Friends of Tansen 2008 1
Editorial Team: Roshan Kharel, Rosemary Gin, Rachel Karrach, and PK Rai
2 Friends of Tansen 2008
Tansen Mission Hospital
We are now enjoying a relatively country, it was decided that God
peaceful period in the country, was closing this door for now and
although the situation on the plains thus, the Memorandum of
to the south is still volatile. We are Understanding (MOU) with HDCS
also hoping that our new will not be renewed after July 2008.
emergency department building A separate support office for both Our vision is to be giving
(currently under construction) will Tansen and Okhaldunga Hospitals witnesses of God's love as we
be operational by early May 2008- is needed now in Kathmandu. aim to provide holistic, quality
thank you for your help in this. health ser vices with
In the coming months, we will be
compassionate care and
Our transition to Human exploring other options for
Development and Community Services transitioning from UMN by 2010-
(HDCS) came very close to please pray for this process. We are grateful to all the friends
happening but then the process of Tansen who have written to us,
Despite the continuing uncertainty,
stalled again. Despite all the work prayed for us, knitted blankets and
we are working on our next five-
put in by HDCS and UMN to baby clothes, and helped us
year Strategic Plan and we are
achieve this, the transition has not financially. It is so encouraging to
confident that this hospital still has
been possible. see the support we receive from
an important role to play for many
all over the world.
In view of the very long delay and years to come.
the continued uncertainty in the
Friends of Tansen 2008 3
An Update on
It is my privilege to be able to write to you-the After amicable consultations between the Leadership
Friends of Tansen. Your continued prayers and Teams of Tansen and Okhaldunga Hospitals and
support have enabled the hospital to minister to the UMN, it was mutually decided that UMN would
people of the surrounding areas. not renew its MOU with HDCS regarding the
management of the two hospitals, which will expire
This past year has been a difficult one for all
in mid-July 2008. The central support being
concerned in the transition process. In March 2007,
provided till date to both hospitals by the Health
agreements for HDCS to operate the Tansen,
Services Directorate (HSD) of HDCS will thus cease
Okhaldhunga, Dadeldhura, and Lamjung Hospitals
from this date.
were presented to the cabinet of the interim
government. To our delight, the agreements were While UMN will still continue to support expatriate
approved and sent back to the Ministry of Health personnel, both Tansen and Okhaldhunga hospitals
and Population for signing. Since then, agreements will form a central support unit in Kathmandu to
for Lamjung and Dadeldhura hospitals have been take over some of the functions of the present
signed thereby allowing HDCS to continue to operate HSD.
None of us knows what will happen in the future.
But agreements of Tansen and Okhaldhunga Our prayer is that these hospitals will continue to
hospitals have not been signed till date, causing serve the needy people in a holistic manner whilst
concern to staff members and other stakeholders. still maintaining the values of UMN which established
Tansen Mission Hospital in 1954.
We commit ourselves to the One who holds the future in
His hands and whose plans are perfect
Dr Olak Jirel
Health Services Directorate
Human Development and Community Services
4 Friends of Tansen 2008
In Him, A ll Things
a re Possible
Serious and Intensive at Work-
Dr. Ed Tegenfeldt and his Team
It all started one morning in With the blood transfusion running, Finally, the baby’s head was swathed
September 2007 in a small village the baby anaesthetised, and her in bandages and she was slowly
room in nearby Tansen where a tiny head wound cleaned up, a piece of allowed to recover consciousness
six-week-old baby lay asleep. skull bone came away immediately. from the anaesthesia. Much to
Some delicate inspection only everyone’s delight, she awoke with
Two monkeys suddenly jumped in
confirmed our worst fears-the vigour, cried, moved, and put up a
and prowled menacingly around
wound was deep and dirty. good fight. Any child that tries to
her. When the baby’s aunt chased
remove its bandages after surgery
them away, one of the monkeys
is definitely fine!
doubled back behind her and
bit the sleeping baby on the This led me to wonder, Later on, Dr. Ed was to make
head, causing a hole in her “Just where in the world would use of a handy piece of
skull. She was then rushed to they find a monkey-bite expert technology (where advice is
Tansen Mission Hospital by surgeon than in Tansen?” sought from experts worldwide
her mother and aunt via a via the internet) as he searched
long journey by foot. for tips on how to proceed with
the operation. He then removed the
Barely occupying a quarter of the Dr. Ed Tegenfeldt, the surgeon, then
skull piece from its hiding place in
table’s length, the tiny infant now carefully cleaned the wound and
the thigh and replaced it in its
lay quietly on the operating table. made some hard decisions.
