annual progress report - phase...
TRANSCRIPT
Annual Progress Report July, 2014 – June, 2015
Community Development
Programme
PHASE Nepal Sinamangal-9, Kathmandu Phone no. 01 6203479
Post Box: 12888, Kathmandu Email:[email protected]
URL: htt://phasenepal.org
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Table of Contents
List of Acronyms ..................................................................................................................................... 3
CHAPTER – 1 ............................................................................................................................................ 6
Introduction and Programme Structure .............................................................................................................. 6
1.1 Background Information ............................................................................................................. 6
1.2 Vision & Objective ....................................................................................................................... 7
1.3 Programme Components ............................................................................................................ 7
1.4 Approach & Strategy .................................................................................................................. 8
1.5 Project Information..................................................................................................................... 9
CHAPTER 2.............................................................................................................................................. 13
Health Programme ............................................................................................................................................. 13
2.1 Community Health Programme (CHP) .................................................................................. 13
2.2 Diarrheal Disease Mitigation Project ..................................................................................... 19
CHAPTER 3............................................................................................................................................. 22
Livelihood Program ........................................................................................................................................... 22
3.1 Livelihood Improvement Programme ................................................................................... 22
CHAPTER 4 .............................................................................................................................................27
Education and Child rights Program .................................................................................................................. 27
4.1 Education and Child rights program ......................................................................................... 27
4.2 PHASE Education Development program................................................................................. 27
4.3 Activities Undertaken: .............................................................................................................. 28
CHAPTER 5..............................................................................................................................................33
Earthquake Relief Projects ................................................................................................................................ 33
5.1.Emergency Relief support:........................................................................................................ 33
CHAPTER 6 .............................................................................................................................................35
Staff Capacity building and miscellaneous activities ......................................................................................... 35
6.1 Staff Training /Capacity Building: .............................................................................................. 35
6.2. GP Volunteer Visits .................................................................................................................. 36
6.3. Education and other volunteer visits ....................................................................................... 36
6.4. On the Job Training (OJT) Staff ............................................................................................... 37
CHAPTER – 7 .......................................................................................................................................... 38
Coordination, Networking and Monitoring ....................................................................................................... 38
7.1 Beneficiaries .............................................................................................................................. 38
7.2 Support, Monitoring, Partnership & Networking..................................................................... 38
7.3 Process Evaluation: ................................................................................................................... 41
7.4 Promotions and Marketing ...................................................................................................... 41
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List of Acronyms
ACRONYMS FULL FORM ACRONYMS FULL FORM
ANC Antenatal Care
ANM Auxiliary Nurse Midwife
BCG Bacille Calmette-Guerain (TB vaccine)
CBO Community Based Organization
CB-IMNCI Community Based Integrated Management of Neonatal and Childhood Illness
CDP Community Development Programme
CGI Corrugated Galvanised Iron
CHP Community Health Programme
CMA Community Medical Assistant
DAO District Administration Office
DADO District Agriculture Development Office
DEO District Education Office
D(P)HO District (Public) Health Office/r
DPAC District Project Advisory Committee
DPT Diphtheria, Pertussis and Tetanus
ECD Early Childhood Developmen
EDF Education Development Facilitator
FCHV Female Community Health Volunteer
FY Fiscal Year
GESI Gender, Equity and Social Inclusion
GO Government Organization
GP General Practitioner
HA Health Assistant
HDI Human Development Index
HFMC Health Facility Management Committee
HiB Haemophilus Influenzae B
IPV Injected Polio Vaccine
JTA Junior Technical Assistant (Agriculture Technician)
MG Mother’s Group
MPI Multidimensional Poverty Index
NGO Non Government Organization
NTTI Nepal Teacher Training Initiative
OJT On the Job Training
OPD Outpatient Department
OPV Oral Polio Vaccine
ORS Oral Rehydration Solution / Salts
PHASE Practical Help Achieving Self Empowerment
PHC Primary Healthcare Centre
PNC Postnatal Care
PCV Pneumococcal Vaccine
SBA Skilled Birth Attendant
SLC School Leaving Certificate SM Social Mobilizer
SWC Social Welfare Council
SODIS Solar Disinfection Method
TB Tuberculosis
ToT Training of Trainers
TT Tetanus Toxoid
VCC Village Cleaning Committee
VDC Village Development Committee
WASH Water Sanitation and Hygiene
Programme Extract:
1 Introduction
PHASE Nepal believes in a self-empowered and self-sustained society; where all kinds of discrimination
are absent; PHASE’s objectives are to improve the livelihoods of rural people by providing immediate
support, health care services and empowering communities. Under its Community Development
Programme, PHASE Nepal works in health, education and livelihood programmes. This year, PHASE
conducted its programmes in 17 extremely remote VDCs of 5 districts in 4 development regions. Apart
from the ongoing programmes, after the devastating earthquake of 25th April 2015, PHASE Nepal
started to work in relief and reconstruction projects.
2. Health programme
75,962 patients were treated in PHASE supported clinics, 30% more than the previous fiscal year
2070-2071
531 child births were supported by skilled health workers, 60% more than last year. This is a
remarkable increase, due to increase of service sites.
1,229 pregnant women visited at least once (ANC 1st) in PHASE supported clinics, 57% more than
last year, partly due to increased service sites. The women got medical check-ups, iron tablets and
Albendazole (deworming tablets) in the clinics.
690 newborn babies had health checks in PHASE clinics.
12,187 children under 5 yrs of age were treated by PHASE Nepal staff, among them 6,269 male and
5,918 female.
Due to the increase of the total number of children monitored, the number of under-weight
children identified also saw an increase. The percentage of children identified as underweight
among those monitored was lower than last year.
897 sessions of door-to-door visits and 52 hand washing campaigns were organized.
Family planning service use has increased in comparison to last year.
Water source cleaning programmes have been conducted 24 times and 623 households have
made drying racks for kitchen utensils.
172 events concerning school health and community health education were organized to raise
awareness of diarrhoeal diseases.
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3. Livelihood programme
Training on Improved farmer techniques has been organised in 16 events.
Training on all season vegetable Production has been conducted 24 times.
10 events for training of soil fertility improvement (Composting, Green manure) were conducted.
Training on vegetable seed Production was conducted 12 times.
4. Education Programme
159 Teachers have been trained on best teaching practices.
More than 4,000 students have benefitted directly from a better teaching and learning environment.
Alternative education to 54 students has been continuously running in Chumchet VDC.
249 women completed adult literacy classes.
5. Earthquake Relief Projects
After the devastating earthquake of 25th April 2015, PHASE immediately started working on providing relief with priority in its existing projects areas, but benefitting other areas as well. After concluding emergency relief, PHASE also started to work in reconstruction projects.
Over 13,000 families were reached; over 12,000 bundles of CGI sheets were distributed, as well as almost 12,000 WASH kits, tarpaulin, tool kits and many other relief materials
6. Staff training and other activities
PHASE staff took part in regular bi-annual training on different topics. According to performance and after evaluation, need based training was implemented. In addition, 10 GPs from the UK visited the field offices to further strengthen the capacity of the staff.
6 students from Jiri technical school completed their on the job training in health (ANM) and 2 in the agriculture program.
Numerous Volunteers from the UK visited PHASE Nepal and supported staff development and monitoring frameworks.
7. Coordination, Networking and Monitoring
Coordination and networking meetings have been conducted at all levels of project implementation and government administration. Visits have been made to the department of health services, department of agriculture, department of Livestock and department of education. Similarly, Coordination visits have been made to respective districts DHO, DEO offices. Besides PHASE’s regular involvement in review meetings, DPAC meetings have been conducted in 3 districts.
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CHAPTER – 1
Introduction and Programme Structure 1.1 Background Information Practical Help Achieving Self Empowerment (PHASE) Nepal is a not for profit, non-government, non-political, social development organisation founded in 2006 by a group of professional development workers, who have been engaged in national and international development organizations in Nepal for many years. PHASE specializes in improving health, education services and livelihood opportunities for disadvantaged populations in very remote and resource poor Himalayan mountain villages in Nepal. PHASE aims to support the most vulnerable people to break the cycle of poverty; by assisting communities and local authorities to lay the groundwork for a self-sufficient future.
