NEPAL ANNUAL REPORT 2016 -...

ANNUALREPORT 2016N

EPAL

ANNUAL REPORT 2016 Karuna-Shechen Nepal

1. Geographic Overview of 2016 Programs

2. The Year 2016 in Figures, and Geographic Area (Regular Program)3. Financial Overview (Regular Program)4. Shechen Clinic & Hospice Out Patient Department Mobile Medical Outreach Clinics Dental Department Gynecology and Reproductive Health Himalayan Indigenous Medicine Hospice DOTS Pathology, Radiology and USG Homeopathy Patient Statistics of Shechen Clinic5. Health Pelvic Organ Prolapse (POP) Malnutrition Healthcare Program in Boudhanath 6. Education Maha Boudha Secondary School, Yalbang, Humla 7 Community Schools Support in Upper Humla Jana Jagriti School, Dolpa Panchakanya School, Kavre Sundarimai School, Kavre Shree Prabhat School, Kavre Namo Buddha School, Kavre Tarkeshwori School, Ramechhap Other Schools Support in Terai Nepal School Support Project Children Sponsorship Project8. Financial Details Summary of Project Incomes & Expenditures, 2016 Summary of Project Incomes & Expenditures, 2016

9. The Year 2016 in Figures, and Geographic Area (Special Programs in Earthquake Affected Areas)10. Financial Overview (SPEAA)11. Special Programs in Earthquake Affected Areas (SPEAA) Monthly Coordination Meetings Agriculture & Food Security Health - Disaster & Emergency Medical First Responder Training Program Education - School Support Program Education - Construction of Classrooms and Toilets Rural Solar Electrification & Women Entrepreneurship Counter Human Trafficking Disaster Preparedness Construction of Old Age Home in Namo Buddha, Nepal12. Financial Summary, Earthquake Rehabilitation Program, 2016

13. Annexe - Audited Reports 14. Endnote: Introspection: Retrospection & Postspection - Sanjeev Pradhan, FOD

Geographic Overview of 2016 Programs

Education: Humla, Dolpa, Baglung, Kavre, Ramechhap, Dhanusha, and Sunsari

Shechen Clinic & Hospice: Kathmandu

Health (POP and Malnutrition): Dhanusha, Sunsari, Morang, Surkhet, and Bardiya

Special Programs in Earthquake Affected Areas (SPEAA): Gorkha, Dhading,Makwanpur, Nuwakot, Rasuwa, Sindhupalchok, Dolakha, Solukhumbu, Okhaldunga, Ramechhap, Sindhuli, and Kavre

The year 2016 in Figures, and Geographic Area (Regular Programs)

Education

Shechen Clinic & Hospice

Health ProgramsPOP Program

- Total VDCs: 17 in 5 districts- Direct Beneficiaries: 25,147- Indirect Beneficiaries: 74,959

Malnutrition

- Total VDCs: 4 in 1 district- Direct Beneficiaries: 15,058- Indirect Beneficiaries: 39,882

Healthcare Program in Boudhanath- 3498 screened-3000 tested- 23.9% tested positive for H. Pylori

Total Patients: 42,487

20 - Schools Supported2134 - Students Benefitted32 - Teachers Supported

Financial Overview (Regular Programs)

Budget

Expenses

Health ProgramUS $73,300.00

(8.32%)


US $405,000.00(45.97%)

Education Program

US $334,645.00(37.99%)

FODUS $68,000.00

(7.72%)

Total Budget: US $880,945.00

Health ProgramUS $67,718.73

(10.09%)


US $301,290.63(44.89%)

Education Program

US $257,610.63(38.38%)

FODUS $44,518.29

(6.63%)

Total Expenses: US $671,138.01

Out Patient Department

929

Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec

890

830

935 932

516

959

1210

958

685

1095

822

Monthly patient figures of OPD Department in 2016 (Total Patients: 10,761)

But since then, her life has changed dramatically. “Now, I am living in Kathmandu in a small room. My house was destroyed by the earthquake. My animals have died, and my daughter-in-law is also in Qatar. My husband and I look after our grandchildren.”

“My blood pressure has also gone up and I’m sick often because of worries, pollution of Kathmandu, and the unhealthy food we have to eat here,” says Ram Maya.

“I’ve been coming to Shechen Clinic now for a year since I shifted to Kathmandu,” continues Ram Maya. “I trust Shechen Clinic very much. I’ve never looked elsewhere for treatment.”

“But I’d rather be in my village, living with people I know and breathing the fresh air of my village. I’m waiting for that day soon,” concludes Ram Maya.

Before the earthquake of April 2015, Ram Maya said her life was quite perfect. “I had a house and lived with my husband, daughter-in-law, and my grandchildren, while my son worked in Qatar. I also had animals and a small plot of land to grow vegetables.”

Ram Maya Tamang

Mobile Medical Outreach Clinics

Monthly patient figures of Mobile Outreach Medical Clinics in 2016 (Total Patients: 20,311)

2008


1980

2027

1221 1249

1524

1648

2047

1858

1131

1732

1886

In 2016, a total of 277 mobile clinics were organized 65 locations.

In Teku Slum, a total of 44 mobile clinics were organized in 2016, and 2390 cases were treated. Shechen Clinic has been organizing mobile clinics there since 2014. Because of the weekly mobile clinics, this Slum area has seen gradual improvement in the health of the people living there. But due to waste disposed near the Slum, lack of sewage management, and poor hygiene, many people continuously suffer from many kinds of disease.

Shechen Clinic also organized 46 mobile clinics in Pashupati Old Age Home (36 clinics), and Swayambhu Old Age Home (10 clinics), and treated 3177 cases.

Dil Maya Maharjan

At our mobile clinic in Kritipur, Dil Maya stayed in a long queue to get free checkup. After checking her blood pressure, which came out normal, Dil Maya then told our doctor a long list of her problems. She had back and shoulder ache, cough and cold, and even a slight

The doctor prescribed her apprioriate medicines and told her to take a rest until the fever went away.

“I won’t be able to do that,” said Dil Maya. “I have to get up at 5 to clean the house, cook food, feed my husband, and then I have to go to the field to work there. I have to work at least 8 to 9 hours every day. Without that, we will have nothing to eat.” Her two sons had started living separately. Because of that, her daughter-in-laws weren’t helping her. Her house had been badly damaged by the earthquake, and they were still living in a temporary shed.

“But thanks to the mobile clinic, I have the medicine now,” said Dil Maya. “I hope this medicine will work. I will sleep early tonight. Hopefully, I’ll be better tomorrow.”

Dental Department

Monthly patient figures of Dental Departmentin 2016 (Total Patients: 6,528)

558


449

528

557

582

558570

606

494

404

670

552

Gynecology and Reproductive Health

Monthly patient figures of Gynecology and Reproductive Health Department in 2016 (Total Patients: 1782)

135


150 156

195208 211

156

108

138

76

112

137

Ambika visited our Family Planning expert Uma Shah in December 2016 to discuss family planning. She was not just unsure of which type of family planning method would suit her, she wasn’t even sure if she wanted to have a family planning procedure done.

At Shechen Clinic, Uma explained to her all the family planning methods that was available to her, and the advantages and disadvantages of each method. After listening to Uma, Ambika decided to have a Depo-Provera birth control shot. Once she takes the shot, she doesn’t need to take one for 3 months.

“I’m extremely happy that I came here and Uma was able to explain everything to me,” Ambika said. “Now, I can explain it to my husband, and if he agrees we’ll have a permanent or a longer term one next month.”

Ambika Nepali

Himalayan Indigenous Medicine

Monthly patient figures of Himalayan Indigenous Medicine in 2016 (Total Patients: 2150)

126


163 151

230

323

269

132

170

148

101

202

135

“I suffered from constipation as a result of having many medicines for my multiple health problems,” said Devika. “I didn’t trust any medicine. I felt like they were long-term poisons taken for short-term cure.”

At Himalayan Herbal Medicine, Devika was even curious when she saw the medicines she was given after meeting our Amchi, the resident doctor.

