Annual Report 2015/2016

HIMALAYAN TRUST NEPAL

ANNUAL REPORT 2015/2016

Kathmandu, Nepal 2072/2073 (August, 2016)

INTEGRATED DEVELOPMENT OF HEALTH, EDUCATION, ENVIRONMENT AND CULTURE IN THE HIMALAYAN REGION OF SOLUKHUMBU DISTRICT Kathmandu, Nepal 2072/2073 (August, 2016)

INTEGRATED DEVELOPMENT OF HEALTH, EDUCATION, ENVIRONMENT AND CULTURE IN THE HIMALAYAN REGION OF SOLUKHUMBU DISTRICT

Contents

Acknowledgement and Thanks

CHAPTER-A

Himalayan Trust Nepal Activity 2-7

A1. 8th Annual General Meeting (AGM) in Nepal 2 A2. HTN Meetings 3 A3. AGM in New Zealand and Canada 4 A4. System Audit 4 A5. Salary Survey of HTN Staffs 4 A6. DPAC Meeting 4 A7. CPAC Meeting 5 A8. Monitoring and Evaluation 5 A9. Memorandum of Understanding 6 A10. Agreements 6 A11. Visitors 7 A12. Training for Kathmandu and Khunde Hospital Staff 7

CHAPTER-B

Educational Programs 9-34

B1. Students Enrollment in 2016 10 B2. A comparative table of Student Enrollment (2012-2016) 10 B3. Students Enrollment by School Clusterwise 2073 (2016) 11 B4. Summary of Students’ Description in Khumbu Schools 15 B5. Supplies for 60 Schools in 2016 15 B6. Learning Achievement 2072 (2015) 17 B7. SLC Result 19 B8. English Medium Teacher Training Programme 21 B9. School Based Training 21 B10. Scholarship Programme 22

CHAPTER-C

School based Support Program in 2016 35-41 - By Mahendra Bahadur Kathet and Iswor Man Rai CHAPTER-D

Rebuild Earthquake Damaged Solukhumbu Schools (REDSS) Project 43-52 -By Satya Man Lama, Engineer Project Manager

CHAPTER-E

Khunde Hospital Annual Report (2015/2016) 53-63 -By Dr. Kami Temba Sherpa, Doctor In charge

CHAPTER-F

Phaplu Hospital Annual Report (2015/2016) 65-71 -By Dr. Mingmar Chhiring Shepa, MDGP

Annex-1 (DPAC minutes) 72-73

Annex-2 (CPAC minutes) 74-75 Acknowledgements and Thanks

The project activity of the Himalayan Trust Nepal would not have been possible without the support received from all its overseas donors as well as the support of the Social Welfare Council, Ministry of Women Children and Social Welfare, Ministry of Education, Health Ministry, Home Ministry, Labor Department, Finance and National Planning Commission in the central and District Administration Office, Local Development Office, District Education Office, District Health Office and Village Development Committee at the district level.

The Himalayan Trust New Zealand is the parent organization of the Himalayan Trust Nepal. The HTN highly appreciates and acknowledges the continuous support received from the Himalayan Trust New Zealand whose prominent funder is the New Zealand Government through its Ministry of Foreign Affairs and Trade (NZMFAT). The support primarily funds for a educational project, as well as health. The Himalayan Trust Nepal acknowledges the support received from New Zealand Chair, Dr. Lynley Cook, its board and especially from Prue Smith and Howard Eiseli the General Manager and Project Manager of the Himalayan Trust New Zealand. In addition to Educational projects of the Himalayan Trust Nepal, The Himalayan Trust New Zealand has also contributed significant financial and management support towards the Rebuild Earthquake Damaged Solukhumbu Schools (REDSS) projects in Solukhumbu district.

Sir Edmund Hillary Foundation Canada has been an important donor for Khunde Hospital and its peripheral health clinics where free medical services are received by the resident of 3 VDC’s of Khumbu in the Mt. Everest region and also for a large number of new immigrants from Solu region and trekkers, porters and guides in the tourist season. For sustainability of local medical doctors at Khunde Hospital, the Sir Edmund Hillary Foundation provides Mingma Norbu Memorial MBBS scholarship to one student a year. All MBBS graduates who previously received this scholarship have contributed their services to Khunde Hospital. The Sir Edmund Hillary Foundation Canada has been helping in the rebuilding of a number of earthquake damaged schools and Kunde Hospital in Khumbu region.

For many years, the American Himalayan Foundation has been involved in supporting the efforts of the Himalayan Trust Nepal in promoting Education and local culture in Khumbu and Pharak region. The Himalayan Trust Nepal is indebted to Chairman Richard C. Blum, President Erica Stone and Vice President Norbu Tenzing and program director Betsy Horan and to Bruce Moore, the regional manager in Kathmandu for their continuous support over the years.

The Himalayan Trust Nepal also would like to thank Mr. Graham Wrigley, the Chairman of HTUK, Secretary Mary Lowe and all its board members for their contribution in the education and rebuilding of earthquake damaged schools in Solukhumbu district.

The Himalayan Trust Nepal also acknowledges the support received from Sir Edmund Hillary Stiftung, Germany in improving the quality of the health services of Phaplu Hospital. They celebrated the 25th anniversary of their support to Phaplu hospital and the people of Solukhumbu in 2015. The Himalayan Trust Nepal expresses its deepest gratitude to the Chair Ingrid Versen and

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 i Vice Chair Manfred Haupl and their board members for continuous support to Phaplu Hospital. The Himalayan Trust Nepal also highly values the scholarship support for Khumjung school students from Joan and Larry Witherbee. The Hillary Foundation of USA has supported the educational program of the Himalayan Trust for many years in the past.