PHASE believes that poor health, low educational levels and poverty are all aspects of the same
problem, and create a cycle preventing people from taking control of their own future; PHASE aims to
address these aspects simultaneously, through integrated Community Development Programmes
(CDP) which empower individuals and communities on all levels.
PHASE has special emphasis and expertise on working in extremely remote areas - areas in the high
Himalayas, with scant resources, a harsh climate, difficult terrain, and little or no access to basic
services. These are areas often neglected by development NGOs, being too difficult and expensive to
manage successful projects in. PHASE’s philosophy is to work in areas of greatest need, which is
extremely challenging but is also an area in which we have had extensive success. Our target
communities have experienced rapid change in short periods of time – for example, areas with no
functioning health system and no access to or trust in modern medicine are provided with a high
standard of primary healthcare and preventative education. Beneficiaries learn to use and trust the
system extremely rapidly and within months a PHASE health post can see between 30 and 60 patients
a day.
Since its inception in 2006, PHASE has treated over 360,000 patients and can confidently assert that
on average our health workers save at least one child’s life every month. Similarly, the organization
has contributed to more than 700 household toilets and improved livelihood opportunities for over
10,000 people in 10 VDCs. These are staggering figures that can’t be claimed by many other
organizations. The success of our projects under such challenging circumstances can be attributed in
large part to our main asset: our staff team. We have a strong and supportive volunteer board, an
experienced and dedicated Nepali director with a background in engineering and rural development, a
talented group of highly motivated support staff in the central office, and a hardworking and brave
team of young, mostly female field staff.
PHASE Nepal’s main funding partners include PHASE Worldwide, PHASE Austria, Hrothgar, Lindsay
Cooper and Nepal Teacher Training Innovations and more recently Caritas Austria, Caritas Germany,
Diakonie Katastrophenhilfe (Germany) and other Humanitarian Aid organisations. PHASE works to
establish various support networks and partnerships with government and non-government agencies
as well. As of July 2015 PHASE has 115 full time staff and is working in 20 remote VDCs of Bajura, Humla,
Gorkha, Sindhupalchowk and Kabhre districts in Nepal.
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1.2 Vision & Objective
VISION
A Self-empowered and self-sustained society; where all kinds of discrimination are absent.
OBJECTIVE
To improve the livelihoods of rural people by providing immediate support through health care and
education services and empowering them.
SPECIFIC OBJECTIVE
A. Help people in the selected areas to provide better education to their children in an adequate
environment.
B. Make people aware about health and hygiene providing health education and supporting high
quality primary healthcare services.
C. Help the community to develop relatively safer and sustainable water supply infrastructures
and train on health and sanitation aspects of water supply.
D. Improve education opportunities for children and adults in rural communities and contribute
to improving the quality of formal education services
E. Help in refurbishment of the community properties.
F. Support people’s livelihoods, particularly through access to improved agricultural techniques
G. Assist affected communities in recovery after the devastating earthquakes of April and May
2015
1.3 Programme Components PHASE believes that opportunity, equity and access are all aspects of poor health, low educational
levels and poverty, and pursues an integrated approach to create opportunities among the
communities of isolated hill areas.
A. Basic health services: general treatments, safe delivery, family planning, behaviour change,
health education
B. Education: Adult literacy, early childhood development classes and flexible schooling
programme, school teacher and library support, teacher training, scholarship to poor pupils
and infrastructure improvement
C. Agriculture, forestry and livelihoods: training and supporting farmers to increase productivity
of high value crops, livestock, medicinal and aromatic plants and their marketing
D. Gender, governance and social inclusion: women are the main priority while planning and
implementing the programmes
E. Infrastructure development: basic infrastructures such as school buildings, water taps, toilets,
furniture, community buildings and others
F. Strengthening institutional capacity of group: small scale saving and credits, group
registration to local governmental authority, leadership development
G. Conflict mitigation and social justice: conflict victims, returnees, disabled and otherwise
disadvantaged persons are always at the centre of our focus
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1.4 Approach & Strategy PHASE Nepal always appreciates and respects positive endeavours from individuals, communities and
national and international governmental and non-governmental organizations. The organization
always takes into consideration the following approaches during the programme implementation
process:
A. Participatory approach: we encourage our beneficiaries to participate actively in our programmes right from the needs assessment to the implementation, monitoring and evaluation, and sharing of lessons learned.
B. People centered approach: community people are central to all our development efforts and interventions.
C. Coordination and collaboration approach: activities are coordinated with governmental and non-governmental organisations at grassroots, district, national and international levels.
D. Accountability and transparency: all the programme activities and corresponding budget allocated for that particular programme are transparent; anyone at any time can have access to this information, if requested.
E. Needs driven approach: programme activities will not be imposed from the top, but are selected based on the requests made by the beneficiaries.
The organization consistently embraces the following principles while implementing the programmes:
A. Integration: PHASE Nepal makes every effort to promote integrated approaches in its project
areas. PHASE believes that the successful integrated model of health, education and
livelihood activities empowers and helps communities to break the cycle of poverty and to
improve their futures.
B. GESI: PHASE works with vulnerable people across resource poor remote communities, but specifically within these communities women, children and the most underprivileged people are the focus of our programmes.
C. Human Rights: PHASE Nepal is guided by its humanitarian policies which actively nurture all aspects of human rights from within our programmes.
D. HDI/MPI & Cluster: When selecting project areas PHASE Nepal analyses available information about the geographical clusters based on the Human Development Index and Multidimensional Poverty Index. PHASE also collects baseline information to find and set the key indicators before any programme intervention.
E. Ownership & sharing: In PHASE projects, local stakeholders are involved in the decision-making process and community activities are carried out with local participation during the course of project implementation. Efficient community participation, cost sharing and coordination with government line agencies create community accountabilities and ownership of the project.
F. Bottom-up: PHASE ensures that local actors participate in the selection of the priorities to be pursued in their local area and in in decision-making about the strategy. By involving, combining and interacting with local communities, better overall results are achieved more easily.
G. Sustainability: As far as possible, PHASE strives to ensure that benefits realised by organisational and community based activities supported through community development projects continue after the end of the project.
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1.5 Project Information PHASE Nepal has been continuously working in Health, Education and Livelihood programmes
since 2006. Apart from the ongoing programmes, a child rights progamme has been concluded
this year and this project has now been phased out.
Details of all projects are listed below:
1.5.1 Programme Name: Community Development Programme (CDP)
Projects under CDP:
SN Projects District VDC
1. Community Health
Project
Gorkha Kerauja, Kashigaun, Manbu
Chumchet, Chhekampar, Sirdibas
Sindhupalchowk Hagam, Fulpingkot
Humla Maila, Melchham, Jair
Kabhre Rayale
Bajura Kolti , Bandhu
Rugin , Wai
2. Child Rights Project Gorkha Uhiya, Kerauja, Gumda, Kashigaun, Lapu, Manbu
(Ended in November, 2014)
3. Diarrhoea Mitigation Bajura Kolti, Rugin, Kotila, Wai, Badhu
4. Community Education
Project
Gorkha Chumchet, Manbu, Kashigaun
Sindhupalchowk Hagam, Fulpingkot
Kabhre Rayale
5. Livelihood
Sindhupalchowk Hagam, Fulpingkot
Kabhre Rayale
Gorkha Manbu, Kashigaun, Kerauja
Humla Maila, Melchham, Jair
Bajura Kolti, Wai
Total 5 Districts 20 VDCs
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1.5.2 Map of Project Area
1.5.3 Project Funding Partners: 1. PHASE Worldwide UK
2. PHASE Austria
3. Hrothgar & Lindsay Cooper
4. NTTI
5. Global Giving
6. GlobeMed
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1.5.4Core Staff (Present Structure):
1.5.5 Emergency Relief Project
Progamme Name: Emergency Relief Project
SN Projects District VDC
1. Emergency Relief
Distribution
Gorkha Kerauja, Kashigaun, Manbu , Uhiya,
Chumchet, Chhekampar, Sirdibas
Dolakha Khare
Sindhupalchowk
Hagam, Fulpingkot, Jalbire, Kadambas,
Fulpingdanda, Golche, Selang, Pangtang, Baramchi,
Thumpakhar, Thulodhading, Batase, Kiul, Sunkhani,
Vimtar
Kabhre Bhumlutar, Rayale
Total 4 Districts 25 VDCs
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Project Funding Partners:
1. PHASE Worldwide UK
2. PHASE Austria
3. AWO (Arbeiter Wohlfahrt Germany)
4. PIN (People In Need)
5. IOM (International Organisation for Migration)
6. Caritas Austria, Caritas Germany
7. Diakonie Katastrophenhilfe
8. The Asia Foundation
9. Global Giving
10. Lindsey Cooper
11. HDFA (Himalayan Development Foundation, Australia)
12. NERA (Nepal Earthquake Recovery Appeal)
1.5.6 Sources of Information
Sources of information are primary as well as secondary. All population details have been
extracted from VDC level National census 2011. Progamme data have been taken from monthly
reports sent from field staff to head office i.e. health reports, education reports, child rights
reports and livelihood reports.
