friends of okhaldhunga 2011 1 - united mission to nepal of okhaldhunga 2011.pdf4 friends of...

Friends of Okhaldhunga 2011 1

Friends of Okhaldhunga 20112

A note from the Hospital Director 3Records in Mothers’ Waiting Home! 4Try, try, and try again 5Birthday celebration 6Happy ending! 6Then and now... and into the future 7Okhaldhunga Community Hospital - a dream for the future 8Make a lasting contribution 10Construction engineer on board in Okhaldhunga Hospital team 10Baby boom 11On the way to life in social service 12Two months of learning in Okhaldhunga 13Hospital staff on study tour 13The small ones 14Why we became Friends of Okhaldhunga 14To give 15Snapshots from 2010 16


A note from the Hospital Director

Dear Friends of Okhaldhunga,

I am extremely excited to write for “Friends of Okhaldhunga”. Thank you all, God’s people around the world, who are very good friends and neighbours of this hospital, for your prayers. They are more powerful than dynamite! Your precious gifts directly impact on people’s lives. As part of our team, you encourage us all to make an ever greater effort.

How fast the last two years have passed, since I took over my new role as the Hospital Director here. For me, these two years were a time to become familiar with the hospital’s curative as well as preventive activities, and the individual gifts and skills of the staff members. I needed to understand the attitudes and perspectives of all of the stakeholders – the nearby community people, the political leaders and groups, and the government line agencies – towards our hospital. These have been years of internal struggle too, with various problems arising during the period. We sought out land and consistently pushed for the preparation of the Master Plan for the extension of the hospital. And we faced a shortage of doctors while our Medical Co-ordinator was on furlough, which, instead of drowning me in the pond of frustration, really has propped me up.

For the hospital, these two years have been years of achievement with many stories with happy endings as numerous severely sick people recovered against all the odds as the result of combined effect of

medical care and prayer. There were also some sad stories, of severely sick people who either came too late, or came with problems that were beyond our capability and resources here in Okhaldhunga. These years have also seen the development of the Master Plan for the hospital extension. We bought and registered the land in the hospital’s own name and were encouraged by the amount of money sent from people from the local community who work in the UK.

We should have published Friends of Okhaldhunga in 2009 and 2010 as well. But we delayed, because of the work being done on the Master Plan and various other technical circumstances. So we are delighted to publish this issue, to share our work with you, and encourage you to participate in implementing our Master Plan.

We were only able to endeavour to provide wholistic care to all our patients and progress towards our Master Plan with your help and prayer support. Thank you, on behalf of the entire team of the hospital, and all the patients and their families, for being a part of this.

Tuk Bahadur HarijanHospital Director


This year we will reach a new record in the number of pregnant women coming to stay in our Mothers’ Waiting Home before delivery. They come from far away, they have lost children during previous childbirths, they have other risk factors, or they just want to give birth in hospital for safety reasons and be sure to get there in time. In the first eight months of 2010-2011, already more than 140 pregnant women have been admitted!

They are welcome here two weeks before term. The lady and a friend can stay for free until she gives birth. Every day they have a time of teaching, and many friendships are built across tribal or caste barriers. They get a healthy soup of nettle powder and jwano (traditional food for breastfeeding mothers) every morning, as all post delivery cases in the hospital do.

The record for the smallest expectant mum is Kumari, aged 20 years. She came from northeast Okhadhunga, a long day’s walk from the hospital. She is only 138 cm tall. By full term of pregnancy, her weight was only 38 kg!

The local Health Post sent her to the hospital to be sure she was here in time. After a week in the Waiting Home, with rest and good food, she went

into labour, but the child could not get down into the pelvis and a Caesarean Section had to be done. She gave birth to a healthy little boy of 2,300 gms.

Records in Mothers’ Waiting Home!

Kumari, by full term only 38 kg and 138 cm

Kristin Langdalen, a medical student from Norway, together with our smallest friends in the Mothers’ Waiting Home. Kumari to the left.


Records in Mothers’ Waiting Home!

It was going to be a routine C-section. Except that there is no such thing. Every surgical case is challenging and unique in its own way. I was at Okhaldhunga Hospital working with Dr. Erik Bohler. Erik is a paediatrician, but at a place like Okhaldhunga, a doctor needs to be able to deal with any medical problem. This woman had traveled from far away and her labour was not progressing normally. After several hours of intense pain without progress, the decision was made to proceed with a Caesarian Section. We informed the operation room and got her ready for surgery.