The support of Benoit Chamoux Foundation (BCF) for the semi orphaned children of mountaineering victims has been greatly appreciated by the Himalayan Trust. Through this foundation, the children are receiving good education in Kathmandu. Special mention goes to Fabienne Clauss, the spiritual mother of the BCF children who keeps in touch regularly with the children, keeping tabs on their educational progress and employment opportunity of the students in Nepal. The Himalayan Trust Nepal thanks Agostino Da Polenza and the board members of Benoit Chamoux Foundation for their long commitment to the children. The Himalayan Trust New Zealand, American Himalayan Foundation, Himalayan Trust UK have also supported schooling of 2014 Mt. Everest avalanche victims’ children with long commitment through Himalayan Trust Nepal in mutual understanding between Himalayan Trust Nepal and Nepal Mountaineering Association.

Naulekh Foundation supports Poyan Primary School and a health clinic in Poyan village in Juving VDC. The village community of Poyan is benefited from continuous support of the foundation through Himalayan Trust Nepal.

The Himalayan Trust Nepal also highly values the support of Grand Circle Foundation who has supported the teacher training program of the Himalayan Trust for many years in the past. The Foundation’s support for earthquake damaged school rebuilding is much appreciated. The Himalayan Trust Nepal extends gratitude to Jan Byrnes of the Foundation.

The HTN also appreciates and extend thanks to Mrs. Phurba Sona and Mrs.Dawa Sherpa, the directors of Greater Himalaya Foundation USA for their support in the earthquake rebuilding task of the Himalayan Trust Nepal in Solukhumbu.

The Himalayan Trust Nepal thanks to Association Ventus Spei, Zurich for School rebuilding support.

The Himalayan Trust Nepal acknowledges major financial support received from Reinhold Messner of Messner Mountain Foundation and Prof. Wolfgang Nairz from NepalHilfe Tirol Foundation for the rebuilding of Kunde hospital

We admit praiseworthy role of the Advisory Committee of Kunde Hospital for organizing the 50th anniversary of Kunde Hospital and their involvement in the rebuilding of post earthquake damaged hospital blocks.

The hard work of the entire hospital staff under Dr. Kami Temba for their efficient management in delivering good health services in Kunde Hospital and outreach clinics in Khumbu region is much appreciated also.

Dr.Mingmar Chhiring, Dr.Soosita Pun and Dr. Dinesh Bhandari at Phaplu Hospital deserve appreciation for their outstanding medical services delivered from the hospital.

Teacher trainers of the Himalayan Trust Nepal (HTN) and REED Nepal have worked hard in coordination with volunteer teachers for delivering teacher training program in Lukla. The Himalayan Trust acknowledges the support received from overseas volunteer teachers and Jim Strang for the teacher training program.

ii HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Rebuild Earthquake Damaged Solukhumbu Schools (REDSS) team under the supervision of Engineer Project Manager, Satya Man Lama has been much appreciated for team work in delivering their technical support for the earthquake resilience school rebuilding program in Solukhumbu. We would also like to acknowledge the feedback and guidance received from the Himalayan Trust New Zealand Project Manager Mr. Howard Eiseli and HTUK donor coordinator, Mr. Pushkar Shrestha for the REDSS Projects.

We would also like to acknowledge the support and leadership received from all Executive and as well as General members of the Himalayan Trust Nepal for giving their valuable time to all HTN meetings and overall affairs of the institution.

Thanks go to Baween Raj Tandukar and Dawa Tshering and all the staff at Trust Office for their team spirit and hard work.

We are grateful for the support and courtesy received from Miss Elizabeth Ann Hawley and Lisa Choegyal, New Zealand Honorary Consul to Nepal.

Finally, the Himalayan Trust Nepal would like to express acknowledgment to overseas donors, friends and well wishers for helping to build the schools and hospitals of Solukhumbu damaged by earthquake of 2015.

Pasang Sherpa Lama Pasang Dawa Sherpa (Chief Administrative Officer) (Acting Chairman) Himalayan Trust Nepal Himalayan Trust Nepal

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 iii

CHAPTER A HIMALAYAN TRUST NEPAL ACTIVITIES A

A. Himalayan Trust Nepal Activity

The Himalayan Trust Nepal is a non-governmental, non-profit and non-political social organization set up to support the government of Nepal and the people of Solukhumbu in education and health sectors through an inclusive, innovative and locally-driven approach. Established as part of the work of Sir Edmund Hillary and his Sherpa friends in the Everest Region, Himalayan Trust Nepal is dedicated to achieving community-led sustainable mountain development in Solukhumbu District.

HTN’s Vision “Himalayan Trust Nepal is dedicated to achieving holistic community-led sustainable mountain development guided by the vision of Sir Edmund Hillary and his Sherpa friends in the Everest region.”

HTN’s Mission “Himalayan Trust Nepal supports education, health, culture and environment programme through an inclusive, innovative and locally-driven approach.”

The Education program aims to improve the quality of education in local schools to retain students, promote local teachers and develop child-friendly education system. The area of intervention in education includes rebuilding earthquake damaged schools, repairing and improving facilities in school, increase the rate of students learning outcome, manage and operate ECED classroom effectively; introducing Sherpa language classes; and empowering school management committees in governance and decision making.