“They looked strange, were difficult to eat, and tasted horrible. I felt like throwing all the medicines after taking one,” continued Devika. “But I’d just had a long conversation with Amchi Sonam at Shechen Clinic, and I thought I should trust her for a little longer.”

After persevering for a week, she realized her constipation was cured. She felt light and energized. Devika has been returning regularly since then. She has even recommended Himalayan Herbal Medicine to all her friends, and has even thought of promoting it in her village.

Devika arrived at Shechen Clinic by chance. After years of getting sick and taking medicines every day, she didn’t want to have medicine any longer. She was sick of it. But a friend from her village recommended her to try herbal medicines saying they didn’t have many side effects.

Devika Lama

HospiceMonthly patient figures of Hospice in 2016

(Total Patients: 98)

9


7

12

6

8

7

89 9

7

8 8

In 2016, the Hospice admitted 98 patients, and the occupancy rate of 82%. The Hospice has 7 beds and the medical team consists of 5 nurses with 4 support staff who work round the clock to provide 24 hours service. Dr. Suresh Maharjan, the visiting Oncologist, visits the Hospice twice a week to examine and supervise patient care. Our medical staff provides compassionate end-of-life care and creates a loving atmosphere while caring for the patients.

Types of Patients in the Hospice in 2016Types Disease

Malignant Stomach CancerMalignant Lung CancerMalignant Ovarian CancerMalignant others

Non-Malignant Paralysis and Liver Diseases

List of morphine administered by the Hospice in 2016

Types AmountLong lasting (tablet) 30 mgLong lasting (tablet) 10 mgShort Lasting (tablet) 10 mg

Short Lasting Syrup

DOTSMonthly patient figures of DOTS Departments

in 2016 (Total Patients: 340)

28


2423

26 26

22 22

2933

35 3537

DOTS (Directly Observed Treatment Short Course) is the name given to the World Health Organization recommended tuberculosis control strategy. Shechen Clinic’s DOTS Center is approved by the Government of Nepal and provides diagnosis and free distribution of medicines for TB patients. The diagnosed TB patients take medication for the entire 6 months under the direct supervision of DOTS Center’s medical staff. All medicines distributed are free of charge.

Pathology Lab

The Pathology Lab employs one full-time and one part-time Lab Technician. The Lab conducts all the basic tests to help diagnose different diseases. If complicated investigations are required, Shechen Clinic works with other pathology labs in Kathmandu to carry out further tests.

Breakdown of Total Test Figures of Pathology Lab in 2016Male Female Children Total1022 1315 812 3149

X-Ray

Two Radiographers work in the X-Ray Department, which is open from 9 am to 4 pm every day. X-rays of all body parts are carried out to diagnose different diseases, although x-rays of chest and lower back area are carried out the most. A chest x-ray helps in determining pneumonia, bronchitis, TB, etc., while a lower-back x-ray discloses possible causes of back pain and arthritis.

Total Patient Figures of X-Ray Department in 2016Male Female Children Total

423 374 226 1023

USG

Radiologist Dr. Roshani Pathak works in Shechen Clinic every Friday from 1pm onwards. Most ultrasound scans are carried out in pelvic-abdomen area to determine the state of the kidneys, liver and uterus. The scans also reveal the health of the baby in pregnant women.

Total Scans Carried out by USG Department in 2016Male Female Children Total

96 483 24 603

Dr. Ambika Prasad Gyawali is the visiting Homoeopathic Doctor at Shechen Clinic. Dr. Gyawali has been with Shechen Clinic since 2000, and is available every Sunday from 10 am to 12.30 pm.

Homeopathy

Pathology, Radiology and USG

Total Test Figures of Homeopathy in 2016Male Female Children Total

74 89 3 166

Patient Statistics of Shechen Clinic

Department wise Patient Statistics of 2016

Monthly Patient Figures of 2016

Male, Female and Children Patient Ratio

Age Range of Patients


Hospice98 (0.23%)

DOTS 340 (0.80%)

Himalayan Medicine 2150 (5.06%)

Reproductive Health 1782 (4.19%)

Mobile Clinics20,311 (47.81%)

OPD 10,761 (25.33%)

Dental6528 (15.36%)

Others 517 (1.22%)

Total: 42,487

3853


3717 3774

3213 33773128

3528

4217

3678

2484

39263592

Total: 42,487

Children 7753 (18.25%)

Female 18,890(44.46%)

Male 15,844(37.29%)

198 (0.5%)

1 yr 1-4 yrs 5-14 yrs 15-19 yrs 20-49 yrs 50-69 yrs 70 + yrs

1802(4%)

6303(14.5%)

3450(8%)

18,272(43%)

7236(17%)

5634(13%)

Health

Pelvic Organ Prolapse (POP)The POP program was launched in 2011, and has so far been implemented in 7 districts, and 40 Village District Committees (VDCs), benefitting a total population of 240,000. In 2016, the program was implemented in 17 VDCs of 5 districts, and 25,147 people directly benefitted from it; while 74,959 people benefitted indirectly.

Three local partners implement the programs. The partners are: -

-

-

The main objectives of POP program are to spread the awareness of the underlying causes of uterus prolapse and stop the problem from arising through education, awareness and capacity building. The program also aims to discover women with various degrees of POP and recommend them different types of treatment.

To accomplish these objectives, the activities that were implemented can be broadly categorized into 2 areas. They are:

1. Awareness and Capacity BuildingAwareness is the key activity in the effort to eradicate the POP problem. Due to high illiteracy rate, lack of knowledge on how the problem arises, and how prolapse cases can be treated, POP remains entrenched in the society. This can be successfully countered through awareness activities that are customized according to the local needs. Different types of awareness activities include:• Street dramas – the dramas are organized to inform about POP to the general public in an attractive and interesting way. These dramas has been found to be highly effective in disseminating information as big crowd gather to watch the dramas, they watch the drams intently, and the main message is debated after the dramas are over. A total of 1584 people watched 6 street dramas shown in 6 VDCs of Morang and Sunsari districts. Nari Bikash Sangh trained and used local actors to stage the dramas.• Nutritional fairs – the fairs inform people how to lead a healthy life and eat balanced food. A total of 41 fairs were organized in all 17 VDCs, and a total of 14,576 people visited the fairs. During the fairs, stalls were set up at the local markets where local people congregated. Brochures, pamphlets and posters are also hung on the stalls to inform and educate the people.

Nari Bikash Sangh also organized 6 such fairs in the schools; while CFWA and Nari Bikash also organized 12 fairs for pregnant women. A total of 724 pregnant women visited these fairs.

Community Family Welfare Association (CFWA): Has been implementing POP program in Dhanusha district since 2013. In 2016, CFWA implemented the program in 6 VDCs of Dhanusha districts. Nari Bikash Sangh (Women’s Development Association): Has been implementing POP program in Morang and Sunsari since 2014. In 2016, Nari Bikash Sangh implemented the program in 6 VDCs of Morang and Sunsari districts. Aawaaj (Voice): Has been implementing POP program in Surkhet since 2014. In 2016, Aawaaj implemented the program in 5 VDCs of Surkhet and Bardiya districts.

• Publicity – through brochures, posters and wall paintings, Nari Bikash Sangh and Aawaj spread the awareness 11 VDCs of 4 districts. CFWA used posters and flip charts during nutrition fairs. • Working with Adolescent Girls – adolescent girls are most vulnerable to uterus prolapse. The reason for this is that in the villages many girls marry early marriages and have early pregnancies, despite being illegal to marry before 20. They also do not take adequate rest and or have healthy diet during and after pregnancy. Because of this, the program works with adolescent girls in all program sites. In some places, the program has set up adolescent centers; while in other places, the program works with existing centers and schools. In Sunsari and Dhanush districts, Nari Bikash Sangh established Adolescent Centers in each of the working VDCs. A weekly meeting were held in all the Centers. The girls from the Centers were also trained as actors, and they performed in Street Dramas in their VDCs. Nari Bikash Sangh also held awareness program with 224 out-of-school girls. In 4 VDCs of Bardiya and Surkhet, Awaaj held awareness program for adolescent girls. A total of 387 girls participated in the program. In Dhanusha district, CFWA held 6 programs with out-of-school adolescent girls. A total of 208 girls participated in the program. • Coordination meeting with local stakeholders – in all program sites, the implementing partners held coordination meetings with District, VDC and ward level stakeholders to appraise them of the program and seek their coordination to implement the program. With local stakeholders support and coordination, the programs are easier to implement, and even easier to monitor. • Programs in Special day – targeting women’s day, human right’s day, and Teej festival, various awareness programs, orientation programs, rallies, and poster campaigns were held in all 5 districts by the 3 implementing partners. • Discussion, capacity building and leadership program – Nari Bikash Sangh organized leadership training to local women to build their capacity, so these women are capable and confident enough to spread the information of POP in their areas. Aawaj organized discussion programs with local female community health workers, and workers from local health institutions. It also organized community awareness programs in 5 VDCs.