The operation went well. I assisted Dr. Erik as he opened up the abdomen, removed the baby and then sewed the uterus up. There was some bleeding from one side of the uterus, but it seemed to have stopped when we closed. After surgery, the patient just didn’t look right. Her blood pressure started to drop and her pulse went up. IV fluids seemed to stabilise her, but then the blood pressure fell again. We got ready to transfuse some blood. I had brought a portable ultrasound with me, and we examined her abdomen. This confirmed the suspicions that I had. She was bleeding inside her abdomen and now she was going into shock. We had to take her back to the operating room, open up the abdomen and control the bleeding.

When we opened, we found that the problem was worse than we thought. Each time we thought the bleeding was controlled, it would start again. We put in suture after suture, but one corner of the uterus continued to bleed. By this time, the patient was in real danger. There is a point in surgery where you risk doing the patient more harm than good. The longer the patient is open, the colder they get, the less the body’s clotting mechanism works, and the more they bleed. I made the decision to pack the abdomen. This means that you shove sponges in the area that is bleeding and close. The OR team was surprised.

“You’re going to intentionally leave those sponges inside?” “Yes.”

“Doesn’t that mean we have to come back and remove them?” “Yes.”

“Are you sure?” “Yes.”

The next day, the patient was more stable and we returned to the operating room to remove the gauze sponges. This time, the bleeding was easier to identify and control. We closed up her abdomen for the third time in two days. After the third surgery, the patient was a bit sluggish, but she eventually left the hospital with a smile and a healthy baby.

Try, try, and try again

It is frustrating when things don’t work out as we plan. As a surgeon, it makes me aware that I don’t know everything, and that even a simple case can be a challenge. It makes me understand that I cannot rely on my own skill or intelligence, and that I must continually ask God for help.

In a place like Okhaldhunga, one is continually reminded that life is a gift and that God works miracles. It is an incredibly remote and challenging place. I was moved by the needs of the patients who traveled long distances to come for help. I was moved by the devotion of the staff of Okhaldhunga, who served them with compassionate care. It is truly a special place.

There are great needs at Okhaldhunga. One of those needs is for medical professionals to come and volunteer their time and expertise. This has a long-lasting effect, as they can help to teach the staff and the residents who work there. I wish we hadn’t needed to operate three times on one patient, but this technique had never before been used at Okhaldhunga. I believe that it saved her life, and I believe that the team will use it in the future to save other lives.

Another specific need is for a portable ultrasound. This is a wonderful tool which can be used to make a quick diagnosis. Okhaldhunga needs a portable ultrasound. This is a very tangible way that a donation to the work of the hospital can go directly to help patients in need.

Warren Cooper MD, FACSSamaritan’s Purse

A smile and a healthy baby.


Okhaldhunga Hospital does not usually create a fuss on its own birthday. But this year, on its 49th birthday, we had good reason to celebrate!

The hospital started when Dr James Dick with his friends walked east to “nowhere”, to the area furthest away from any centre, road or hospital, but where there were many people in need. He ended up in Okhaldhunga, deciding that this must be the place for UMN to build a hospital! Dr Dick met with Goun Harka Rai, who welcomed him to rent a room in his house and start from there. Mr Rai had been a Gurkha soldier and had seen how hospitals could help people.

On this birthday, we received a great present from the Gurkha soldiers in UK who come from this area. A cheque for NRS 276 284 (USD 20,000) was handed over, to be used for the extension of the hospital, here in their own village.

The cheque is handed over by Mr Goun Harka Rai, 83 years old. He was Dr Dick’s first partner in Okhaldungha.

Mark Galpin Executive Director of UMN, received the cheque. He was visiting us for the day of celebration.

All the leaders of Okhaldhunga District took part.

Birthday celebration

Next year, we invite you to help us celebrate the 50th Anniversary of Okhaldhunga Hospital15 March 2012

All who have worked at Okhaldhunga or have supported the hospital are welcome.Make your plans now!

Ris Maya and her husband give us a happy ending for this issue of Friends of Okhaldhunga. After three weeks in the Maternal Waiting Home, she gave birth to a son. He was in breech position, but sensibly turned around when the time came! They already had five children, so the husband was also helped to a “happy ending” by having a vasectomy.

