INTRODUCTION

Raskot Community Hospital is an upcoming non-profit motive health company under Company Act 2063 and registered under Social Welfare Council in Nepal. The hospital shall accommodate 15-beds in service via digitalization in Gautu, Raskot Municipality, Kalikot, Nepal. The hospital shall provide access to medical services to underprivileged groups in Kalikot and Bajura at affordable costs.

Raskot lies in upper hilly region of Kalikot situated in Karnali province- the remotest part of Nepal. The locality is densely populated with marginalized communities of low income and of consequences due to conflicts during civil war.

Our main aim is to provide a comprehensive health programs such as preventive, promotive, curative and rehabilitative. 70000 individuals in Raskot and neighboring villages who are deprived of basic health care and emergency services will be our major target.

PROBLEMS

• The nearest and an only hospital is nearly 5-6 hour journey on a vehicle from the vicinity.

• The nearest district hospital to Manma is 50 Km away and is currently 15 bedded.

• Out of 77 districts, the district lies at the bottom five on district health status of Nepal.

• Access to affordable health care services far exceeds the income of the majority of the population since 50% of total   population is under poverty.

• The total district of population 1.36 Lakh (As per 2011 CBS) has only 4 doctors(2017) in district hospital.

• Lack of any emergency care in the vicinity deteriorates the life of the locals. The poor maternal and infant mortality so lack of to emergency caesarian operations

• Nearly 40% are illiterate in Kalikot district

• Nearly 83% are Agriculture based (2011 CBS)

• Life expectancy is around 58 years

• Human development index is just 0.32

• Around 40 km away from nearest national highway i.e. Karnali Highway

• Major Clinical conditions that need attention are-

Malnutrition (Under nutrition),
Acute gastroenteritis (AGE),
Fever of unknown origin (FUO),
Fractures and trauma,
Chronic obstructive pulmonary disease (COPD),
Upper and lower respiratory tract infections (U and RTIs),
Abdominal pain (acute abdomen, biliary colic, renal colic, acid peptic disorder, and so on),
Uterine Prolapse
Obstetric (and gynecologic) emergencies

• Currently only health post is serving the need of the locals which is not sufficient to treat the above clinical conditions.

SOLUTIONS

1. SMART HOSPITAL

Digitalization and Tele-medicine services

2. MEDICAL HANDS

For medical checkups health workers shall be allotted as follows;

Phase I- MBBS doctors and few staff nurses
Phase II- MD GP specialized doctors
Phase III- Additional Health Professionals and Nurses.

3. TREATMENT

Common diseases and injuries,
maternal and prenatal health care,
emergency obstetric care,
child health services such as oral health, accident prevention and rehabilitation, post trauma problems, operation services, chronic disease diagnosis, control and referral, counseling and school health programs and preventive services,
outreach support as seasonal camps at community level.

4. SURGERY

Phase II- Minor Operating Theater
Phase III- Upgrade to Surgery especially for emergency obstetrics and gynecology and other emergency surgeries will full range of simple procedures.

5. AMBULANCE

For emergency and incapable patients from remote villages .

6. OUTREACH AND SUPPORT TO NEIGHBOR

On Phase III conduct health outreach and support to surrounding areas.

7. HEALTH FOR ALL

Provision of Health Insurance to the community.

8. EXEMPTION AND FREE SERVICES

Provide free services to 10 % of the patients recommended by local bodies.

9. BECOME A PART

Become a health supporting organization among local bodies.