1.5.7 Structure of Report
This report has 7 chapters. Chapter one contains a brief introduction of PHASE Nepal’s working
strategy and details of projects of PHASE. Chapter two describes community health programmes
and diarrhoea programme achievements, its challenges and possible solutions. Chapter three
contains details of the livelihood programmes. Chapter four describes education programme
achievements. Chapter five describes Emergency Relief Projects initiated after the Earthquake.
Chapter six describes Staff capacity building activities and other additional activities. Chapter
seven describes beneficiary details, monitoring and networking.
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CHAPTER 2
Health Programme 2.1 Community Health Programme (CHP) PHASE Nepal has been working on health programmes since 2006 in close coordination with district
health offices and other district level government stakeholders. It has been providing basic essential
health care services, prioritising especially maternal and child health. PHASE is working in very remote
areas where the nearest road access is often very far. In spite of very difficult geographical and
cultural barriers, PHASE staff have been regularly providing services to the communities in the project
areas. This year programmes have been extended in 3 VDCs in Humla and Bajura, to reach a total of 17
VDCs in five districts.
1. Maternal Health
Table 1: Maternal Health | July, 2014 – June, 2015
District VDCs Target vs.
Achievement ANC 1st ANC 4th Delivery PNC
Sindhupalchowk 2 Target 141 84 57 90
Achievement 95 19 29 41
Humla 3 Target 162 78 101 103
Achievement 190 77 100 162
Gorkha 6 Target 245 139 85 188
Achievement 251 102 68 59
Bajura 5 Target 585 286 184 347
Achievement 659 243 332 345
Kabhre 1 Target 30 22 10 48
Achievement 34 14 2 26
Total 17 Total Target 1,163 609 437 776
Achievement 1,229 445 531 633
A total of 1,229 pregnant mothers received first antenatal care service during this reporting period
which is more than the target. All VDCs crossed the target for 1st ANC, which is very positive but in
comparison with 1st ANC, 4th ANC is not satisfactory. This is partly due to women presenting late in
pregnancy for their first ANC. This is one of the hardest targets to improve, but will be a priority in the
coming year.
PHASE staff helped deliver 531 babies safely during the period. Among the 17 VDCs, Kolti Primary
Health Centre (PHC) of Bajura has the highest delivery record. 633 mothers and babies got at least one
postnatal (PNC) service during the period. All pregnant women were sent to the nearest government
institution for TT vaccine. Despite all these preventive measures, there were 11 cases of neonatal death
in Kolti, Rugin, Maila and Kashigaun and one still birth in Kolti. There was one maternal death in Hagam.
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Women receiving Albendazole, iron and Vit A
All pregnant women attending 1st ANC were
administered Albendazole(deworming tablets)
after 12 weeks of pregnancy. After delivery
conducted by PHASE staff, they administered
Vit A to all women; and also to post partum
mothers at PNC.
Fig 1: Pregnant women receiving Albendazole
2. Child Health
Children are very vulnerable due to their lower immunity power and higher risk from infectious
diseases. Child health is still a big problem in the project areas. PHASE Nepal’s community health
activities include child health care, with emphasis on CB-IMCI (Community Based Integrated
Management of Neonatal and Childhood Illness), a standard set of guidance by the government of
Nepal. PHASE health services include support to immunization services, distribution of de-worming
tablets in schools, CB-IMCI and nutrition training to FCHV and Mothers’ Groups, child monitoring for
nutrition status. PHASE Nepal also organizes school health education in each school of the project areas
once a month.
Table 2: Child Health | July, 2014 – June, 2015
Output Indicators Beneficiaries
Male Female Total
Albendazole distribution 598 653 1,251
Clinical service children <= 5 yrs 6,269 5,918 12,187
Albendazole (de-worming) was administered to 1,251 children and a total of 12,187 children under 5
years age were provided with clinical care services for different health problems.
PHASE staff supported various immunization
events at government institutions throughout
the year where numerous children were
immunized in 17 field posts of the project areas.
765 children were vaccinated with BCG
(against TB), 889 were given DPT1st, OPV (oral
polio vaccine), PCV (pneumococcal vaccine),
Hep B, HiB. Similarly, 800 children were
vaccinated for DPT2, OPV, PCV2 and 750
children were administered DPT3, OPV and 818
children were given vaccine against measles
and rubella. Fig:2 Children administered vaccine
0
1000
2000
Vit A Aldendazole
633
1229
Pregnant Women consuming Albendazole & Postpartum Vit A
500
1000
765
889800
750
818
Children attending vaccination
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Fig 3: Children monitored vs children found underweight
Children under five years old are monitored regularly to ascertain whether they are following
normal growth and development. Figure 3 above shows three years’ trend of children
monitored. As more children are weighed, more are also identified as being under weight,
allowing for targeted treatment and advice. In the FY 2012/13 among monitored only 2 percent
were under weight, in FY 2013/14 10 percent children were under weight and in FY 2014/15, 6
percent of children monitored were identified as underweight. This suggests that more
healthy children are also weighed, but does not allow conclusions about overall nutrition
status, as these are data from health facilities, not whole populations.
3. Family Planning
Family planning service is a part of PHASE community health activities; increasing availability
and access to quality family planning services is a key priority of PHASE. PHASE Nepal staff
provide family planning counselling to the clients who visit for postnatal care service as well.
Besides the services offered in the health facilities, PHASE staff also organize community
health education sessions in each ward of the village and provide counselling services.
Table 3: Family Planning Service | July, 2014 – June, 2015
Contraceptives Target Achievement Beneficiaries
Male Female Total
Family planning counselling
sessions in community 523 538 2,416 3,794 6,210
Depo-provera - 5,969 5,969
Pills - 2,351 2,351
Condom (piece) 5,820 - 5,820
677
2817
9976
14
294
645
0
100
200
300
400
500
600
700
0
2000
4000
6000
8000
10000
12000
2012/13 2013/14 2014/15
Children monitored vs children found underweight
Total numberof childrenMonitored
Childrenunder weight
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Within this reporting period, PHASE health staff injected 5,969 vials of Depo-Provera. 2,351
women received contraceptive pills at least once from the PHASE health posts. 5,820 condoms
were distributed from the PHASE supported health posts.