They were worried about how they could afford the hospital fees. They have a small house, but their field is not even big enough for building a toilet. But there was a happy exit from the Social Service Office, after their hospital bill was paid by some unknown friends.

Happy ending!


In a public interaction meeting, a few years ago, I heard an elderly man called Mr Goun Harka Rai telling a story. He talked about a small medical clinic opened by Dr James Dick in early 1960s in a rented house. During those days, very few people came to the clinic. Many were reluctant to take the modern medicine prescribed by a foreign doctor. There were occasions when Mr Rai himself had to swallow some tablets to convince unwilling patients that these medicines will not harm them.

In January 2011, I was in Okhaldhunga for a business meeting and had chance to go around the hospital. I saw four mothers who had delivered babies in the previous few days, cramped into a small room. I was told that one mother and baby would be discharged on that day, but three mothers and babies would have to stay for longer, as they were operated on to take the babies out. Another ward was full of patients with broken bones and other injuries. There was a long queue waiting for registration at the Outpatients Department, and a big crowd in the waiting area, waiting to be examined.

Mr Rai’s story and the situation I observed during my recent visit are in stark contrast. The population in the region has increased considerably. People have become more health conscious, and come to the hospital more frequently. There is now road access from remote areas, and transportation is much easier. The one-man clinic established in 1962 has become 32 bed hospital. The services available have increased. The staff members, both Nepali and expatriate, provide quality and compassionate care to the people coming to the hospital. Lack of space and inadequate infrastructure has hindered the highly motivated team in the hospital when it comes to keeping the services up to date. To maintain the tradition of good quality care, and to accommodate the increasing patient load, hospital management has decided to go for an extension of the building and other infrastructure. Some funding has been secured, but we need much more for the construction work.

Right from the beginning of the clinic to this day, we have depended on God for resources and guidance. As co-labourers (1 Corinthians 3:9), many people have contributed to God’s work in Okhaldhunga Community Hospital. God willing and with your continued prayer and other support, we will be able to serve the needy people in this hilly region even better in the days to come.

Dr. Olak B JirelDirector, UMN Hospital Services

Then and now... and into the future

Okhaldhunga Hospital in the 1960s.

The Hospital in 2007

To give the hospital renovation fund, see page 15


Cost: USD 1,100,000!

Already, USD 334,000 has been given as seed money, in faith that this dream will come true one day.

Okhaldhunga Hospital has been serving the district for 49 years. For a long time, the hospital operated in a district without roads. Today it is serving an area of 200,000 people and a network of roads helps people to come to hospital when they need to.

Last year (2010), the hospital had 109 % bed occupancy. Often, the training hall is turned into a ward to cope with the numbers of patients. More often, there is very little space in ICU, where very sick patients struggle for their lives. There are only four beds in the children’s room, so the children are in other wards. In the post-delivery ward, there are also only four beds, so new mothers are also spread around amongst other patients.

It was a great day when the road came to hospital, but it came in at the back! There was no other option, due to the terrain. But now we need to turn the hospital around!

To make a full renovation/extension plan, we received help from a professional architect, Kai

Waise. He also designed the new extension for the United Mission Hospital at Tansen. And we will use the same standard as Tansen did for building materials.

Okhaldhunga Community Hospital:

During the last year, we bought more land and Kai Waise has worked out a complete plan.

The entrance will be where the road comes in. The Out-patients Department will be built on the new land we have bought. The TB Ward will also be on the new land, to provide space for a new treatment block. There will be wardrooms on the ground floor, an Operation Theatre, ICU, Recovery Room and Delivery Room with waiting beds and nursing station on the first floor and on the top floor, a spacious new Children’s Ward and Maternity, and a sunny veranda!

A long line at Outpatients.


a dream for the future

All buildings will be renovated, so we can have proper floors and windows.

The new hospital will have 50 ward beds, with the possibility of extension in the future. Our most important concern is to be ready to help everyone who comes.

Some of the existing buildings will be taken down, and others will be used for new purposes. Emergency will be just inside the gate, and Physiotherapy and other Social Service functions will be moved to where there the Out-patients Department is today.

Okhadhunga Community Hospital serves a very poor area. The community cannot bear the cost of this extension alone. But we have received a good contribution from a group of ex-Gurkha soldiers from the nearby village, who are now living in the UK.

Local people are also willing to carry stones and do the hard work.

