Post on 20-Aug-2018
A report on
Inception meeting with stakeholders
Hotel Avocado, Hetauda, 23rd May, 2016
HEALTH FACILITIES RECONSTRUCTION AND HEALTH SERVICE
STRENGTHENING IN MAKWANPUR DISTRICT, NEPAL
Contents 1. Background ...............................................................................................................................1
2. Objectives of the meeting ...........................................................................................................2
3. Methodology ..............................................................................................................................2
4. Summary of meeting .................................................................................................................3
4.1. Introduction and welcome session ................................................................................................ 3
4.2. Technical session .......................................................................................................................... 4
4.2.1. Post- Earthquake Initiative (BNMT funded project activities): ............................................ 4
4.2.2. Health Facilities Reconstruction and Health Service Strengthening in Makwanpur District,
Nepal (AmeriCares funded project activities): ...................................................................... 4
4.2.3. Rebuilding Communities in Nepal (BLF funded project activities): .................................... 5
4.3. Discussion and Q/A session .......................................................................................................... 5
4.4. Closing session .............................................................................................................................. 5
5. Remarks ....................................................................................................................................6
6. Conclusion .................................................................................................................................7
Annex 1: Schedule of the Meeting .....................................................................................................8
Annex 2: List of Participants ............................................................................................................9
Annex 3: Photo Gallery ................................................................................................................... 10
1
1. Background
On April 25, 2015, 11:55 local time, a 7.8-magnitude earthquake struck Nepal, causing widespread
devastation. The devastating earthquake and its subsequent aftershocks have caused damage worth
billions of rupees to physical infrastructure and assets, including the country’s essential
infrastructure i.e. its health infrastructure. According to Ministry of Health and Population
(MoHP), a total of 767 health facilities have been destroyed in the earthquake (342 being
completely destroyed and 281 partially damaged). Makwanpur is also one of the 14 hardest hit
districts of the country that has witnessed interruptions and difficulties in health care service
delivery during and after the disaster thus, showing a strong need to intervene in strengthening the
health service delivery in the district.
While consulting with District Public Office (DPHO) -Makwanpur, Central Regional Health
Directorate (CRHD) and Ministry of Health and Population (MoHP), BNMT and AmeriCares
found that a total of 45 health facilities
have been destroyed by the earthquake
in Makwanpur district among which the
Tistung Health Post (HP), Nibuwatar
HP, Phakhel HP, Makwanpurgadhi HP,
Basamadi HP, Dhiyal HP and
Khairang HP has been completely
destroyed. MoHP has not yet received
any support for reconstruction of these
health facilities hence, they requested
our organization to support for the
same.
On the recommendation of the district
governmental authorities followed by
our preliminary need assessment, the
proposed project aims to strengthen
health service delivery by reconstructing health facilities, promotion of public health and Disaster
Risk Reduction (DRR) interventions and increase resilience and improve community health of
Makwanpur district. The project also aims to re-establish and improve the delivery of health
services through enhancement of knowledge and skills of health workers in the district.
In order to acquaint and develop common understanding on implementation process and standard
guideline of “Health Facilities Reconstruction and Health Service Strengthening in Makwanpur
District” project, a one day meeting was organized at the beginning of the year on 23rd May, 2016
by BNMT at Hetauda with the concerned stakeholders like Chief District Officer (CDO), Local
Development Officer (LDO), Women Development Officer (WDO), Central Regional Health
Directorate (CRHD), District Public Health Officer (DPHO), representatives from District
Administration Office (DAO), District Development Committee (DDC), Health Facility
Operational and Management Committee (HFOMC), I/NGOs.
Figure 1. Working VDCs in Makwanpur
Figure 2. Working VDCs in Makwanpur
2
2. Objectives of the meeting
i. To share details of “Health Facilities Reconstruction and Health Service Strengthening in
Makwanpur district” project with concerned stakeholders (CDO, LDO, RHD, DHO/PHO,
HFOMC and I/NGOs).
ii. To develop common understanding on implementation process of the project with the
stakeholders
3. Methodology
Various methods and media were used during the sessions to create an environment for effective
communication and improved understanding of subject matters shared in the meeting, which
included power point presentation on LCD, mini lectures and interaction/discussion sessions
among the attendees. The basic rules of a meeting were followed and a friendly and open
environment was maintained where the participants were encouraged to put forward their ideas,
experiences and queries regarding the project or related issues during the entire meeting.
