A year has passed since RMF started operating a health clinic in Arupokhari, Gorkha. During this time period, the clinic has treated many patients with different health problems. What began as a small initiative with a small budget and a steadfast commitment from RMF and the local community has grown into a lifesaving, easily accessible, much-needed health solution for the community. Before RMF operated the clinic, the nearest health post was about 4–5 hours away, and any health facilities were few and far between. Now through RMF’s initiative, the people of Arupokhari and neighboring villages have access to a 24/7, free health service facility, as well as basic medicines at a highly-subsidized rate.
During this time period, RMF’s health clinic has treated 7,568 patients, averaging up to 486 patients a month. The people of Arupokhari and surrounding villages are very grateful for RMF’s efforts in providing high quality, free health services, which were previously very hard to come by. The RMF Health Clinic ensures that patients receive free, quality health services, as well as medicines at a very reasonable and subsidized rate, which is why RMF’s clinic is very popular in Arupokhari and neighboring communities.
With this success and popularity, we were able to run the RMF Health Clinic on the revenue collected from sales of medicines, even after providing medicines at a subsidized rate. The RMF Health Clinic was able to achieve self-sustainability within the short span of one year, all because of the efforts and dedication of our clinic staff.
RMF Nepal has designed a 5-year Health Care System Strengthening and Outreach Program to strengthen the healthcare system in Nepal. Arupokhari, Gorkha is one of the targeted communities where we will implement this program. The program aims to provide the community with infrastructure for operating a health clinic, as well as the knowledge needed to operate the clinic. Project activities have been designed in compliance with the national priorities and to ensure a balance between hardware and software elements.
During the first quarter of 2017, RMF received approval of our 5-year Health Care System Strengthening and Outreach Program from Nepal’s Ministry of Women, Children, and Social Welfare, and we are now waiting for the Social Welfare Council to sign the project agreement. The Health Care System Strengthening and Outreach Program will support the health component of two of RMF’s current projects: The Model Village Project (Gorkha) and the Kavre Community Outreach Program. As seen in the previous section of this report, the RMF Health Clinic in Arupokhari, Gorkha has been successfully operating for over a year. Once the project agreement is signed by the SWC, we will be able to further improve services and infrastructure in Gorkha and begin full implementation in Kavre.
System Development Service Center (SDSC) is a non-governmental organization (NGO) with legal recognition from the Government of Nepal.
SDSC has experience in several sectors of social upliftment for resource-poor and marginalized communities in creating awareness about health, sanitation, and human rights, as well as income generation and community based, demand based infrastructure development.
In another step to achieving self-sustainability, RMF Nepal helped form a Clinic Management Committee and handed over the responsibility of managing the clinic so that the community feels a sense of ownership towards the clinic. Since the handover, the committee has been doing an excellent job managing the clinic, with very little intervention from the RMF Nepal office. The RMF Health Clinic’s Clinical Officer is the Member Secretary of the committee, and his experience and skill are proving invaluable in better management and guiding the clinic in the right direction.
RMF Nepal’s main office ensures that quality service is provided to the community by the RMF Health Clinic through regular program activity monitoring and monthly reports. We have a highly qualified and experienced Clinical Officer in charge of the Arupokhari clinic, and he is responsible for the reports and data provided to the RMF Nepal office. The Clinical Officer is responsible for treating patients and ensuring the quality of health services received by the visiting patients. RMF Nepal’s office also makes periodic monitoring visits to the clinic to further ensure that the patients are treated with utmost care and dignity. Any needed assistance is being provided by the supervisors during the field monitoring visits.
In recent years, the country’s development initiatives have been predominantly focused on training and orientations. In order to fill in the gaps created, the project will put a key focus on providing medical services and installing lifesaving infrastructure, while making sure that software elements have not been left out. In order to bridge the gap in software packages, RMF will collaborate with the Government of Nepal, UN agencies, and other development agencies in the districts.
7,568 patients treated, averaging up to 486 patients a month.
Alina Kunwar is a nine-year-old girl who was brought to the RMF Health Clinic complaining of pain in her neck, inability to open her mouth or eat by chewing, and difficulty swallowing. Her cheeks were swollen and warm to the touch. She was prescribed a painkiller to reduce the pain and tape on her swollen cheeks to support the area. A few days later, her swelling had reduced noticeably and she could eat and drink properly.
Vimawati Shrestha is a 20-year-old female resident of Arupokhari. She came to the RMF Health Clinic complaining of redness of the eyes with sticky discharge. She also complained of feeling like grains of sand were in her eyes. She was diagnosed with conjunctivitis. A prescription of antibiotic eye drops six hourly for 5 days was made, and she was also taught about maintaining hygiene to prevent further complications and future infections.
Indra Lal Sodhari is a forty-five-year-old man who is a farmer. He works in his field all day. While using a sickle on the field, he cut his finger and started bleeding. He came to the RMF Health Clinic with the cut injury, which was bleeding. The wound was not deep; thus, it was cleaned and dressed using antiseptic. Injection of tetanus toxoid was also given. He was also called every alternate day for dressing.
Maili Baniya is 73 years of age. She has arthritis, which causes her severe pain and has debilitated her. She cannot walk without aid. She was taken to the hospital for the problem, and the doctors suggested surgery. Her family cannot afford the cost of surgery, and they fear its effect, as she is very old and weak. Her husband simply denied her surgical treatment. She came to the RMF Health Clinic with severe pain. She was assessed and given painkillers for symptomatic treatment.