Learning with Jagdish Dai

 


I have known Jagdish Ghimire from 2046 BS. My professional work teacher and inspiration for social welfare has been received since 2050 BS. He was inspired not only to read literature but also to write from 2064 BS. Expression about his intimate relationship with him, Jagdish Smriti Issue, Integer 173, September 2071, written by his brother Nagendra Raj Sharma. But here is a slightly different topic, to the marginalized communities and citizens, how his vision helped to make social and economic progress. I want to give you a brief overview on how it really helped me to be human.

The main goal of the Tamakoshi Service Committee is to empower the disabled. Accordingly, for the economic upliftment of the citizens of the community, especially women, many cooperatives have been established in the groups of more than 120 women of Ramechhap district by initiating savings and loans. Of these, the Monthly Savings and Loan Cooperative has been the leading institution of Ramechhap, which has been providing continuous financial support to Tamakoshi Hospital for almost 12 years since its inception.
With more than half of the population being women, Tasses provided literacy, drinking water, sustainable agriculture, toilet construction, and basic health care to address health, education, drinking water, and toilet problems. Which is the main mantra of "Jagdish Community Development". Accordingly, the villagers of Ramechhap have felt relief so far. Monthly Savings and Loan Cooperative Society Ltd., Tamakoshi Hospital, Jagdish Ghimire Foundation, Tamakoshi Library, etc. have been born to fulfill such goals.
I have been involved since 2050 BS in advancing the main objective of providing basic health services in the rural settlements of Tamakoshi Service Committee. Under the guidance of Jagdish Dai, I had the opportunity to learn not only the education taught by the university but also what is needed for practical, professional and daily life. The target group of the health care program was rural women. The main task was to reach their toll every month and teach health education, basic health, family planning services and income generation. Because at that time the average age of women in Ramechhap district was 49 years and literacy was only 5 percent. In 2057 BS, to reduce the mortality rate of women and infants, a health center including Anami was established in the target community of 12 different places in Ramechhap district within a walking distance of about 3 hours but it could not be sustained due to political conflict in the country.
Since the establishment of the Tamakoshi Service Committee, the health center Kutchi Ekat, which has been operating from the box of Jagdish Dai's house in Manthali, has crossed the house and turned into a small hospital in 2057 BS.
Due to the political conflict, it has become difficult to run a health center in the village. The health workers have joined the hospital and it is now a 25-bed hospital with 15 beds. At present, the hospital provides diagnosis, treatment, referral and specialist services to 30,000 patients annually through the use of various equipments. Free health camps are run continuously in rural areas and specialist services are provided to the patients selected by them if they need it. This work is in the mind of Jagdish Dai to implement the idea of ​​helping the disabled, the Constitution of Nepal is a campaign to provide free and door-to-door basic health care and to fulfill the responsibility of the organization providing primary health care and to reach out to citizens and diseases.
Women with uterine prolapse are also selected in this way. Twenty years ago, this problem was found in an average of 30 percent. It was sponsored by the then JVC, SDC Swiss, Nari Nikunj, Astelia, (received with the help of Durga Ghimire), Monthly Sakos, Tasses and other organizations. This was the first sample program in Nepal. Starting from 2060 BS, so far 500 women have received free operation service. The District Community Eye Center, run by the Tilganga Eye Foundation (founded by Jagdish Ghimire and Dr. Sandruk Ruit) since 2058 BS, has operated on about 4,000 cataracts in the community and Tamakoshi Hospital.
A friend of Jagdish Ghimire had come to Nepal as the Ambassador of Australia. In his endeavors, materials like automatic analyzer, ultrasound, microscope, generator were available in the lab. Since 2063 BS, Dr. Dhulikhel Hospital. With the help of Ramkantha Shrestha, the involvement of German Rotary Volunteer Doctors in continuous service, with the help of Rotary friend Dr. Ilmar, with the help of German Rotary Foundation and with the help of our Rotary Club, Rotary Club of Kavre Banepa, quality dental services and emergency services have been improved. Dr. The Rotary Club of Ilmar provided an ambulance and our other Rotary friend, Dr. With the help of Clemens and Dhulikhel Rotary Club, a vehicle was arranged to go to the health camp.
My relationship with Rural Assistant Nepal, UK, Health Exchange, Nepal, UK, and The Little Things, UK has resulted in me receiving endoscopy, echo, TMT machines and services, as well as volunteering around 30 medical students annually from various universities in Europe, Asia and Australia. Are coming Helps to provide health care in remote areas. Similarly, students of health care management in Nepal come to research our good practices. All of these activities have helped make hospitals and rural health camps sustainable.
Based on some of these facts, my 27 years of experience and experiences and the proximity of Jagdish Dai are developing it as a suitable primary health care model for Nepal. In the “Jagdish Community Development Open University” I mentioned, this model can be developed as a primary health care model for Nepal and third world countries like Nepal. This model can also be useful for hilly and mountainous district hospitals in Nepal. This model enshrines practical learning in principles and teaches and continues to follow in other areas of deprivation.
The primary health care model will have the following 5 practical and theoretical bases:
