The Plan
The Nestling Trust (TNT) Is planning to provide a Health Education Outreach Programme to include the necessary resources in four remote village areas in Dolakha, Nepal.
Initial trianing will be given to members of staff from our Health facilities in Marbu, Bhirkot, Melung and Lapilang, aswell as the Female Volunter Health Workers (FVHW), at the Baiteshwor Health & Birthing Centre. Those staff will return to their village areas where they will then train up other staff to engage in Health Education sessions in schools, womens and community groups o raise awareness of simple choice/changes/skills that can be learnt and made to improve health and save lives. Topics will include Hygiene, Care of the newborn, Dangers of smoking, drugs etc

Situation
World Health Organisation 2020 estimates that in Nepal 66% of deaths are caused by non-communicable diseases, the highest being cardiovascular diseases. Two-thirds of all premature deaths can be linked to modifiable risk factors: unhealthy lifestyle & diet, poor hygiene, smoking, physical inactivity, alcohol/drugs etc. In the poor, marginalised communities of rural Nepal, villagers lack awareness of the risks, so suffer ill health/disability/job loss & have little knowledge of basic first aid. One in every 30 children die before their 5th birthday.
Outreach
The Health Education Programme will reach approx. 24,000 population in 4 remote villages of Dolakha. Unicef says health education is the bedrock of healthy communities. It's a process of empowering people to increase control over their health. HE sessions will help raise awareness of simple choices/changes that can be made to improve health and well-being, plus basic first aid skills.
We will be Training the Trainers - then Trainers will run monthly outreach community sessions plus the FVHW will be visiting families within their own homes.
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 Recently, the local government granted permission for the Baiteshwor health and Birthing Centre to be used for deliveries, and on 21st April '24, Manuka gave birth to a healthy baby boy weighing 6lb 6oz.
Both mother and baby are doing very well and have now returned home.
The Nestling Trust congratulates Manuka and her husband and the midwives and staff, who have cared for her during her pregnancy. The midwives will continue to provide post natal care and advice for mother and baby.
This is a triumph where local government and The Nestling Trust have worked together and local people have worked tirelessly to provide this much-needed facility.
Had the centre not been built, Manuka would have had to trek for hours along mountain tracks to reach the nearest health centre, and would not have arrived in time - her baby was born within an hour of reaching the Baiteshwor Health and Birthing Centre.
The Nestling Trust thanks the midwives, nurses and all staff for their skills and commitment, Government officials for their vision and determination, and all those who have contributed in any way to the planning and construction of the building, and of course to our many loyal supporters who have helped fund this project that will help to save lives.

We reported how tragically Apshara's mother died when she was only ten days old. She lived in a remote village area of Nepal,and was looked after by her grandmother who was desperately poor. She sold everything to buy milk formula to feed the baby, this quickly ran out and without milk Apshara would not have survived. The Nestling Trust continues to support the welbeing of this child and is delighted to see that Apashara is now a beautiful healthy baby girl. ​

​This happy little boy is Krishna, now 9 years old, celebrating Tihar Festival with his friends at SERC School, Nepal. Six years ago he was unable to speak, stand or move his arms or hands. Rescued by the Nestling Trust (TNT) two weeks before the Nepal earthquake, he has been cared for at SERC School for children with special needs, receiving daily physiotherapy and speech therapy. He now can run, play and communicate in simple sentences and is independent in all activities of daily living.
TNT wishes to thank all physios and staff for their care, skills, and compassion. We also thank all those who have donated to the Nestling Trust making it possible for us to support Krishna

Finally after weeks trying to locate essential medical items such as masks, gloves, aprons and thermal gun thermometers etc Sitara, our partner NGO organised delivery to four of our five Health Posts today with a further delivery planned on Thursday to Lapilang Health Post and the District Health Office medical staff.
In these exceptional times with the Covid-19 virus spreading so rapidly around the world, it is hard to find such equipment, even in developed countries, so we can understand the difficulties Sitara has faced in gathering these items and also for arranging the transportation despite the 'lockdown' in Nepal. In particular finding infrared thermal gun thermometers, vital in trying to identifying those likely to be suffering from the virus has proved to be almost impossible with stocks in the country having been bought up by a syndicate for sale on the black market. Police arrested the perpetrators and confiscated the thermometers. After days of contacting different suppliers and hours of negotiations Sitara has finally secured ten.The Nestling Trust thanks SItara most sincerely for their commitment and determination.
Thank you also to our loyal supporters - without you this would not be possible.