At this time, we need to come to you and ask for your support as well, to help the people building their future hospital in Okhaldhunga.

We will recognise your contribution in a Board of Thanksgiving in the hospital.

“Mission, that’s our place to survive!” a man on the path said. Let us hope it will be like that in the future a well.Children’s ward is very crowded.


Make a lasting contribution

I first heard of Okaldhunga Hospital approximately 12 years ago when we were exploring serving overseas and this was mentioned by one of the organisations we applied to as a possible location for us. It was therefore a privilege to eventually get there for myself and see the fantastic work that is being done.

My overall impression was one of ‘compassionate busy-ness’. I was moved by the patients I met, many of whom had very significant illnesses or injuries, which had impacted on them and their families as a whole. The hope and smiles with which they left the hospital once they were cured was extremely moving and a witness to the care of body, mind and spirit they had received from the staff while there. The patients came from many miles away – from the Everest region to the north to the Terai districts in the south, due to the lack of other quality health care facilities in this part of Nepal.

One result of this is that the hospital is extremely busy and the existing facilities are no longer adequate to cater for the number of patients who come. There is an urgent need to upgrade a number of the buildings, and exciting plans have been drawn up to do this. I had the privilege of attending the 49th anniversary celebrations and receiving a cheque from the local community towards this upgrading. This was by handed to me by Mr Goun Harka Rai, a local man who had originally donated the

land for the hospital, and was a moving testament to the high regard and value placed on the hospital by the local community.

I hope this will inspire you to also give to this very worthwhile appeal, and thereby make a lasting contribution to the health and quality of life of the people of eastern Nepal. What better way to celebrate 50 years of compassionate quality health work in the name of Jesus!

Mark GalpinExecutive Director, UMN

To carry out the reconstruction and extension of the hospital will take more than doctors!

From September 2011, Magne and Dorothea Vestøl will join us and keep a professional eye on the construction process.

Magne and Dorothe are Norwegian, but have lived for 12 years in Nepal before, working for UMN. They know the people and the language well, and Okhaldhunga Hospital is very thankful for getting their help in such a time!

Dorothea is a counsellor, and will work in Social Service to strengthen the mental health service and help people to set their feet on solid ground again.

Welcome!

Construction engineer on board in Okhaldhunga hospital team!

Magne and Dorothea Vestøl will move from the Norwegian mountains to the Himalayan mountains again.

Mark (centre) and friends on the path, Okhaldhunga.


Now deliveries are free of cost!!

“Haven’t they always been?” we may ask, with a background from affluent countries.

“And don’t they get maternity leave, maternity grant and family allowance?”

“Welcome to a world without a welfare state and social services”, Nepal answers.

Life is different here. In Okhaldhunga, the price for a delivery in the hospital was at least NRS 1,500 (USD 110), about a week’s pay for work in the village. But that was before 15 July 2010. From that date, a delivery is free, as the Nepal Government now refunds most of what a hospital delivery costs, and the rest is covered by our international supporters through our Medical Assistance Fund.

Until this spring we had on average slightly less than one delivery per day in our hospital. Now we have almost two, every day! This implies a formidable increase in the work load, especially for the nurses. We know that the mortality risk both for mothers and newborns is much lower if the birth takes place in a hospital, than if it takes place at home in the village. Here we can prevent, or if necessary treat, complications which would have caused a catastrophe at home. So we are thrilled by this increase in workload!

A tiny newborn boy is well placed on his mother’s chest, after they have both been given qualified help during a critical delivery. Each successful delivery is literally a victory over the forces of death.

Phunam and her new baby twins.

Phunam is eighteen years old. Her family is landless and cultivates other people’s fields, for which they get half the harvest.

They had walked for two days to reach here. Phunam was pregnant with twins, the first twin in breech position, and her blood group is Rhesus minus. They had been told to go to Kathmandu for a caesarean section. For this they would have to take a loan which would cripple them financially for life. But in the village they were advised to go to Okhaldhunga Hospital. On examination here all the problems were confirmed. Phunam was given the chance to try for a normal delivery, while everything was kept ready for a caesarean section, if that should turn out to be necessary.

Baby boom

Because of her blood group, she was given an injection which reduces the risk that she would develop antibodies against her baby’s blood. One of the international students visiting the hospital at the time had the same blood group as Phunam, which is rare in this part of Nepal. She stood by as a “living blood bank” during the delivery.