4. Health Awareness Raising Activities
Table 4: Health Awareness Raising | July, 2014 – June, 2015
Activities Target Achievement Beneficiaries
Male Female Sub total
Calendar for health promotion 17 17
2,450
Street drama event 15 16 not counted
Day celebration event 30 32 not counted
School health education 168 172 2,738 3,473 6,211
Community health education 281 278 1,816 4,103 5,919
Door to door health education 656 879 4,158 6,916 11,074
Clinic health education 306 306 1,709 2,924 4,633
Super flour making 68 58 279 1,011 1,290
Participatory village cleaning 211 220 1,676 3,625 5,301
Total
12,376 22,052 34,428
Apart from health services, public health is also a part of PHASE Nepal’s work. It is essential to
increase awareness everywhere in the community - amongst opinion leaders, decision makers,
community leaders, parents, teachers, children and health professionals. PHASE Nepal runs
various community-based participatory activities to increase awareness, knowledge and skill
amongst primary health care and other health workers in this field. The activities are focused
on the situation and needs of the community. PHASE health staff teach about safety, first aid,
personal hygiene and cleanliness and about adolescent health to the schoolchildren of 13-16
years of age. With the purpose of improving children’s nutritious status, workshops to teach
preparation of “super flour” weaning food were conducted and over 1,200 parents
participated.
fig4: Family planning awareness rally
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5. Local Capacity Building
Table 5: Training/Orientation to Local Stakeholders | July, 2014 – June, 2015
Capacity Building Activities Event Male Female Total
Nutrition Workshop to FCHV& MGs 4 0 60 60
Traditional Healers Training 19 212 46 258
Total 23 212 106 318
PHASE conducted nutrition workshops in 4 VDCs of north Gorkha. The training was targeted
particularly on FCHVs and Mothers Group leaders. After the training, participants are able to
make home-based nutritious diet for children, monitor nutrition status of children and treat
mild malnutrition.
Traditional healers training was conducted 19 times, all traditional healers of related VDCs
were participants. The main purpose of the training was to empower traditional healers with
a better understanding of diseases for which community people usually visit them and to
ensure a referral mechanism to the health centres. 258 traditional healers were trained for
referral of patients.
Fig5: Traditional Healers Training in Kashigaun
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Table 6: Meeting Facilitation to Local CBOs | July, 2014 – June, 2015
Capacity Building Activities Event Male Female Total
FCHV meeting facilitation 169 317 1683 2000
HFMC meeting facilitation 127 1100 601 1701
Mothers group meeting 184 450 3848 4298
Total 480 1550 6132 7999
FCHVs meetings are conducted once a month in each VDC. Health facility management
committee meetings were conducted 127 times and Mothers group meetings were conducted
184 times.
The optimum use of local resources depends on capacity of the local stakeholders; therefore,
PHASE health staff encourage local functioning bodies such as HFMC, FCHV, MGs and VCCs to
organize meetings every month. In these meetings PHASE health staff help these local CBOs
to find the local resources, identify problems in the community regarding health related
issues; find the solutions of these problems and assist them in decision making. PHASE staff
also organize orientation to facilitate discussions about basic health rights, duties, roles and
responsibilities of members of CBOs and community members.
6. Number of patients visiting health facilities
PHASE Nepal is expanding its services, providing regular basic essential primary health
services in the government health facilities, and the number of beneficiaries is increasing
every year. Patients from adjacent VDCs also come to access health services in the PHASE
project areas.
fig6: Total patients treated in PHASE supported health centres in three consecutive years
The figure above shows the number of patients attending health facilities for medical care other
than ANC, PNC, delivery and family planning services. According to our data, in the fiscal year
41,483
49,999
75,962
0
10000
20000
30000
40000
50000
60000
70000
80000
2012/13 2013/14 2014/15
Total Patients in Health Facilities
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2012/13 and 2013/14, a total of 41,483 and 49,999 patients were examined respectively. Recent data
reveals that the number of patients seen has increased in the fiscal year 2014/15 to 75,962.
Issues and Recommendation Health issues/challenges Recommendation Responsibility
Low 4th ANC& PNC check up in comparison with 1st ANC
Maternal health education and door to door visits to identify pregnant women earlier
Field Staff/ Health Supervisor
Still significant number of home deliveries
Community awareness raising about risk of home delivery or delivery in absence of SBA
Field Staff/ Health Supervisor
Significant number of malnourished / underweight children
Emphasis on nutrition programme activities and nutrition workshops.
Field Staff/ Health Supervisor Programme Unit
Neonatal deaths Encourage institutional delivery. Increase coverage of ANC and PNC check-up. Balanced diet during pregnancy should be encouraged.
Field Staff/ Health Supervisor Family Member (Mother in law)
Irregular Immunization programme
Vaccines should be transported as scheduled D(P)HO
2.2 Diarrheal Disease Mitigation Project 1. Background
A strong relationship exists between poverty, an unhygienic environment and the number and severity
of diarrheal episodes - especially for children under five.
Diarrhoeal diseases are still a major challenge in Nepal because of malnutrition, inadequate safe water
supply, poor sanitation and living conditions. However, several other factors such as literacy rate,
socio-economic status and social, religious or personal perception of the cause of disease may
influence the rate of morbidity and mortality of diarrhoeal diseases. It is estimated that approx.
30,000 children die every year from diarrhoea and that children suffer an average of 3.3 diarrhoeal
episodes per year in Nepal. An environmental health education programme, along with water supply
and sanitation interventions, is an effective mitigation measure to reduce diarrhoeal diseases in Nepal.
Diarrhoea was one of the major problems in Bajura district. Significant diarrhoea related mortality and
morbidity, as well as recurrent outbreaks were the main reasons for introducing the project. Because
of resource constrains and budget limitations, the project was limited to only 5 VDcs of Bajura. It has
enhanced the life chances and health of 25,082 people in the target region.
Table 27: Awareness Raising Activities | July, 2014 - June 2015
SN Activities Event Male Female Total
1. No of Door to door visits 426 3,709 5,278 8,987
2. No of School health education 87 1,520 1,978 3,498
3. No of Community health education 227 1,929 24,188 26,117
4. No of Clinic health education 70 625 967 1,592
Total 810 7,783 32,411 40,194
20
There were 426 events of door-to-door visits for diarrhoea related awareness, among them
3,709 males and 5,278 females were direct participants. School health education is also a
regular programme for sensitizing the community. 87 events were conducted where 1,520
male pupils and 1,978 female pupils were involved. Community Health Education programme
was conducted 227 times, where 1,929 male and 24,188 female took part. Clinic health
education was given 70 times, where 625 male and 967 female were targeted.
3. Local Capacity Building through Facilitating Meetings
Table 8: Local Capacity Building | July, 2014 - June 2015
SN Activities Event Male Female Total
1. No of Meetings with Health Management 34 396 214 610
2. No of Meetings with School Management 5 20 56 76
3. No of Meetings with FCHV 42 109 615 724
4. No of Meetings with Mother's group 133 378 3,347 3,725
5. Meetings with Village Cleaning Committee 81 500 1,062 1,562
6. Village cleaning committee formations 34 109 366 475
Total 329 1,512 5,660 7,172
Health management committee meetings have been organized 34 times in the community.
Similarly, 5 school management committee meetings were organized to elaborate the
importance of hygiene and cleanliness in the school environment and initiate committees to
plan regular school cleaning events, garbage and waste management, proper use of toilets
and drinking water, cleaning the water source etc. FCHVs were mobilised to inform nearby
sub/health posts when they identified diarrhoea patients in the community. They were also
advised to provide basic knowledge on prevention of diarrhoeal disease in the community.
Village cleaning committees were formed 34 times - in all wards of five VDCs - and meetings
with village cleaning committees were conducted 81 times.
4. VDC Level Workshop in Diarrhoea Mitigation Project Area
Table 9: VDC Level Workshop | July, 2014 -June 2015
SN Activities Event Male Female Total
1. Hand washing campaign 52 647 1,129 1,776
2. Village cleaning events 86 849 1,613 2,462
3. Water source treatment 24 184 325 509
4. Kitchen utensil drying rack built
623 - -
Total 785 1,680 3,067 4,747
21
Hand washing campaigns were conducted 52 times where 647 males and 1,129 females took
part. Village cleaning events were conducted 86 times, where 849 males and 1,613 females
from the community actively participated. Water source treatment was conducted in 24
different water sources where 184 males and 325 females participated. Total 623 houses had
made kitchen utensils drying rack for the purpose of hygienically drying utensils in direct
sunlight.
In the project period, 351 children in total were treated for diarrhoea with ORS and Zinc and
48 patients were referred to a higher health centre. Average working days was 26 days per
months for each staff member. In total 9 case stories were collected from the diarrhoea
programme and 3 times a monitoring visit was done to all project areas by at least one central
office team member.