Blood oozing out of an ugly head
From the child’s leg, he removed
wound denoted significant blood This led me to wonder, “Just where
some tissue lining from the thigh
loss, as did her passive lack of in the world would they find a
muscle and fashioned a patch that
response that suggested possible monkey-bite expert surgeon than in
would repair the defect caused by
brain damage. Tansen?”
the monkey’s bite. Into the same
We were heartened when she hole he had created to remove this Indeed, with God, all things
awoke from her stupor, cried with potential patch, he placed the are possible.
some vigour, and waved her tiny cleaned-up skull bone piece to keep
arms and legs about. The bleeding it alive. Some more intensive
was slow so we decided to organise minutes later, the muscle-lining
a blood transfusion and delay patch was finally sewn over the
Friends of Tansen 2008 5
Helping Hands for Tansen's Women
A child’s faint cries can be heard as we enter the house. M
We leave our sandals outside and duck low to enter the hallway. A
newly-turned mother sits on a bed nursing her three-day-old son in the
corner of a small, dark room. She smiles shyly and covers herself as we
enter the room.
“Children are a blessing from the Lord: Proverbs 17:6”
A Tansen Staff teaching a
Annual government statistics reveal well as 30 other women volunteers. and encourage and guide them when
that almost 700 women in the In the last six months alone, this and if the need arises.
township of Tansen deliver children team of 60 professionals has The future of this programme lies
and that over half of these women conducted 331 visits to 184 new in these very women that we have
do so at home, many of them in mothers and infants and identified trained to take control. We are
the absence of a skilled birth 124 women and babies with health excited as we ponder upon the
attendant. issues-seven of whom needed future of mothers and infants as
hospitalisation and special attention. they are monitored and cared for
Monitoring these women and
newborns during this precarious We are truly grateful to have such by the volunteers who live close to
time, when mother and child both a committed and willing group of them.
undergo drastic physical changes, women to work with us. Please remember to pray for the
is thus the focus of the Community From the beginning, it has been the staff of the CHD as they seek
Health Department’s (CHD) CHD’s desire to have volunteers to identify groups and
Postpartum Programme (PPP), a assuming control and direction of communities that want to
project that began two years ago in the programme in the future. They address their health needs.
four neighbourhood areas of will soon be the ones responsible
Indeed, there is still much
Tansen and has now expanded to for visiting and evaluating mothers
work to be done here in Palpa.
15 Tansen neighbourhoods where and infants.
over 26,000 people live.
In the next year, we will begin the
Naturally, we could not run this process of handing the programme
programme alone, thus, we over to the volunteers who help us Glen Anderson
currently have 30 local Female in running it. Our new role will be Chief of Community
Community Health Volunteers as to act as the coach on the sidelines Health
6 Friends of Tansen 2008
Memories of Tansen
I first arrived in Tansen in April 2007 I did not immediately start studying
as a practicing General Surgeon from Nepali but spent my spare time
Kamloops, British Columbia, reading surgical textbooks,
Canada, and was immediately struck particularly older ones, to learn
ching a by the remarkable similarities procedures I had never seen or rarely As one proceeds with morning
between my previous medical practiced before! Doing such rounds of Surgery, one is witness to
experiences in India and Guatemala. surgeries can be quite stressful but a vast number of patients and
also very rewarding when one sees problems. I initially found the interns
I suspect those of you who have patients recovering and doing well. It to be a bit timid and only gradually
spent time in the developing world also reminds one of the remarkable understood why-our approaches to
will feel the same. I have lived in ability of this god-given human body learning were just so different.
Tansen twice in 2007, once for six to heal, even from some devastating Fortunately, we soon found our
weeks and a second time for eight insults. rounds growing to be a very useful
weeks, and have been touched by its interaction: an opportunity to provide
wonderful uniqueness. The following Working with the interns, residents,
and junior surgeons is challenging, good patient care and helping to
is a personal perspective during my mould some of these young, eager
time in Tansen: rewarding, and occasionally
frustrating when they physicians.
