By Karlheinz Neumann | Founder and Project Leader
Upper Dolpo is one of the most socially and culturally diverse communities in Nepal. The region comprises three rural municipalities. Medical facilities are virtually nonexistent in Upper Dolpo. Everyone in the region suffers from deprivation and physical limitations. Just to reach the district capital, Dunai, people in Dolpo have to walk for at least five days.
Healthcare is extremely inadequate in the remote areas of Upper Dolpo. Especially among younger people, attitudes are shifting from traditional healing methods to scientific medicine. Nevertheless, traditional healing methods still play an important role.
To improve medical care, we have also been funding an outpatient health clinic (so called health post) in the village of Karang since 2024. This health post is open from April to October/November for up to seven months and provides care to those in need in seven villages: Karang, Tiling, Lhuri, Sungjer, Nyisal, Kyi, and Musi. The health service at the "clinic" provides free, 24/7 medical care for people with health problems. Trekking tourists and travelers passing through are also treated.
The health center in Karang treats many patients with more serious illnesses, such as respiratory and digestive problems in adults, colds, diarrhea, dermatitis, ear, nose, and throat infections, and dental problems. Musculoskeletal disorders like arthritis and uric acid hypertension pose further health challenges for the population.
The overall objectives we are aiming for are as follows: we provide holistic care for patients who previously had no access to medical services and who visit the facility or are treated during visits to their villages. Equally important is counseling on family planning, menstrual hygiene, oral hygiene, environmental hygiene, and personal hygiene practices.
In 2025, our nurse, Njma Lhazon Baijee, treated a total of 526 patients, 99% of whom were successfully treated on an outpatient basis. Family planning, toothaches, and the treatment of children under 5 years old are roughly equally represented, with around 100 patients treated in each category. Immunization programs are implemented, as are education and preventative treatments.
More than 100 children received outpatient treatment for ailments such as diarrhea, colds, upper respiratory infections, and other illnesses. Upper respiratory infections were the most frequent, affecting 32 children, followed by diarrhea (25), colds (28), and other ailments (18).
However, challenges remain in our daily work. Some residents are still very skeptical and weigh the different treatment methods. We do not want to influence the locals and therefore offer both treatment options. Of course, the distance between the villages also plays a role.
The Dolpa-Pa people are grateful and happy that this work is improving medical care year after year.
Thank you so much for your great support.
By Karlheinz Neumann | Founder and Project Leader
By Karlheinz Neumann | Founder and Project Leader
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