Norvic joins hands with other social and development agencies to help fight Diarrhea in Rukum and Jajarkot

As diarrhea and Cholera epidemic hit the mid western and far western regions of Nepal during August, September 2009 claiming more than 400 lives (132 in Jajarkot, 33 in Rukum and the rest in other districts of the region), Annapurna Post, took lead to collected contribution from the society to provided immediate relief and recovery for the victims and prevent spreading of the diseases further.

In compliance to that call through its social media campaign “Sahayogi Haatharu”, Norvic International Hospital pledged full support of medical and technical team and 71 varieties of useful medicines in controlling diarrhea and cholera worth few lacs of Rupees to the coordinating agency M/s DEPROSC (Development Project Service Centre) Nepal.

Other donors along with Norvic were Standard Chartered Bank, ACE Development Bank, IME, NMB Bank and the partners were NIBL, NIC, Everest Bank and the Kist Bank.


Support to Diarrhea Epidemic in Rukum and Jajarkot

Brief Report on the Support to Diarrhea Epidemic  in Rukum and Jajarkot Districts

Upon breaking out of diarrhea and cholera in the mid west and far west regions of Nepal claiming more than 400 lives (132 in Jajarkot, 33 in Rukum), Annapurna Post of Asia Pacific Communication Association (APCA) through its campaign “Sahayogi Haatharu” has publicly announced fund collection for immediate relief and recovery.  

Development Project Service Centre (DEPROSC Nepal), a non-government organization has been supporting deprived communities in 41 districts with main goals of empowering rural people for attaining self-sustaining socio-economic uplift through a package of policy research, action research, humanitarian assistance and training. It has been constantly working in the mid west and far west region since 2002 including Rukum and Jajarkot – the most diarrhea affected districts. Even during that outbreak it has been implementing ‘Social mobilization and Hygiene promotion campaign for diarrhea control and prevention in Rukum, Jajarkot and Humla districts’ based on which Annapurna Post assigned the responsibility of mobilizing its existing human resources and network for the diarrhea relief and recovery.

Alliance and Coordination
Annapurna post, Norvic Hospital, UNICEF and DEPROSC Nepal have joined hands together to functionalize the efforts. Annapurna post raised fund, DEPROSC Nepal procured items, facilitate for transportation, identified households and distributed the materials to diarrhea affected people. UNICEF as cluster coordinator took lead at the national level in coordinating things. District Health Office (DHO), District Water Supply and Sanitation Office (DWSSO) and District Disaster Rehabilitation Committee (DDRC) led the activities at the district level identifying partners, allocation of working areas among them and overall coordination.

Support and Supply
As an immediate support and relief, some basic diarrhea and cholera controlling medicines and precautionary items such as ORS suspension, water purifying chlorine solution (Water guard and Piyush) and hand washing soap were identified as crucial ones and supported to each and every affected household of Rukum and Jajarkot districts. Support was done with better coordination of DHO, DWSSO, Local NGOs, Nepal Army, Nepal Red Cross Society and other NGOs/INGOs.

Methodology of Distribution
DEPROSC Nepal Head office Kathmandu, its Regional Office in Nepalgunj and District Offices were involved at different points. Existing staff and additional 50 Volunteers / Supervisors were involved in distributing the materials at the household level. Materials purchased and received in Kathmandu were transported to Nepalgunj using the DEPROSC Nepal and UNICEF’s delivery means. Those later transported to the respective field using tractors, mules and porters. Each and every household of the identified 21 VDCs were provided with 5 sachets of ORS, 2 pieces of lifebuoy soap and 2 bottles of Piyush.

DEPROSC Nepal hired and trained hygiene supervisors and village facilitators – previously phased-out – for this purpose. Teams comprised of one to three members depending upon the settlement and household of VDCs (one hygiene supervisor/volunteer and village facilitator and/or social mobilizer in each VDC), other field staffs were mobilized depending upon the situation of the targeted areas.

As a part of social mobilization, the entire district team was fully mobilized at the targeted VDCs and headed forward in close coordination with SHP/HP and other stakeholders while performing the assigned tasks. Existing community networks (COs, child clubs, mother groups, formed WASH community) were also mobilized as per necessity. The team at first conducted the settlement level orientation and awareness raising activities then distributed IEC materials, display of information banners, flax, flipcharts at strategic locations within the VDCs; and also demonstrated on how to purify water using chlorine product in each and every settlement of targeted VDCs. Utilization of the materials distributed were tracked down up to the household level. The distribution records are maintained using Bharpai.
Materials received in kind from various organizations and procured from the market with the funds received from APCA have been distributed in Rukum and Jajarkot at the household level. The table below shows details of total procured, total received in kind and distributed to the households of Rukum and Jajarkot.
Table 1: Diarrhea Relief and Recovery Materials Distribution

ItemParticularsTotal ProcureReceived in KindTotal availableDistributed in RukumDistributed in Jajarkot
1Soap (Lifebuoy)152611500116761157611000
2ORS Sachet4960030002526002434028260
3Water purifier (Piyush)27616027616276160
4Medicines3The list of medicines and the hand-over letter are included in the annex.