Working with the Nepali staff is seem reluctant to adopt The type of patients one sees here is
no less fun and pleasant for they things that seem self- amazing. There is a large amount of
are happy, capable, and evident to our way of trauma cases and a very wide
committed to taking good care thinking. It is also a spectrum of infections. I found
of patients. positive experience as one myself seeing pus in places I never
sees them learning and would back home! In some ways, it
I arrived at the Mission Hospital and absorbing information, improving is a bit like going back in time, both
was greeted by the guest house upon their skills, and progressively
in the array of problems one sees
manager and felt welcome by becoming more independent. and in the ways they are managed.
everyone–the hospital staff,
physicians (both local and foreign), Early morning, all physicians meet Renal stone disease complications are
and the people in general. One gets a for a short devotional, which follows a frequent problem and often very
real sense of community here and a review of the cases admitted after large and advanced. The combination
the expatriate community is warm 5 p.m. the night before. An intern of heat, hard work, impure (and often
and welcoming too. I enjoyed our reviews medical and paediatric hard to acquire) water, little fluid
many evening meals out which helped admissions and the other, the surgical intake, and, I suspect, genetic
us to know each other better. and obstetric cases. Initially, the often susceptibility, all lead to these often
rapid-fire patient reviews can be large stones. Even small children can
Working with the Nepali staff is no difficult to understand until your ear be affected and require surgery.
less fun and pleasant for they are adjusts to the Nepanglish flow of
happy, capable, and committed to language! Of course, there is no lithotripsy
taking good care of patients. I, thus, (extracorporeal or otherwise) and,
quickly adjusted to my new Ward rounds also allow for collegiality until recently, no adequately working
circumstances for the people here between junior medical staff and cystoscopes!
made this transition easy and care- medical colleagues.
Friends of Tansen 2008 7
Removal of obstructing stones One particular case will always stick As I leave Nepal after my second
requires open operations, which are with me: She was a nine-month old short-term mission, I leave with many
quite challenging not only because we who had rolled into a fire and severely new fiends, experiences, and
no longer experience these burned both of her lower limbs and memores. I don’t know when I will
procedures in the developing world, part of her lower torso. She presented be back next as I have other
but also because they are usually seen late and had to have parts of one leg opportunities and commitments in
at such a late and complicated stage and other foot amputated. other parts of the world (and there is
here. much need, as well), but I will no
We nursed her through the initial
doubt be drawn back to Tansen.
One of the areas I found most critical stages and also gave her a skin
difficult to adjust to was the Burn graft. She was beginning to do well; The people, the quiet hillside, the sight
Ward. Unfortunately, burns are quite but after three weeks of diligent of the Annapurna Mountain Range,
common here–people rushing into treatment and dressings and many and the collegiality of the people
their barns to save their livestock, gas operations, she developed a severe working here are powerful and
stoves exploding, attempted kerosene infection that resisted all treatment rewarding. I leave Nepal having
suicides, and small children scalded and ultimately led to her untimely gained much more than I have given.
from pulling down boiling pots or demise.
I am truly thankful to God for
rolling into a cooking fire.
When one puts a lot of energy– the opportunities He has
Often, children below the age of two physical, mental, and emotional–into provided for me here and His
are left in the care of an older, but patients and is witness to their heart- guidance and safe and loving
still very young, sibling while the wrenching suffering, only for it all hand.
parents go to work in the fields. It is to end in vain, it is a heart-wrenching Dr. Jon Just
heart-wrenching to see these babies moment. Short-term Surgeon
Here in Tansen
I can see the beautiful mountains
The clouds are as fluffy as
white cotton and the
hide behind them
The misty valleys lie at the
bottom of the tall mountains
From here, I can see the curvy rivers
The valley as green as the sky is blue
Elizabeth, 8, is the daughter of
Dr. Davey, General Practitioner at
Tansen Mission Hospital, and by Elizabeth Gin
8 Friends of Tansen 2008
Surgery-A Team Effort in
Surgery-A Team at Work
The operating theatres at Tansen The x-rays hanging on the viewing of 24-hour emergency surgery is
Mission Hospital are a busy corner box in his office tells many a tale because it has a capable 24-hour
of a busy institution. about falls, fractures, and splintered anaesthetic service.
