Monday 20 May, 2019         

Synopsis of HF Reconstruction and Health service strengthening

The project ‘Health Facilities Reconstruction and Health Service Strengthening in Makwanpur District Nepal’ aimed to strengthen health service delivery and promote community health of all seven VDCs. The project mainly focused on reconstructing health facilities damaged by the earthquake and promoting Mental Health and Psychosocial Support Services (MHPSS), Water Sanitation and Hygiene (WASH) & Disaster Risk Reduction (DRR) interventions in seven Village Development Committees (VDCs) of Makwanpur District.

Achievements

Under this project, BNMT successfully constructed seven Health Posts damaged by the earthquake in Tistung, Nibuwatar, Makwanpurgadhi, Phakhel, Basamadi, Khairang and Dhiyal VDCs of Makwanpur district. The health post buildings are prefabricated Type I, constructed as per the standard guideline of Ministry of Health. They have been handed over to the Government of Nepal Ministry of Health and Population (MoH) in coordination with the Regional Health Directorate, District Public Health Office and the local HFOMC. The new buildings have twelve rooms that include services for OPD, Basic emergencies and obstetric service (BEoC), family planning and counselling, dressing and minor operation, stores as well as waiting room, staff quarters and toilets, BNMT also supported all the Health Posts with essential medical equipment and necessary furniture according to the guideline of MoH. They have resumed the delivery of health care services and will benefit 2, 94, 667 populations in these VDCs.

BNMT Nepal involved the government (Ministry of Health and Population, Central Regional Health Directorate, National Reconstruction Authority, District Public Health Office, Makwanpur, Health Facilities Operation and Management Committee) and community people in every stage of this project to ensure their ownership of the Health Facilities after the reconstruction. Thus, local communities including ethnic, marginalized populations of these VDCs actively participated in the reconstruction process making it a grand success. The energetic initiation and involvement of these communities in the reconstruction is a crucial lesson learnt for the organization to acknowledge and carry forward.

Different public health interventions: Community WASH intervention including Menstrual Hygiene Management (MHM), MHPSS program and Disaster Risk Reduction (DRR) were implemented in close coordination with government line agencies, other concerned stakeholders and active participation of the communities.

DRR intervention was one of the important achievements of the project. Makwanpur is a disaster prone district. However, the health facilities lacked detailed and updated DRR plan as well as comprehensive understanding on disaster preparedness, disease outbreaks and health response plan. Therefore, the knowledge and skill based DRR training that BNMT delivered to health workers and HFOMC was the first of its kind in Makwanpur.

Under Mental Health and Psychosocial Support Services, BNMT Nepal initiated strengthening the recording/reporting mechanism of individual cases having psychosocial problems in HMIS of Makwanpur district; as a start, 10 psychosocial cases were successfully recorded in the HMIS of Tistung and Dhiyal VDCs. Also, 26 new psychosocial cases were identified in Dhiyal, Tistung, Nibuwatar, Basamadi, Phakhel and Khairang and 21 counselled at the nearest health facilities.

Broadly, The project successfully enhanced the capacity of 102 health workers and 427 non-health workers, constructed 5 gender friendly community toilets, sensitized 710 community people on MHPSS and WASH and reached 1372 students for psychosocial support services, menstrual hygiene management and WASH awareness including menstrual hygiene management.

Duration of the Project: January 2016 to April 2018

Project Coverage: 7 VDCs – Tistung, Nibuwatar, Makwanpurgadhi, Phakhel, Basamadi, Khairang and Dhiyal

Target group and beneficiaries: Socio-economically vulnerable people, women, children, elderly, marginalized

Donor: Americares Foundation

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