In June, PHASE Nepal’s Executive Committee Member Baburam Karki and RMC (research, monitoring and communications) Coordinator Rajendra Prasad Upreti visited Humla and Bajura district to monitor the on-going PHASE projects in three VDCs (village development committees) of Humla – Melchham, Maila and Jair – and four VDCs of Bajura District – Kolti, Wai, Rugin and Bichhaiya. The programme in Humla is financially supported by DFID (through PHASE Worldwide), City of Vienna (through PHASE Austria) and PHASE Worldwide. Programmes in Bajura are supported by City of Vienna (PHASE Austria), PHASE Austria, Austrian Development Cooperation (through EcoHimal Austria), Lindsey & Hrothgar and DFID (through PHASE Worldwide).
Under the “Community Development Project (CDP)”, primary health care services have been regularly provided to communities of all project VDCs in close coordination with government health institutions. Government sites as well as ORC sites are used to provide services and door-to-door programmes have been running continuously for community awareness related to positive behaviour change. Along health services, livelihood programmes have been running simultaneously in both districts. The visit to Humla and Bajura was planned to visit the project areas and to coordinate with district level government authorities regarding the project activities.
Major Activities conducted:
- Coordination with district level key stakeholders regarding required documentation
- Coordination and interaction with community level key stakeholders at VDC level
- Service site observation (including health posts, outreach clinics)
- Door to door visit in the project communities
- Recording and reporting system (Data verification)
- Interaction with service beneficiaries, PHASE staff and government staff
- Monitoring and Evaluation Checklist
- Follow up of last visit done by Executive Director and Health Programme Officer
- Conclusion meeting, onsite coaching with feedback to staff at every site
- Other issues as presented during the visit
Following was observed by Rajendra, RMC coordinator of PHASE Nepal:
The Community Health Programme and Livelihood programme is going very well. We found good achievements in Community health, women literacy & livelihood Improvement programme. Office and Service Centres (Health Posts) were visited in all project communities, recording & reporting were maintained properly and were well documented. Community level Coordination meetings were conducted and there was a positive response from the communities and impact could be noticed in improvement of literacy, health and variety of vegetables.
The overall impression in the communities of the PHASE’s project intervention was found to be very good and positive and the impact of the projects was highly appreciated by the local residents. As PHASE staff is stationed continuously in the communities, the trust has increased, as well as the rapport & relation with the communities. The visit was really significant as the positive response of the communities could be observed and monitoring was carried out in all project communities of Humla and Bajura. Everyone, whom the team met, was very positive; they appreciated PHASE’s work and suggested to maintain communication and coordination regularly with district level authorities. Community people were satisfied with PHASE services as well as with PHASE Nepal staff. Field teams of all VDCs were doing their work regularly with best efforts. Some tips were given to the team so that better performance will be achieved in future with more enthusiasm. The discussion with staff and communities and following recommendations will improve the implementation of the projects and will benefit the communities. The district visit was advantageous and brought forward valuable suggestions. These suggestions will be taken forward into action points and implemented in the projects. Regular monitoring visits are recommended to improve and support the staff for better programme implementation.
“Maternal Child death rate was high before the intervention of PHASE Nepal’s programme in our VDC. Due to lack of treatment and health post access, there was untimely death of large numbers of mothers and children. But now the situation is different, PHASE Nepal has improved our health and lives with treatment and medicines and made us aware about the importance of savings. Not only this, we are empowered to read and write in general.” – Mrs. Purna Kala Jaishi, Member of Mother’s Group, Maila-3, Humla
“There were insufficient health workers and medicines in our VDC initially but with the approach of PHASE Nepal, a drastic change in supply of medicines and health services is evident. People’s awareness and maintenance of cleanliness has also improved thanks to PHASE Nepal.” – Januka B.K., FCHV, Maila Humla
“We were habituated to eat” roti” with salt back then but after conduction of PHASE Nepal’s livelihood programme, we are able to have vegetables on daily basis. Before the initiation of the programme, only few people working in India used to have vegetables like cauliflower but with support from PHASE Nepal we are growing and having all vegetables on our own. Furthermore, we will continue this business with production of seeds from our village.” – Mr. Maan Bahadur Thapa, Member of farmer group, Maila