Two changes have been introduced in the programme in consultation with the
donor (City of Vienna / PHASE Austria): The original plan for SODIS (Solar
Disinfection) couldn’t work due to geographical difficulties, which made it not
possible to carry plastic bottles to areas without road access. In two VDCs
with a severe scarcity of drinking water, assessments were conducted to
identify the nearest water sources and possible means to transport water to
the villages. For resolving water related problems, a pipeline was identified as
the best means. Thus, all the cost of new water systems in Kotila and Bandhu
(including tanks and pipelines) were extracted from the costs of the SODIS
programme ensuring that over 200 families now have access to safe drinking
water.
22
CHAPTER 3
Livelihood Program
3.1 Livelihood Improvement Programme Improved agriculture can help reduce poverty among those who live in rural areas and work mainly in
farming. Improved agriculture can raise incomes, improve food security and benefit the environment.
Improving agricultural performance is the most powerful tool we have available to reduce poverty and
hunger. PHASE works in the most remote and disadvantaged areas of the country where 95% of the
community members are directly involved in farming with traditional techniques. Thus, PHASE started
to intervene with advanced techniques of farming for yielding higher outcome with similar input of
effort.
Livelihood programmes have been ongoing in Sindhupalchowk since PHASE’s programme start in
2006, but have recently expanded to Kabhre and Gorkha as well.
PHASE Nepal started implementing new livelihood programmes in Humla and Bajura from December
2014. Within 8 months of implementation of the Livelihood program, it has achieved remarkable
progress in communities where green vegetables were almost completely unavailable.
1.Community Meetings:
Table 10: Community Meeting /December,2014 -July, 2015
Community Meeting No of Activities
Participants
Male Female
Orientation Meeting 10 302 347
Group Selection & Formation 26 441 458
Monthly Meeting with group 136 920 1,795
Saving credit group meeting 33 67 341
Nursery observation 140 109 185
Counselling /technical support to farmer 101 126 355
Coordination meeting with other organizations 24 - -
Field visit 15 31 29
Distribution of certificate for old education group 2 55 33
Formation of new education group 1 27 17
At the beginning, orientation about the programme was conducted for stakeholders in 10 VDCs of
Bajura, Humla, Gorkha, Sindhupalchowk and Kabhre and a total of 649 participants were invited. In all
10 VDCs 26 farmers committees in total have been formed, with 899 members involved. Monthly
meetings with the committees have been conducted 136 times. The Livelihood programme in Humla
and Bajura also has provision of forming saving and credit cooperatives within groups with the aim to
benefit farmers for investment. 33 meetings in total were conducted for saving and credit of
cooperatives.
Nursery observation has been done 140 times after distribution of all seeds for germination to the
farmers’ groups. Counselling and technical support has been provided 24 times for collection of any
suggestions, as well as for clarification of problems regarding making seed beds. Field visits have been
conducted 15 times for monitoring and observation of the programme.
23
Fig: 8 Training on making seed beds
2.Trainings to beneficiaries:
Fig: 9 Training to Beneficiaries
Training on improved farming techniques for yielding higher productivity with the same effort has
been accomplished 16 times, where 466 participants were successfully trained. Training on seasonal
vegetable production has been conducted 24 times with 411 participants in total. Similarly, improving
quality of soil training has been conducted 10 times with 260 participants. Training on vegetable seed
466
411
260291
16
24
10
12
0
5
10
15
20
25
30
0
50
100
150
200
250
300
350
400
450
500
Tra
inin
g o
nIm
pro
ved
farm
erte
chn
iqu
es
Tra
inin
g o
nse
aso
nv
eget
able
Pro
du
ctio
n
Tra
inin
g o
nIm
pro
ved
Soil
fer
tili
ty
Tra
inin
g o
nV
eget
able
seed
Pro
du
ctio
n
Training to beneficiaries
Unit Participants
Unit
24
production has been conducted 12 times for producing quality seeds and a total of 291 members have
been trained.
Fig:11 Training and others
Training has been provided on low cost, water sufficient irrigation technology for 26 times and a total
of 609 participants have been trained. Similarly, saving and credit cooperative training has been
provided to 201 women within 8 events.
Vegetable seeds have been distributed to 180 farmers. Other activities like digging compost pit, bee-
hiving technique etc were taught to 180 participants throughout 8 separate trainings.
3. Improved Breed Stud Goat Distribution In the working areas of Bajura and Humla, 2 male improved breed stud goats have been provided to each of 5 VDCs for the breeding of higher quality kid goats. 58 kids had already been born by the end of the financial year.
Fig:12 Goats brought for breeding
609
201 180 180
26
8 8
13
0
5
10
15
20
25
30
0
100
200
300
400
500
600
700
Training on lowcost, Water
efficientirrigation
technology
saving / Credittraining to
woman group
others vegetable seeddistribution
Training and others
Participants
Times
25
Table: 11 Material Support /December, 2014 -June, 2015
Material Support/ Distribution No Participants
Male Female
Farming techniques 151 5 152
Saving credit training 6 33 37
Notebook, copy, pen, register and saving credit register
231 96 158
Water can ( hajari ) 42 45 11
Off seasonal seed distribution 73 326 433
Irrigation pipe/water sprinkle 5 5 14
Garden pipe 3 4 2
Agriculture equipment 67 33 34
Tunnel plastic 60 31 29
Plastic sheet and poly bag 8 7 65
Training on advanced Farming techniques has been provided 151 times to communities, 56 pieces of
watering cans have been distributed. Off seasonal seeds have been distributed 73 times, irrigation
pipes and garden pipes have been distributed 5 and 3 times respectively. Agriculture equipment has
been distributed 67 times, tunnel plastic has been distributed to 60 farmers, similarly plastic sheets
and poly bags have been distributed 8 times to different groups.
Case Story: Change in knowledge and behaviour
Chapi Tirtha Giri, a women living in Kolti in Bajura, is 55yrs old now. She has been working
in the agriculture sector for a long time and she is illiterate. In fact, agriculture is the only
family business for her. In past days, when her family used to grow crops, they could not produce more than they invested and they could only see green in the fields during July (when
it rained.) They could grow only a limited number of different types of vegetables and fruits.
She explains this: –’it is difficult to manage money for buying a variety of seeds because it costs a lot in the markets and anyway, there is no market nearby to buy it."
Recently, she got involved in PHASE Nepal projects. PHASE Nepal has created a community
of farmer groups and provided various advanced techniques of farming. Apart from that PHASE also provides seeds for farming free of cost, which would have been expensive to
buy. With this approach, Tritha Giri's whole idea of farming has been changed.
She says "It was very difficult to get green vegetables, we used to rely on noodles as curry or salt and chilly, but now we do have enough vegetables for the family; the field that was only
green in July, is now green in April too. Now, we are able to see seedlings in February too,
which was merely a dream. I would like to thank PHASE Nepal for all this."
Her agricultural knowledge is boosted now and she is happy to be involved with PHASE
Nepal. Apart from that, other community people who are not members of the groups, have
been able to gain knowledge and skills from group members and applied this to their own farming. Some have even been able to sell vegetables and buy oil and salt from the money.
26
7. Issues and Recommendation
Issues/Problem/Constrains Recommendation Responsibility
Vacant post of JTA Supervisor Fill vacant post as soon as possible HR department
Loss of cattle due to
earthquake
Consider goat distribution Progamme at
Gorkha & Sindhupalchowk
Progamme
Manager
Low production in relation to
distribution of seeds
Intensify market research before buying
seeds and procure best quality seeds
Agriculture Staff
Geographical diversity Distribution of seeds according to local soil
conditions.
Agriculture Staff
27
CHAPTER 4
Education and Child rights Program
4.1 Education and Child rights program PHASE- Nepal is working with some of the most vulnerable, poor and disadvantaged populations of very remote villages in the mountain region of Nepal. To break the cycle of poverty, PHASE Nepal creates programmes to empower the communities through health, quality education and livelihood projects. Education is one of the most important ways of empowering individuals and communities and increasing choice and opportunities in life for both children and adults.
