Day-Care/Health Centres

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Rural Health Care
Health Care: Basic & Effective
"Since we started operating our health posts, no children under the age of five have died in the village area that CWS/N covers."	In the whole of Nepal, there is only one doctor available for every 18,439 inhabitants. Especially in the rural areas it is extremely difficult to find treatment if one becomes ill. There are few government health posts which are well equipped and well managed. Nine out of the thirteen DCHC's were established by CWS/N while two were established by the local communities. These DCHC's all have a well-stocked health post attached to them.
The children that attend the centres get daily free check ups and treatment from a local community health worker, usually a woman CMA trained by CWS/N. Also for the villagers this means no more expensive and long trips to the city for a consultation. Now they can ask one of their own for help, which will only cost them 2 rupees, less than US$2. The local nurses are supported, monitored, and trained by senior health workers from the CWS/N office who visit the centres regularly. They help provide additional training for the village based nurses, to improve their practices, share ideas, experiences and ways of imparting preventative health care to their communities. Most of the ailments seen and treated here are cuts and bruises, pneumonia, diarrhoea, skin and eye-infections, etc.
An important part of the health workers job is holding regular awareness programmes amongst the villagers on topics such as good health topics, HIV/Aids, hygiene, etc.Particular emphasis is placed on 'reaching out' to members of the community facing particular challenges; be they prejudices (caste/ethnic/socio-economic), or the physically and mentally challenged. The DCHC's nurses spend time each week on home visits to have a friendly chat with parents if they feel that a child's health needs special attention.
Health Care: Basic & Effective
Most of the visitors to the health posts can be treated on the spot for minor injuries or illnesses. The health workers have been trained to immediately refer serious cases to CWS/N's Asha Clinic in Pokhara, where more advanced treatment is available and referral routes to other hospitals and facilities are opened up, free of cost.

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