Site of the Health and Birthing Centre at Preeti!
A huge thank you to everyone who donated to the Nestling Trust Preeti project, through the BigGive Matchfunding Christmas Challenge.
We are delighted to say that through your generosity work can begin in January 2020 to build and establish a Health and Birthing Centre at Preeti, a remote area in Nepal where currently 30,000 people have no medical facility. Imagine having to trek for miles across difficult mountainous terrain to find the nearest health post, sometimes arriving too late to help very sick patients.
We are enormously grateful for everyone's support, which has come from as far away as NZ, USA and Canada as well as many places in the UK and of course from our local supporters in Wiltshire. Thank you for all your loyal support, for believing in us and encouraging us in our work in Nepal. It is through you that we are able to make changes to improve the health and the lives of the most needy, disadvantaged and marginalised people - thank you.
Sue.

The Nestling Trust is delighted to say that today - the first day of the BigGive campaign, £1,230 has been donated to help us build a Health and Birthing Centre in Preeti, where currently 30,000 people have no medical facility. A huge thank you to those who have donated. That figure will be doubled through the BigGive. 
The campaign runs until midday on the 10th December '19 - please continue to donate our target figure is £20,000.

 Rate Per Unit   Total Amount Rs.British pounds 

AUTOCLAVE £68.21
FRIDGE  £151.16
PRIVACY screen CURTAIN  £34.80
EXAMINATION BED  £104.65
STRETCHER  £17.05
STRETCHER  £89.14
STOOL TO CLIMB UP ON TO EXAMINATION BED £18.21
TABLES £36
CHAIRS 6pcs  -  £36
CUPBOARD FOR STORING MEDICATIONS DRESSING  £158.90
EMERGENCY MEDICINE TROLLEY (CRASH CARD TROLLEY)  £310.00
B.P MONITOR  £14.72
STHETHSCOPE  £6.97
OPTHALMOSCOPE  £124.03
SUCTION UNIT  £96.80
NEBULIZER UNIT  £27.13
DRIP STAND   £18.21
KIDNEY BOWL 29p x 4 = £2.90 
SPECULUM S,M,L   £10.46 each
ARTERY FORCEP  £3.01
PLAIN FORCEP  0.93p each x 10 =  £9.30
SCISSORS  £1.43
TORCH  £3.75
FIRST AID BAG TO TAKE TO PATIENTS HOMES WHEN EMERGENCY with items  £25
PLASTIC BOWLS x 4  £10.46
PLASTIC BUCKETS  x 4 £7.36
MOP & BUCKET FOR FLOOR CLEANING   £7.36

​Walking, and with real hope for the future ..........
After 3 months in hospital undergoing corrective foot surgery to enable her to walk, Shrijana is today returning to her village where she will be under the care of local health post staff until she returns to hospital in 6weeks time for follow up treatment.
Our grateful thanks go to Dr Govinda KC, staff at Kathmandu Teaching Hospital, Shrijana's cousin who has provided personal care, Himshikhara, our our partner NGO through whom TNT is able to work and Bijendra Aryal, TNT director, who for the past 3 months has supported Shrijana in the absence of her family, giving his valuable time to ensure that prescribed medications and nutritious food has been available. Unlike the UK NHS, in Nepal hospitals rely upon family members to provide this.
Shrijana is now able to look forward to a life free from disability and pain - thank you to everyone involved, especially our loyal supporters who have made this possible.