Objective of Education Program:
1. To equip remote community school teachers with teaching techniques to create better
teaching and learning environment
2. To provide education to the children in remote villages of mountain districts through flexible
school programmes.
3. To empower women in remote communities where there is no access to government facilities
through literacy classes.
4. To raise awareness of Children’s Rights among students, teachers, School Management
Committees and Parents Teachers Associations’ members and other concerned stakeholders
through training on child protection and by forming child clubs and empowering them
through training.
5. To raise awareness among teenage girls regarding Personal Hygiene, Human Trafficking,
consequences of Child Marriage, Child Labour; and form girls’ groups to tackle social issues
concerning girls.
4.2 PHASE Education Development program
Education Programme
Training
Teacher Training
Girls Empowerment and Child Rights
Non- Formal Education
Flexible Schooling
Adult Literacy
28
4.3 Activities Undertaken: Objective 1 - To equip school teachers with better teaching techniques to create a good teaching
environment
Different activities have been carried out to achieve this objective. To achieve or to create better
teaching learning environment, 159 teachers have been provided with awareness level training on
“Best Teaching Practices”. As a result, teaching practices have been improving in all schools of Rayale,
Sirdibas, Lapu, Kashigaun, Kerauja and Manbu VDCs. During monitoring visits, in interviews with
school children regarding teachers’ behaviour in terms of teaching, the answers were very positive.
They said the teachers have started following different methodologies during teaching, for example
group work and visits out of the classroom to show things which are related to the subject matter.
Fig13: After completion of Teacher training in Sirdibas, Gorkha
In 2014/15 PHASE Nepal has conducted Teacher Training programmes in 4 different VDCs of Gorkha
District and 1 VDC of Kabhre. In total, 104 Teachers have been equipped with Best Teaching Practice
methods. More than 4,000 students of these areas have directly benefitted by better teaching and
learning environment in their classrooms. Similarly a follow up training was conducted in Rayale
(Kabhre) as a continuation of Best Teaching Practice training. The four-day training was conducted
separately for Math and English subject respectively. All the classrooms were observed before and
after the training and the teachers were given constructive feedback on their performance.
Table 12:Number of teachers trained /July,2014 -June, 2015
VDC No. of Schools No. of teachers Male Female
Sirdibas 6 29 14 15
Lapu 6 25 9 16
Kashigaun 3 21 12 9
Kerauja 4 29 10 19
Rayale 6 23 11 12
29
fig14: Teacher training in Sirdibas, Gorkha
Objective 2 - Provide children in remote areas with flexible schooling programme
PHASE Nepal has been conducting flexible schooling programmes in Chumchet VDC of Gorkha. The
reason behind conducting such alternative education is that children in Yarchu and Tanju village of
Chumchet VDC have no access to mainstream education because of the distance of the nearest
functioning schools from their homes. So, in 2012 PHASE Nepal set up alternative education in Tanju
village with 24 children, age ranges from 6 –10 yrs and PHASE Nepal ran this education progamme until
2015 April. In May 2015, Tanju’s alternative education class has merged with Shree Siddha Ganesh
Primary School, Chumling and the school is receiving full time teacher support from PHASE. The
positive aspect of this project is that children get quality education near their home, and by now
merging with a nearby government school which was not functioning well, the project is now also
supporting the mainstream school by increasing the number of students and the quality of education.
PHASE Nepal has been conducting a similar type of school in Khar village (Yarchu) but the children
were smaller than the students in Tanju. Since the start of the project, on request of the parents, the
PHASE teachers used English medium books, but because this hinders integration of the children in
the mainstream schools, the class teacher is now using condensed course books designed by the Non-
Formal Education Center, Bhaktapur, especially for flexible schooling programmes.
This project was started in 2013, a year later than Tanju village. Both projects are for 3 yrs and are
affiliated with mainstream schools. With the aim to provide quality education and to support
“Education For All”, we have enrolled 24 students in Khar village as well but there is a trend of sending
children to study as monks or sending children to Kathmandu if provided scholarship. At the end of
the 2nd year of this project, only 17 children were left out of 24. However, the parents are very positive
about the programme, so that with new enrolments, currently 32 children are studying in the school.
Objective 3 - To empower women in remote communities through literacy classes
30
Nepal has an adult literacy rate of 56.6 per cent, with a huge variation between males and females:
The literacy rate is 71.6 per cent for men and 44.5 per cent for women, revealing a Gender Parity Index
(GPI) at 0.62, with women still lagging behind men by more than 27 percentage points. According to
the Education for All Global Monitoring Report 2011, out of 7.6 million adult illiterates in Nepal, 67 per
cent are female.
http://www.unesco.org/new/en/kathmandu/about-this-office/single-
view/news/unesco_celebrates_international_literacy_day_in_nepal/#.VeanWyWqqko
Aiming to contribute to the reduction of the huge variation between male and female literacy rate,
PHASE Nepal has been conducting women’s literacy classes in 2 VDCs of Bajura and 3 VDCs of Humla
with UK Aid funding. The aim of this project is to increase female literacy rate and empower women
through livelihood projects.
In the year 2014/15, 250 women have completed basic literacy classes. This group of women will
subsequently receive training on vegetable farming and other livelihood activities.
Table 13: Village wise beneficiaries of women literacy class /July,2014 -June, 2015
District VDC Ward no. Total
Bajura
Kolti 5 26
Kolti 9 25
Wai 5 26
Wai 9 25
Humla
Maila 4 25
Maila 9 25
Melchham 4,5,9 25
Melchham 6,7,8 20
Jaira 1 27
Jaira 9 25
Total Number 249
Objective 4 - To raise awareness of Children’s Rights through training on child protection and by
forming child clubs and empowering them through training
With the objective of furthering the Rights of Children, PHASE Nepal has conducted various trainings
on Child Protection and Participation among teachers, FCHVs, Women groups, School Management
Committees, Health Post Management Committees and other key opinion leaders. Approximately 100
people from 7 VDCs were trained in Hagam VDC of Sindhupalchowk, Rayale VDC of Kabhre, Manbu,
Kashigaun, Kerauja, Sirdibas and Chumchet VDCs of Gorkha.
To make this project effective, 7 separate child clubs have been formed in Chumchet, Sirdibas, Kerauja
and Kashigaun. The members of child clubs will be given training on protection and participation. In
due course of time, the same child clubs will conduct awareness programmes, participate in various
VDC level meetings and other decision-making activities.
31
Table 14: Number of Child clubs /July,2014 -June, 2015
Objective 5 - Girls Empowerment: to raise awareness among teenage girls regarding Personal Hygiene, Human Trafficking, consequences of Child Marriage, Child Labour; and form girls’ groups to tackle social issues concerning girls Nepal is still a male dominated country with a number of concerning issues regarding women and children, especially female children. Women are disadvantaged from family level to state level in every aspect of development and opportunity. There is a big need of empowering girls in terms of personal development and participation. In most societies, girls are more vulnerable than boys and the social perspective towards boys and girls is not equal. Most societies, including Nepal, assert that girls are equally important as boys, but vulnerability still exists, particularly in rural and poor women due to the lack of sufficient information and equal opportunities. To empower school girls especially aged 10yrs – 18yrs, PHASE Nepal has conducted girls’ empowerment workshops in collaboration with Her Turn in Manbu. In this project, SLC graduate girls were provided ToT (training of trainers) on Gender issues, Personal Hygiene, Trafficking activities and its prevention, Leadership Development, Child Marriage and Child Labour. The girls who got ToT have delivered 24 days, 2hrs training among adolescent girls of Manbu VDC. At the end of the training, girls’ groups were formed so that they could share their problems with friends. Through girls’ empowerment training, girls from different school started to share their problems in girls groups and planned to address the problems. As a result of this program, high level of sensitization has been noticed about Child marriage and child labour in Manbu VDC of Gorkha.
Education After The Earthquakes
“Education in Emergency” Training was conducted in Hagam and Fulpingkot VDC of Sindhupalchowk
for 50 teachers from 19 schools. The main objectives of the training was
To make teachers aware of the Importance of Education especially in emergency,
To help teachers conduct classes after earthquake using different activities,
To help teachers recognize the traumatized children
To make teachers aware of distressed children’s behaviour, and
To teach how to deal with such students.