bones spread about in ways that
The kinds of surgery performed here The head of the anaesthetic
looked too painful to even
are often much more complex than department, Mr. Durga Pahadi, was
in a similar-sized hospital in a trained by an English anaesthetist
developed country. Good Such high quality work in a remote more than 20 years ago and has
transportation and referral services and poor country does not depend worked exclusively in anaesthetics ever
also help make this a viable option. on surgeons alone. A single since. The rest of the anaesthetic staff,
operation is possible only through like him, is comprised of nurses and
However, it is an entirely different
a team effort where administrative health workers who have been trained
matter in Nepal where transportation
personnel procure resources in anaesthetics.
is more difficult and costly for simple
necessary for surgery, hospital
village folk. In most cases, patients Tansen is, thus, one of a handful of
workers sterilise and organise
are simply too sick and poor to move sites in Nepal that has been approved
equipment and clean the theatre
anywhere. as a training location for anaesthetic
areas, scrub nurses and scout
workers. A mix of classroom theory
nurses assist the
and on-the-job training under the
surgeon, and junior
supervision of a doctor anaesthetist
Tansen is, thus, one of a handful medical staff
and constant exposure to the large
of sites in Nepal that has been are constantly
surgical load allows the trainees to
being taught by
approved as a training location master the skills necessary for
for anaesthetic workers. counterparts. Also,
visiting surgeons from Without the dedicated work of
within and beyond Nepal work these people-surgeons,
Dr. Indra Napit, our long-time Nepali long hours and teach with anaesthetic staff, administrators,
surgeon, has headed the Surgical enthusiasm. nurses, and the supporters of
Department for the past 3 years. His Tansen-the life-saving and
Many of these short-term surgeons
subspecialty is orthopaedics, but like changing work of surgery in
return for a second visit or refer
any surgeon in Tansen, he can also Tansen just would not be
be found performing general surgery, possible.
caesarean sections, and whatever else One essential component of good
is needed! surgery is a good anaesthetic. One
reason that our hospital is capable Steve Pickering
Friends of Tansen 2008 9
Life in the Maternity Ward
A new-born child brings a smile ratio in our department is only 1:10.
to its mother, hope to its father, We want to do the best for our
and joy for the family. What a patients; yet unfortunately, we are
wonderful gift from God! unsuccessful sometimes. Thus, the
high mortality rate here as most of
It is truly amazing to see wonderful
our patients come from outside
new lives coming to this world.
Tansen and mostly present very
Unfortunately, this is not always the
case for there are times when the ft
ond from le
new ones cannot make it. We then An incident occurred a few months or, sec
T he auth
feel privileged to share their grief ago during my night duty: a
with the families. premature baby was born with the child breathing the next day! We
severe complications and lay in bed, then praised God for allowing us
Life in the maternity ward is very to be a part of His miracle.
breathing with difficulty. This
stressful and busy at times.
painful scene moved us all-doctors Lastly, I would like to put in a very
Sometimes, I sense that we nurses
and nurses-into a prayer. How warm ‘Thank You’ to all who pray
are not meeting the expectations of
relieved and glad we were to see for us and support our work here.
the mothers, as the nurse-patient
I would also like to thank the
ladies of Kangaroo Flat Baptist
Church and Ms. Shirley
Mainstone and her friends who
have, most faithfully, been
sending woolen knitted wears,
rugs, and cards for all our
newly-born babies. Your caring
heart truly encourages us!
Ms. Shirley Mainstone, third from left, and friends of
Kangaroo Flat Baptist Church Maternity Ward Nurse
A New Location for our Cashiers
The inpatient and outpatient cash offices, previously located in
different areas, are an integral part of Tansen Mission Hospital.
and are responsible for processing financial transcations for patient
investigations, surgeries, procedures, and hospital stays for around
300 and 40 outpatients and inpatients respectively each day. As the
number of patients has gradually increased, so has the need to
centralise these two offices.
And centralise is what we have done now-both offices are able to
help one another during busy times and as a result, reduce the long
queues that were previously present.
10 Friends of Tansen 2008
A New Life for Shyam Lal
kill him as he called himself stay was thus covered. In total, he
'unworthy' of living with his ‘useless visited the operating room 23 times
body’. Even after the operation, he for dressings, skin grafting, and other
continued to pester the nurses to end treatments.
