Nepal Earthquake Update

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What has already been accomplished

  • Emergency treatment of earthquake victims at no cost through the generosity of AHI-LLU, AsianAid USA, Centura Health – GHI, Hong Kong Adventist Hospitals.
  • Relief missions into surrounding communities to provide food, water, shelter, and medical care
  • Partnering with GOs and INGOs
  • A water filtration system (courtesy of Life’s Waters) installed for our kitchen so that food is prepared and dishes are now washed in potable water
  • Establishing a temporary reproductive health clinic in Sindhupolchowk

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Our current needs

  • Continued support for earthquake victims at SMH will require additional funds for hospital operations
  • Many Nepali people, especially those in remote areas, have still not received any relief from the government and are in need of shelter for the upcoming monsoon season.  If we are to continue our relief efforts, we will require additional funding.
  • Because of difficult living conditions, we are seeing an increased number of patients with chronic conditions exacerbated by living outdoors.  COPD is very prevalent in Nepal.  We need more equipment to better diagnose and treat this condition.  We currently have no means of quantitatively assessing the degree of their disease.  We need equipment, both for point-of-care testing and for a laboratory to measure the pulmonary function of our patients.
  • We started feeding our patients (rather than having family members supply food as is the current practice in Nepal), but our kitchen is inadequate even to feed our own staff.  Sanitation & hygiene has suffered as a result of old equipment and poor facilities.  We need to remodel and equip our kitchen to provide a safe and sanitary environment for food preparation for staff and patients.
  • Our main diesel generator is long past its useful service life.  It is our primary source of electricity for about 12 hours a day when the public power grid is shut off.  We need to purchase a new generator from India that will supply reliable power.
  • We need funds to remodel and repair areas of the hospital that sustained earthquake damage.
  • Potable water systems for the hospital compound and hospital annex.
  • Most of our hospital vehicles are very old and well past their useful service life.  We need newer ambulances and transport vehicles.

 

Future needs

  • Infrastructure upgrades to include solar power and hot water systems.  Fuel for our diesel generator is our second largest expense.
  • Fire detection and suppression – The closest fire department in 26 kilometers away in Kathmandu.  In addition to smoke detectors and fire alarms, we need equipment for self-rescue and fire fighting.
  • Funding to upgrade our Emergency Department in order to provide emergency care to international standards
  • Funding to upgrade our Intensive Care Unit with a proper resuscitation cart, infusion pumps (none are currently working), a second adult ventilator, improved patient monitors and beds, remodeling so that all patients are visible from the nursing station, and piped-in oxygen, compressed air, and suction systems.
  • Funding to upgrade our Neonatal Intensive Care Unit with new incubators (the ones we have now are 12 years old, but have a service life of 6 years and do not maintain an adequately warm temperature), patient monitors (there are none), infusion pumps, and a neonatal ventilator.
  • Upgrade of Labor & Delivery Rooms with proper fetal monitors, an additional delivery table, improved resuscitation equipment.
  • Medical, surgical, and pediatric wards need remodeling to place the nursing station in the ward rather than their current remote locations.  Each ward needs a proper resuscitation cart.
  • Radiology – we need a second portable x-ray machine.  Although our x-ray system is digital, we still have to print out x-ray film because we lack high-resolution monitors.  Monitors should be available in several areas of the hospital to view x-rays.
  • IT infrastructure – We only have a few desktop computers with which to perform work.  We need additional computers in our administrative areas, operating theatre, and on patient wards to allow electronic order entry to improve patient care while helping to reduce errors.
  • Establish a Women’s Health Clinic focused on the health needs of women and children.  In addition to pediatrics and maternal care, we would like to provide cervical cancer (the biggest cause of cancer deaths in Nepali women) screening and treatment, mammography, family planning, lactation services, and education about uterine prolapse prevention and gender-base violence.
  • Establish a satellite clinic and possibly even a small infirmary or hospital in Sindhupolchowk to fill the vacuum left by the destruction of so many health facilities. We could leverage our expertise and staff to achieve economies of scale in delivering medical care over a larger catchment area without having to duplicate administrative support structures.  Now is the time to expand the Adventist Health Care System in Nepal.

Money goes a long way in Nepal.  As one of the world’s poorest countries, money spent here can accomplish much more as compared to a similar amount invested elsewhere in the world.  Thank you for your continued support!

 

Look at our page for donations and how can you do it. Thank you!

 

2018-07-08T07:24:19+00:00 February 26th, 2015|Deployments|