Congratulations team for the innovative approach. I really liked the concept of Community Health Worker Leaders, Community Advisory Board and of course the use of mobile (technology) for effective data collection. We have well thought of mobilising the health workers.But we could be more broader in our inclusion for primary level government school teachers and secondary level students.These modalities have been well used by B.P. Eye Foundation for past 25 years and found to be successful in creating demand creation and awareness in eye health as an example from "Little optometrist." If we are to mobilise students for creating more demand and awareness for pediatic care, i would name them "Children for Children". I think for the sustainability, we should always work with the government and thus strengthen the current network(i.e. public private partnership). The children identified with illness/morbidity should be referred to Bayalpata Hospital and if needed further referred to Kanti Children Hospital, TUTH, Children's Hospital for Eye, ENT and Rehabilitative Services. There should be a hierarchy that FCHV,health workers, teachers,students and key informants communicate well with community health worker leaders which in turn will be reporting to community advisory board and then to Bayalpata Hospital which further collaborate with national and international working group for delivery effective pediatric care. I would love to share more ideas and work together in this great idea of access to pediatric care.
Good luck team!
Prasanta Poudyal MBBS,Maharajgunj Medical campus,IOM Diploma in global health,University of tampere member,Universities allied for essential medicines Universities Allied for Essential Medicines.
Mass education campaign should be focussed not only pediatric care but gender inequality, demand creation for proactive approach.The idea like street drama, role play has been more effective in the rural area like Accham.
An old adage says, future of a nation depends on its children. More inclusive the opportunity of education and better the quality of education better is the quality of nations’ work force. Science tells us that Vision contributes to 76 % of child’s learning and hearing contributes to another 12%. Between them the two contribute close to 90% of child’s learning. Altogether an estimated 20% of Nepal’s 12,000,000 children- a staggering 2.4 million children- are suffering from moderate to severe hearing and visual impairments which restrict their educational performance, interfere with their cognitive development, limit their opportunities for employment when they grow up perpetuating a state of intergenerational poverty. Hearing impairment in early life interferes seriously with speech and language- a serious disadvantage to individuals in this competitive society where communication is of utmost importance in promoting services and goods.
Therefore, that huge number of children are marginalized, cannot be acceptable to a civilized society. Out of this concern for children was born the Children Hospital for Eye, ENT and Rehabilitation Services (CHHERS). It is not one of the many conventional hospitals engaged in only providing “reactive clinical care”. CHEERS is a proactive facility which, in addition to its institution based services screens children before clinical manifestation, identifies children at risk and intervenes before they become symptomatic and provides services close to homes of people who are not able to come to hospital. This does not complete the identity of CHEERS. Its educational program works hard to raise awareness of the community and sensitize it to its rights to public services and their duties as citizens of the country. Its spectrum of care extends, beyond the frontiers of medical care, to prepare the incurably blind or deaf children to send them back to the community as productive citizens by enabling them to learn compensatory knowledge and skills at its innovative “Enabling Center” where children as young as 2 to 6 years of age are imparted skills of daily living and prepared for enrollment at Early Childhood Development Centers, a right denied to them until our ground breaking work to unlock the closed doors (doors closed because of their young age and because of their disability). In addition to children, the Enabling Center also caters to the needs of adults and elderly persons with sensory disability to return them to productive life and improve the quality of their life. CHEERS therefore is a unique blend of health, a pre-primary education and a range of rehabilitation services under one roof committed to provide a continuum of care, metaphorically speaking, from womb to tomb. Our ultimate goal is to reach them even before a fertilized ovum is implanted in the womb.