It was truly hard for Shyam, just
In the 35th day of Shyam’s stay, a 23, to come to terms with the loss
surprise visitor arrived and left as soon of his dreams and hopes for the
as she came-his wife! Thus, no one future.
from the Pastoral Care Team was able
The postoperative period was critical
to meet and talk to her. Shyam later
Shyam Lal came to Tansen Mission for Shyam for he needed a great deal
told us that she was leaving him and
Hospital like so many - in need of of emotional support and prayer to
going back to her parents’ house as
urgent medical care. help him cope with his new physical
he was ‘useless’ now that he had lost
condition. The Pastoral Care Team
On his way back home to Nepal his right leg.
spent time with him, continuing to
after a frustrating job hunt in Delhi,
pray for and with him, all the while
India, Shyam met with an Shyam
thank al continue
encouraging and counselling him.
unfortunate bus accident when he
for br nd praise G to
was run over by a bus while As he started to improve, he
in o opened up emotionally. His gloomy
from t ging him ‘b d
witnessing a fight between bus
drivers. Some locals urgently expression slowly lightened and we
rushed him to a hospital where adds, “ e dead’ and a k slowly saw joy in his eyes.
Shyam lay unconscious and
life no t least, I hav o Three months later, he was able to
bleeding. Fortunately, someone w e
found his diary and called his my leg , even with a start walking with crutches. He started
family in Nepal.
”. out attending chapel services and even
shared his story one day. After
His father received the call and a completing his treatment, he was
few days later, saw his son in a then referred to Green Pastures
Naturally, Shyam was more
most miserable state: the crushed
devastated, “Why did I even
Hospital in Pokhara for artificial limb
right leg had been attacked by fitting.
gangrene and now smelled awful. A
Shyam’s family of seven has a small The Pastoral Care Team continues
social organisation then arranged for
the two men to make it to the India- piece of land which provides food to play a vital role in the mental and
Nepal border, from where they for only three months of the year. spiritual healing process of such
would then arrive here at the For the rest, the family has to rely on unfortunate patients like Shyam.
Mission Hospital. manual labour. Shyam Lal is just one more
Immediately after their arrival, It was but obvious that his treatment example of how we see the Lord
Shyam was sent to the operating expenses needed to be borne by working in the lives of the
room for surgery on his broken arm somebody else so our Medical broken-hearted here in Tansen.
and an above-the-knee amputation Assistance Fund took care of this. His
for his right leg. Shyam continued to entire bill of Rupees 150,250.00 Pun Narayan Shrestha
struggle, pleading with the doctors to (Around US $ 2385) for his 111-day Pastoral Care Team In-Charge
Friends of Tansen 2008 11
An Update on our New
Emergency Department Building
Can you guess how many We thank you for your prayers supplies, and a waiting area for
patients visit us each year? for this project and appreciate all patients’ families and visitors.
the support we have received
At Tansen Mission Hospital, we see The second floor of this building
approximately 10,000 patients every will comprise various outpatient
year! This building will have three floors, clinics which will be accessible to
with the emergency department all outpatients from the current
Some of these patients are from
located on the third floor. Vehicles waiting area. This floor will house
surrounding towns and villages who
will the Dental Clinic, the Occupational
walk for days to receive medical
Therapy Department, the Social
Ser vice Department and
Our current specialty clinics, which
emergency room is include ENT,
a small room Tu b e r c u l o s i s,
that can Leprosy, and
accommodate the HIV
two patients clinics.
at a time.
function as a
Inside it is staff and
the nursing hospital vehicles,
station, a private including an area
exam area, and for the security
storage shelves for guards.
medical supplies. If there
are more than two patients in
a time, they are often placed on The estimated cost for this
trolleys in the outpatient department project is approximately
corridor for observation and care. be able to drop patients off directly $250,000 US dollars.
As you can imagine, it can be outside the emergency department. We trust that God will continue to
challenging to care for patients who Within this spacious and well-lit provide the remaining resources in
are not within sight of the caregiver! emergency department, we plan to His time.
Construction for a new emergency have ten patient beds, a nursing Jeena John,
department building began in April station, a procedure and Engineer
2007 and is progressing well. We consultation room, staff and patient If you would like to support this project,
are anticipating completion of the toilets, a store room for medical enclosed in this publication is an insert
building by end-April 2008. with all the details, in Page 15.
