The scripture verse "love your neighbor, as you love yourself" and the common saying that "prevention is better than cure" inspired Ramesh Kumar Khadka, a young dental hygienist, to reach out and help rural communities by travelling around to remote villages with just a backpack stuffed with medicine and other supplies. The "one man's backpack free mobile clinic" focused on oral healthcare and Ramesh quickly realized that most of the cases he was treating could easily have been avoided with basic oral hygiene and preventative care. These experiences made a deep impression in the heart of Ramesh and convinced him to do something for the prevention of diseases and early health intervention in rural communities.
People expressed their gratitude to Ramesh in many different ways, but the warm-hearted hospitality and generosity of people that had so little to give yet gave freely, touched Ramesh's heart. These experiences and Ramesh's conviction to change built momentum to form an organization that would reach out to remote communities and provide basic health services. On January 15th, 1994 Share and Care was registered as the first Christian NGO in Nepal under the name Share and Care in Medico, Nepal (SCM/N) with the goal of assisting the health care needs of those in vulnerable communities. On June 22nd, 1994, SCM/N took over a health clinic in Pharping. Share and Care has been empowering and transforming vulnerable communities through a variety of programs ever since. On July 12th, 2005 to respond to community needs and reflect the expansion of outreach programs to more communities, SCM/N changed their name to Share and Care Nepal (SCN).
In 1995 Ramesh went to Jankhed, India to participate in a training program at the Comprehensive Rural Health Project. This experience inspired Ramesh to shift the Share and Care philosophy from "charity and welfare" to "community based development". Shortly after, Dr. Dick Harding and the late Dr. Mabelle Arole helped SCN make contact with funding partners that supported their project.
In 1996 the community based health and development project started in two VDC's and was based on the integrated primary healthcare approach. In 1998, the program expanded to all 6 VDCs south of the Kathmandu district. Because of their success, in 2002, SCN was able to expand their health and development project to two new VDCs in north eastern Kathmandu district. After 13 years of tireless effort, in 2006 , the Pharping clinic, which had grown into a primary healthcare center was transformed into "a school for community" which provides educational opportunities and offers a degree course recognized by Nepal's oldest university, Tribhuvan University.