1 Received from Norvic International Escorts hospital in kind.

2 1000 received from APCA and 2000 received from Norvic in kind.

2 57 varieties of physician’s samples and 14 varieties of other medicines received in kind from Norvic International Escorts Hospital have been handed over to Government’s Mid-western Regional Medical Store, Nepalgunj. 

District team regularly coordinated with DDRC, DHO, DWSSO, DDC, VDC, SHP/HP, WASH community and other respective stakeholders, then assisted to organize/facilitate coordination meeting. Monitoring and supervision task was smoothly carried out; it helped to identify and address gaps at the community level to meet current life saving needs. Personal hygiene message, point of water use, preparation of ORS, use of Zink tabs, Brest feeding for children and its importance; all these key and important messages were given through door to door visit. It was a successful effort in supporting diarrhea affected people during that epidemic period.

It has been obvious that such epidemics are broken out in the rural areas where awareness level is quite low, personal health and hygiene is severely poor and the community is embedded with various superstition and taboos. Therefore, we need to put focus on raising awareness on personal health and hygiene, use of safe drinking water and preparedness for such outbreak in the future which would definitely minimize the risk of claiming life. 



District level Orientation to Supervisors, Rukum  Distribution of support materials with orientation to the community, Rukum 
 District level Orientation to Supervisors, Rukum Distribution of support materials
with orientation to the community, Rukum
Materials distribution with receipt, Rukum   
 Materials distribution with receipt, Rukum  
Picture of materials distribution with orientation, Rukum

Annex II: List of Medicines
57 varieties of physician’s samples and 14 varieties of other medicines received in kind from Norvic International Escorts Hospital have been handed over to Government’s Mid-western Regional Medical Store, Nepalgunj:

Physician’s Samples:

S.NName of MedicineUnitTotal Quantity
1Ambroxol Hydrochloride Syrup (AMIBRODIL)Pcs4
2Amoxycillin & Dicloxacillin CapsuleCapsule200
3Amoxycillin for oral suspension IP (ARISTOMOX)Pcs4
5Bismuth subalicylate Suspenoion (170) (Pepto Norm) (170ml)Pcs20
6Cifran 250Pcs97
7Cifran 500Pcs99
8Ciproffaxcion tab (ALCIPRO 500)Tablets40
9Cledomox (Amoxycilli & potassium clavulanatePcs50
10Cyclo mpsBottle2
12DROSTAT 80Tablets20
14Entazyle AFBottle7
15FAM-O 20Pcs18
16Fenceta Ibuproten & paracetamolTablets600
17Flontin 500Pkt35
18Fluconazole Tab. (Fungilasm 150)Pcs50
22Fortivit Vitamin B ComplexPkt15
23HISTAC 150Tablets1800
24Injection of vitamin Bcomplex with vitamin B12(polybion)Pcs300
26Lysovit Drops (15ml)Bottle10
27Lysovit Vitamin BBottle10
29Mediflon plusPcs60
32Moxyrex plusPkt8
33Neocan plusPcs33
35Norflaxacion SuspensionBottle4
37Oflontin 200Pkt30
38Ofloxacin suspension 50Pcs36
39Ofloxacin tablets IPPkt44
40Paracetamol & Chlorzoxazone TabTablets100
41Pepto NormBottle15
42Peptozyme 100mlBottle7
43Peptozyme 200mlBottle6
44Peptozyme DropsBottle13
45Peptozyme fungal Diastaset pessinPkt14
46Protogyl DFPkt9
48Protozgyl DFBottle22
49Protyzyl DFBottle10
51Sporidex 125Pcs60
52Sporidex AF-375Pcs5
53Tinidazole GAT 500Pcs80
54Trimethoprime salphame thoxazole tab (Tabrol- DS)Tablets100
55Vitamin B- complex with c (Omniplex)Pcs16
56Zinc DT -20Tablets200
57Zulid 250Capsule144

Non-Physician’s Samples:

S.NName of MedicineUnitTotal Quantity
1Albendazole chewable tabPcs200
2Aqua tab (water purifier)Pcs38
3Cipromax InjectionBottle20
4Cirofloxacin injection IP (0.2%wv) (Nircip)Pcs60
5Cirofloxacin injection IP (NIRCIP)Pcs60
6Cirofloxacin injection IP (NIRCIP)Pcs120
7Compound Sodium lactate INJ IP (Nirlite)Pcs125
8Compound Sodium lactate Intravenous Infusion BP 1000Ml (Claris)Pcs60
 Dexoride (DNS INJ 1Ltr)Pcs25
9Dizithro 250Pcs18
10Intravenous Infusion BP (Lactoride)Pcs102
11Metriz 400 (Metronidazole tab)Pcs680
12Metronidazole INJ IP ( NIRMET)Pcs240
13Metronidazole INJ IP ( NIRMET)Pcs60
14Oyster Infusion set-ventedPcs100

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