2. Screening CampsScreening camps are organized to find women with POP problems. Those with first degree cases were taught exercises; a ring pessary was inserted for second degree cases; women with third degree were referred to hospitals for free surgery.

A total of 11 screening camps were organized in 2016. The details of them are presented below:Particular CFWA Aawaaj Nari Bikash Sangh Total

Screening Camps 6 4 3 11Total Women Screened 231 435 407 1073

First degree prolapse cases discovered 20 32 17 79Second degree prolapse cases discovered 37 30 30 97

Number of Ring Pessary inserted 46 13 17 66Total women operated 47 12 14 73

Pelvic Organ Prolapse (POP) continuing

Malnutrition

The main objectives of the program is spread awareness regarding causes and cure of malnutrition; inform local people about the necessity of a balanced diet; and promote kitchen-garden.

In 2016, the program was implemented in 4 Village Development Committees (VDCs) of Dhanusha district. In the 4 VDCs, there are 1047 children under 5, and in 2016, they had 112 pregnant women. These VDCs are largely agrarian, very deprived, and the literacy rate is quite low. All these condition, coupled with lack of knowledge on what perpetuates undernourishment, has seen many stunted and wasted children. Because of these prevailing conditions and government neglect, it was felt necessary to launch a Malnutrition program in these VDCs.

Main Activities Conducted in 2016:S.N. Activities Number Beneficiaries1 VDC Level stakeholder meeting 4 1302 Home visits to discuss malnutrition in-depth 4 25683 One-day orientation program to Female Community Health Volunteer 4 334 Nutrition faris for pregnant mothers 4 14165 Street Dramas 40 97116 Wall paintings 14 1200

Program Facts: Direct Beneficiaries: 15,058 Indirect Beneficiaries: 39,882

Achievements in 2016:The malnutrition program has been a great success as it has informed local people about malnutrition using many different means. By combining home visits, where malnutrition is discussed in-depth with local people, with street dramas, and poster campaigns, the program is covering local people extensively and effectively.

The nutrition fairs have been another very successful activity has it advised local people on how to grow variety of vegetables, and how to consume a balanced and healthy diet, especially for young children. This is very easy to do as most people have everything at their disposal to grow variety of vegetables and eat, but due to lack of knowledge, they haven’t done this.

The program has also been warmly received by all the people. The local health posts, health and community workers, and local people have all assisted and helped to organize the activities.

Looking Ahead in 2017:The program will stick to 4 VDCs where the activities were implemented in 2016. The program will also show a video to help spread the awareness. With all these activities, the program will have even greater impact.

Healthcare Program in Boudhanath

The healthcare project, funded by Amis du Tibet, Luxembourg, began on 1 September 2015 and concluded at the end March 2016. All the planned screening camps were conducted in this period. From April to June 2016, a conference was organized to disseminate the findings of the project. Following this, a final narrative report and an audited financial report has been submitted to Amis du Tibet.

The project was envisioned after Shechen Clinic realized the existence of a high prevalence rate of certain diseases among the local population, like Tuberculosis, Hepatitis B, H. Pylori, etc. The high migrant and transiting population in the area, meant that this locality was also a likely incubating and spreading ground for these diseases. The Clinic felt that it was immediate and urgent to investigate and discover the prevalence rate, so that appropriate information about the diseases, both how they spread and how they can be treated and controlled, could be disseminated. Screening for Diabetes and Cancer was also added on to the program, so that screening of these two additional diseases, both of which are now becoming more and more common, could be also conducted all together, without any significant additional cost. The objective of the program was to discover the epidemiological risks in Boudhanath area through extensive screening and research, and make it easier for anyone involved in the sector to plan future curative and preventive actions.

After securing funding for the project, a medical team consisting of a project supervisor, a doctor, a nurse, a paramedic, a lab technician and an office assistant was assembled. The team organized daily screening camps in and around Boudhanath area. A total of 88 screening camps were organized, out of which 3498 people were interviewed from a standard questionnaire developed for the project. Out of those interviewed, 3000 who showed symptoms, were tested.

Result: Tuberculosis: 276 tests were positive (9.2%)H. Pylori: 717 tests were positive (23.9%)Hepatitis B: 138 tests were positive (4.6%)Diabetes: 178 tests were positive (5.93%)Cancer in the family: 1%

After the results were finalized, Shechen Clinic & Hospice organized a conference to disseminate the result to as wide an audience as possible. Shechen Clinic invited influential people from Boudhanath area, those who had helped organize screening camps, and officials of many healthcare facilities in Kathmandu, the local administration, etc.

During the conference, Dr. Ramesh Maharjan, the project supervisor, presented the project findings. Dr. Isabelle Devaux, epidemiologist PhD, who has been helping the project supervisor as a consultant, discussed about the further prospects for studies and intervention. The project has also recommended future intervention plans, such as awareness and behavior change programs.

Education

Total Students: 317 (girls: 169/boys: 148)Students staying at the hostel: 236 (girls: 140/boys: 96)Students from 26 villages of Humla district and 1 village of Bajura district

The main objective of the program is to support Mahaboudha School so it can impart quality education, and also support Himalayan Children Society to operate the hostel where students, who study in the school, live.

Activities Implemented in 20161. Computer ClassesThe Government of Nepal has made computer education mandatory in all schools. But in Humla, due to geographical challenges and no road infrastructure, it was extremely difficult to bring computer education to the school. This challenged was successfully overcome in 2014. In 2016, the program supported a computer teacher, who was able to impart computer-based education to students of grade 6 to 10. The school also used a software called Midas to teach Math, Science, English and Health. The students have found the classes fun, creative and also challenging. 2. Hostel OperationThe students from 27 different villages study in the school. The distance from different villages to the school can range from 2 hours to 5 days on foot. Because of this, the students have to stay in the hostel. A total of 236 students are currently staying in the hostel. They enjoys 4 meals a day, sleep and study in the hostel. The food, stationeries and clothes for the children are transported on the back of mules and yaks to the hostel. 3. Uniforms and stationery distributionTo support the children from deprived background and motivate them, the program distributed 237 sets of uniform (tracksuits and shoes), and textbook, stationeries and notebooks. This supplies enable the students to do their classwork and homework. 4. Staff SupportThe program currently supports 10 staffs to ensure the school support program in Mahaboudha School runs very efficiently and effectively. The staffs range from administrative staffs, to staffs in the hostel, to teachers who teach in the school. Together, they are able to take good care of the children and ensure they receive quality education.

Highlights of 20161. The hostel was able to form Green Peace Club with 30 students. The club was successfully in organizing environmental campaigns every Saturday. The students collected plastic and dirt and buried them. The Club also planted trees.2. Through active participation of Child Club members, the school was able to organized many different extra-curricular activities every Friday. The activities range from sporting competition, to essay, to quiz and debate competitions. 3. On 16 April 2016, the school organized a cultural program to collect funds to build a football field. The audience had to buy a ticket to enter the hall, where the children of the school organized dance and dram shows.

In 2017- Support of the school and hostel will continue.- The staff support will also continue.

