Services
in the past: Glorious achievements
In
addition to the development of health services, the Siddhi Memorial Foundation
(SMF) is involved in exciting projects, all aiming to serve the local
community. These include:
•
Community Health Outreach Program
•
Acute Diarrhoea Research Project
•
Pneumonia Research Project
•
Women's Micro Nutrition Research Project
•
Clean Water Project
•
Human Resource Development
•
HIV/AIDS Harm Reduction Program
• HIV/AIDS Prevention Program (July 2006 onward)
•
Bhaktapur's First Children's Playground
Community
Health Outreach Program (March 2001 - September 2002)
Partially
funded by the Canadian Corporation Office (CCO) Kathmandu, the program
was focused on the remote village Kankrabari, located east of Bhaktapur.
This village is a member of the Nangkhel Village Development Committee
(VDC). The program aimed to increase health awareness in the area by educating
residents about sanitation, hygiene, reproductive health, family planning,
safe motherhood, diarrhoea and nutrition. Orientation programs, health
empowerment trainings and programs that encouraged community participation
were successfully undertaken to raise awareness amongst the village people,
and to provide them with the motivation to work for themselves in the
days to come.
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Acute
Diarrhoea Research Project (January 1998 - August 2001)
The
Siddhi Memorial Health Service Centre (SMHSC) cares for a large number
of patients with diarrhoeal illnesses every year. Diarrhoea is difficult
to control in the Bhaktapur area due to poor sanitation, malnutrition
and poor food preparation practices. The Institute of Medicine and the
University of Bergen, Norway in association with SMHSC completed the Acute
Diarrhoea Research Project in 2001. It focused on the use of Zinc as treatment
and prevention for these illnesses. The study involved over 1800 subjects
and found that Zinc promoted habitualization of the gastrointestinal tract
and proved effective in helping to control diarrhoea. This project was
very successful and articles were published in the Pediatrics
journal (Effectiveness
and efficacy of zinc for the treatment of acute diarrhea in young children),
as well as The American Journal of Clinical Nutrition (Predictors
of plasma zinc concentrations in children with acute diarrhea). Due
to this research doctors at SMH now recommend Zinc to control diarrhoea
in the appropriate patients.
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Pneumonia
Research Project (July 2003 - December 2007 [extended])
This
project was made possible due to the success of the Acute Diarrhoea Research
Project. In collaboration with Department of Child Health, Tribhuvan University,
Kathmandu, and The Center for International Health, University of Bergen,
Norway, SMH is the sole recruiter and centre for a large study, investigating
the role of zinc as an adjunct to treatment in children under 3 with pneumonia.
So far about 1500 children have been recruited. Thymus scans are preformed
on recruited children to determine the effect of zinc on the immune system.
Virus etiology is also performed, which allows doctors to determine which
viruses are most common in the area. This project has allowed children
in the study area to receive high quality free treatment, including a
large input from fieldworkers who visit recruited children daily for 14
days to monitor their condition. The fieldworkers are able to offer essential
healthcare advice, reaching out to a wider community. 2700 children were recruited and the project is currently in its follow-up stages. Medical research
in Nepal is not widespread but such projects provide essential information
about the population and how best to manage illness.
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Women's
Micro Nutrition Research Project (August 2001 - April 2003)
The
Women's Micro Nutrition Project, in conjunction with the Institute of
Medicine and the University of Bergen, aimed to determine the nutritional
status of women of childbearing age (15- 35 years) living in the Bhaktapur
area. Women from different wards of Bhaktapur were randomly selected,
and their food intake was monitored by the field workers. Blood tests
were performed to assess the micro nutritional status (including levels
of Iron, Zinc, Vitamin A, Vitamin B12 and foliate) of the women. Although
some results of this study are still under analysis, others have been
analyzed and have been submitted for publication.
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Clean
Water Project (2001 onward):
In
March 2001 the Water Treatment Plant was completed with the help of Italian
donors led by Giorgio Bisotti. This plant provides clean water to the
hospital and its surrounding communities. This project aimed to reduce
the health problems stemming directly from the poor quality of available
water in the vicinity of the hospital.
