The Nepal Trust

Primary Healthcare Programme

To provide basic health care in a forgotten region of the Himalayas suffering from the after effects of the recent civil war and possessing no basic infrastructures including functional health clinics, roads and the services advanced countries take for granted.

history Campaign has now closed

It ran from to

Registered Charity in Scotland (SC022552)

Amount raised





  • Health/WellbeingHealth/Wellbeing


  • Children (3-18)Children (3-18)
  • Women & GirlsWomen & Girls



Humla ranks 73/75 in Nepal’s Human Development Index (HDI). The overall pattern of ill health in rural Nepal is dominated by infectious diseases, nutritional disorders and maternal and perinatal diseases. The population groups which exhibit the highest levels of mortality, morbidity and malnutrition are women and young children.Humla is a volatile post-conflict area early in its rebuilding phase with frequent changes of health administrators and political leaders in key positions at various levels, inadequate financial support from a changing Government and a lack of career opportunities with adequate incentives for local communities are constant challenges. As a result health services are currently difficult to access, out of service or non-existent. Many trained and skilled individuals have fled in search of improved personal - and job security. The main objectives are: 1. To provide accessible, responsible, efficient and improved health infrastructure and services. 2. To raise awareness among local communities about health, hygiene, family planning, sanitation and nutrition. In Humla, it is young children who suffer the most from ill health and malnutrition. Therefore, primary health interventions and health awareness campaigns will focus on improving the well-being of this group. Our secondary objectives can therefore be summarised as follows: 1. To provide assistance in the development and expansion of primary healthcare in selected villages in Humla district through the renovation of and direct support to the 5 NT basic health posts. 2. To contribute to the reduction of child mortality and morbidity in Humla. 3. To provide essential healthcare to pregnant women and, when appropriate, essential obstetric care during delivery. 4. To support health workers and primary healthcare volunteers in the project areas with a regular supply of good quality essential drugs and medical supplies. 5. To increase awareness of health, nutrition and hygiene amongst the project beneficiaries through appropriate health promotion activities and campaigns. 6. To provide essential health and medical care to the population through specially organised health camps with a focus on women’s health, child health and other specific specialties e.g. dental. 7. To develop partnerships with other health providers in the district to ensure coordination and optimum use of resources in the health sector. Expected outputs and results 1. Increased access for local communities to upgraded primary healthcare services. 2. Increased awareness among locals on both communicable and non-communicable diseases, as well as in general health promotion practices including family planning, sanitation and nutrition. The Nepal Trust is able to carry out this 3-year project for £100,000. This price is based on 5 health posts and includes operational costs related to 5 trained local health workers (male/ female) and 1 local health coordinator (female) to participate for 36 months. In addition, the cost includes medicine distribution (e.g. for communicable diseases, family planning, immunizations, diseases related to water and food, ear -, nose -, throat infections, nutrition, skin diseases, oral problems, obstetric complications, cardiovascular related problems, etc.). In addition to this, the programme incorporates child health education programmes through local schools, also known as ‘Little Doctor Programme’ (3 per year), specific health camps with volunteer expert support (2 per year), ongoing maintenance/ rehabilitation works to keep the 5 health posts in a proper state, skill training of local staff (incl. Government health workers) to build up the local capacity, and media coverage/ promotion through Information, Education, Communication (IEC) (e.g. IEC tools include pictorials and radio spots targeting maternal and child health) for 3 years. All logistical arrangements, transportation from Kathmandu to Humla (by bus and airplane), local porters, communication and admin/ project support cost are included. Currency inflation and contingencies have been taken into account.