Various strategies have been tried: increasing allowances, improving facilities, or adding training components for rural medical staff. But out-migration of health personnel to the cities and as nurses and caregivers abroad has continued apace.
In the last three years, Himali Health and Education (HHE) has started a training program in Phaplu of Solukhumbu to turn high school graduates into Auxiliary Nurse Midwives (ANM). The first batch had 40 students, mostly from Solu itself, but the second and third batch of 80 students are from remote districts across Nepal.
The ANMs are trained at the Solukhumbu Technical School and come from Rasuwa, Mahottari, Rukum, Dolpo, Humla, Jumla, Bajhang, Bajura and Kalikot districts. Most trainees are Dalits, Janjatis and from remote districts where health care is rudimentary.
In Solukhumbu itself there has been a surge in awareness about preventable infections that kill young children after the ANMs have been sent to remote health posts, Tamang says.
Original article from Nepali Times.com