THE RAJPUR PROJECT
Karma Health has partnered with Rajpur Rural Municipality in western Nepal to build a model of high-quality, low-cost primary healthcare for Nepal's municipalities.
Rajpur is a rural municipality in western Nepal. It has an area about the size of Singapore and is mostly hilly. However, more than half of its 30,000 people live in the plains of the Rapti river. It is ethnically diverse with five main ethnic groups, including indigenous people, having an almost equal population. More than half of adult females are illiterate. Almost half of the population is not connected to a road and does not have grid electricity.
More than half of the child-births take place at homes without safety or support. Children continue to die from diarrhea as only half of the households have access to clean drinking water.
KARMA HEALTH & RAJPUR RURAL MUNICIPALITY PARTNERSHIP
Karma Health and Rajpur Rural Municipality first entered into a partnership in 2017 October to deploy a doctor in the government health center. Since then the partnership has expanded in scope to cover health center upgrading, outreach services, population studies, pandemic response, and joint recruitment and deployment of community health workers, installation of a laboratory. The government has steadily increased its financial contribution to the partnership as well.
PROGRESS TILL DATE
UPGRADING RAJPUR HEALTH CLINIC
>20 K patients treated free of cost till date
First doctor in the region (Nov 2017)
Ultrasound services (Mar 2018)
Laboratory services (Aug 2018)
Electronic Medical Records (Jan 2020)
EKG services (Nov 2019)
X-ray services (Jan 2021)
MOBILE OUTREACH CAMPS
>95% of pregnant women had ultrasound scans at 8 months of pregnancy
Ultrasound outreach piloted at two sites (Dec 2018)
Ultrasound Outreach expanded to 8 sites (Feb 2019)
10 COMMUNITY HEALTH WORKERS
>12K home visits made
Community Nurse pilot (Jun 2018)
Community Health Workers recruited with the municipality (Dec 2018)
Mobile Health pilot (May 2019)
Mobile Health deployment (Feb 2021)