The main goal of the Health program is to strengthen and upgrade existing health facilities for better services. The program in health sector includes rebuilding earthquake damaged health facilities; improving existing facilities, training of human resource and running outreach program effectively.

The Cultural Sector’s goal is to retain and revive local languages and cultural heritage to strengthen indigenous knowledge, governance system, cultural values and pride. The goal has been supported by various programs such as using local language in schools, media and daily activities; conserving and restoring local artifact through establishment of local cultural museum and visitor centers; and facilitating local people to initiate and invest in cultural preservation and promotion activities. The activities are as follows:

A1. 8th Annual General Meeting (AGM) in Nepal

The Himalayan Trust AGM held on 6th September 2015 with following presentation and decisions. The Himalayan Trust Nepal AGM was also attended by the General Manager, Ms Prue Smith and Project Manager Mr. Howard Eiseli of the Himalayan Trust New Zealand.

Reporting and evaluation of ongoing HTN educational and health activities Treasurer reporting on finances

2 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Decisions Approved 2014 -2015 audit report Budget revised and approved for 2015-2016 Re-appointment of auditor for 2015 -2016

Decided to form local Advisory Committee for celebration of 50th anniversary of Kunde hospital Passed resolution of thanks to all the donors for their continuous support to Education, Health and cultural program of the Himalayan Trust Nepal

A2. HTN Meeting on 11th January 2016

This meeting is generally organized to commemorate the death anniversary of Burrah Sahib, Sir Edmund Hillary. In general, discussions and interactions were focused on the ongoing projects between all HTN members.

Decision Himalayan Trust Nepal Committee approved various petitions received from community monasteries as a token of support during this meeting with thanks to Himalayan Trust New Zealand for the financial grants for rebuilding 9 community monasteries damaged by the earthquake of 2015

A2. HTN Meeting in January

The Executive committee meeting of the Himalayan Trust Nepal was held in January to form Kunde Hospital Advisory Committee under the initiative of HTN member Pasang Tshering Sherpa of Kunde village.

Decision Five members Local Advisory Committee formed to support and guide Kunde Hospital.

Responsibility Responsibility assigned to the Local Advisory Committee of Kunde Hospital for the preparation of 50th anniversary of Kunde Hospital and construction of helipad and Zeke O’ Connor garden at Kunde Hospital. Responsibility was also entrusted upon the Advisory Committee of Kunde Hospital to forming Construction Committee for rebuilding of Earthquake Damaged Kunde Hospital with the structure design prepared by Structural Engineer, Dr. Durga Shrestha.

A2. HTN Executive Member Meeting and Decisions

Several special meetings were held in February, April and June to endorse the Financial Manual of the HTN for REDSS project developed by RajMS Consultancy under the initiative and financial support of Himalayan Trust New Zealand.

HTN Executive meeting also held in June 2016 to endorse the salary of Himalayan Trust Nepal Staff on the basis of survey conducted by Raj MS Consultancy of Nepal.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 3 A3. AGM in New Zealand and Canada

The Chief Administrative Officer, Mr. Pasang Sherpa Lama and the Vice Chairman ofthe Himalayan Trust Nepal Mr. Pasang Dawa Sherpa were invited to attend the Annual General Meeting (AGM) held in Auckland in November, 2015

Outcome It helped to share the vision of the Himalayan Trust Nepal and bridge close relation between Himalayan Trust New Zealand Board and Himalayan Trust Nepal Executive Committee

AGM in Canada As usual, Dr. Kami attended the AGM in Canada in October 2015. Dr. Kami has a more detailed description in his annual report

A4. System Audit

Under the initiation and financial support of Himalayan Trust New Zealand, an independent system audit was engaged for Himalayan Trust Nepal to update the finances through RajMS Consultancy of Kathmandu and helped to produce financial manual for the rebuild earthquake damaged Solukhumbu School Projects (REDSS) and the Himalayan Trust Nepal Projects. The RajMS consultancy also helped to update the staff’s personnel manual of the Himalayan Trust Nepal. RajMS Consultancy is tasked to continue system audit of the ongoing REDSS project as well as overall Himalayan Trust Nepal educational and health program for fiscal year 2015-2016.

A5. Salary Survey of HTN Staffs

On the request of the Himalayan Trust Nepal, the Himalayan Trust New Zealand also financially helped to engage RajMS Consultancy for salary survey of the Himalayan Trust Nepal staff with other comparators of Himalayan Trust Level NGO in Nepal.

Except REDSS project and Kunde Hospital, staff salary survey was conducted for the Himalayan Trust Kathmandu staff and HTNZ helped to adjust the salaries at the request of the HTN Executive Committee. At present, 80% of Kathmandu Administrative overhead is met by the Himalayan Trust New Zealand and 20% is met by other partner organizations. The Himalayan Trust New Zealand has made one-off payment for the gratuities of all HTN staff including Kunde Hospital until December 2015. Gratuity fund for future retiring staff has been deposited at Citizen Investment Trust in Kathmandu.

Linkage and coordination with district and central level government agencies

A6. DPAC Meeting

The District Project Advisory Committee (DPAC) Meeting under chairmanship of Local Development Officer (LDO) was held in Salleri Solukhumbu with other district government agencies and local stakeholders on 6th July 2016

4 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 A7. CPAC Meeting

The Central Project Advisory Committee (CPAC) meeting under the chairmanship of Member Secretary of Social Welfare Council (SWC) was held on 21st July 2016 in the presence of various representatives from the central line Ministries and officials of the Himalayan Trust Nepal in Kathmandu.