Mahaboudha Secondary School, Yalbang, Humla

7 Community Schools Support in Upper Humla

The objective of the program is to improve the lives of the children in Humla through quality and meaningful education in their own environment. The program has been supporting 7 schools in 7 very remote and deprived villages in Humla. Since the start of the program in 2013, the 7 schools have received various support like infrastructure development, and teacher support, and the students have received uniforms, textbooks, stationeries, and after school extra-tuition class.

Details of 7 Schools in 2016

S.N. School Village PopulationNr. of Teachers Nr. of

ClassroomsStudents

Total M F Total Girls Boys

1 Buddha Lower-Secondary School Hepka 525 8 7 1 9 121 69 52

2 Namdu Chomo Primary School Tangin 250 3 3 - 6 24 12 12

3 Namkha Khunzom Primary School Dinga 300 3 3 - 8 27 13 14

4 Chyasara Primary School Chyaduk 192 3 2 1 5 22 13 9

5 Motiram Primary School

Khagal-gau 670 3 3 - 6 34 14 20

6 Arniko Primary School Yari 456 3 3 - 5 34 14 20

7 Khasarpani Primary School Muchu 137 10 10 - 8 66 41 25

2530 33 31 2 47 326 178 148

7 Community Schools Support in Upper Humla - continuing

Programs Implemented in 2016

1. Teacher TrainingThe program has provided 8 teachers to 7 schools to improve the overall quality of education in the schools. The teachers take classes in English, local language, and in Science, considered the most difficult subjects to teach in Humla. To ensure they are up-to-date with latest teaching methodology, and are motivate to help the students more, the program provided 5-day training program in Mahaboudha School, Yalbang. The teachers were trained on how to create a child-friendly environment, and on how to prepare teaching materials to aid the student learning. The teachers hadn’t received this training before.2. Distribution of uniforms, textbooks and stationeriesAll the schools received uniforms (tracksuit, shoes and shocks) and materials in 2016. The materials helped the students to do homework and classwork, and textbooks like Tibetan book, will help them learn their local language.

3. School Management Committee (SMC) meetingsThe SMC members play a vital role in improving the school if they are active and involved in the running of the school. Since the start of the program, it has provided continuous support and guidance to SMC members. In 2016, meetings were held with all SMC members and their roles and responsibilities were appraised. As a result of this, in most schools the members are now more aware, taking on more responsibilities, and are actively engaged with the schools. This has resulted in the schools improving their performance significantly.

4. Drinking Water ProjectIn 2016, the program brought drinking water to 5 schools. These schools didn’t have any water supply system before that, and the students didn’t have any means to drink water or wash their hands. The program built reserve tanks in 3 schools; while in 2 schools, water was brought to the school from a pipeline.

5. Furniture FabricationFor Khasarpani School, 18 sets of desks and benches were fabricated in Yalbang and transported to the school. Before the furniture were fabricated, the students used to sit on the floor inside the classrooms.

In 5 schools, when the students needed to drink water or wash their hands in the schools, many would go to their homes and many wouldn’t return. Without water, the classrooms and the toilets of the schools would also remain dirty as there was no water to clean them.

In 2016, realizing the importance of water, we built 5 drinking water systems in 5 schools after planning and coordination with the local community.

In Araniko School, the water was brought from the village via a 800mm pipeline. In Buddha School in Hepka, a reserve water tank and a water tap was constructed. Now, the students of all 5 schools can drink and do not need to go home. This has already created a very enabling environment for the children to study in the schools.

Drinking Water Project in 5 Schools

The construction of Jana Jagriti School in Sheri Village, Dolpa, began in 2014. After 16 months of construction, Jana Jagriti School opened from July 2015. The school has 5 classrooms and 1 office room; for the hostel it has 2 bedrooms, 1 dining room, 1 store room, and 2 living room for the resident teachers.

In 2016, the school was opened for 7 months from 15 May to 15 November. It had to be closed for 5 months due to severe winter. There are 76 students currently studying in the school, out of which 70 stay in the hostel. The school is running kindergarten class and grades 1 to 3. It also organizes extra-curricular activities like football and volleyball matches and singing and dancing. There is also a child-club in the school that organizes environmental cleanup and tree planting campaigns around the school. The students come from 9 villages in Mukot and Charka regions of Dolpa.

The school received funding from the District Education Office (DEO) of Dolpa for toilet construction, and the funds from District Development Corporation (DDC) of Baglung for drinking water. Both of these facilities were constructed in 2016. The school also col-lects locally grown food like barley and bucket wheat flour, potatoes, and beans from parents of the students who stay in the hostel. The local people of 9 villagers, from where the students stay in the hostel, also pick fallen branches and bring them to the hostel to cook food.

From the very beginning, Karuna-Shechen has ensured participation of the local people. To make certain this happened, the local people were extensible consulted at the start. After all surrounding villages agreed with the idea of starting a school at Sheri Village, were very enthusiastic, and promised to fully support the school, then the District Education Office (DEO) of Dolpa was approached. The DEO then approved the opening of the school in Sheri Village.

Because of this activity at the start, the local people were quick to take ownership of the project. They also donated time, labor and even money during the construction phase. Without this support, building a school at four thousand meters, where there are no roads, would have been impossible.

From April 2015, when the school started running classes, Karuna-Shechen provided a small financial help to start the school and the hostel. Karuna-Shechen also advised Himalayan Dolpa Gakar Hungtrampa Foundation on how to start fundraising activities so they could then support this project on their own. The founder-president of the organization also appeared very capable person, who was well known and skilled enough to raise funds on his own.

The DEO of Dolpa supported the school by providing two teachers and a small grant, which will help in the running of the school. Already, the school has started attracting a lot of interested from Nepal and abroad. Karuna-Shechen is confident that Himalayan Dolpa Gakar Hungtrampa Foundation will be able to sustain the school for a long time. This has already been exhibited this year as they have managed to run the school with funds they have raised on their own.

Jana Jagriti School, Dolpa

Panchakanya School, Kavre

Details

Grade Total Students Boys GirlsKindergarten 14 7 7

1 4 2 22 8 4 43 4 1 34 10 4 65 6 1 5

Total 46 23 23

Total Staffs: 8 (7 teachers & 1 support staff)Teachers provided byKaruna-Shechen: 2

The school is located in a rural village with 120 households. The main occupation of the villagers is farming. There is also a sizeable migrant population in the village. They work mainly as laborers. The children from these two groups study in the school. Before the program intervention, the school was on the verge of closure. Now, the school is considered one of the best community schools in the area as it has a playground, organizes extra-curricular activities, provides quality education, and has active school management committee members.

Highlights of 2016:

• Every Friday, the school is organizing a variety of extra-curricular activities like sporting event, quiz and essay competitions, and singing and drama competitions. • The attendance rate of the students and the teachers are very high. The school was also open more than 170 days in a year. • The School Management Committee members have organized 8 meetings in 2016, and the members also visit the school regularly for monitoring. • The Parents also participate in meetings, and visit the school more to inquiry about the progress of their children.

Support Provided by Karuna-Shechen in 2016

• 2 teachers (teaches Math and English, considered the most difficult subjects to teach).• Support extra-curricular activities by providing sports materials, playground and computer.• Motivate the students by providing them with uniforms (tracksuit, shoes and bags), textbooks and stationeries.

Sundarimai School, Kavre

Sundarimai School is situated on top of a hill in a remote village. The area is mainly inhabited by Tamangs, considered one of the most deprived groups in Nepal. The villagers in the area do farming and work as laborers. Many have also temporary migrated to other areas for jobs. The people from the community send their children to the Sundarimai School because education is free. Before the implementation of the program, the school was failing to provide quality education, and the students appeared demotivated. Now, through constant monitoring and support, the children and the parents are much happier with the performance of the school. The members of School Management Committee are also more active, and the new Chairperson coordinates all their activities with the teachers and the parents of the students to run the school well.

Highlights of 2016:

• The attendance rate of the students and the teachers are very high. The school was also open more than 170 days in a year.• The School Management Committee members have organized many meetings in 2016, and the members also visit the school regularly for monitoring. • The Parents also participate in meetings, and visit the school more to inquiry about the progress of their children. • The school is building newer classrooms through Government funding.


