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Villages like Thabang which are still away from road access, have very poor public health. Patients are bound to die untimely death. Even a minor sickness claims the life. We have sad stories of losing limbs for being unable to reach the facilitated hospitals in time that are several days away. Moreover the patients from these regions cannot afford the treatment in there. Go-comeback and stay there costs a fortune for them. These problems contributed the concept of Jaljala Health Center in Thabang so that it would save people of the region from the expenditure that they had had to bear in the past for transportation and their stay in the hotels. More than that, it would stop loss of invaluable lives. However this project would not have been possible if the Thabangis had not met Dr. Ryukichi Ishida, M.D. in the department of Orthopaedics and Ryeumatology Ueda-Shimotanabe Hospital and a medical anthropologist. He has been very kind to give his time, service to the village people. His incomparable contribution in founding the health center has inspired everyone be they are in Nepal or outside Nepal. They have been giving their helping hands to uplift the standard of the health center since the time Jaljala Health Center was found. We highly value their help.

 

Inaugurated formally in February 13, 2010, it has services like free check, medicine distribution,lab, x-ray, video-x-ray, physio-therapy and others. We have equipped the health center with USG machine, DR general x-ray machine,… Presently two community medical assistants (CMA), two lab-assistant and a night security guard are the regular working staffs. It aims to extend its services in Medical College, Teaching Hospital, Basic Health Training Centre and Rural Health Research Centre in future.

 

It, physically, includes a broader area of northern part of the district including village development committees Mirul, Kureli, Dhabang, Jelbang, Uwa, Seram, Gam, Syuri, Rangkot, Pachhabang, Rangsi, and Bhabang. Likewise, it covers the area of Chunbang, Mahat, Kankri, Kola, Takasera, Hukam and Maikot, which lie in the northern part of the neighbouring district Rukum. Thabang is in the centre of all these 19/20 village development committees. Motorable road is being linked within a few years to come. The work is in sharp progress. Thabang is being linked with Nuwagaun-Ghartigaun-Thabang Martyr Road from the western side and Sulichaur-Uwa-Thabang-Mahat road from the eastern side. Mid hilly highway is going to be linked from Pokhara-Baglung-Kankri. Many VDCs including Thabang are being electrified by the peltric set hydro power from small streams. Thabang, in future, is going to be established as a political and administrative centre. Moreover, gradual development of Jaljala, as one of the tourism          destination, has revealed its necessity and significance. In educational sector, 10+2 is running. There are one lower secondary, six primary schools and one Child Care Institute and a private boarding school in the village. A government health post is there. These are the facts and the factors that are promoting Thabang to make centre of the region. Development in the transportation, electrification, education and health are promoting possibility.

 

 

2. Institution: a. The institution is named Jaljala Health Cooperative Limited.
3. Aim/Goal:
    • a. Provide qualitative health service to the rural people
      • b.Establish Medical College, Teaching Hospital, Basic Health Training Centre and Health Research Centre in future.
4. Objectives: a. Provide cheap, accessible, qualitative and effective health services to the rural communities of the peoplewho are deprived of health service.
b. By identifying the community health problems, tasks will be determined for controlling and reducing them through      preventive, curative and promotional as well as rehabilitative    programmes.
5. Policy: a. Increase programs of social awareness for promoting health awareness
b. Inspire the people to have sound health, sound mind and social harmony.
c. Bring the health service within the criteria of fundamental right of the people,
d. Discourage privatization, marketization and corruption in the health sector and make it service oriented,
e. Carry the traditional, natural and modern medical treatment together by fusing them.
6. Functions: a. Operate different academic and training programmes in
different levels on health by
cooperating with recognized
national and international institutions.
b . Emphasis on study and investigation in the health services for providing qualitative health services.
c . Operate herbal farming and promotion programmes for uplifting living standard of rural people.
d . Keep contact and coordination with national and international hospitals as well as health institutes for exchanging medical academic knowledge, efficiency and training to produce the health workers
e . Operate mobile camps of community projects like controlling HIV-AIDS, child and maternity health, malnutrition and diseases.
f. Production and distribution of the things like medicine, surgical instruments and books and papers that are related to health
g. Launch programmes on environment and health of the people.
h. Teach on cooperative and conduct cooperative educational programmes.
i. programmes for social welfare will be held .
j. Make contact and coordination with governmental, non-governmental, and private institutions for joint venture to launch health awareness programmes.
k. Open hospital for qualitative health service.
m. Provide services like lab, x-ray, physio-therapy etc.
n. Establish basic health training centers.
o. Give emphasis on herbal and ayurvedic treatment.
p. Give emphasis on acupuncture, acupressure and natural treatment methods.
q. Conduct programmes of maternal health and family planning.
r. first-aid treatment,
  • s. Establish cooperative medicals,
  • t. hold assemblies, semons and extinars, interaction and trainings,
  • u. open organizations and extend them,
  • v. search for every ways  and options to gain basic things like medicine, health equipments and materials,
  • w. take especial initiatives in building  infrastructures,
  • x. managerial work according to objectives,
  • y. Activities related with health will be launched ,
  • z. Attention will be paid on the legal provisions and relation with concerned actors.
7. Why health center in Thabang?A hospital is necessary because Thabang is one of the remotest villages of Rolpa district. The people are  deprived of  the  health service because of the inaccessibility of health program. It has probability to exted health services to 19/20 VDCs of both Rukum and Rolpa districts.
People of the region have frequently demanded for the establishment of hospital in Thabang.
Being deprived of basic health services, patients die untimely death. They  suffer even the minor health problems because of inaccessibility(financially) to the facilitated hospitals in the cities.
The only government health post is unable to cater its qualitative service to the people of the region.
People of the area are more aware about their health treatment and they have keen interest in health.
Since there is no road access, it is difficult to carry patients to the facilitated hospitals in the cities.
Raising fund from social reformers, foreign employees and INGOs is possible there.
  • It has manpower from within the village.
  • Possibility to establish telemedicine and telecenter there.
  • Feasible to establish natural physio-therapy .
  • The village is being electrified and linked with the roads.
  • Possibility of health tourism as it aims to develop the health center into research center combining both traditional and
  • modern medicating methods.
8. services:

  • a. Free health checking by experienced doctors
  • b. Medicine distribution.
  • c. General x-ray, video x-ray, and USG service
  • d. Physio-therapy and Blood Circulatory Massager Machine-BCM
  • e. inor operation service
  • f. Maternal health service
  • g. Occasional health awareness programmes.

 

9. Conclusion:

  • This institution will provide qualitative service to the rural people who are deprived of the health service because of their poverty.
  • This initiative has been taken for the proper management of transportation, education, electricity, information, communication including infrastructure building for the maintenance of health sector. It is a new dimension in the health sector because it is a new initiation in the remote village to promote health programmes as a campaign. It has historical significance.

9. Conclusion:

1. This institution will provide qualitative service to the rural people who are deprived of the health service because of their poverty.
This initiative has been taken for the proper management of transportation, education, electricity, information, communication

2.including infrastructure building for the maintenance of health sector. It is a new dimension in the health sector because it is a new initiation in the remote village to promote health programmes as a campaign. It has historical significance.

I Dr. Ishiada

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