HEALTH PROGRAM OPERATING GUIDELINE – 2076

CHRISTINE’S DISPENSARY
Mobile Health Camp
Poor Patient Fund
First Aid Kit

Services Provided

  • Medicines ( 70%)
  • Surgical goods (15%)
  • First Aid kits and refilling medicines to GNHA partner schools
  • Lab test and investigation
  • Patient's transportation
  • Blood transfusion
  • Patient’s transportation
  • Supplementary food
  • Health education and Counseling

Criteria for delivering Services

  • Poor and needy patients
  • Admitted patients
  • Patients from emergency ward
  • Disaster Patient (Accident case)
  • Patient whose identity is unknown
Excluding factor
  • Chronic patient (For 1 year only)

Conditions

  • Patient recommended from concerned departments of Bir Hospital and other community hospitals
  • Oral interview with patient’s kin to identify family background and economic condition of patient
  • Recommendation letter from Municipality/Rural Municipality (if available)
  • Medicines and surgical goods are provided as prescribed by Medical Doctor
  • Priority is given to acute cases

Operation

  • Patient recommended from concerned departments of Bir Hospital and other community hospitals
  • Minimum Ward visits should be 3 times per week covering all wards within a week

Services Provided in the Mobile Health Camp

  • Health and hygiene education
  • General Health Checkup
  • Gynecology
  • Dental service
  • Medicine distribution and counseling
  • Screening and referring serious cases for further treatment
  • Follow-up of referred cases

Criteria

  • Remote area
  • Unavailability of health facility
  • Disaster affected area

Conditions

  • Accessibility
  • GNHA partner school areas
  • Partnering with District Health Office, Municipality/Rural municipality, Health Post and health institutions (e.g. Tilganga Eye Hospital, Om Chabahil Dental Hospital)
  • Availability of local volunteers

Operation

  • 4 Health Camps per year (1 additional camp as contingency)
  • 3 sites per camp
  • Health education
  • Registration and channeling of patient to different department
  • Check-up and counseling
  • Medicine dispensing and counseling
  • Screening and referring serious cases for further treatment
  • Follow-up of referred cases
  • Reporting

Criteria

  • Mothers having small children
  • Main/ Sole bread earner of the family
  • Children and youths
  • Acute cases
  • High probability that patient can resume his/her role and responsibility
  • Cancer patient and Spinal injury or any disease for which free treatment is provided under Government program is only eligible after benefited by government.
  • If the number of applicants exceeds available fund , benefitting patient is selected by lottery

Excluding factor

  • Diseases of common nature where treatment is inexpensive.
  • Cases for treatment in private hospital
  • The patients insured under any medical insurance policy
  • Patients with an addiction (alcohol, drugs)

Operation

  • Patient recommended as poor and vulnerable from concerned local authority.
  • Referral cases from Mobile Health Camps have no financial limit
  • Whatsoever mentioned above, the in charge of Christine Dispensary will examine or inquire from every aspect to ensure that the patient is poor, needy and vulnerable.
  • Application form with photo
  • Confirmation letter from rural municipality/ Municipality showing patient is very poor and could not afford for treatment and medicine.
  • Proof of hospitalization or copy of surgery plan or copy of expensive treatment plan
  • Copy of expenditure

Fund Limitation

  • Ordinary poor patient : NRs. 30,000.00 (Thirty Thousand) per patient
  • Spinal injury patient: NRs. 75,000.00 (Seventy Five Thousand) per patient

Every school should have an accessible first-aid box

Contents
Sterile adhesive bandages in assorted sizes Latex gloves (2 pair)
Small roll of absorbent gauze or gauze pads Tweezers
Adhesive tape Antiseptic (Savlon or Dettol)
Triangular and roller bandages Thermometer
Cotton (1 roll) Tube of petroleum jelly or other lubricant
Band-aids (Plasters) Assorted sizes of safety pins
Scissors Cleansing agent/soap
Pen torch Betadine
Tourniquet Sanitary Pad
Non-Prescription Drugs
Pain killer (Paracetamol, Brucet DFO Gel and Spray) Anti-diarrhea medication (Metronidazole, Electrobion)
Anti-histamine (Decold, Cetrizine) Antacid (for stomach upset)(Disogel, Ranitidine)