• 2 teachers (teaches Math and English, considered the most difficult subjects to teach).• Support extra-curricular activities by providing sports materials, playground and computer.• Motivate the students by providing them with uniforms (tracksuit, shoes and bags), textbooks and stationeries.• Conducted regular School Management Committee and Parents-Teacher meetings.

Details


1 5 3 22 4 3 13 5 - 54 6 3 35 5 3 2

Total 38 19 19


The School is located in a remote region and has seen remarkable progress since Karuna-Shechen started supporting the school. From grade 5, the school has increased the grades ever year, and currently has up to grade 9. There are plans to include up to grade 10 in 2017. After completing grade 10, the students appear for School Leaving Certificate (SLC) exam. This is a very important milestone to cross in Nepal.

Due to this progress, the school has seen a surge in student enrollment. The parents are also happy with the progress made by their children. The teachers, the members of School Management Committee, and the local people are all motivated to further improve the school.

Highlights of 2016:• The Annual School Day was organized in December 2016, and people from all walks of life, including influential people, participated in the event. • The student number crossed to 200. In 2017, the school has plans to add a grade and make it up to grade 10. • By improving the quality of education and organizing extra-curricular activities regularly, the school is attracting students from private schools.

Support Provided by Karuna-Shechen in 2016• 3 teachers (teaches Math and English, considered the most difficult subjects to teach).• Support extra-curricular activities by providing sports materials.• Motivate the students by providing them with uniforms (tracksuit, shoes and bags), textbooks and stationeries.• Fabricated furniture and transported it to the school. • Conducted regular School Management Committee and Parents-Teacher meetings.

Shree Prabhat School, Kavre

Details

Grade Total Students Boys GirlsNursery 39 13 26

Kindergarten 20 12 81 23 15 82 18 6 123 17 9 84 13 6 75 19 6 136 20 11 97 14 11 38 9 2 79 11 5 6

Total 203 96 107

Teachers provided by Karuna-Shechen: 3

Namo Buddha School, Kavre

The school is located in a remote area where many houses were badly damaged by the earthquake. The school also suffered from water shortage as it was built on top of a hill. Due to this, Karuna-Shechen constructed a rainwater harvesting system in the school in 2015. After this, the school has seen steady increase of students as the quality of education has also improved, and the school is much more organized. Karuna-Shechen is also holding regular School Management Committee and Parents-Teacher Association meetings so the school can function every more effectively.

Highlights of 2016:• The attendance rate of the students and the teachers have increased. • The School Management Committee members have organized many meetings in 2016, and the members also visit the school regularly for monitoring.• The Parents also participate in the meetings, and visit the school more to inquiry about the progress of their children. • The School Management Committee members have organized many meetings in 2016 , and the members also visit the the school regularly for monitoring. • The Parents also participate in meetings, and visit the school to inquiry about the progress of their children. • The school is building newer classrooms through Government funding. • The school is regularly organizing extra-curricular activities every Friday, and the students are participating in them very enthusiastically.

Support Provided by Karuna-Shechen in 2016• 1 teacher (teaches English, considered the most difficult subjects to teach).• Support extra-curricular activities by providing sports materials.• Motivate the students by providing them with uniforms (tracksuit, shoes and bags), textbooks and stationeries.• Conducted regular School Management Committee and Parents-Teacher meetings.

Details


1 10 6 42 5 4 13 7 4 34 14 8 65 8 6 2

Total 55 33 22


Tarkeshwori School, Ramechhap

Tarkeswari School is located in a remote area of Ramechhap District, where most of the people are poor farmers. There aren’t any schools in the area, so it was very important to support this school, so that young children from deprived families can get free education and a better future. Since Karuna-Shechen’s support, the school has started providing quality education. It has already increased classes from grade 5 to grade 8, and started organizing many extra-curricular activities every Friday. The members of the School Management Committee are also very active in supporting the school.

Highlights of 2016:

• The School Management Committee members have organized many meetings in 2016, and the members also visit the school regularly for monitoring. • The attendance rate of the students and the teachers have increased. • The school is regularly organizing extra-curricular activities every Friday, and the students are participating very enthusiastically.• The school just recently constructed classrooms.


• 3 teacher (teaches English, considered the most difficult subjects to teach).• Support extra-curricular activities by providing sports materials.• Motivate the students by providing them with uniforms (tracksuit, shoes and bags), textbooks and stationeries.• Conducted regular School Management Committee and Parents-Teacher meetings.

Details


1 9 6 32 7 5 23 11 6 54 10 7 35 14 9 56 13 8 57 10 6 48 8 3 5

Total 94 55 39Teachers provided by Karuna-Shechen: 3

Other Schools Supported in Terai

Bajrang Rastriya Primary School, Dhanusha (up to grade 5)Students: 189 (boys: 94 / girls: 95) Staff: 7 (6 teachers /1 assistant)The student number has increased due to new classrooms. The student dropout has also decreased. The involvement of members of School Management Committee and parents in the school have also increased. This is all due to direct intervention of Karuna-Shechen. The program has supported the school by providing 2 teachers and stationeries.

Rastriya Lower-Secondary School, Dhanusha (up to grade 8)Students: 402 (boys: 164/ girls: 238) Staff: 12 (11 teachers /1 assistant)In 2016, Karuna-Shechen supported the school by providing 2 teachers, stationeries, sports materials, and we constantly monitored their progress. In 2016, the school was open for more days than in 2015, to cover up the days lost to strikes last year. The school also saw increase in student enronllment and decreased student drop and absent rates.

Jagriti Primary School, Morang (up to grade 5)Students: 64 (boys: 42 / girls: 22) Staff: 4 (4 teachers)In 2016, a boundary wall was constructed around the school. With it, the infrastructure of the school will be secured. The wall will also provide safety for the students, and encourage them to study. Karuna-Shechen also distributed uniforms and stationeries to the students, and provided a teacher to the school. All this has ensured immediate improvement in the quality of education imparted by the school.

Nepal School Support Project

The main objective of the project is to empower the School Management Committee members and create a conducive environment in the schools, so the students can receive quality education. In 2016, the project supported 3 schools in Baglung with a combined student strength of 324 (163 girls/126 boys). The project is funded by the ONGD-FNEL/Luxembourg and started in October 2015. Below are the activities Karuna-Shechen conducted in 2016.

1. School Management Committee (SMC) meetingsThe project aims to progressively empower members of school management committees so they can play more active role and help the school provide quality education. In 2016, all the schools conducted more than 10 SMC meetings, and more 80% of the SMC members were present in the meetings. These meetings discussed school improvement plans, future activities, financial status of the school, and how more funds can be raised.

2. ConstructionIn Shivalaya School, the landslide took away half of the school ground, and even threaten to take away the school building. The project is now funding a construction of Gabion Retaining Wall, to stabilize and secure the area. The project is also building 2 rooms in Upallachaur School, where the current building is old and unsuitable for child-friendly environment.

3. Teacher TrainingFrom 7 to 10 May 2016, a teacher training program was organized for 32 teachers of 3 schools in Baglung. The training familiarize the teachers with latest teaching techniques and they also learnt to construct teaching materials using locally available materials. After the completion of 4-day program, 32 teachers were able create a child-friendly environment in the classrooms with greater interaction. The teachers can also make the classrooms fun and creative place with different teaching materials they can make in the classrooms. During the last day of the program, construction materials were also handed over to the schools, so they could use the skills they had learnt in the training to make materials in the schools.

3. School Management Committee (SMC) and Parents-Teacher Association (PTA) TrainingA 2-day training was organized to build capacity of SMC and PTA members so they can serve the school well. The training was organized in coordination with the District Education Office of Baglung. A total of 42 members from the 3 schools participated in the training.

4. Uniform DistributionAs part of the program, uniforms were distributed to all 304 students in 3 schools. 5. Stationery Distribution.In June 2016, stationeries and textbooks were distributed to the schools in Baglung. The students will now be able to use the stationeries to study and do homework. The schools can also give more classwork and homework. This has motivated the students to attend the school, and the dropout rate has decreased, and the attendance rate has increased.