S.N. Objectives Methods/ Media Responsible
body
Target
group
Venue
1. To share details of
“Health Facilities
Reconstruction and
Health Service
Strengthening in
Makwanpur
district” project
• Presentation
(Power point slides,
use of LCD)
• Mini
lectures
BNMT Nepal
AmeriCares
Concerned
stakeholders
(CDO, LDO,
RHD,
DHO/PHO,
HFOMC,
I/NGOs)
Hetauda,
Makwanpur
2. To develop
common
understanding on
implementation
process of the
project
• Discussions
• Q/A
sessions
All the
participating
stakeholders
3
4. Summary of meeting
The meeting was conducted in Hotel Avocado, Hetauda, Makwanpur on 23rd May 2016 with the
participation of Directors of CRHD, AmeriCares and BNMT along with other representatives from
DAO, DDC, DPHO, WDO,
HFOMC, I/NGOs and BNMT
project staffs. The meeting was
planned for one day where the
representatives from
government stakeholders,
I/NGOs and BNMT discussed
on the objectives of project,
implementation strategies, roles
of government staffs and other
concerned line agencies,
reporting and recording
requirements, intended
outcomes of the project. The
logistics needed for entire
meeting, participants and guests
were managed by the BNMT
Central Office, Kathmandu.
Mr. Raghu Dhital, Program
Coordinator of BNMT Nepal was the moderator of the entire meeting.
4.1. Introduction and welcome session
Formal registration of all the participants marked the commencement of the meeting proceeding
after which they were introduced to each other in a short introduction session. There were total 35
attendees in the meeting including the organizers. Dr. Ramesh Bikram Singh, CHRD was the Chief
Guest and the meeting was chaired by Mr. Suryamani Subedi, Acting DPHO. CDO and LDO were
chaired as special guests in the program. The proceeding was followed by introduction and
speeches from key persons in the meeting.
Dr. Vijaya Shrestha, Treasurer of BNMT Nepal welcomed all the participants and thanked them
for their presence in the meeting despite their busy schedule. She thanked all the stakeholders and
expressed the need for their cooperation and continuous support during implementation of the
projects.
Figure 3. Country Director AmeriCares, Director CRHD, Executive
Director BNMT and other participants in inception meeting, Hetauda
4
Mr. Rohit Odari, Country Director of AmeriCares
in Nepal gave introduction of the organization and
current activities done by the organization after
earthquake. He also talked about “Health Facilities
Reconstruction and Health Service Strengthening
in Makwanpur District” project in short providing
the background for the meeting.
4.2. Technical session
The technical session of the meeting was started
by Mr. Suman Chandra Gurung, Executive
Director, BNMT Nepal by thanking all the
participants for their presence in the meeting.
Then, Mr. Gurung presented and shared about
the project objectives, strategies,
implementation process, working districts and
VDCs of the projects by AmeriCares and BLF.
The major contents of his presentation and
sharing during the technical session of the
meeting were as follows:
4.2.1. Post- Earthquake Initiative (BNMT funded project activities):
• Mental Health and Psychosocial Support Program (MHPSS)
– Earthquake affected communities, women including pregnant and lactating women,
children, adolescent, elderly
– Different PSS services, Individual and group counseling
– > 500 individuals benefitted
• Free Health Camps and Free Medicine distribution
• Funding Source: BNMT
4.2.2. Health Facilities Reconstruction and Health Service Strengthening in Makwanpur
District, Nepal (AmeriCares funded project activities):
Project VDCs: Tistung, Nibuwatar, Phakhel, Makwanpurgadi, Basamadi, Dhiyal and
Khairang
Figure 4. Remarks by Rohit Odari -Country
director AmeriCares
Figure 5. Technical Session Presentation by Suman
Chandra Gurung, Executive Director, BNMT Nepal
5
Main Activities:
- Construction of seven health facilities
- Community WASH Intervention
- Organize free health camps
- Mental Health and psychosocial support services
- Disaster Risk Reduction Program
Budget: NRs. 4,95,42,084
Funding Source: AmeriCares
4.2.3. Rebuilding Communities in Nepal (BLF funded project activities):
Project VDC: Makwanpur (Manahari, Haadikhola and Padampokhari), Bhaktapur,
Kathmandu,, Nuwakot & Sindhupalchowk
Main Activities:
- Community WASH Intervention (Construction of community toilets)
- Organize Tuberculosis Microscopic Camps
- Mental Health and Psychosocial support services
Budget: NRS 3,09,98,250.00 (For five districts)
Funding Source: Big Lottery Fund (BLF)
4.3. Discussion and Q/A session
Questions were raised related to the various topics regarding the project and discussions were
carried on those topics among the participants. Some of the topics under queries and discussions
were regarding:
Design of the health posts
Approval for reconstruction from the concerned authority
Future challenges during the implementation phase of the project
Approval from Social Welfare Council for the entire project
Addressing Gender and Social Inclusion issue in the project’s implementation
Satisfactory clarifications were given to the raised topics by Executive Director of BNMT Nepal
during the session.