This immediate training was very helpful to bring back and sustain the children after the devastating
earthquake in the Temporary Learning Centres.
District VDC No. of Child Club
Gorkha
Chumchet 3
Sirdibas 2
Kerauja 1
Kashigaun 1
32
Fig15: Training after earthquake
s.n. Issues /Challenges Recommendation Responsibility
1 Teachers want teaching
materials for their
classroom.
Training should be backed by
additional resources for teaching
materials.
Education
coordinator.
2 Unable to frequently
support and supervise
teachers.
Field Supervisor should be
appointed.
PHASE Programme
manager.
3 Insufficient Teachers in
school
Support of teachers to those
schools would be beneficial
PHASE Programme
manager
4 No time specific plan for mainstreaming of alternative education
Proper plan for mainstreaming so
that the curriculum supports
students joining the mainstream
and the programme achieves
sustainability
PHASE Education
Team / DEO
33
CHAPTER 5
Earthquake Relief Projects
5.1.Emergency Relief support:
After the devastating earthquake on 25th April 2015, PHASE Nepal rapidly concentrated on relief
related work. 9 of PHASE Nepal’s 19 project communities were severely affected: Rayale in Kabhre,
Hagam and Fulpingkot in Sindhupalchowk and Manbu, Kashigaun, Kerauja, Sirdibas, Chumchet and
Chhekampar in Gorkha. PHASE started organising relief for these VDCs and a number of additional
VDCs in Sindhupalchowk and Gorkha immediately after the earthquake. Concentrating on immediate
needs, ongoing medical services were not interrupted in the project areas. All required medicines were
supplied in a timely manner to minimise stock out of any supplies. Staff security was also considered as
a priority. Patients that our staff could not treat at field level and who were in a serious condition or
needed assistance by physicians urgently, were rescued immediately via helicopter services (Nepal
army and on two occasions arranged directly by PHASE) as most of the access roads and paths to the
project VDCs were blocked.
Fig7: Staff providing immediate services in open space after destruction of HP by earthquake Fulpingkot,
Sindhupalchowk
Apart from medical aid, considering the extreme level of destruction, victims were in need of
temporary shelter and food. Thus, PHASE Nepal also provided Tarpaulins and Rice to all households of
Hagam, Fulpingkot and some wards of Thumpakhar VDC of Sindhupalchowk. Bhimtaar, Kadambas,
Fulpingdanda, Batase, Jalbire, Kiul, Sunkhani VDC were supported by rice and tarpaulins as well.
Bhumlutar and Rayale VDC of Kabhre were supported with some tarpaulins. Khare VDC of Dolakha
was supplied with tarpaulins. All six project VDCs of Gorkha which were most affected, were initially
supported with a small number of tarpaulins and Chumchet was supported with maternal clothes,
neonatal clothes, neonatal blankets, Bathing, washing soap and pulses for postpartum mothers and
34
salt for all households. In Sirdibas, oil was sent to all households, pulses and soaps were sent to
pregnant and postpartum mothers. In Kashigaun, Early Childhood Development (ECD) centre was
supported with mattresses. In all project areas of Gorkha and Sindhupalchowk, all FCHVs were
supported with solar lamps, donated by UNHCR. Upon request of DHO Gorkha, all FCHVs of project
VDCs in Gorkha were supplied with bags containing all essential goods like water bottle, umbrella,
torchlight, towel, soap, thermometer and all required essential medicines.
With support from People in need (PIN) PHASE Nepal, distributed blankets, jerry can, rope, mug and
mattress to all households of Hagam VDC of Sindhupalchowk.
Post earthquake early recovery projects
After the response to immediate needs of affected project VDCs as well as other VDCs, PHASE started
to work in supporting early recovery. Five VDCs of Sindhupalchowk district (Hagam, Jalbire, Kadambas,
Fulpingdanda, Dhuskun) and 4 VDCs of Gorkha district (Sirdibas, Kashigaun, Kerauja and Uhiya ) got
assistance for temporary shelter construction by delivering high quality CGI sheets, nails, wire and all
tools required for construction of temporary houses. For construction of temporary houses, in each
ward 2 masons were hired and 3 technical overseers were hired in both districts, as well as two social
mobilizers for each VDC.
In addition, all VDCs were supported with WASH kit, tarpaulins, ropes and seed bags for storage of
seeds. One additional VDC in Sindhupalchowk (Fulpingkot) and three more VDCs from Gorkha district
(Chhekampar, Chumchet and Manbu) were supported with tarpaulins, rope, WASH kits, toolkits and
seeds bags. In these VDCs CGI sheets were distributed by other organisations. Donors for the early
recovery project were Caritas Germany and Caritas Austria for Sindhupalchowk, and Diakonie
Katastrophenhilfe for Gorkha.
Number of Beneficiary and list of supported items.
District Benefitted Household Supported Material
Gorkha 4903
CGI sheets, Nail, Blanket, Rope, WASH Kit, GI wire, Seedbags, Tarpauline, Construction tools( Pliers,Hexa frame, Shovel, Hexa Blade, Tin cutter, Mechanical hammer, 2kg Hammer, Claw Hammer, Pick, Hand Saw), Solar for ORC
Sindhupalchowk 8203
CGI sheets, Nail, GI wire, Hygiene Kit, Paddy seed, Solar for Health post, Solar with Mobile charger, Construction Tools (Hand saw, Pliers, Claw hammer, Mechanical Hammer, 5 kg Hammer, Shovel, Chisel, Crow Bar, Pick)
35
CHAPTER 6
Staff Capacity building and miscellaneous activities
6.1 Staff Training /Capacity Building: Various internal and external trainings, orientations and seminars were conducted and attended by
staff for enhancing capacity regarding organisational development and personnel development.
Training organised by PHASE Nepal for staff and participants details are given below:
Table:15 Capacity building activities/July,2014 -June, 2015
Capacity Building Activities Participants Trainer
General ToT All PHASE Staff Ram Krishna Parajuli
Clinical Training All Health Staff Dr.Gerda and other GPs
Child protection Training All Field Staff Neer Bdr Karki Chhettri
Crisis management All Field Staff Neer Bdr Karki Chhettri
Basic Agriculture training All Agriculture Staff Padma Kiran Rana
Post disaster Trauma Counselling All Field Staff Dr.Gerda
Staff was sent out for external training as well, which included Social Artistry Training for 2 days, Crisis
Management Training for 2 days, Neuro Linguistis Programming (NLP) Training for 3 days, Skilled Birth
Attendant (SBA) Training for 2 months. Among trainings, some were especially focussed on post
earthquake management to cope with the devastating scenario that was faced and they benefitted
both staff and target communities.
Fig16: Staff capacity building event Oct 2014
36
6.2. GP Volunteer Visits PHASE Worldwide arranges General Practitioner (GP) visits from the UK every year to come and
monitor PHASE health projects and provide mentoring to health workers in PHASE Nepal’s field health
posts. In total 12 GPs visited PHASE Nepal’s different working VDCs this year for monitoring and for
enhancing the capacity of field staff. The main purpose of the visits is to support our staff to improve
their service, but they also help to assure both PHASE Nepal and our donors that the standard of
health services is acceptable. The visiting GPs also help field health staff to enhance their skills and
confidence and help improve the quality of care. The progamme has been very effective and health
workers’ skill has been developed remarkably.
Table 16: GP Volunteer visit | July, 2014 - June 2015
SN Name Placement Date
1 Liz Alun Jones Rayale September, 2014
2 Hugh Thomas Fulpingkot September, 2014
3 Elena Hazelgrove Planel Yanglakot & Kashigaun April, 2015
4 Kiran Cheedella Kerauja, Sirdibas, Bandhu, Rugin & Jair
February, 2015
5 Lucy Loveday Manbu & Fulpingkot March, 2015
6 Anne Urquhart Manbu & Kashigaun January, 2015
7 Sarah France Kerauja March, 2015
8 Sarah Watson Wai (Bajura) March, 2015
9 Parun Sekri Manbu May, 2015
10 Sabine Kersten Rayale March, 2015
11 Penny Milner Rayale April, 2015
12 Dilys Noble Kolti, Wai October 2014
6.3. Education and other volunteer visits
On occasions other PHASE Worldwide volunteers visit Nepal, with the objective to strengthen the
partnership between PHASE Worldwide and PHASE Nepal and to build capacity within the PHASE
Nepal team.