Children Sponsorship Project

The aim objective of the project is to provide sponsorship to children from deprived families so they can study in a good school and get quality education. Most of the students are from remote areas of Nepal. In Kathmandu, these students can receive good education in a very good school. The sponsorship program pays for their monthly tuition, exam and annual enrollment fees, and their hostel fees, if the students are staying in a hostel.

The project started in 2002. By 2006, the number students receiving the sponsorship had reached 52. The sponsorship ends after the students pass SLC (grade 10 School Leaving Certificate). This year, 20 students (7 boys/13 girls) received the sponsorship. In 2013, it was decided to phase out this program, whereupon no more students are being added in the sponsorship program.

In 2016, 7 students appeared for SLC exams. All the students passed with excellent grades. In 2017, 3 students will appear for SLC ex-ams. This will reduce the number of spon-sored students to 10.

The year 2016 in Figures, and Geographic Area(Special Programs in Earthquake Affected Areas)

Food Security

Health

SchoolSupport Program

Construction

Rural Solar Electrification

CounterHuman Trafficking

Disaster Preparedness

of

507farmers trained

10 trainings organized

8districts covered 2243local

people trained

57 advanced first-aid trainings organized in 3 different categories

13districts covered

12 schools supported

780students benefitted

24 teachersprovided

2 schools constructed

8 schools underconstruction

24 womentrained

1200 solar sets distributed

1500 watched 12 street dramas

1tele-film produced321girls participated in11 trainings

12appraisal meetingsorganizedin 12 districts

Schools andToilets

Financial Overview (SPEAA)

Budget

Expenses

Old Age Home Construction US $95,000.00

(3.67%) Agriculture & Food Security

US $264,000.00 (10.23%)

Advanced First-Aid Training US $462,950.00

(17.90%)

School Construction US $854,000.00

(33.01%)

Rural Solar Electri�cation US $183,600.00

(7.10%)

Disaster Preparedness US $67,200.00

(2.60%)

Counter Human Tra�cking US $300,600.00

(11.62%)

School Support Program US $358,800.00

(13.87%)

Total Expenses: US $2,589,750.00

Old Age Home Construction US $89,550.13

(8.61%)

Advanced First-Aid Training US $224,715.71

(28.86%)

Disaster Preparedness US $26,793.47

(2.57%)

Agriculture & Food Security US $44,978.69

(4.32%)

School Construction US $300,301.04

(28.86%)

Rural Solar Electri�cation US $129,974.23

(12.49%)

Counter Human Tra�cking US $113,490.98

(10.91%)

School Support Program US $110,775.11

(10.65%)

Total Expenses: US $1,040,579.36

Special Programs in Earthquake Affected Areas (SPEAA)

Monthly Coordination Meetings

Every month, all the implementing partners of the SPEAA program meet to discuss the activities that were implemented the previous month and also discuss plans for the coming month. These meetings provide a wonderful opportunity to learn each other’s work, contribute different ideas, and share experiences. Through these meetings, new plans have been forged, and closer relationship has been developed. All 6 implementing partners attended the 8 meetings that were held in 2016.

An Annual Review Meeting for the whole of 2016 was organized on 05 and 06 January 2017. Forty two staffs from 6 implementing partners were present in the 2-day meeting. During the meeting the activities and progresses made in 2016 in details, and each partner also presented plans for 2017 on how to implement the remaining activities and close the program.

Each partner gave a 30-45 minute presentation. This was followed by 15 minutes of questions and answer session. Videos and photos of the activities in the field, as well as documentaries made by famous documentary makers regarding earthquake rehabilitation work were also shown in the meeting.

In 2017, these monthly meetings will continue as they been proven very effective. Rainbow seen on the day of Annual Review Meeting of SPEAA

Agriculture & Food Security

The program ensures that rural families self-produce and have access to low-cost, nutritious, healthy and a complete range of seasonal vegetables and staple foods, by re-establishing, promoting and supporting:

•

• • •

Activities Implemented in 2016

1) Visual Documentary on kitchen garden and organic growing techniques – Implemented on January 2016Completed in February 2016, the documentary features renowned Nepali actress, and Ms. Lakpi Sherpa, organic agriculture expert, and one of the trainers of the program. The documentary has been a significant aid to promote organic farming during the trainings, and is made in a simple language for everyone to understand.

2) Preparation of OGP Preparation Manual Book – Implemented on February 2016The manual acts as a reference for the trainees for future use. It was produced in Feb. 2016 and is distributed during the trainings.

3) Basic Sustainable Agro Trainings – Implemented on March to August 2016 and November to December 2016The training is 3 days long. It teachers villagers all aspect of organic farming, including soil management, and preparation of kitchen bed, compost and pest repellant. A total of 10 trainings in 8 districts have been completed. A total of 507 farmers have been trained.

4) Seed distribution – Implemented on March to August 201635 packets of seeds were distributed to 35 training participants in Hokse, Kavrepalanchok, to encourage them to start kitchen-garden. A packet contains 10 local (organic) seeds.

Sustenance farming, including establishment of household kitchen gardens, together with natural / organic composting and pest management,Bio forestryFood storage techniqueWatershed management

Agriculture & Food Security - continued

5) Recruitment of Local Agro Mobilizer – July 20165 mobilizers were selected from 5 districts. These mobilizers will encourage trained villagers to start kitchen-garden, help villagers with any problems, and will communicate with LEAD Nepal for any future programs or monitoring visits.

6) Monitoring – October to December 2016The monitoring will ensure continued support and will also oversee how the impact of the training program has been. The monitoring has been carried out by mobilizers, and by Mr. Pandav Kathayat, one of the main trainers.

7) Preparation of Handbook – November to December 2016The kitchen-garden handbook will act as a reference book for trainees. It has been prepared after many rounds of discussions. It lays out the design of the kitchen-garden graphically so anyone can understand it.

Highlights and Lesson LearnedMajority of the participants are women. They come from diverse socio-economic strata. The training program and activities have also undergone many changes to suit the needs of the participants. The participant selection criteria has also undergone changes. Due to need based changes, the program is now more effectively and will yield more impact.

Plan for 2017 - Preparation of handbook – January to February 2017 - Basic Sustainable Agro Trainings – January to March 2017 - Seed Distribution Program – April to October 2017 - Monitoring – March to December 2017 - Second Local Agro Mobilizer Training – June 2017 - Support Activities – April to December 2017

Health: Disaster & Emergency Medical First Responder Training Program

The intensive advanced first-aid training program is designed to progressively create a nation-wide network of community emergency health responders who can dispense on–the-spot pre-hospital medical care in isolated villages of rural Nepal. Three types of trainings were organized in 2016. They were: 1. Training and deployment of Advanced Community First Aiders; 2. Advanced First-Aid Training on Adolescent, Maternity and Child Health (AMCH); 3. Training of Ambulance Drivers and Assistants in 12 earthquake affected districts.

Trainings Conducted in 2016Month Trainings Participants Districts

January 3 120 2 areas of Ramechhap, NuwakotFebruary 6 240 Sindhupalchok, Gorkha, Solukhumbu, Rasuwa, Lalitpur

March 4 160 Sindhupalchok, Kavre and 2 areas in SindhuliApril 5 200 Makwanpur, Rasuwa, 2 areas in Gorkha, DhadingMay 5 200 Rasuwa, Nuwakot, Makwanpur, Dhading, GorkhaJune 5 200 Dhading, Rasuwa, Nuwakot, Sindhupalchok, KavreJuly 5 210 Dolkha, Nuwakot, 2 areas in Makwanpur, Rasuwa

August 5 201 2 areas in Nuwakot, Kavre, 2 areas in RasuwaSeptember 2 98 Gorkha, Kavre

October 6 219 Ramechap, 3 areas in Dolkha, Sindhupalchok, DolkhaNovember 4 148 Lalitpur, Okhaldunga, Sinduli, SindhupalchokDecember 7 247 Lalitpur, Okhaldunga, Solukhumbu, Okhaldunga, Dhading

Total 57 2243

Details of Advanced Community First-Aid Training (ACFA) in 2016Total Training: 36 Total Participants: 1495 District Covered: 14

Details of Training on Adolescent, Maternity and Child Health in 2016Total Training: 10 Total Participants: 406 District Covered: 9

Details of Advanced First-Aid Training for Ambulance Drivers in 2016Total Training: 11 Total Participants: 342 District Covered: 12

Plan in 20171. The ACFA and AMCH trainings will be organized throughout 2017 in more villages. 2. Refresher trainings will be organized in 12 districts. If re-quired first-aid materials for the ambulance will be distributed. 3. From July, Training of Trainers (TOT) will be organized to train teachers of community schools. These teachers will then further train other local people in their districts.

