Government of Nepal

Ministry of Finance

AID MANAGEMENT INFORMATION SYSTEM FOR NEPAL

Project Title: 
Building Reconstructive Surgical Capacity and Access to Reconstructive Surgical Care in Nepal VALIDATED

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ID: 
87238117724049

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IATI Identifier: 

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Gender Marker: 
Directly Supportive

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Climate Change Relevance: 
Neutral

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Status:  On-Going

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Budget Head: 

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Status Reason: 

The focus will be on improving the quality of life of poor, marginalized and vulnerable people having deformities and disabilities through reconstructive surgical care and related therapy, as well as training, capacity building and provision of resources. This project offers free reconstructive surgery and related therapy, and training and capacity building of human resources in the field of reconstructive surgery.

 

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Input: 

The focus will be on improving the quality of life of poor, marginalized and vulnerable people having deformities and disabilities through reconstructive surgical care and related therapy, as well as training, capacity building and provision of resources. This project offers free reconstructive surgery and related therapy, and training and capacity building of human resources in the field of reconstructive surgery.

 

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Outputs: 

Improved local surgical capacity through training and education

• Trained Human Resources in Reconstructive surgery and related therapy

Improved access to quality reconstructive surgical care to prevent and decrease disabilities and to save lives

• 1250 free reconstructive surgeries performed each year to correct deformities and disabilities
• Provision of occupational/physical and speech therapy through organized camps throughout Nepal

Established monitoring, recording and reporting system for reconstructive surgery

• Significant monitoring and evaluation system established
• Well established Research Department within Kirtipur Hospital

 

 

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Outcome:

1. Improved local surgical capacity through training and education
2. Improved access to quality reconstructive surgical care by repair of existing burn disabilities, other injuries and congenital anomalies to prevent and decrease disabilities and to save lives
3. Established monitoring and recording and reporting system for reconstructive surgery

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Impact: 

Reduced burn and injury-related morbidity, as well as the burden of congenital anomalies, in underserved communities, especially women and children, by increasing access to high-quality reconstructive plastic surgical care

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Budget Type:
Off Budget

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Treasury Type:

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Humanitarian Aid: Yes

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Date of Agreement:  06-25-2016

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Date of effectiveness:  06-25-2016

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Proposed Start Date:  06-25-2016

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Actual Start Date:  06-25-2016

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Planned Completion Date:  06-24-2021

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[Bagmati Pradesh] [Kathmandu (Kathmandu)]

100.0%

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[National Development Plan (NDP)]   [Social Development Policy]   [Health and Nutrition]

100.0%

PRIMARY SECTORS

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Nepal Sector Classification - HEALTH

(100.0)%

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Donor Organization: 

• ReSurge international,USA

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Counterpart Ministry : 

• Ministry of Health and Population 100.0 %

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Executing Agency: 

• Nepal Public Health and Education Group 100.0 %

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Implementing Agency: 

• ReSurge international,USA 100.0 %

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Progress Achieved: 

In the project period (from July 2019– June 2020), there were thirteen visiting educators facilitated in two workshops to train 75 medical personnel on care of burn and plastic surgery. Altogether 36 camps were conducted in different strategic locations of the country to correct the deformities of cleft (184) deformities and post burn contracture (133) in Butwal, Nepalgunj, Pokhara, Biratnagar and Bharatpur. The routine services from Kirtipur hospital was also carried out and a total of 156 cleft patients benefited with free surgeries for correction of facial cleft deformities. Total of 41 post burn contracture patients benefited with the free services for reconstructive Surgeries for Post- Burn Contracture.

Three camps for speech therapy and dental camps organized out of Kathmandu. Altogether 211 cleft patients received speech therapy and among them 23 discharged with improved speech. There were 211 cleft patients received dental services.

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Key Problems: 

o   To carry out year shifted activities in addition to the planned activities for the coming years to cover the shortfalls of the achievement in previous project years.

o   To provide effective treatment service to the late arrival of the acute burn cases

o   Almost all burn cases need financial support and the treatment of the acute burn cases is very expensive.

o   Higher bed occupancy rate of the burn cases

o   Due to COVID 19 pandemic situation, government imposed nationwide lockdown the planned events could not conduct. 

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Steps Taken to solve the problem: 

o   Scale up and expansion of Plastic and Reconstructive surgeries camps services in other district to cover the needy people of all provinces of the Country in collaboration with Ministry of Health and Population, Government of Nepal

o   To initiate the education fellowship program to exchange the experience and skill in management of the cases

o   Transfer skill to government employee in plastic and reconstructive and burn care management through capacity building activities

o   Conduct awareness program on burn injury prevention

o   Carry out training program on Hand Surgery, free hand surgeries for poor people and Increase microsurgeries

o   Look for funding to get supplies for the acute burn care to decrease the cost to poor people.

o   To include the PBC follow up cases in reimbursement system.

o   To provide the educational fellowship to paramedics as well. There a provision for doctors only in project agreement.

o   The services would be delivered with high precautionary measures to prevent COVID-19.

 

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