Hospital

ANMF Supports Telemedicine at Bir Hospital

Bir Hospital is set to launch telemedicine services to provide healthcare services to people living in remote areas.

The services will first be launched in Dhading and Dolakha and gradually be extended to  Butwal, Chitwan and Biratnagar in collaboration with doctors of National Academy of Medical Sciences and Bir Hospital, as per Dr Bhupendra Basnet, director, Bir Hospital.

“Doctors living in remote areas can consult specialists in Bir Hospital through video conferencing. This will improve delivery of treatment,” said Dr Bhupendra Bahadur Basnet, Director of Bir Hospital. 

More at https://thehimalayantimes.com/kathmandu/bir-hospital-start-telemedicine-services/ 

 

State of Neonatal and Pediatric ICU in Nepal and ANMF's role

Dr. Sangita Basnet, current president of ANMF has been instrumental in advancing pediatric and neonatal critical care services and training in Nepal. She led the fundraising efforts as well as implementation of the project to establish the PICU and NICU at Patan Hospital along with generous support from the Simons Foundation. She has written extensively about the challenges of establishing such center in low-resource setting. Her recent paper analyzes the need to invest in advancing the care to the most vulnerable population in Nepal. 

Important findings - 

  • 75% could manage central venous catheters and only 75% had a blood gas analyzer.
  • 32% had only one functioning mechanical ventilator
  • 38% had only two ventilators
  • Only one institution had a pediatric intensive care specialist.
  • The majority of patients (88%) came from families with an income of just over a dollar per day. All patients were self funded with a median cost of PICU bed being $25 U.S. dollars (interquartile range, 15-31) per day. The median stay was 6 (interquartile range, 4.8-7) days.
  • Mortality was 25% (interquartile range, 20-35%) with mechanical ventilation and 1% (interquartile range, 0-5%) without mechanical ventilation.

Your Support to ANMF helps us so that we can continue this important work. 

References
1. Challenges in Setting Up Pediatric and Neonatal Intensive Care Units in a Resource-Limited Country Sangita Basnet, Neelam Adhikari, Janak Koirala Pediatrics Oct 2011, 128 (4) e986-e992; DOI: 10.1542/peds.2010-3657
2. Aayush Khanal, MD, Arun Sharma, MD, Sangita Basnet, MD, FAAP, FCCM. n.d. “Current State of Pediatric Intensive Care and High Dependency Care in Nepal.” Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 
3. ANMF  Patan Hospital ICU Project