They reached here just before Dashain, the most important Hindu festival. First they wanted to go home to celebrate, but they were persuaded to stay in our Maternal Waiting Home. That was good, because labour started on the main day of Dashain. The first twin came in breech position, but came easily with just a little help from the attending doctor. It was a boy, weighing only 2,000 grams. The second twin was a healthy girl of 2,500 grams. They were both Rhesus positive. They were closely followed up after birth, but developed no problems.

This little family is a part of the delivery boom here, and show that access to good maternal care can mean the difference between life and death. And they go home without a high-interest loan for life, and with two healthy babies. Thanks to all those who support the policy of free deliveries!

Kristin and Erik Bøhler

Phunam and her new baby twins.


On the way to life in Social Service

The doctors tried to convince them not to go home. But they spoke to deaf ears. They just had to take him home because he was too sick. A little illogical, when they are in a hospital?

In Social Service, we found the needed peace to talk, in a warm and cosy place while we fed the child. The mother got the chance and tell us why she was afraid. She believed that the child had been attacked by evil spirits, and they had to go back to the shaman to do the rituals. We were able to tell her that we knew the Creator God who has more power than

any bad spirit, and He even loves her little child. Then she asked us if we could pray for her child. Yes, we could, but only together with her, because we are not shamans. Everybody can come before our Creator in prayer; He is the Father of all.

When I opened the Bible, she recognised the book. That was the book which had healed her mother. She asked if she could come daily to Social Service for prayer. She could, and for many days we sat with her by the heater for a talk and prayer. Her child was changed into dry clothes, and

was fed. All the talk about going home ended when we touched the spiritual side of life.

Who is decision maker? This is a common question in development work. We find it is often the many spirits they fear. That belief is a power which often keeps them poor, with many very costly rituals and without the freedom to think for themselves. As workers in a Christian hospital, we know the freedom given by the God who loves them and want to give them life. These are words of hope and life for many who live in poverty.

Kristin Bøhler

Disan Rai fell in the fireplace, burning both hands. After 11 days, they arrived in hospital, two days walk from home. They had been to a local Health Post and a shaman (traditional healer) many times first. When they arrived here, six of his fingertips were black and had to be amputated. He was in need of skin graft, but got gastroenteritis, so it had to be postponed. Then his parents wanted to take him home. He was too sick to be in hospital, they said.


Two months of learning in Okhaldhunga

Our time in the hospital of Okhaldhunga has been a good learning experience in many ways. Every day we have seen cases that we haven’t seen and most probably would never see in Finland. One reason is that some diseases frequently seen here are almost nonexistent in the west, but it is also because many patients arrive only after developing complications. It’s rare for many days to go by without pus being drained from some place!

The best view we had of rural life and practical community health work in Okhaldhunga district was when we went on a field trip to two villages. The aim of the trip was to teach local health committees, decision makers on issues of the health care in every village, about team building

Anna Viren and Maija Ketola, Medical students from Finland

and leadership. The Okhaldhunga community health workers put a lot of effort into improving village health. Community health work includes mothers’ groups, health education classes in schools, teaching the whole community about personal hygiene and mobilizing the local resources.

I’ll never forget a visit to the home of a paralyzed girl. We came in order to plan for her community rehabilitation, to see what changes should be made. These included widening the door, making a new stove higher up from the ground, building a toilet and moving the chickens’ home to outside.

We also had the chance to participate in Christian fellowship. Although we

have different cultures, languages, denominations and backgrounds, still in Jesus we are same family. We can greet each other, saying “Jai Masih”, meaning a victory to Messiah, declaring the victory of Jesus over every situation in life.

Already in December 2009, the dream of a better hospital was strong. We wanted to see other hospitals in Nepal to get some idea of how to develop and run a hospital for the future in Okhaldhunga.

The staff were divided into two groups. The first group went on a study tour for a week, then we worked together for one week, and then the second group went out for a week.

We visited Lal Gath Leprosy Hospital, Lamjung Hospital and Green Pastures Hospital in Pokhara. We went to a Community Health programme in Nawaparasi and the AMDA Hospital in Butwal.

Each hospital gave us an overview presentation when we arrived. Then we went in groups to see the department where we ourselves work at Okhaldhunga. In the evenings, we shared our thoughts of what we had seen.

After the tour, we had a wrap-up meeting back home in Okhaldhunga for both groups.

