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Rotary Club of Kathmandu MidtownRotary International, The Rotary Foundation 3-H Grant

Project # 59787Darmstadt-Berghtrasse, Germany

Reproductive Health and Micro credit in Nepal

ANM Maxi Project

Project Locations

Project Locations

• S.no District• 1 Baitadi• 2 Bajura• 3 Dolpa• 4 Humla• 5 Jumla• 6 Kalikot• 7 Manang• 8 Mugu• 9 Mustang• 10 Salyan

• Total 10 Project Districts, 5 or 6 girls from each district Total 52 Girls

Project DurationProject Start

• September 2007

Project End

• August 2015

Project Objectives 1

• 1. Select 52 eligible girls from remote districts and train them for 18 months to become Auxiliary Nurse Midwives (ANMs)

Project Objective-2

• Establish 52 clinics for ANMs in remote districts selected for this grants.

Project Objective-3

• Establish Micro-credit activities in 52 locations of 10 districts, in coordination with the location of the clinics established for the 52 ANMs.

Project Objective - 4

• Share specific information regarding on aspects of Reproductive health with local women and coordinate with.

Project Objective - 5

• Provide additional training to 52 ANMs in other aspects of health care.

Project Objective -6

• Coordinate with 52 ANMs in existing facilities of Public Health Care Service Points (District Hospital, Health Post, Sub Health Post, and Primary Health Care Centre) in their area.

Project Objective -7

• Provide an emergency fund to the ANMs to cover transport cost in life threatening circumstances.

Project Objective -8

• Ensure that the ANMs have a satisfactory regular income to ensure her continuing activities in the remote location.

Project Objective - 9

• Contribute to reduce of maternal and neonatal mortality in 10 remote districts of Nepal.

Cooperating organizations

• The Rotary Foundation, Health Hunger & Humanity Grants Project(3H Grants # 59787)• Rotary Club Of Kathmandu Mid-Town, RID 3292• Rotary Club of Darmstadt- Bergstrasse, Germany, RID 1860

• Foreign Organizations– United Nations Population Fund(UNFPA)– Nick Simons Institute(NSI) for SBA Training

• Local Organizations• _ National Health Training Centre(NHTC)

– Kavre Health Training Institute(KHTI)– Rural Micro-Finance Development Center(RMDC)– Poverty Alleviation Fund( PAF)– Nepal Disable Association (NDA) , Nepal Orthopedics Hospital– Centre for Self-Help Development(Swabalamban)– Palpa Mission Hospital, Tansen, Palpa Nepal– Lamjung District Hospital, Beshishahar, Lamjung– AMDA Hospital, Damak, Jhapa– Community Development Centers of project districts– District Development Committee, Village Development Committee(VDC), Local Health

Institutions ,Mother’s group (Community Base Organizations)– Nursing Council – Others organizations working in these Districts

Support

• The project is supported by The Rotary Foundation (USD 283,725)

• United Nations Population Fund (UNFPA) (USD15, 000)+(USD24,750)

• Rotary Club of Darmstadt- Bergstrasse (USD 29,000), (Primary International Partner)

• Rotary Club of Kathmandu Mid-Town (USD1,000). • Poverty Alleviation Fund (PAF): (NRs. 13,86,000.00),

promised to provide 20,16,000• Kavre health Training Institute (KHTI): (NRs. 63,000.00)

Achieved Goals - 1

• 42 girls out from 46 girls passed CTEVT Exam from KHTI• 6 girls were already trained ANMs.• 24 girls got SBA training, 7 are now enrolling at Palpa

Mission Hospital, Tansen Palpa• 48 girls got Micro Credit Training(1 Month)at Centre for Self

Help Development and Orthopedics training(15 days) at Nepal Orthopedics Hospital, Jorpati.

• Provide Emergency transport fund of NPR 10,000 each ANM in life threatening circumstances.

Achieved Goals - 2

• 30 girls started Micro Credit Activity at their own locations, we provided NPR 115,000 per ANM/Women Group

• 48 girls are running MCH Clinics (we Provided NPR 20,000 for medicine NPR 22,850 for equipment, and NPR 8800 for Clinic Rent for one year)

• Most of our ANM girls are working at Government Health Post, Primary Health Care Centre, Sub Health Post and District Hospital.

• SBA training build their confidence level to attain delivery.

Targeted Plan for Next Year

• Micro credit Loan Disbursement for remaining ANMs girls(18 girls).

• Regular Site Visit and collect report of Clinics and Micro credit women groups.

• Provide Staff Nurse course for 6-7 ANMs.• Build 1-2 Birthing Centre in Project locations.• Provide SBA Training to remaining

ANMs(17girls).

Management Committee

1. Chandra Kumar Golchha Host Primary Contact Person, Past President RC Kathmandu Mid-Town

2. Mani Dhoj Joshi (second contact), Past President Kathmandu Mid-Town3. Rajesh Thapa, Past President RC Mount Everest, DRFC Chair 32924. Bishnu Subedi, Past President RC Kathmandu5. Shankar Man Shreshtha, Past President, RC Balaju, RMDC Director6. Yogendra Man Pradhan, Past President RC Kathmandu Mid-Town, District

Govornor RI District 32927. Uttam Dhungel, Kavre Health Training Institute(KHTI) Director8. Karl Heinz Nothnagel, International Primary Contact Person, RC Darmastadt

Bergestrassee RID 1860 Germany

First Batch ANM Girls

2nd Batch Girls

Third Batch ANM Girls

Already Trained ANM-MUGU

PDG Subhash Sarf Visit MG Project

3H Committee Member at KHTI with PDG Subhash Saraf

TRF Auditor Madhav Borate and his Spouse

Tamu Aama Samuha, Chame Manang

Marsyandi Aama Samuha, Khotro Manang

Buddha Aama Samuha, Ghelanchock, Manang

ANM girl Sharmila Gurung Checking Patient at Health Post, Thonche Manang

Taal Village, Manang, Gateway of Manang

Kavre Visit with UNFPA Personnel

ANM girls are at KHTI, Banepa

ANM girls at Lab at KHTI

Tribeni Mahia Samuha, Tribeni, Kalikot

ANM MCH Clinic at Kalikot

Janajagaran Aama Samuha, Mehalmudi, Kalikot

Thini Aama Samuha, Thini Mustang

MG Project Visit by Chandra Kumar Golchha

ANM girls at Palpa During SBA Training at Palpa Mission Hospital

ANM girls at Damak During SBA Training at AMDA hospital

Chandra Kumar Golchha and Rajesh Thapa with ANM girls at Humla

ANM clinic at Simikot Humla(ANM Bijaya Budha)

X-ray Machine at ANM clinic at Humla

Masthamandu Aama Samuha, Depalgaun, Jumla

ANM Clinic at Tribeni Kalikot

Karl Heinz Nothnagel is talking with Mustang Hospital Doctor at Jomsom

Syang Aama Samuha, Syang Mustang

Chhero Aama Sahuha, Chhero, Mustang

Karl Heinz Nothnagel at Marpha while on site Visit to Mustang


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