Table 17: Education and other Volunteer | July, 2014 – June, 2015
SN Name of Volunteer Expertise Placement VDC Month
1. Maria Muller Organizational development
Sirdibas Feb, 2015
2. Sally Earthrowl Teacher training KTM, Rayale August 2014
3. Trudy Brock midwife Hagam, Fulpingkot March 2015
4. Sarah Ardizzone midwife Hagam, Fulpingkot March 2015
5. Shayna Daniels midwife Wai, Jair, Maila March, April 2015
6. Margaret Lally Trustee PWW KTM July 2015
37
Maria Muller came to support Kathmandu staff in data management.
Sally Earthrowl came to support the PHASE teacher trainers and spent time in Kathmandu and Rayale,
assisting in curriculum development and piloting.
Trudy Brock and Sarah Ardizzone are experienced midwives who had previously visited Nepal and spent a
few days in Hagam and Fulpingkot, going through midwifery practices and protocols with PHASE ANMs
and staff nurses.
Shayna Daniels is a community midwife from the USA with experience of working in Bangladesh. She
visited PHASE projects in the Far West (Humla and Bajura) districts and assessed possibilities of improving
the midwifery aspect of PHASE’s health projects.
Margaret Lally is a PHASE ww trustee. She visited Kathmandu in the second month after the earthquakes
in order to assist the PHASE N team in donor communications, project reporting and funding applications.
6.4. On the Job Training (OJT) Staff In coordination with Jiri Technical School, PHASE Nepal is providing On the Job Training to ANM
students of that school. The objective of providing this training is to develop field based broad practical
skills for the future ANMs. On the other hand, it also supports PHASE health staff when there is no
government staff in the health centres. The trainees worked with PHASE health staff for 6 months in
the health posts. As they were all motivated and hard working, PHASE provides an employment
opportunity to all these trainees as a Trainee ANM after completion of their study.
Table 18: PHASE Nepal OJT Staff | Jan, 2015 – June, 2015
SN OJT Post Placement
1 Radika Karki ANM Maila, Humla
2 Sunmaya Rasaili ANM Rugin, Bajura
3 Sangita K.C ANM Sirdibas, Gorkha
4 Rita Jirel ANM Manbu, Gorkha
5 Bedica Jirel ANM Fulpingkot, Sindhupalchowk
6 Pooja Jirel JTA Manbu, Gorkha
7 Sarmila Lama JTA Hagam, Sindhupalchowk
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CHAPTER – 7
Coordination, Networking and Monitoring
7.1 Beneficiaries Table 19: Population in the Project Area | July, 2014 --June 2015
SN District VDC Household Total Male Female
1 Humla 3 1,288 7,493 3.661 3,832
2 Bajura 5 4.074 21,714 10,651 11,063
3 Gorkha 6 4035 16,933 7,706 9,227
4 Sindhupalchowk 2 1,722 7,662 3,645 4,017
5 Kabhre 1 977 4,302 1,855 2,447
Total 17 12,096 58,104 27,518 30,586
The entire population of the 17 project VDCs as per National Census 2011/12 is 58,104 people in 12,096
households. 27,518 male and 30,586 female are direct beneficiaries of the projects, for receiving basic
primary health services, various education related programs (Alternative Education, Non-formal
education) and advanced livelihood knowledge and skills along with child rights awareness and
diarrhoea mitigation. The target population and number of direct beneficiaries have increased
significantly since the previous reporting period.
Similarly, there is an increasing number of beneficiaries visiting the clinics from out of the project VDCs.
It can be assumed that there are about 5,ooo additional beneficiaries from other VDCS and even other
districts, such as patients from Mugu District attending PHASE supported health centres in Humla
district.
7.2 Support, Monitoring, Partnership & Networking There are field based Health Supervisors, JTA and Education Facilitators who regularly conduct
monitoring and support activities for all different programmes conducted at field level. PHASE has
placed two Health Supervisors (HA/Staff Nurse) in Gorkha, one in Humla, one in Bajura and one in
Sindhupalchowk and Kabhre for the Health programme. For the diarrhoea programme, one supervisor
has been assigned. For Education Development Programme, PHASE has appointed one Education
Development Facilitator for Gorkha region to support field teachers and adult literacy classes. Trained
teachers are monitored by mentor teachers in the field and send reports to the Kathmandu office
regularly.
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Table 20: Support, Monitoring & Networking | July, 2014– June, 2015
PHASE Nepal organizes bi-annual Public Audit events in all project villages to inform the community in
detail about project activities and financial details carried out throughout the project period. During this
period, there were 32 public audit events organized in 16 project communities. 5 supervisors in health
and 1 in the diarrhoea progamme have been assigned to the field, who regularly monitored and
supported field staff. There were a total of 17 visits made from central office to project areas to monitor,
supervise and coordinate with field staff as well as stakeholders. Regular networking meetings were
organized with district level government authorities. DPAC meetings have been organized in Gorkha,
Kabhre and Sindhupalchowk districts. PHASE also regularly takes part in review and progress meetings
and workshops organized by district government offices in project districts.
Table 21: Reporting | July, 2014– June, 2015
Support, M & E, Networking Sindhu. Humla Gorkha Kabhre Bajura Total
Public Audits in Field Posts 4 6 12 2 8 32
Support by Field Supervisors 1 2 1 1 1 6
Field Visit from Kathmandu 3 3 2 5 4 17
Meeting with District
Government
2 1 2 1 4 10
DPAC & Review meeting in
District
1 - 1 1 - 3
Meeting with Donors 4
Report by Report to Subject Period
PHASE Nepal Donors Annual Programme & Budget Annual
PHASE Nepal Donors Progress and Financial Report Quarterly
PHASE Nepal Donors Annual Budget Annual
PHASE Nepal Districts Annual plan and Progress Report Annual
PHASE Nepal SWC Annual plan and Progress Report Annual
PHASE Nepal District Renewal of the organization Annual
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PHASE Nepal’s internal reporting takes place on a monthly basis. PHASE field staff either send written
report forms to the PHASE office in Kathmandu or they make phone contact with the Kathmandu
office and provide monthly reports. Reporting to donors is scheduled according to individual
agreements. PHASE submits annual reports (project progress and financial) to government agencies
every year. Besides, PHASE took part in yearly and half yearly review meetings of District
Development Committee and District Health Office in Gorkha. PHASE has presented project progress
reports during the review meetings.
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7.3 Process Evaluation: A progress survey was conducted in Bajura and Humla districts for identifying project success. A
structured questionnaire containing health and livelihood related questions, was designed and applied
in a representative sample of households in the project VDCs. FCHVs were asked different questions
for identifying their capacity, related to trainings given by PHASE to FCHVs.
Survey findings conducted in March 2015 were generally very positive. Projects have been proven to
be successful in most project VDCs. There has been a remarkable change in communities before
implementation of the project and after.
7.4 Promotions and Marketing PHASE Nepal disseminates its activities in bi- monthly e-newsletters. PHASE Nepal has also published a
wall calendar for the Nepali year 2072 (15 April, 2015 – 14 April, 2016). Around 5,000 pieces were
printed and distributed. This wall calendar contains awareness raising and advocacy messages in all 6
pages, including achievements of PHASE Nepal since its inception. This calendar is designed for
publicity of the organization as well as spreading messages among the community to raise health,
education and child rights awareness. PHASE Nepal has also printed flex sign boards to fix in field
offices. 400 T-shirts have been printed this year.
Table 22: Promotional Activities | July, 2014 – June, 2015
SN Promotional Activities Total Qty.
1. Wall Calendar 5,000
5. PHASE Nepal Flex board in project fields 30
6. PHASE Nepal T-shirt 400
7. Bimonthly e-Newsletter 6