Dindu/Dipsung Health Post and Birthing Center
This rural medical clinic was completed by D2N in the fall of 2014. It is the sole source of medical services for a population of about 1000 individuals. By December 2014, they were treating more than 15 patients daily. The government of Nepal provides both an auxillary health care worker and nurse midwife, and supplies 40 medicines on formulary. Family Planning and vaccinations are also provided. Because the clinic was was built “earthquake safe,” it withstood the 2015 earthquake without damage. Three days a month the government supplies vaccinations for DPT, small pox, hepatitis A, polio and BCG. 100% of the children are receiving their vaccines.
Attached to the Health Post, the birthing center consists of two rooms that are tiled, well-equipped and spotless. Historically, women in Khotang’s villages do not seek any prenatal care and their babies are delivered at home, unattended by a health care worker. The birthing center was built to enable women to receive four regularly-scheduled prenatal visits and then deliver at the clinic by Jarka, a well-trained skilled birthing attendant. Nine female community health volunteers (FCHVs, one per ward) have been trained in the benefits of the birthing center. They circulate in their wards meeting with young women discussing the advantages of the birthing center and addressing any reservations they might have about using the center.
By December 2017, 25 deliveries had taken place at the birthing center. All 25 women were examined during their pregnancy; the majority received the four recommended check ups. These interfaces create a trust between the staff at the birthing center and the mothers, making it more likely that the mothers will bring their babies back to the health post for well-baby visits and then continue to bring them as the children grow up.