Annual Report 2012 - 13 Friends of Nepal Pariwar Foundation On the Road to Improved Health and Well-being in New Program Area We want to share a true story with you of a family that is repre- sentative of the poor and margin- alized people in Nepal who lack access to reproductive health ser- vices from someone they can trust. Kanchi Bahadur lives in Mulkharka village with her hus- band, Shyam, 87-year old mother- in-law, and five children. Two of her older children have left home for Kathmandu to work. One son is a laborer and carries materials for construction, and her older daughter is married with a granddaughter and works as a maid. Two younger daugh- ters are studying in 3 rd and 7 th grades in a local school (2 miles walk from home). At 45-years-of-age, Shyam Bahadur’s small land holding can- not produce enough food to feed all the family members. which method of contraception to use. “It is an embarrassment that my wife at 40-years-old is giving birth at the same time my daughter is having children”. Re- cently, Kanchi began using Depo Provera, the injectable contra- ceptive. Shyam Bahadur and Kanchi are now members of a small commu- nity savings and credit group. Last year they took a loan to pur- chase three pregnant goats. These three goats produced six kids. They sold three of the kids and repaid half the loan, and now plan to breed the three “mother” goats again plus the three female kids when they are old enough. This plan will allow them to re- pay the loan plus increase in- come. The family spends time cutting grass and fodder trees from nearby forests and field ter- races to feed the goats, and the costs of production are minimal. Both Kanchi and Shyam work as casual laborers in other village fields to supplement their income. Last year Kanchi gave birth to twins. The birth was successful and attended by Kanchi Budhi Ta- mang, a skilled nurse midwife re- cently assigned to this village and supported by Friends of Nepal Pariwar Foundation. Otherwise, Kanchi Bahadur would have depended on her elderly mother-in-law to assist in the birth at home. Shyam had no money to arrange for his wife to be carried to the nearest clinic located 4-5 hours walk from the village. In the weeks following the safe de- livery, one of the twins died, cause unknown. The nurse midwife counseled Shyam and Kanchi to consider using a contraceptive. Shyam Bahadur told her that he wanted to prevent his family from becoming larger but didn’t know Kanchi and Shyam Bahadur are on the road to improved well-being. Kanchi survived a risky delivery and is now using an inject- able contraceptive thanks to the services of a new nurse-midwife in their community of Mulkarka. They are also now participating in a savings and credit program through which they’ve started goat raising.
Transcript
A n n u a l R e p o r t 2 0 1 2 - 1 3
Friends of Nepal Pariwar Foundation
On the Road to Improved Health and Well-being in New Program Area
We want to share a true storywith you of a family that is repre-sentative of the poor and margin-alized people in Nepal who lackaccess to reproductive health ser-vices from someone they cantrust.
Kanchi Bahadur lives inMulkharka village with her hus-band, Shyam, 87-year old mother-in-law, and five children.
Two of her older children haveleft home for Kathmandu to work.One son is a laborer and carriesmaterials for construction, andher older daughter is marriedwith a granddaughter and worksas a maid. Two younger daugh-ters are studying in 3rd and 7th
grades in a local school (2 mileswalk from home).
At 45-years-of-age, ShyamBahadur’s small land holding can-not produce enough food to feedall the family members.
which method of contraceptionto use. “It is an embarrassmentthat my wife at 40-years-old isgiving birth at the same time mydaughter is having children”. Re-cently, Kanchi began using DepoProvera, the injectable contra-ceptive.
Shyam Bahadur and Kanchi arenow members of a small commu-nity savings and credit group.Last year they took a loan to pur-chase three pregnant goats.These three goats produced sixkids. They sold three of the kidsand repaid half the loan, and nowplan to breed the three “mother”goats again plus the three femalekids when they are old enough.This plan will allow them to re-pay the loan plus increase in-come. The family spends timecutting grass and fodder treesfrom nearby forests and field ter-races to feed the goats, and thecosts of production are minimal.
Both Kanchi and Shyam work ascasual laborers in other villagefields to supplement their income.
Last year Kanchi gave birth totwins. The birth was successfuland attended by Kanchi Budhi Ta-mang, a skilled nurse midwife re-cently assigned to this village andsupported by Friends of NepalPariwar Foundation.
Otherwise, Kanchi Bahadur wouldhave depended on her elderlymother-in-law to assist in the birthat home. Shyam had no money toarrange for his wife to be carriedto the nearest clinic located 4-5hours walk from the village.
In the weeks following the safe de-livery, one of the twins died, causeunknown. The nurse midwifecounseled Shyam and Kanchi toconsider using a contraceptive.Shyam Bahadur told her that hewanted to prevent his family frombecoming larger but didn’t know
Kanchi and Shyam Bahadur are on the road to improved well-being. Kanchi survived a risky delivery and is now using an inject-able contraceptive thanks to the services of a new nurse-midwife in their community of Mulkarka. They are also now participatingin a savings and credit program through which they’ve started goat raising.
Meet the Midwives:Serving Women andTheir Families in Nepal
Scholarship Recipients Begin Work in Clinics
Two young village women, Gamala Dhanuwar andMin Kumari Tamang, received scholarships fromFriends of Nepal Pariwar Foundation for a two-yearNurse Midwife course.
After completion of their on-the-job-training in pro-gram clinics, Min Kumari Tamang was assigned toGothpani, one of the remote outreach clinics startedlast year, and Gamala will work in the Tipeni clinic nearher home.