Images of Advanced First-Aid Training on Adolescent and Maternity Health

Advanced First-Aid Training for Ambulance Drivers and Assistants

Advanced First-Aid Training on Adolescent, Maternity and Child Health (AMCH)

The program empowers the local community and the School Management Committee members so they can take charge of the school by playing an active role. The program also seeks to increase the student enrollment by improving the quality of education in the school.

Details:Total School Supported: 12Total Students: 780 (380 girls/400 boys)Total Teacher Support: 24 (19 female/3 male)

Highlights- 101 more students are studying in 12 schools in 2016 compared to last year.- All schools now have child clubs and organize extra-curricular activities every Friday.- On average, 10 School Management Committee and Parents-Teaches meetings were held in 2016. The attendance rate of the members were above 75%.- Both teachers and students attendance rate in all the schools have improved.

Activities implemented in 20161. Capacity building and sensitization of members of School Management Committee and Parents-Teachers AssociationMonthly meetings were held to discuss and appraise the roles and responsibilities of the members. A code of conduct of the members, the teachers and the students were prepared during the meetings. Support was also provided to prepare School Improvement Plan (SIP) and Social Audit.2. School SupportTo create a good environment for the students to learn and grow, and to motivate them, uniforms, bags, textbooks, stationeries, sports materials and teaching tools were distributed. These materials will help the students to do both homework and classwork, and encourage the teachers to work harder to support the students.3. Formation of School Review CommitteeIn each school, a review committee was formed. The committee consists of SMC and PTA member, a member of local committee, two students from child club, a teacher hired by the program, and the program officer working for the program.4. Child clubs were also formed in each of the school. The club promotes activities that increases creativity, leadership, physical and mental growth, and creates of awareness of environmental and other issues. The club consists of student members. The club is now regularly organizing extra-curricular activities on Friday, and if possible, on other days also. 5. Teachers SupportThe program has supported each school with 2 teachers. All the schools suffered from the shortage of teachers before the program intervention, and the schools were running multi-grade teaching. Now, the two teachers in each school work with the government teachers to provide quality education. The parents have reported that the students now have more homework, show more motivation and dedication, and the student attendance rate has also increased.

In 2017Management, strategic and teacher supports will continue. The program will also fabricate and distribute furniture, stationeries, uniforms and bags. Regular monitoring will also continue to ensure the schools are providing quality education, and the participations of all stakeholders are very high.

School Support Program

Adult Literacy and Extra Classes

Adult Literacy The adult literacy class is part of education support program. The teachers supported by the program organizes the classes and educates the local community people. The classes are organized either in the morning or in the evening, depending on when the people are free.

The classes were organized in 7 schools in 2016. A total of 144 people (142 female and 2 males) undertook 4 months of classes. Most of the people were illiterate. They were trained from a government-approved book. Initially, everyone was taught to read and write in Nepali. Then English and Math were included. During the last month, Social Science and Health were also taught.

The classes were organized to ensure illiterate women benefitted from gaining the ability to read, write and do simple math. This activity will also ensure the local community felt closer to the school and knew the benefit of education. Since they visit the school every day during the classes, they also felt closer to the school and realized its importance.

Extra ClassesFor students of grade 4 and 5, extra-classes were also organized by the teachers hired by the School Support Program. In 2016, the classes were organized in 9 schools. The students were taught either during the morning or in the evening. English and Math, both considered the most difficult subjects in Nepal, are subjects being taught.

In the extra classes, the students are able to get extra attention and greater help. The teachers have reported the students attending the classes have been able to progress more, do their homework more accurately, and gain greater confidence.

A total of 192 students (97 male and 95 female) received extra classes.

Experience of Rajkumari Lama in Adult Literacy Class

Rajkumari Lama got married when she was just 12. At 15, she had already given birth to a daughter. “That was 20 years ago, and most of the people in my village were illiterate back then, so it was nothing new,” said Rajkumar.

Now, Rajkumari is enrolled in our literacy class and says, “I’m studying to realize the importance of education. Everyone in my village says educate your children so they can do better and on one can take advantage of you, but when you are illiterate like I am, you don’t realize this.”During the day, Rajkumari is very busy with household chores. She must also work in her field. But she somehow manages one hour during the evening to study. “Now, I can already read and write in Nepali, and I feel my eyes have opened up. I am reading every signboard and study with my daughter. It feels like a new world to me.”Rajkumari is currently enrolled in a 4-month course in our support school in Sindhuli district, but she wants to study more.

Education: Construction of Classrooms and Toilets

Sthanika School, Gorkha, before and after the construction

In 2016, Stupa Development and Associates (SDA) was entrusted with the construction of classrooms, toilets, and water supply systems in 10 schools, where School Support Program was also being implemented. Most of the classrooms in these schools had suffered major damage from the earthquake, and the students were studying in temporary learning centers that leaked rain, was very hot in the summers and cold in the winters, and had big holes in the walls through which the students could see other classrooms.

Design of the classrooms

In 7 schools, SDA was constructing 8 classrooms. The 8 classrooms are 1572-1600 square foot. In 3 schools, SDA is constructing 4 classrooms that are 1044 square foot. In addition to that, SDA is also constructing toilets for boys and girls, and either rainwater harvesting system with 35 to 65,000 liters water tank, or constructing pipelines to bring water to the schools.

Progress

In Sthanika School, Gorkha, construction of 8 rooms and toilets for boys and girls was completed in May 2016, and the school was handed over to the School Management Committee in June 2016. SDA is currently constructing a rainwater harvesting system with 65,000 liters of reserve tank.

In Gramodaya School, Okhaldunga, construction of 8 rooms and toilets for boys and girls was handed over to the School Management Committee in November 2016 after completing all construction work.

SDA is currently constructing 8 other schools in 8 districts.

Construction Update

School District Construction

Phalatedevi School Sindhupalchok Construction of 8 classrooms, toilets and pipelines to bring water is expected to start in last week January 2016 and complete in March 2017.

Guranse School Dolakha The work was halted by landslide. From November 2016, construction work is progressing at a steady rate. All work is expected to be finished by April 2017.

Shantipur School KavreConstruction of 4 classrooms and toilets began in October 2017. Only painting and installation of windows and doors remain. Work will be completed in Janaury 2017. The construction of rainwater harvesting system will be completed by February 2017.

Chandra Kanya School Sindhuli Due to very remote location and very bad road, the work is progressing slowly. Con-

struction work started in October 2016 and is expected to be completed by Feb. 2017

Kalikadevi School RamechhapConstruction of 8 classrooms, toilets, reserve tank to store water, and pipelines to bring water to the schools have all been completed. The school will be handed over to the School Management Committee in Jan. 2017.

Kaliadevi School NuwakotThough construction work began in July 2017, work was halted as transporting materials was impossible due to landslide and bad roads during the monsoon season. Work has resumed and work is progressing steadily. No fixed date set for completion.

Nrishesor School Dhading Construction began in December 2016 and is progressing very smoothly. The work should be completed by the end of Feb. 2017.

Tistung Deurali School Makwanpur Construction work began in November 2016 and work is progressing at full swing.

Work is expected to be completed in March 2017

Gramodaya School, Okhaldunga, before and nearing completion of the construction

Rural Solar Electrification & Women Entrepreneurship

The aim objective of the program is to train and build capacity of 24 women, 2 each from a project area in 12 districts to become solar technicians and solar entrepreneurs. The women will then solar electrify 100 households in each of their respective villages. Thereafter, they are expected to give commercial continuity to the rural solar electrification effort.


