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Nepal Mission Field Report

Nepal Mission Field Report. Dr. Dale M. Molé, CEO Scheer Memorial Hospital Presentation for Tridelphia SDA Church 23 July 2016. Where In The World Is Nepal?. Nepal Religions. Hinduism Buddhism Islam Christianity SDA. Hinduism. “World’s Oldest” Religion No single founder

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Nepal Mission Field Report

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  1. Nepal Mission Field Report Dr. Dale M. Molé, CEO Scheer Memorial Hospital Presentation for Tridelphia SDA Church 23 July 2016

  2. Where In The World Is Nepal?

  3. Nepal Religions • Hinduism • Buddhism • Islam • Christianity • SDA

  4. Hinduism • “World’s Oldest” Religion • No single founder • No single scripture • No agreed set of teachings • A fusion of various Indian traditions & customs

  5. SDA Organizations in Nepal • Scheer Memorial Hospital • ADRA Nepal • Nepal Section

  6. SMH – The Beginning Dr. Stanley Sturges & Family - 1959

  7. Nepal – A Snapshot in Time* 1960 2014 Population = 32,000,000 Life expectancy – 68 years Many area hospitals Literacy – 57% • Population = 8,000,000 • Life expectancy – 39 years • SMH the only hospital in that part of Nepal (20 beds) *WHO, World Bank, United Nations for Population - 2014

  8. U.S. Navy Meets Nepal

  9. United States Navy Vs Nepal United States Navy Nepal Whenever (Nepali Time) Whatever Whoever/Who me? Good Enough Karma Path of Least Resistance Make It Up As You Go Along If You Have It, Use It Up If It Happens, It Happens Dependence • Punctual (Military Time) • Strategic Planning • Responsible/Accountable • Precision • Risk Management • Discipline • Rules, Regulations, Policies • Resource Conservation • Mission/Goal Directed • Initiative

  10. Nepal Health Statistics* • Causes of Death • Lung disease #1 (WR 3) • Heart disease #2 • Diarrhea #6 • Suicide #8 (WR 8) • Traffic Accidents #9 • Cancer Deaths • Cervical • Lung • Breast *Data from WHO, World Bank, United Nations for Population – 2014; WR = World Ranking

  11. Women’s Health in Nepal • Cervical Cancer #1 cancer killer • Breast Cancer #3 • Pelvic Organ Prolapse • Epidemic in Nepal affecting > 1,500,000 • Social role of women • Heavy labor

  12. Human Trafficking • 12,000 Nepali children trafficked to India per year – ILO 2001 • In Asia, 39% of all trafficked persons are children – UN Office on Drugs & Crime – 2012 • Women & Children • Prostitution • Domestic slaves • Forced Labor Children sold for Rs 1500 ($22)

  13. SMH - Capabilities • 150 beds • Services • (4) OB/GYN • (2) Orthopedic Surgeons • (2) Pediatricians • (2) Internal Medicine • (1) General Surgeon • (1) Urologist • (1) Anesthesiologist • (1) Emergency Medicine • (1) ENT Surgeon • Part-time • Cardiology • Dermatology • Wards • Medical/Surgical • Pediatrics • ICU • NICU • Operating Theatre (4)

  14. SMH – Statistics Nepali FY 2015 • Outpatients > 52,000 • Inpatients > 7,700 • Deliveries > 1,200 • Surgeries > 1,700 • Charity care > NRs 4.4M LLU International Emergency Medicine Fellowship doctors assisting during mass casualty (bus accident) event

  15. Nepal Earthquakes 2015India – Eurasian Plate Movement Enough energy remains stored to produce M 9.0 or greater earthquake at any time!

  16. C-SectionUnder OpenSkies

  17. Tent Intensive Care Unit

  18. SMH Medical Ward for 2 Weeks Following the 2015 Earthquakes

  19. Loma Linda Medical Center Orthopedic Surgeon Assists in Our Time of Need

  20. Buried Alive • 9-year old girl • Entombed 2 hours in rubble • Large wounds to thigh • Rushed to SMH on a motorcycle • 6 surgeries required • Now attends SMH elementary school

  21. Nepal – India Border Blockade • Political unrest following new Nepali constitution • 5 months duration • Affected • Fuel • Cooking Gas • Medical Supplies • Transportation • Earthquake Reconstruction

  22. Partners in Care • ADRA Finland • ADRA Japan • ADRA Nepal • Asian Aid Australia • Asian Aid USA • Centura Global Health Initiative (USA) • Harvard Disaster Medicine Fellowship • Hong Kong Adventist Hospital • Kettering Health Network (USA) • Loma Linda University International Emergency Medicine Fellowship • Medecins Sans Frontieres • Rotary International • Stanford University • Sydney (Australia) Adventist Hospital • University of Colorado • Women for Women Foundation (Netherlands)

  23. SMH Women’s Health Clinic A female friendly environment to address a woman’s health needs is our goal for 2017

  24. Mobile Health Clinic (MHC) • A joint project of • SMH • Women for Women Foundation (Dutch) • Centura Global Health Initiative (USA) • Goal: Health care to underserved areas • Scout locations for future clinics & hospitals TATA 4WD MHC

  25. Challenges • Poor infrastructure • Political uncertainty • Government red tape • Brain drain • SMH culture • Growing leaders – especially mid-level management • Recapitalization needed of SMH infrastructure & equipment

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