Minutes of DPAC and CPAC are separately recorded. Please refer to (CPAC and DPAC) minutes in the annex of this annual report

DPAC Meeting in the district CPAC meeting in Kathmandu

A8. Monitoring and Evaluation

Himalayan Trust Nepal Committee Members School Visit

The Chairman of the Himalayan Trust Nepal, Ang Rita Sherpa and Treasurer Thukten Sherpa visited all 10 English medium teaching schools in Khumbu to interact with the teachers and local community for improvement of teaching quality. They visited Khunde hospital and helped to appoint a temporary staff to assign the duty for the construction of a helipad and Zeke O’ Connor garden at Kunde hospital. They also visited Phaplu Hospital and District Health Office in Salleri.

Outcome of the Visit

• The conclusion of their visit was that without qualified local young teachers, supported by the Himalayan Trust Nepal, the quality of education in Khumbu will decrease significantly from its current state.

• Phaplu Hospital should work closely with District Health Office and District Administration office and Local Development Office for effective management outcomes.

Final evaluation of Himalayan Trust Projects from Social Welfare Council

As per the agreement with the government of Nepal under the umbrella of Social Welfare Council, there are two provisions of evaluations to be conducted by the Social Welfare Council of Nepal for a three to five year Project Agreement. A mid-term evaluation of Himalayan Trust project was conducted in 2013 in the Khumbu area including Kunde Hospital and Khumbu schools.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 5 Final evaluation conducted in January 2016 in Solu area schools including Phaplu hospital. The evaluation team consisted of an independent team leader, a representative from Ministry of Education and a representative from the Ministry of Health along with an independent Charter Accountant and a representative from the Social Welfare Council.

Various recommendations were made by the evaluation team for immediate implementations. On the basis of progress report of the evaluation, a new agreement has been renewed by the Social Welfare Council and the Ministry of Women Children and Social Welfare.

A9. Memorandum of Understanding and Agreements

Memorandum of Understanding (MoU) with the Department of Education for earthquake damaged school rebuilding in Solukhumbu was signed on 13th Dec. 2015 by the Chairman of the Himalayan Trust Nepal and Director General of Department of Education.

The Director General of DOE and former Chairman of HTN

A10. General Agreement between the Himalayan Trust New Zealand and Social Welfare Council

General Agreement between the Himalayan Trust New Zealand and the Social Welfare Council has been signed on April 27th for a period of 3 years (2016 to 2019)

On the basis of General Agreement a three years tripartite project agreement will be reached between the Himalayan Trust New Zealand, Social Welfare Council and Himalayan Trust Nepal

Separate Agreement between the Himalayan Trust Nepal and Social Welfare Council

A separate Agreement for three years (2016 -2019) between the Himalayan Trust Nepal and Social Welfare Council will be signed for Kunde Hospital supported by Sir Edmund Hillary Foundation Canada and two educational projects supported by Benoit Chamoux Foundation, France and Naulekh Poyan Foundation supported by Swiss Foundation through the financial commitment of the donors.

6 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 A11. Visitors

Himalayan Trust Nepal (HTN) had the pleasure of welcoming number of overseas guests from New Zealand including Peter Hillary, Dr. John Mckinnon, Dianne Mckinnon, Dr. Lindsay Strang, Sarah Hillary, Roger Goodman, General Manager Prue Smith and Project Manager Howard Eiseli of Himalayan Trust New Zealand.

In November 2015, the Himalayan Trust Executive members also enjoyed the pleasure of meeting Chairman Richard C. Blum, President Erica Stone and Vice President Norbu Tenzing of AHF at Trust Office while coming to see Miss Elizabeth Hawley, the country representative of the Himalayan Trust New Zealand in Nepal.

Zeke O’ Connor and Karen O’ Connor, the founder president and present president of the Sir Edmund Hillary Foundation visited Nepal in connection with the celebration of 50th anniversary of Kunde Hospital in May 2016. The celebration committee of Kunde hospital, Kunde staff and the people of Kunde, Khumjung and Namche enjoyed meeting and welcoming Zeke O’ Connor. Dr. Kami Temba has more to say in his Kunde hospital annual report of 2016.

Mrs. Fabienne Clauss, the former Chairman of Benoit Chamoux Foundation, arrived in Kathmandu to see the educational progress and guide the children of mountain victims whose fathers died in the mountain expedition or snow avalanche. A picnic was organized for the children, officials of Himalayan Trust Nepal and official of Nepal Mountaineering Association. Mrs. Fabienne Clauss interacted with each and every student on their educational progress and future plans and discussed with HTN and NMA officials.

Naulekh Foundation officials, Ursulla, Hauser Werner and Luethy visited HTN office and Miss Elizabeth Hawley. They come to Nepal every year to visit Poyan school and health clinic in Juving VDC and interact with students, teachers and Poyan school management committee for the welfare of the people and Poyan village.

The Himalayan Trust Nepal also enjoyed meeting the president of Greater Himalaya Foundation USA Mrs. Phurba Sona Sherpa in Kathmandu in connection with school rebuilding work in Khumbu region.