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Human
Resource Development (ongoing):
The SMF has tried to hire the majority of its staff from the local area
of Bhaktapur. To achieve this, with the help of overseas donors and sponsors,
SMH has provided scholarships for the education of nine doctors, fifteen
registered nurses, two community medical assistants, one community health
worker, one dental assistant and one laboratory assistant. Some of the
staff are currently employed at SMH while others are employmed elsewhere
and will be joining the SMH when the hospital has completed its further
developments.
The
most recent medical students to receive scholarships from the SMF include:
Mr. Hari Om Joshi and Mr. Madhusudan Kayastha, currently attending the
Manipal College of Medical Sciences, Pokhara; Mr. Dhruba Shrestha, attending
the B.P. Koirala Institute of Health Sciences, Dharan and Mr. Suraj Dhaubhadel,
attending the Dhaka Medical University, Bangladesh. Our newest recipients
of nursing scholarships are Miss Kalpana Awal who has completed her certificate
at the TU Nursing Campus, Maharajgunj; Miss Pratibha Khatry, attending
the Sushma Koirala Memorial Nursing Campus, Kathmandu and Miss Sharada
Barakoti, attending the TU Nursing Campus, Birgunj.
Among
the previous five receipient scholarship to study medicine (MBBS) are:-
Dr. Dhana Ratna Shakya (Completed 2002), Dr. Satya Narayan Suwal (Completed
2005), Dr. Yagya Ratna Shakya (Intern), Dr. Raj Bhakta Maharjan (Intern)
and Dr. Ganendra Bhakta Raya (On going).
In
addition to providing scholarships to deserving students, the SMF provides
further training opportunities to existing staff. Among staff receiving
such opportunities is Dr. Sita Shakya who, in September 2004, participated
in a Reproductive Health Seminar held in Tokyo, Japan which was funded
by the Japan International Cooperation Agency.
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HIV/AIDS
Harm Reduction Program (July 2002 onward):
HIV/AIDS Harm Reduction Program is also a component of this Foundation that was launched from July 2002 partnering with Center for Harm Reduction (CHR) at first. Secondly, this program was launched from September 2003 to August 2004 partnering with Save the Children U.S.A (SC/US). Although there was a 4 months dark period between two phases – CHR and SC/US, Siddhi Memorial Foundation had provided continuing services to IDUs.
From September 2004 until December 2006, the program was launched through the United nations Development Fund with support from AusAID.
Since January 2007, the program has been operating with funding from United Nations Office on Drugs and Crime (UNODC) under the Government of Nepal, Ministry of Home Affairs. The program objective is to prevent and to contain the epidemic of HIV/AIDS, Hepatitis, and other blood born diseases among and from the Injecting Drug Users (IDUs) as well as encourage the primary target group to adopt a healthy life style. To achieve this IDUs are offered the knowledge, education and encourgement to practice safe sex by the use of condoms and to use only the Harm Reduction supplies when using drugs.
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HIV/AIDS Prevention Program (July 2006 onward):
In collaboration with World Vision International, Siddhi Memorial Foundation has also implemented a HIV/AIDS prevention program in the Bhaktapur region. The Major objective of the program is to increase community awareness of HIV/AIDS, Hepatitis, STD, transmission of diseases, reproductive health and decrease community prejudice towards those infected with HIV and AIDS. This is being done by informing the youth through direct classroom activities and the training of the teachers in the community schools.
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Bhaktapur's
First Children's Playground:
There
are currently no children’s playgrounds in Bhaktapur and very few
open spaces where children can play safely. The SMF is in the process
of setting up a children’s playground on the SMF premises to provide
a safe and educational environment for the children of our community.
This playground is for the enjoyment and development of all children,
including those attending the hospital and members of the community at
large. The playground will offer a unique, informal place for parents,
especially mothers, to exchange health information and to support each
other. The children’s playground will also offer the elderly citizens
of SSB precious contact with children where both will benefit as in a
grandparent to grandchild relationship.
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