1. Provide healthcare services as received from the current Tamakoshi Hospital and make quality services as accessible to the rural population as possible. As far as possible, the disease should be treated at the hospital and the service should be quality. It will have the contribution of health insurance program, donors, patients, local government, someone for the sustainability of the service. It will connect the village with national and international organizations, governments, local governments and individuals. It will help international and national students for research and learning.
2. Reaching the doorsteps of the affected citizens and using national and international experts and resources, the health problems of the rural citizens and the factors affecting them will be explored, awakened, disseminated, planned, implemented, evaluated and disseminated in other places. Accordingly, about 3,000 patients are examined, treated, consulted and referred every year with the direct involvement of local clubs, organizations, volunteers and local governments. It has developed the habit of volunteering and loving the community responsibly in the health care of its community and has supported the volunteer campaign.
3. In remote areas where health care has not been provided, local institutions and governments will work together to build health facilities. So far, with the help of Tilganga Eye Foundation and District Community Eye Centers, rural eye clinics and dental hospitals have been expanded in four places in Sindhuli, Ramechhap and Okhaldhunga, which are within the service area of ​​the monthly center. Rotary friend German dentist Dr. for dental hospital. John Ederson's personal and his Rotary Club Miltenberg and our Rotary Club Kavre Banepa. For the welfare of the society, you should expand the lessons learned and help to serve in insufficient places.
Similarly, Vodgaon Health Center is run by an organization called Jaynepal in Indravati Municipality of Sindhupalchok District with the support of an Italian organization. In which my involvement is as a Board of Directors (Advisor). This organization is working in all the components that affect the health of the village through the volunteer role of the youth of the village. Which is being developed as an exemplary program. Currently, we are providing advice to community based health programs and other small and large health institutions run by Ramechhap Municipality. It is providing technical and managerial advice and assistance to small local health organizations and planning organizations run by other local organizations.
4. I am working as an external examiner and as an advisor to the Department of Healthcare Management in teaching and taking examinations to the students of National Open College and undergraduate subjects which are the only colleges of Pokhara University to offer postgraduate courses in Healthcare Management. Specialist physicians from various large and small hospitals across the country and students in the field of health management who are in the role of director, or are about to play the role, including students from other disciplines come to study this subject. It is felt that they have received another kind of inspiration from the communication of my experiences in Ramechhap. This model is important to
characterize the idea of Think Globally Act Locally . Thus, the goal of this model is to contribute to the nation by teaching our experiences and successful learning in universities.
5. I have always believed that the time and work I give should support the financial sustainability of the organization. Which is the most important philosophy of Jagadish Dai's theory of development, every development must be born with the determination and plan to be sustainable in itself. Accordingly, my goals are set at least in days, months and years.
Every day, every moment of my life, I evaluate myself to see how much I have achieved. I believe that the financial benefits I get should be provided to the organization in one way or another, then the organization can give it to me. I keep track of my goals for each day, month, and year, and constantly adjust them if necessary. I wish that every department of the organization and the hard working people working in it do so. The karma of every worker should be to earn a living, or fulfill the goal of the organization, or work for direct social welfare. It will remain an important philosophy and it will sustain every institution in the long run.
Any day if I can come up with a new idea from my work and experience, put it into a proposal letter and communicate it to my local and foreign friends, I will have less sleep that night. Similarly, if this effort is not able to contribute to the hospital at the rate of Rs. But some people don't even get a good night's sleep because they can't comment on my work. But I always welcome positive thoughts and move forward accordingly. Because I love the mission more than I do.
It is gratifying to see that with the help of Tasses, Monthly Savings and Loan Cooperatives and all the local and foreign friends and organizations in the hospital which had an account of Rs. Given that it is difficult to run a hospital in Nepal in a sustainable manner, even in this remote part, the hospital feels successful when it arrives in this way. But these comments have proved to be a gift from God and a source of energy for my personality and skill development. Effort is to be a good man, not a great man. Jagdish Dai also knew that he had to face many obstacles and comments in the course of his work while reading his inner journey and he used to express it to us as well. It seems to be the destiny of every society.
In short, the Tamakoshi Service Committee should inspire the Ramechhap model of sustainable development by expanding the corners of the country and entering rural settlements with the spread of new models. The Monthly Savings and Loan Cooperatives born out of this should play a leading role in becoming a partner in the economic development of the people. Tamakoshi Hospital should be a catalyst for the expansion of such services in the rural areas of Nepal by providing health services to the poor. The Jagdish Ghimire Foundation should raise its voice against the inconsistencies of the society like the sharp pen of Jagdish Ghimire for the upliftment of literature and art of the country and Tamakoshi Library should be able to provide inspiration and support to open rural libraries from which Jagdish Mission will be successful
Learning with Jagdish Dai Learning with Jagdish Dai Reviewed by Nirajan Ghimire on October 18, 2020 Rating: 5

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