A12. Training for Kathmandu and Kunde Hospital Staff

Himalayan Trust staff Dawa Tshering Sherpa and Baween Raj Tandukar took a 3 day training to familiarize themselves with the new accounting software FAMAS and as well as training on the EXCEL program to upgrade their skills in the accounting system. Dawa Tshering also took a month’s website designing training.

Mahendra Bahadur Kathet and Iswor Man Rai participated in a one week “Fairly Childhood Development’ training first phase organized by “ECEC” early Childhood Education Centre (P) Ltd. While in Kathmandu, the HTN trainers also took part in a one day’s program organized by Rato Bangla School on early education development of the children.

Kunde Hospital lab technical, Tshering Thendu participated in a 2 week’s book keeping training in Kathmandu during his holiday.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 7 Outcome of Training

• Dawa Tshering upgraded the Himalayan Trust Nepal website in August. http:// himalayantrust.org.np

• Baween Tandukar improved his EXCEL skills; Himalayan Trust Nepal Accounts will be maintained with FAMAS instead of Tally system.

• Knowledge gained by the trainers would be helpful in facilitating school teachers at school times and school based training.

• The laboratory technician of Kunde Hospital will be handling simple accounting in double entry system as per requirement of Kunde Hospital.

8 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 CHAPTER B EDUCATIONAL PROGRAMS B

B. Educational Programs

The Himalayan Trust Nepal at present supports 60 schools in 11 VDC from Khumjung VDC to Salleri (new Dudhkunda Municipality). Sixty schools are divided into 7 clusters.

B1. Students Enrollment in 2016

Name of Cluster Total School Total boys Total girls Total students

Khumjung Cluster 5 schools 304 293 597

Chaurikharka Cluster 7 schools 457 475 932

Kharikhola Cluster 10 schools 512 589 1101

Taksindu Cluster 8 schools 269 269 538

Junbesi Cluster 9 schools 276 326 602

Salleri-1 Cluster 11 schools 448 451 899

Salleri-2 Cluster 9 schools 479 577 1056

Bung High School 1 school 325 306 631

Total 60 schools 3052 3093 6145

B2. A Comparative Table of Student Enrolment (2012 to 2016)

Year 2012 2013 2014 2015 2016

Cluster

School Boy Girl Total Boy Girl Total Boy Girl Totals Boy Girl Total Boy Girl Total

Khumjung 264 275 539 273 274 547 305 288 593 310 290 600 304 293 597

Chaurikharka 491 493 984 463 474 937 482 493 975 497 522 1019 457 475 932

Kharikhola 620 688 1308 648 702 1350 599 585 1184 540 561 1101 512 589 1101

Taksindu 335 357 692 325 340 665 226 262 488 270 241 511 269 269 538

Junbesi 437 390 827 365 342 708 298 327 625 282 336 618 276 326 602

Salleri 1 +2 756 853 1609 764 752 1516 950 1016 1986 795 755 1550 951 913 1864

Bung School 376 342 718 328 342 670 321 367 688 750 325 306 631

Totals 6677 6393 6539 6149 6356

10 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 6 17 17 42 43 45 55 111 343 178 597 332 126 380 932 410 G Total 8 8 5 21 90 25 60 21 59 26 G 166 293 166 198 475 230 9 9 1 21 88 18 66 24 Totals B 52 29 177 304 166 182 457 180 11 36 G

C12 26

G 14

C11 35

B 16

G 14 22

C10 16

B 18 19

G 18 24

C9 9

B 22 24

G 23 20 15

C8 15

B 11 21 18

1 5

G 11 19 26

C7 9

5 8

B 19 12 12

2 7

G 11 10 18

C6 13

2 6

B 15 14 16

5 2 1 2

6 4 4 1

4 5 G 12 10 14

C5 9 2 0 1 4 3

1 5 2

6 6 B 10 20

6 8 0 0 5 7

5 1 7 2

3 2 G 17

C4 5 8 1 0 2

5 5 6 2

6 4 B 11 21

17 3 1 3 1

8 4 0 0 9 4 G 10 10 21

C3 4 9 0 0 2

4 1 7 3 1 3 2 B 11 18

7 0 0 2

6 2 4 3 2 7 3 G 11 10 20

C2 8 0 2 1 7

9 1 6 2 0 9 5 B 13 19

9 7 1 1 2

5 9 7 0 3 3 G 17 10 22

C 1 10 6 2 1 2

1 7 4 0 5 4 B 15 10 17

22 4 3 5

6 8 3 9 G 41 36 18 14 45 16

21 6 5 5

2 0 8 B 11 44 41 17 21 48 10 Pre. Pry. Pre.

Totals Sub totals Class Students Enrolment by Cluster wise 2073 (2016) by Cluster Students Enrolment Name of School KHUMJUNG CLUSTER Khumjung Pangboche PS Phortse PS Thame LSS Himalayan PS Namche CHAURIKHARKA CLUSTER CHAURIKHARKA M/Jyoti HS Chaurikharka Yova Varsha LS Varsha Yova Monjo Janasewa LS Gumela Lukla LS Pemacholing PS Ghat Sagarmatha PS Surke KHARIKHOLA CLUSTER KHARIKHOLA Kharikhola HS Dudhkoshi LS Bumburi Janakalyan PS Hattemu 1 2 3 4 5

6 7 8 9

S. 11 10 12 13 14 No. B3.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 11 8 0 50 14 40 27 79 84 13 16 10 26 19 53 218 264 142 538 149 101 1101 G Total 6 5 3 9 4 8 7 0 28 16 13 31 59 77 29 79 64 G 116 589 127 264 8 8 5 7 6 0 Totals B 22 24 14 48 25 65 18 12 24 70 37 102 512 137 274 G