We saw many good solutions for floors, toilets and patient flow. But we also became more aware of what we do right and do not want to lose – what is important for the lives of patients in a hospital.

Hospital staff on study tour

We want to maintain Okhaldhunga Hospital as a family-friendly hospital. To do that, we need to make space for patients’ relatives, and provide facilities for cooking. We want to have good outside space for resting time in sun, and clean surroundings with a small garden.

We saw good solutions for laundry, and Lal Gath had the best toilets, in steel!

We hope some of our dreams from the tour come true in the new construction, but in the end it depends on the human factor, the people working in the hospital, to make it into a family-friendly place were patients can meet the care and love they need at a hard time in their lives.


The small ones

Three years ago 95 % of babies in Okhaldhunga District were born at home, with no skilled birth attendant present. That is dangerous, both for mother and child. Only 5% gave birth in the hospital, none in the health posts. During the last three years, the number of deliveries in the hospital has doubled, and in addition the health posts are more actively conducting deliveries there. The hospital now has on average one delivery per day. Most of them come due to risk factors. There is a lot left, so our aim is for the increase to continue!

Magne and Marte stayed in Okhaldhunga half a year, Autumn 2010. She as a medical student, he as an engineer.

Newborns lined up for ”photo therapy” in the morning sun outside the post-natal ward.

Mission Maya Magar is the name of this little girl. She was born at “Mission”, also known as Okhaldhunga Community Hospital.

The parents give thanks for her life. Because their two first children had died shortly after they were born, they stayed in the Maternal Waiting Home this time. They got the help they needed, and go home with a beautiful girl, named after the hospital in which she was born.

Not all newborn girls are met by such a great smile on their father’s face!

• Namaste and Jai Masih• Being everybody’s sister or brother• Daal bhaat (lentils and rice)• Friendly colleagues• Badminton with the kids and doctors• Singing Nepali songs in church• Studying x-ray prints out in the sun• Referring patients to “video x-ray”• The waiting mothers• Sitting on the floor• Getting up after sitting on the floor• Dedicated hospital staff• Long church visits• Successful communication without

words

Why we became Friends of Okhaldhunga:

• Successful communication in a new language

• Multi-age fellowship• The leaning bus • Kurta Suruval (Nepali fashion)• Sarbotam pito (super flour) porridge

for breakfast• Becoming popular because of my

blood group• Hole in the classroom ceiling for the

tall Norwegian• Visions for the future• Reading with torch light• Patients getting better• View of the Himalayas and Mount

Everest

• Walking and talking• Christmas singing and dancing• The warm welcome from

everybody we met


To give

Money transferPlease note on your transfer: “Extension of Okhaldhunga Hospital”.Please send information about your transfer to:[email protected]

UMN:Standard Chartered Grindlays BankPO Box 80, 13-15 Castle StreetSt Helier Jersey, JE4 8PT,Channel Island

Sort Code: 60-91-99Swift Code: SCBLJESH

IBAN Code:GB24 SCBL 6091 99 10078177 (GBP)GB75 SCBL 6091 99 10615512 (EUR)GB37 SCBL 6091 99 10385142 (USD)

Account Name: United Mission to NepalAccount Numbers: 1010078177 (GBP) 1010615512 (EUR) 1010385142 (USD)Okhaldhunga Community Hospital:Transfer or wire to:Standard Chartered BankGPO Box 3990Nayabaneswar Kathmandu,NepalAccount Name: Okhaldhunga Community HospitalAccount no 010156530301

Swift Code: SCBLLNPKA

Donate OnlineGive via credit or debit card from anywhere in the world.Go to www.umn.org.np and click on Support UMN. Follow the prompts. When you reach the “Please pass the following instructions to the charity” box, enter Okhaldhunga Community Hospital Extension Fund. This will ensure your gift is allocated correctly.

For UK donors, this site offers tax efficient giving.

This year we will ask for your help to fund the planned extension of the hospital.

Mail DonationSend a cheque made payable to Okhaldhunga Community Hospital to:Okhaldhunga Community Hospital c/o United Mission to Nepal PO Box 126, Kathmandu, Nepal


For more information, please contact:Okhadhunga Community Hospital

United Mission to NepalPO Box 126, Kathmandu, Nepal

[email protected]

Produced by Communications Team, UMN Design: Ramesh Man Maharjan

© UMN 2011

Snapshots from 2010

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