Gamala Dhanwar (left) and Min Kumari Tamang (right)are now at work as Nurse Midwives in program clinics.
Coordination andSupport for All by One
An experienced nursemidwife, Kalpana Bista(right) coordinates theprogram and arrangesin-service training for allthe nurse midwives. Kal-pana has over 10 yearsof experience.
Midwife Team atHinguwapati BirthingCenter Clinic
Hinguwapati team ofmidwives: Usha Rai(left) has four years ex-perience and UrmilaRai (right) has over 10years experience.
New Midwife in NewProgram Site
Kanchi Budhi Ta-mang (left) has been atthe new remote pro-gram in Mulkharkasince September 2012.
Mahankhal Midwife HasLong Experience
In Mahankhal, one of themost experienced mid-wifes, Meena Deuja (left)has worked for over 20years at the clinic.
Two Midwives at Tipeni Clinic
Shanta Jirel (left) has over 20years experience and BinaChapagain (right) has two yearsexperience.
Friends of NepalPariwar Founda-tion supports workin three districts:
Pariwar Program Activities and and Accomplishments in 2012- 2013
Last year’s main activities and outcomes:Two skilled nurse midwives assigned in
each of the three main clinics providing thecomprehensive services.
Clinics become more self supporting20% of senior nurse midwife salary contrib-uted from local clinic income (average salary:$1,800 per year.)
On a trial basis, one nurse midwife wasprovided to each of two new remote sites,Mulkharka and Gothpani, at a salary cost of$1,500 per year. The communities are provid-ing accommodations for the nurse midwife anda small room for the clinic.
Community water system in Mulkharkafor 32 households (population of about 250)was completed at a final cost of $5,500 (forpipe, cement, fittings, & technician). Commu-nity contribution of $3,404 value of labor pro-vided by the community and a cashcontribution of $350.
Five farmers from Mulkharka were sup-ported to make a cross visit to a demonstrationsite to observe medicinal plant production; allfarmers planted seeds of one variety and onefarmer planted cuttings of a second variety.(Chiraito and Himalayan Yew are in demand bythe pharmaceutical industry Chiraito for prep-aration of a malaria drug, and Yew for a chemodrug called Taxol. These plants are suitable forhigh altitude cultivation.
Plans for 2013:Continued support of nurse midwives in
three main clinics and remote sites (total of 8)to provide reproductive health services, prena-tal checkups, skilled delivery assistance and/or referral for pregnant women in areas with-out access to skilled birthing services.
Main clinics will contribute 25% of se-nior nurse midwife salaries from local incomefrom small fees for services, sale of medicines,and government incentives received fordeliveries/prenatal checkups.
Completion of community water systemfor Gothpani for 54 households (population255) at cost of $3,700 (for pipe, cement, fit-tings, & technician). Community contribution oflabor valued at $816 and cash contribution ofapproximately $290.
Family Planning Highlights
- 976 couples were provided family planning services- Equally divided between new and continuing acceptors- 68% use Depo-Provera, 3 month injectable contraceptive- Pills, IUD (including copper T) and Norplant were alsoprovided in Mahankhal, Tipeni and Hinquwapati- Partner clinics distributed 14,360 condoms
FamilyPlanning,
9765%
ReproductiveHealth,
524627% General
Health, 1335068%
19,572 Patients Received Services
Midwives assisted women in 230 safe deliveries in the clinics.
Friendsof
NepalPariwar
Foundation
Mission: Improve the health and well-being of women and theirfamilies in rural Nepal by supporting a network of registered non-profit community organizations in Nepal and strengthening their ca-pacity to sustain and expand health and development services inremote and underserved communities.
Friends of Nepal Pariwar Foundation is a registered nonprofit, char-itable 501(c)(3) organization. Tax ID Number: 26-1246116. Admin-istrative expenses are paid with contributions by board members.100% of all other donations are designated for program expenses.
Friends of Nepal Pariwar Foundation5877 Melita Road
Opening balance of operating account 1/1/12 $ 7,121
INCOMEContributions received in 2012 from 61 supporters 27,635Interest income 22Friends of Nepal Board contributions for administrative costs 1,100
EXPENSEPayment to BBP-Pariwar for ongoing program 11,668Payment to BBP-Pariwar for three additional nurse midwives 5,000Payment to technical support person to establish new clinics, organize communities for safe water and assist formation of women’s groups 1,400Administrative costs (contributed by Friends of Nepal Pariwar Foundation Board for publications, postage, licenses & fees) 812
Closing balance of operating account 12/31/12 $ 16,998
FINANCIALSUMMARY
2012
Friendsof
NepalPariwar
Foundation
The complete Financial State-ment is available upon request.
“Dhanybhad”Thank You to
Our Supporters
Friends of Nepal Pariwar Foundationexpresses its heartfelt gratitude to allof our individual donors.
We give special recognition to theAllPeopleBeHappy Foundation fortheir continuing generous support.This work could not be done withoutthe help provided by all our donors.
A reserve fund now totaling$15,051 has been established by theFriends of Nepal Pariwar Founda-tion board for use in meeting com-mitments to our partners in Nepalwhen expected revenues fall shortand/or unexpected expenses arise.
Reserve Fund EstablishedTo Ensure CommitmentsTo Partners Are Met
