of local agricultural products and livestock. With a thought-out detailed plan, the opportunities of the village could be tapped in to create a replicable, integrated and sustainable Model Village.
RMF supports the rebuilding of Sarswati Peace School (more than 200 students, mostly from economically and culturally marginalized backgrounds) and Darbar Higher Secondary School (public school with more than 400 students), both of which were badly damaged during the earthquake. The current plan is to demolish the existing damaged structure and construct earthquake resistant buildings.
Along with the support to the reconstruction of the schools, the model village project also seeks to help build at least 100 temporary shelters and 700 permanent houses to the identified most vulnerable households in the community and one earthquake resistant local health center. Health services, education, and the economy will be supported for the long-term as the people of Arupokhari build a stronger future in collaboration with RMF and Sarswati.