4.4. Closing session
The meeting was formally closed by Mr. Suryamani Subedi, Acting DPHO. Mr. Subedi thanked
all the participants for their patience during the meeting. He also appreciated the co-ordination
and cooperation between the government and I/NGOs and committed to maintain sound co-
ordination in the future.
6
5. Remarks
During this session, some of the representatives from government line agencies shared their
experiences, learning and expectations regarding the project in following manner:
Public Health Inspector, Mr. Bhola Chaulagain gave his remarks on behalf of the DPHO
in Makwanpur. He stated that BNMT was in constant contact with the DPHO Makwanpur
following the earthquake. He also mentioned that BNMT was previously working in the
tuberculosis program in Makwanpur district and has continued working in the district after
the earthquake. All the health posts were selected and suggested by the DPHO and BNMT
was conducting its psychosocial counseling program, community sanitation program and
health camps in the district. He expressed his appreciation to BNMT and hoped for such
continuous enthusiasm and productivity for future projects in collaboration with BNMT in
Makwanpur district.
Local Development Officer, Mr. Laxman Birkam Thapa shared his thoughts on behalf
of the District Development Committee. He noted that BNMT should contact
reconstruction authorities in order to confirm the legal procedure for the construction of
health posts. He was aware of this project as his fellow worker had informed him about it.
He thus, thanked BNMT and expressed his hope for all projects to be transparent and gave
his best wishes for the project. He stated that the DDC would support the organization
whenever needed.
Assistant Chief District Officer, Mr. Hari Prasad Panta gave his remarks on behalf of
District Administration Office, Makwanpur. He expressed his satisfaction for being able to
coordinate with the health sector in order to improve the health of earthquake-affected
people. He also expressed his gratitude for AmeriCares and BNMT’s partnership for
improving health care delivery in the district and hoped for successful implementation of
the project. He thanked for selecting Makwanpur as a project district and for sharing
information regarding the project. He also expressed his hope that BNMT will implement
its program in highly needy areas. He gave his best wishes for the successful
implementation of the project and promised support from DAO whenever needed.
“I hope that transparency and accountability of the organizations will be maintained
and that BNMT will supervise whether target population, the needy ones, are getting
the services through the projects.”
- Assistant CDO, Makwanpur
“I am glad that BNMT has been doing many important works after the earthquake in
our district and has been reporting regularly to the DPHO. I hope for the same with
this project too.”
- PHI, Makwanpur
“We are very thankful that this project is helping to construct these health posts in
critically needed areas of the district.”
- LDO, Makwanpur
7
Central Regional Health Directorate, Dr. Ramesh Bikram Singh expressed his
gratitude for being invited to the meeting, which he described as a good platform for
communication with all the stakeholders working for the betterment of society. He
appreciated that BNMT have worked well
in different districts in Nepal in past. He
also mentioned that the organization had
felt need after the earthquake and came for
the coordination to work in this district. He
expressed his hope to extend the
reconstruction and construction activities
with other health facilities besides the
proposed ones in the future. He finally
stated that the CRHD will support BNMT
in all of its project activities and anytime
when required. He gave his best wishes for
the successful implementation of the
program like other attendees.