C12

G C11

G 14 25 C10

B 18

G 25 24 C9

B 18 25

8 6

3 G 12 17 13 C8

2 3

4 5 B 18 14 6

3 3

8 8 G 13 13 C7 0

9 5 B 15 10 14 4

G 11 15 10 12 12 14 C6 2

5 1

8 6 B 18 15 2 7 5 1 2 3 5 5 1

7 9

0 2

G 11 12 C5 3 1 5 1 6 0 1 0 2

4 9

3 2

2 6 B 2 3 8 0 1 3 1 7 1

7 8 0 2

2 2

2 G 10 C4 2 4 2 1 5 1 8 2 1

9 2 1

1 3

6 1 B 10 2 3 3 1 4 2 3 7 1

4 2 2 0 1 0 2

4 5 G C3 4 3 5 1 2 2 2 3 2

6 5 1 1 2 4 1

4 6 B 6 3 6 2 3 1 3 7 1

6 7 1 0 0 0 0

4 8 G C2 7 4 1 1 1 3 5 2 1

5 4 1 1 0 6 3

7 3 B 4 2 4 2 4 2 1 5 1

9 3 0 7 3 6 1

5 2 G C 1 3 4 4 4 2 3 8 5 2

7 0 4 4 4 3

8 3 B 13 3 11 0 2 2 5 8 0

0 0 0 0 0

4 3 G 10 10 16 8 3 6 0 8 5 7 7 0

1 0 0 0 0

7 2 B 14 15 Pre. Pry. Pre. Totals Totals Class Name of School Dipjyoti PS Juving Juving High School Pankonija PS Naulekh PS Poyan Mera PS, Kupra Bupsa LS Buksa Budhibikas LS Solaban Inkhu PS Sibuche TAKSINDU CLUSTER TAKSINDU SS Taksindu Nunthala Swarswati LS Phuleli Suryodhya PS Changa Babuchheri PS Sat Deku PS Balbikash PS Chulemu Dukhkunda PS Hewa Ringmo LS

JUNBESI CLUSTER Junbesi SS Himalayanbuddist LS

S. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 No.

12 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 10 25 29 47 25 65 13 18 19 15 72 24 151 602 631 129 257 345 G Total 5 7 3 8 9 8 8 10 18 12 29 71 37 G 102 326 306 122 181 5 7 Totals B 18 19 29 13 36 49 58 10 10 10 35 16 276 325 135 164 G

C12

G C11

G 11 16 14 C10

B 22

G 20 14 17 C9

B 26 13

G 31 16 21 C8

B 23 14 17

G 11 16 34 25 C7

B 31 19 20

5 7

G 18 38 31 C6

B 12 28 15 23

0 2

7 5

8 6 1

9 1 G 14 23 C5

4 2

4 0

8 1

2 B 32 15 20 10

3 2 2 5 5

9 0 G 36 10 12 21 C4

2 1 3 5 5

5 9 0

9 1 B 21 29

2 2 0 4 5 2

6 9 0 2 2 0 2 1 G 32 15 C3

7 4 0 2 7 0

5 1 1 1 1 7 0 B 25 10 20 1 0 0 1 3 5 3

5 7 0 3 1 3 5 1 G 35 18 C2 1 4 3 0 1 7 3

7 2 1 3 0 1 1 B 11 38 10 1 2 3 1 1 2 8

1 3 4 5 7 4 G 33 14 12 18 C 1 2 3 0 3 4 6 8

8 6 8 2 6 3 1 B 44 12 17 3 3 2

2 5

9 5 1 G 11 28

2 4 6

3 7

7 9

7 5 B 11 35 Pre. Pry. Pre.

Class Name of School Mopung Ps Mopung Buddha Aca PS Buddha Beni Ps Salabesi Beni LS Namobuddha Ps Phera Setidevi Ps Charghare Chandrajyoti SS Bhakaje

Sagarmatha Mavi Bung SALLERI CLUSTER 1 Dudhkunda Ls Phaplu Phaplu com SS Chiwang Ps Surkey Kymje Ps Kyamje Swarnim Ps Thateng Sergabagam PS Sergabagam Janajagrity Ls Sallery Ramilojyoty LS Jaidu Dorpu Ps chhulyamu

S. 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 No.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 13 7 57 14 48 16 10 34 70 26 899 622 159 1056 G Total 4 6 8 3 29 24 16 73 46 15 G 451 357 577 3 8 8 7 Totals B 11 28 24 18 86 24 448 265 479 G 150

C12

B 83

C11

G 56 14

C10

B 40

G 75

B 67 13

G 27

B 27 13

G 28 10

7 0

B 23

G 21 12 12

B 25 17

1 1 2 3 1 G

1 3 4 4 1 B

0 2 1 5 2 G

3 1 7 2 1 B

3 2 5 3 0 1 4 4 1 G

3 1 4 0 2 1 4 3 2 B

5 2 5 2 0 3 5 3 2 G

3 1 4 2 1 1 3 4 2 B

2 0 3 3 2 3 2 4 3 G

C 1

5 3 5 6 0 5 5 3 1 B

6 6 4

7 2 6

6 6 G

5 3

5 3 6

7 7 4 B Pre. Pry. Pre.