1. Project site and solar technician selectionIn January, 12 project sites and 24 women, who would undergo the training in Kathmandu, were selected. A committee set up in each project site also selected 100 households who would receive solar sets.

2. 15 days Solar Electrification and Women Entrepreneurship TrainingFrom 28 February 2016, the 24 women underwent 15 days of trainings in Kathmandu. The women all stayed in Kathmandu and received intensive training that prepared them to install and maintain the solar sets in the villages, and also market the sets thereafter.

3. Installation of Solar Home Lighting SystemsTransportation of 100 solar home lighting sets and necessary materials to set up workshop in each villages began from March 2016. On April, installation of solar home lighting sets began from Okhaldunga and Ramechhap districts. In May and June, solar home lighting sets were installed in 8 more districts. The heavy monsoon brought installation work to a standstill. In December 2016, the sets were installed in 2 more districts. In all 12 districts, 13 workshops have also be installed. Through these workshops, the technicians can now repair the sets.

In 2017

In March 2017, a refresher training will be organized. For that, all 24 solar technicians will be brought to Kathmandu. From April to June, follow up visits will be conducted.

Counter Human Trafficking

The overall objective of the program is to mitigate vulnerabilities in the remote earthquake-affected areas, so the population do not suffer from worst forms of labor exploitation. This is achieved by spreading awareness and enhancing the resilience of the communities.


1. Establishment of a Migratory Mobility Resource Center (MRC)The center was established in the office of INHURED International in Kathmandu. The main objective of MRC is to make as much resources available as possible to people who want to read and research about counter trafficking and migration. The Center is constantly adding more books, research papers and other publications.

2. Quarterly NewslettersThe program was successful in publishing two quarterly newsletters. They covered migration news, success stories in tackling human trafficking, and important information and contact addresses for tackling human trafficking.

3. Training Manual and Booklet ProductionA user-friendly manual was produced, and was used by surveillance groups. It contains all the required information to learn about different forms of migration, counter trafficking, and how traffickers can be punished.

Similarly, a booklet – Where there is no lawyer – was also produced. It details in simple Nepali how one can pursue legal means to stop human trafficking, and which legal system can be used to persecute the traffickers.

4. Roll-out WorkshopIn January 2016, 12 roll-out workshops were conducted in 12 projects. All local stakeholders participated in the program, where they learned about the objectives, activities and outcomes of the program.

5. Surveillance Group Formation and MeetingA surveillance group was formed in each program site. The groups consists of 10-12 members from various sections of the community. This is a voluntary group that will monitor suspicious movement of people and their activities, and inform the concern authorities if required. The group has been meeting every month to discuss their challenges and successes.

6. Street Drama Training & PerformanceA total of 27 youths were selected from 12 districts and were trained as street drama instructors in Kathmandu. These trainers then returned to their villages, recruited local actors and produced street dramas. A total of 12 street dramas were then shown in 12 districts. A total of 1500 audiences have witnessed these performances live.

Counter Human Trafficking - continuing

Street Drama continuing

The main purpose of the street drama is to reach out to a large number of population to spread the awareness of counter trafficking, and safe and unsafe migration. The street drama used songs, acting, and real life situation to spread the awareness. In Nepal’s context, the street drama has proved to be one of the most effective mediums to disseminate information in rural areas, especially at local markets, where people come to sell and buy goods from very remote areas.

7. Tele-Film ProductionThe production was completed in September 2016. The film was based on the theme of – “unsafe migration towards exploitative conditions”. The objective of the film is to raise awareness on safer migration among people living in rural areas.

The film is made in a very simple Nepali, so all the people in remote areas can understand. It is sub-titled in English. It will be shown in all the program sites, and will also be distributed to organizations that working in migration sector.

8. Inter-School Essay CompetitionThe inter-school completion was carried out in all 12 project districts and was held on the 68 Human Right Day. A total of 345 students (198 girls and 147 boys) participated in the competition. All of the students were from grade 9. The top 3 winners of each districts were given prizes and were selected for a national level competition.

The national competition was held on 19 December, and the winner was decided by a jury of six members. All the top three participants were girls. The winning essays will be compiled in a book and will also be published online. The participants noted that the competition had taught them to be creative and increase their knowledge of disaster, migration, and human trafficking.

9. Adolescent Girl Focused TrainingThe training programs have been conducted as planned in 11 target districts. In Solukhumbu district, the training will be organized in 2017. Altogether 321 adolescent (170 girls and 151 boys) participated in the training. The training teaches the participants to recognize how unsafe migration and human trafficking can result, what their rights are, and how they can pursue traffickers using legal means. The trainings are organized in a participatory manner using discussions and interactions, and takes into account local settings. Most of the participants have requested to hold this training in other areas of their districts as they have found it extremely useful.

In 2017Planned activities include paralegal training for local youths, cross-exposure visits to different districts to study good practices, vital registration campaign, and monitoring and evaluation.

Disaster Preparedness

The program aims to strengthen the understanding and capacity of remote communities to respond to natural disasters by recognizing and bringing together local resources and expertise.


1. District Disaster Preparedness Consultation ProgramDistrict-level review consultation on “Disaster Reduction Preparedness’ was organized in the district headquarters of 12 earthquake-affected districts. The aim of the program was to encourage discussions on disaster management and preparedness among key stakeholders. The event was chaired by the Chief District Officer, and participants included: Local Development Officer, and representatives from Nepal Army, Armed Police Force, Nepal Police, Red Cross Society, and District Chairpersons of leading political parties among others. The representatives of the NGOs working in disaster was also present.

The meetings have succeeded in gathering data of 12 districts, and the kind of support the key stakeholders would require to respond quickly and effectively in any disaster. The program has also provided an opportunity to build an environment to increase coordination and collaboration among key stakeholders.

2. MonitoringThis is an ongoing process throughout the project period. The general objective of the evaluation team is to assess and evaluate the progress made by Disaster Preparedness Program in meeting its goals during its project period and recommend appropriate changes to improve implementation, where and if appropriate. Hence, in this context, the monitoring is constantly working towards fulfilling the project objectives.

In 2017The program will be directed at VDC level. In 12 program sites, 12 field-based training and simulation (drills) will take place to give local communities practical exposure on dealing with disasters so any potential impact can be drastically reduced.

Construction of Old Age Home

A detailed agreement to construct a 13-room Old Age Home and a Mani wheel in Namo Buddha was signed on 19 September 2015, and work began in November 2015. Due to shortage of fuel and building materials from November 2015 to February 2016, the construction work was very slow; but the work started to pick up after the availability of materials and fuel.

The main purpose of the Home is to assist the elderly people who want to stay in a quiet place where they can practice meditation and do other rituals. The Home provides shelter, food and medical services to the people staying there.

By the end of 2016, construction of pillars and walls have been completed. The windows and doors have been delivered to the site and will be fitted after the plasterwork on the wall is completed.

Also, all the debris from the dismantling of the murals from the monastery has been transported the Old Age Home site. A plan is being made to build a stupa next to the Old Age Home from this material. The truss (roof) work is still being done. The sand, aggregate and the iron for the water harvesting tank will be delivered as required and work is in currently in progress.

In 2017, Karuna-Shechen has set aside further funds for the construction of a retaining wall. The construction of this wall has become a necessity as the Old Age Home is built on a hill. When the first designed was made, the plan was to level the lower part of the slope with soil from the higher part of the slope. Later, it was discovered that the area at the bottom part of the Old Age Home is not stable, and is prone to earthquake, or at least mudslide. This instability can put the stability of the newly constructed Old Age Home at risk. Due to this reason, a retaining wall of two layers of RCC (reinforced cement concrete) is being constructed. One wall will be north to south facing, while the other wall will be east to west facing.

Karuna-Shechen NepalP.O. Box: 136Boudhanath,Kathmandu, Nepalwebsite: www.karuna-shechen.orgphone: 00977-1-4487924, 4479168

Karuna-ShechenHumanitarian Projects in the Himalayan Region

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NEPAL ANNUAL REPORT 2016 -...

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