6. Conclusion All the participating stakeholders were acquainted with the project and its activities during the
meeting. The meeting ended with appreciation and commitments by the concerned stakeholders
for the effective implementation of the project and to achieve the proposed outcome.
However, more similar meetings and sharing sessions are required to be conducted on timely basis
in order to implement the project effectively and coordination from concerned authorities and the
community itself is essential to ensure the proper delivery of health services in the district.
Figure 6. Remarks from Central Regional
Health Directorate
“This project is primarily the responsibility of the government but BNMT and
AmeriCares have supported by constructing these health facilities in our community, for
which I am very thankful to both the organizations.”
- CRHD, Makwanpur
8
Annex 1: Schedule of the Meeting
Venue: Hotel Avocado, Hetauda
Date: 23rd May, 2016
S.N Program Time Responsible body
1 Registration 2:00 – 2:15 pm BNMT Team
2
Chairing of Distinguished Guests: 2:15 – 2:20 pm
Chair DHO Makwanpur
Chief Guest RHD- Hetauda
Special Guest
CDO, Makwanpur
LDO- Makwanpur
Executive officer- Hetauda
Municipality
3 Welcome/Objectives 2:20 – 2:30 pm BNMT Treasurer
4 Program Presentation 2:30 – 3:00 pm BNMT Director
5 Remarks 3:00 – 3:25 pm CDO,LDO, CRHD, AmeriCares
6 Closing Remarks 3:25 – 3:30 pm DHO Makwanpur
7 Refreshment 3:30 onwards All participants
Moderator: Mr. Raghu Dhital, Program Coordinator, BNMT
Note taker of the proceedings: Shikha Khatiwada, Psychosocial Counselor
9
Annex 2: List of Participants
S.N. Name of Participants Designation Organization
1 Mr. Suryamani Subedi Acting DHO DHO- Makwanpur
2 Dr. Ramesh Bikram Singh Director CRHD, Hetauda
3 Mr. Hari Panta CDO DAO, Makwanpur
4 Mr. Laxman Bikram Thapa LDO DAO, Makwanpur
5 Ms. Shova Shah WDO WDO, Makwanpur
6 Mr. Pratap Bist Reporter-Kantipur Makwanpur
7 Mr. Rohit Odari Country Director Americares
8 Ms. Roji Shrestha Project Engineeer Americares
9 Ms. Bijaya Shrestha Treasurer BNMT Nepal
10 Mr. Suman Chandra Gurung Executive Director BNMT Nepal
11 Mr. Bhola Chaulagai PHI DPHO- Makwanpur
12 Mr. Dilip Rokka Magar Health Assistant Tistung- HP
13 Mr. Surendra Mandal S.AHW Khairang- HP
14 Mr. Dhurba Prasad
Lamichhane
S.AHW Officer Nibuwatar- HP
15 Mr. Pramod Roniyar H.A Makwanpurgadhi- HP
16 Ms. Sarita Dhakal H.A Basamadi- HP
17 Mr. Jyoti Raj Luitel AHW Madikhola- HP
18 Mr. Bipin Karki Engineer BNMT Nepal
19 Mr. Tej Lopchan Site Engineer BNMT Nepal
20 Mr. Topendra Shahi Program Officer BIJAM
21 Mr. Thakuram Thapa Lab Assistant BIJAM
22 Mr. Krishna Prasad Sapkota S.AHW Manahari PHCC
23 Mr. Dhaneshwor Shaha S.AHW PadamPokhari-HP
24 Mr. Ramchandra Dahal AHW Manahari PHC
25 Mr. Mihir Kumar Jha Health Program Coordinator Plan International
26 Mr. Shirish Singh Program Officer ACF
27 Mr. Bhim Prasad Timalsina Manager Sub-
Metropolitan,Hetauda
28 Mr. Shivaraj Sunar HA Dhiyal-HP
29 Mr. Chiniya Lama S.AHW PHC, Palung
30 Mr. Balam Pokharel DSP Makwanpur
31 Ms. Anita Budha HA Fakhel HP
32 Mr. Raghu Dhital PC BNMT
33 Ms. Shikha U. Khatiwada Psychosocial Counsellor BNMT
34 Mr. Dharma Bhandari DCM BNMT
35 Mr. Sudin Shrestha Construction manager BNMT