Class Name of School Balmandir Ps Sallery Totals SALLERI CLUSTER 2 Janajagrity HS Sallery Janasudher PS Khoria Saraswati Ps Kunikhop Manjushree Ps Lura Tenjing Norgya Ps Norgya Tenjing Boldo Phalamkhani PS Jwalamai Ps Tamakhani PK High school, Loding Goli Ls Gyopsa Lumukarma PS Goli

S. 50 51 52 53 54 55 56 57 58 59 60 No.

14 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 B4. Summary of Students' Description in Khumbu Schools

From From From From S. Namche Name of school girls boy’s Total Khumjung Chaurikharka other No. VDC, VDC, VDC VDCs Thame Khumjung Secondary 1. 166 177 343 157 26 26 134 School, Khumjung Thame Secondary Lower 2. 21 21 42 26 16 School Pangboche Primary 3. 8 9 17 2 15 School, Pangboche Phortse primary school, 4 8 9 17 12 5 Phortse Himalaya Primary 5 90 88 178 40 46 10 82 School, Namche Yuvavarsha LS School, 6 25 18 43 17 26 Manjo, Chaurikharka 7 Sagarmatha PS Surke 1 5 6 3 3 Jana Sewa LS School, 8 63 63 126 67 59 Gumela, Chaurikharka Pemachholing PS Ghat, 9 21 24 45 14 31 Chaurikharka Lukla LS, Lukla, 10 198 182 380 2 116 262 Chaurikharka Mahendra Jyoti HS 11 166 166 332 151 181 School, Chaurikharka 767 762 1529 211 100 404 814

This table shows that a great number of children from down valleys have enrolled in the schools of Khumbu region. The reason for this has been that their parents have moved and settled there to grab job opportunities as small scale business, trekking, porters and care takers and coworkers of Sherpas' houses. This is the reason that the financial status of the children's family is very weak. The children heardly get comfortable learning environment at their home.

Gender parity has improved with equal number of girls’ enrolled in schools. This means that all children of the region are enrolled in the schools of Solukhumbu.

B5. Supplies for 60 schools in 2016

Teaching and learning materials has been supported by Himalayan Trust since 1986 especially to schools of Solukhumbu built by Sir Edmund Hillary to encourage enrollment and increase the number of children going to the schools. After the Himalayan Trust primary teacher training program from 1998 to 2004, supply of teaching and learning materials was extended to 63 schools from the last village of Mt. Everest to the district capital, Salleri, to promote the quality of teaching in the hill schools.

Now with the development of roads, expansion of markets in the district capital and development of local economy and increased awareness amongst the parents for compulsory education of their children, the Himalayan Trust is reducing stationery supplies every year by 25% and by 2019 stationery supply will be phased out for Himalayan Trust supported schools in Solukhumbu. Schools and parents have been well informed about the Himalayan Trust stationery phase out program right from 2016.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 15 Teaching material hand over program to the schools through District Education Officer (DEO)

However, provision of teaching materials and training materials to the teachers should be continued to maintain the present standard of education.

16 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Himalayan Trust Nepal Stationery Supplies for 2016 session

SN Particulars Specification Qty. Unit 1 Nepali Copy Large 100pages Indian fine map litho Quantam7''x9.25 6824 doz. 2 English Copy 80pages Indian fine map litho Quantam7''x9.25 1221 doz. 3 Drawing Copy 80 pages Indian fine map litho Quantam7''x9.25 104 doz. 4 Math Copy 80 pages Indian fine map litho Quantam7''x9.25 568 doz. 5 Graph Copy, 40pages Indian fine map litho Quantam7''x9.25 118 doz. 6 Geomerty Box Kodak, Indian 1575 pc. 7 Pencil HB, with eraser Natraj, Indian 1855 doz. 8 Exam Copy, Big, 400 sheet 11x18 x8mm ruling, 58gsm Everest 618 ream 9 Duplicating Paper FC 8.5''x13'' 500 sheets 98 ream 10 A4 Paper 75 gsm Jk/ Kyon Indian Good qlty. 295 ream 11 Student Attn, Reg FC Hard Cover, 473 pc. 12 Teachers' Attn. Reg, 40 sheets Medium, Nepali paper, Hard cover 16 pc. 13 Drawing Paper Mix colour 22''x28'' 150gsm diff. col.chart paper 4055 pc. 14 News print paper 48 gsm / 48x72 cm2/ Brown 24 ream 15 Carbon Paper FC Kangaro 18 pkt. 16 White B. Duster Polish Brush Soft hair 371 pc. 17 Push Pin Colour Head deli 35 pc/ pkt 284 pc. 18 Glue Stick, 36 gm. deli 288 pc. 19 Envelop White 25 pc/ pkt. 9x4'' Nepali good quality 156 pkt. 20 Cello Tape 36 yd. 1'' Big roll 180 roll 21 Masking Paper Tape 1'' 20mtrs. Comet 436 roll 22 Brown Tape, 2'' 60 mtr. Roll, comet 120 roll 23 String Ball cotton thread 234 ball 24 Stapler M/C Kangaro No. 10 10 pc. 25 Stapler pin Kangaro No. 10 352 pkt. 26 White Board Marker Snowman, Japan 278 doz. 27 Ball pen Black 0.6 Flair Xtramile 181 doz. 28 Ball pen Black 0.6 Flair Xtramile 155 doz. 29 B. Marker Ink Pointline, 500ml bot. 120 bot. 30 Base Ten Blocks Woodden red & blue 30 set 31 Volley Ball No. 5 Mikasa, Japan 64 pc. 32 Volley Ball Net Red sun, Nylon, Indian 38 pc. 33 Foot Ball, No. 5 Vixin, Indian 79 pc. 34 Note Book Diary( Logo Print) Hitech,Medium, regine cloth Bond 520 pc. 35 White Board Medium 3'x4' Light weight, chinese 52 pc. 36 Stapler 23/25 Book binding big size 1 pc.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 17 B6. Learning Achievement 2072 (2015)