12 Friends of Tansen 2008
Dear Friends of Tansen Hospital
Many of you will have heard the news with regard to the ongoing future of both the
Tansen and Okhaldhunga Hospitals but I thought I would use this opportunity to fill
you in on some of the details.
Three and half years ago, UMN sought Government of Nepal approval for HDCS
to take over the legal responsibility for Tansen and Okhaldhunga Hospitals through an
agreement with the Ministry of Health and Population.
The Government agreed, and while the agreement between HDCS and the Ministry of
Health was being negotiated, we handed over the management responsibility of the Hospitals
to the Health Services Directorate (HSD) of HDCS. HSD has been efficiently providing the
management and logistic support services for the UMN hospitals, as well as the HDCS hospitals.
However, the ‘legal ownership’, and therefore issues like overall liability, financing of support services and visas, has
remained with UMN. Our current MoU with HDCS runs out in July 2008 and the intention was that by that time,
HDCS would have the necessary Government permission (i.e., the signed government agreement) and we would
have completed our partnership, aimed at Capacity Building, with HDCS.
Despite three years of extreme hard work by HDCS, including intensive negotiations with the Government, the
Government has made it very clear that it will not hand ‘all the hospitals’ to one non-government organisation and
not from a Christian INGO to a Christian NGO. We, HDCS and UMN leadership, agree that it is extremely unlikely
that in the foreseeable future the Government will sign an agreement passing legal responsibility to HDCS.
Given the ongoing delay and uncertainty, at a recent meeting of the UMN Leadership Team, which was attended by
the Directors of both Tansen and Okhaldhunga Hospitals, the decision was made not to renew the MoU with
HDCS after July 2008. For the hospitals, the consequences are:
1. They will have to make alternative arrangements for the necessary logistic support they require.
2. With support and help from UMN, the hospitals will need to investigate and then choose another way through
which they can obtain the necessary legal status, while fulfilling the UMN Board’s instruction, which is:
* The Leadership Team of UMN has the task to explore options to bring Tansen and Okhaldhunga hospitals
under the ownership of Nepali organisations.
* The Leadership Team should endeavour to preserve the mission values of all three (Patan was the third)
UMN will continue to provide that legal framework up to mid-2010, which is when our current General Agreement
with the Government of Nepal finishes.
I want to emphasise and assure you all this has been done with the involvement of the two Hospital Directors, who
are in agreement with this step, and in discussion with HDCS – although, of course, they are disappointed. UMN is
in no way dissatisfied with the work HDCS have done on behalf of the Hospitals and UMN–in fact, it is the
opposite. But we feel for the long-term sustainability of the hospitals and the best outcome for the people these
hospitals serve, we need to find another option.
Please continue to pray for us, the Hospitals and HDCS, as we work through the many implications of these
In His Service Jennie Collins
United Mission to Nepal
Friends of Tansen 2008 13
Please Support RIPE
From last year, we started a new We currently have three trainees The number of overseas mission
hospital training department to undergoing a six-month anaesthesia volunteers, and their service
coordinate all our trainings. RIPE, or assistant training and are also in the durations, has also decreased over
Rural Inter-Professional Education, is process of becoming an accredited the years. Consequently, we find
an attempt to reflect our goal to be a skilled birth attendant training centre, that we have to rely more on short-
‘training hospital with a clear which is a part of the government’s term volunteers and junior doctors.
mission to train medical, nursing, Safer Motherhood Initiatives to ensure One way of keeping our Nepali
and paramedical professionals, that every Nepali woman receives
doctors is to be able to offer
both for the immediate needs of trained help for childbirth.
sponsorship for their ongoing
the hospital and for wider service
We also provide clinical placements postgraduate training. We now have
for student nurses from Tansen the opportunity to send candidates to
Also, we have initiated a new Nursing School and physiotherapy Kathmandu's Institute of Medicine’s
partnership with the Nick Simons assistant students from Kathmandu, post-graduate programmes for certain
Institute (NSI), which helped fund the along with short on the job trainings specialties, in addition to sending a
setting up of RIPE and also for x-ray assistants and dental assistants. doctor for the Obstetrics and
coordinated some of our government Gynaecology MD programme last
We are now on the map for junior
trainings. RIPE will now coordinate year. We also plan to send another
doctors to come and gain experience
ongoing medical education for our doctor for surgical training this year.
though we are still struggling to retain
hospital staff, including courses for
senior Nepali doctors for Tansen. It The tuition fee is about $2400 for the
doctors and nurses in resuscitation of
is not as easy as in cities where there three-year course and the hospital also
newborns and dealing with accident
are many private teaching hospitals, pays them half salary for the time they
cases and palliative care.
which, as profit-making organisations, are away.
