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Where We Work
Community Based Health and Development Program, Pharping
In the year, 1966 Dr. Bethel & Robert Fleming – the pioneers of the United Mission to Nepal (UMN) felt the need to provide medical treatment of the community members of the small Newari town of Pharping. In responding to the need UMN began a small dispensary clinic as an outreach clinic of the Santa Bhawan Hospital (presently transformed into Patan Hospital), with the permission from the government of Nepal. The dispensary clinic was started in a hermit's cow shade owned by the Guthi Sasthan.
The clinic then continued to be operated by the UMN CDHP till 1994. During this year pioneer Presbyterian doctor, Dr. Dick Harding, who was the Director of CDHP at that time requested SCM/N, a Christian NGO to takeover the clinic. In the initial stages of the takeover, SCM/N continued to provide the services provided by UMN but slowly expanding the services.
In the later part of 1994 the founder of SCM/N was invited to attend a training programme at Jamkhed. When he return back to the country, with the zeal and commitment to apply the lesions learnt from the training at Jamkhed's, he and his team sat and reviewed the SCM/N's working modal and revamped the entire objectives, activities and working modalities.
Slowly and steadily in 1995the project transformed the working approach from "Charity and Welfare" to the community based "Change and Development". Based on the approach in 1996 the SCM/N initiated and started community based health and development program at One VDC (Seshnarayan). Inspired by the success and experience the program gradually expanded into three adjoining VDCs and started calling itself a Community Development and Health Program in Pharping.
In 1998, the historic dispensary clinic was converted into the regular government sub-health posts (SHP) with the joint effort of SCM/N and the community.
The SCM/N Community health program has provided direct and indirect benefits to the over ten Village Development Committee (VDC) within the Pharping area. However, the specific focus was in the four VDCs namely Shesnarayan, Dashinkali, Chaimale and Talku Dudechaur.
SCM/N has been adopted a participatory process in all its programmes where the community themselves identify issues, priorities them and involve themselves in the implementation, monitoring and evaluation stages to enable them to manage the programme in the future stage.
From the very inception one of the project strategies is to make the communities capable and takeover the programme and activities initiated by the project in their community. Few of the project initiated activities have already been taken over and managed by the communities themselves. However few of the activities need to be handed over to the community in a formalized way and mechanism developed for its sustainability and maintenance, therefore this exit proposal has been developed. The exit proposal includes the capacity development activities of the communities, Community Drug Scheme (CDS) or Community Health Insurance Scheme (CHIS), management of community health resource center as the core area that must be strengthen and developed through the partnership with the local community institution i.e. MMCHC
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Weather
Exchange Rate
| Currency |
Buying |
Selling |
| US $ |
74.55 |
75.15 |
| Pound £ |
114.96 |
115.88 |
| Australian Dollar |
67.67 |
68.21 |
| Euro € |
95.54 |
96.30 |
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