A long recognised training location for can pay higher salaries for senior staff.
Our present training funding is
General Practice, Tansen Mission Parents also prefer to send their
running short and we now have a
Hospital continues to train junior children to reputed urban institutions.
Postgraduate Training Fund for
Nepali doctors, recently-qualified We need to retain our doctors if we
which we continue to pray for
interns, and residents. are to continue as a training hospital
donations and support.
whilst still maintaining our standard
You may make bank transfers through your local bank to:
Standard Chartered Grindlays Bank
PO Box 80, 13-15 Castle Street Nepal
St Helier, Jersey, JE4 8PT, Channel Islands, UK Standard Chartered Bank Nepal Ltd
Phone: 0044 (0) 1534 704000 GPO Box 3990
Fax: 0044 (0) 1534 704600 Nayabaneswar, Kathmandu, Nepal
Sort Code : 60-91-99
Swift Code: SCBLJESH Account Name: United Mission to Nepal
IBAN Code: GB24 SCBL 6091 99 10078177 (Sterling) Account Numbers:
GB75 SCBL 6091 99 10615512 (Euro) 01-0488798 01 Nepali Rupee
GB37 SCBL 6091 99 10385142 (US $) 01-0488798-51 US $
Account Name: United Mission to Nepal Phone: 977-1-4 229333
Account Numbers : 1010078177 (Sterling) Fax: 977-1-4 226762
1010615512 (Euro) SWIFT Code: SCBLNPKA
1010385142 (US Dollar)
14 Friends of Tansen 2008
How we spent your contribution:
During the last year (2006-2007),
73,501 patients were seen in our outpatient clinics, 10,140 patients admitted, and 9,831 emergency
cases treated, and 7,199 operations performed, and 1,629 babies delivered, and 78 percent was our
bed occupancy rate, based on our increased bed numbers this year.
With your help and the help of
others: We were able to purchase:
• A record US $ 154,434.00 was given in free care to • 2 patient monitors
the poorest patients • An oxygen concentrator
• 3304 patients in total received financial support • A pulse-oxymeter
• A suction machine
• We were able to start building a new emergency
• An exercise table quadriceps
• Outpatient clinic renovations were completed
Upcoming Projects: Can You Help?
The construction of the emergency department training. This important fund will also provide
building is due to finish by end-April 2008. senior staffing for the hospital in years to come.
However, there is still a need for funding to
With sometimes up to six hours of power cuts
renovate the old emergency room, x-ray, and
per day, our generator is working overtime and
surgical consultation areas.
may need to be replaced soon.
We continue to appreciate donations to our
Our Land Rover vehicle is very old and needs
Medical Assistance Fund (MAF) which provides
charity for the poorest patients.
Thank You Again for Your Generous
The new postgraduate training fund will enable
us to send junior Nepali doctors for further
Please complete and return to: Office of the Executive Director, United Mission to Nepal, P.O.Box 126, Kathmandu, Nepal
Enclosed please find a gift of ________________ for
Tansen Mission Hospital to be used as below: Address: __________________________________
Medical Assistance Fund _________________________________________
(which provides care for needy patients) City & State: _______________________________
Capital Fund including finishing of ER Department
Where it is most needed Country: __________________________________
Requested a transfer to the United Mission to E-mail Address: _____________________________
Nepal bank account (see previous page)
I would like to receive further _____ copies of For Euro cover at Standard Chartered Bank,
FRIENDS OF TANSEN to share with friends and 37 Gracechurch Street, London, EC3V0BX
colleagues For tax efficient giving in the United Kingdom, please contact:
Doctor Training Programmes United Mission to Nepal Health Services, Finance Office
Church House, Belfast, BT1 6DW.
Friends of Tansen 2008 15