Primary Level: Class 1- 5

Nepali English Math Social Science School wise % Name of School 1 Junbesi High School 65 64 56 66 65 63 2 Himalayanbuddist LS school 85 80 75 67 89 79 3 Mopung Ps Mopung 87 80 84 83 84 84 4 Buddha academy Ps Tumbuk 82 88 84 81 81 83 5 Beni Ps Salabesi 90 95 66 59 95 81 6 Beni LS Beni 65 64 60 63 70 64 7 Namobuddha Ps Phera 51 52 53 55 54 53 8 Setidevi Ps Charghare 78 76 76 76 76 76 9 Chandrajyoti Hs Bhakanje 61 51 61 57 67 59 Sallery Cluster 1 and 2 10 Dudhkunda Ls Phaplu 66 66 63 71 72 67 11 Chiwang Ps Surkey 47 45 50 56 54 50 12 Kymje Ps Kyamje 68 66 61 57 60 62 13 Swarnin Ps Thateng 87 84 80 86 79 83 14 Sergabagam Ps Serga 49 51 53 52 54 52 16 Janajagrity Ls Sallery 52 54 47 57 53 53 17 Ramilojyoty PS Jaidu 60 62 54 58 45 56 18 Dorpu Ps chhulyamu 29 30 28 26 26 28 19 Saraswati Ps Kunikhop 73 62 66 66 74 68 20 Manjushree Ps Lura 75 72 74 79 70 74 21 Janasudhar PS Khoria 74 70 73 74 71 72 22 Tenjing Norgya Ps Boldo 73 74 73 72 73 73 23 Phalamkhani PS Tamakhani 47 60 41 40 51 48 24 Jwalamai Ps Tamakhani 66 63 55 63 57 61 25 PK High school, Loding 63 71 66 67 69 67 26 Lumukarma PS Goli 45 43 38 41 49 43

Lower Secondary Level: Classes 6,7 & 8

Nepali English Math Social Science School wise % Name of School 1 Junbesi High School 64 56 48 58 59 57 2 Himalayanbuddist LS school 59 51 60 51 65 57 3 Beni LS Beni 64 60 50 56 38 54 4 Chandrajyoti Hs Bhakanje 52 41 52 57 58 52 Sallery Cluster 1 and 2 5 Dudhkunda Ls Phaplu 62 55 44 57 55 55 6 Janajagrity Ls Sallery 61 56 35 62 72 57 7 PK High school, Loding 62 61 41 57 57 56

Secondary level: classes 9 to 10

Nepali English Math Social Science School wise % Name of School 1 Junbesi High School 54 53 48 53 50 52 2 Chandrajyoti Hs Bhakanje 49 51 49 46 53 50 Sallery Cluster 1 and 2 3 PK High school, Loding 52 44 46 55 48 49

18 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 B7. SLC Result

SLC results have been out in time to bid farewell to the 10 year schooling system that had been in practice for more than eight decades. This is the last SLC under 10 year schooling system.

School education evaluation system has entered a new phase starting this year. For the first time, this year SLC results were published according to a Letter Grading System.

The Nepal government has passed an education bill paving the way for school restructuring as per which next year onwards 12 year school education system will be in practice.

This year total 437326 students appeared SLC Board Exam in regular category in Nepal. The result were as follows

S.No. Number of GPA range Grade Description Equivalent score in students percentage 1 16,454 Above 3.6 to 4.0 A+ Outstanding 90 -100 2 41,577 Above 3.2 to 3.6 A Excellent 80 – 89 3 48,611 Above 2.8 to 3.2 B+ Very Good 70 – 79 4 63181 Above 2.4 to 2.8 B Good 60 -69 5 94,716 Above 2.0 to 2.4 C+ Satisfactory 50 -59 6 104,278 Above 1.6 to 2.0 C Acceptable 40 -49 7 56,763 Above 1.2 to 1.6 D+ Partially acceptable 30 – 39 8 8,000 Above 0.0 to 0.8 E Very Insufficient Below 20

SLC Result of Solukhumbu District Schools

S.No. Number of Number of GPA range Grade Description Equivalent score Schools Students in percentage 42 High 1 Above 3.6 to 4.0 A+ Outstanding 90 -100 Schools 47 Above 3.2 to 3.6 A Excellent 80 - 90 157 Above 2.8 to 3.2 B+ Very Good 70 - 79 361 Above 2.4 to 2.8 B Good 60 - 69 611 Above 2.0 to 2.4 C+ Satisfactory 50- 59 469 Above 1.6 to 2.0 C Acceptable 40 - 49 96 Above 1.25 to 1.6 D+ Partially acceptable 30 - 39 3 Above 0.85 to 1.2 D Poor 20 - 29 Below 0.8 E Very Insufficient Below 20 42 High 1745 Schools

Khumjung High School (SLC Result 2016)

No. of students = 37 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 5 A Excellent 80 – 89 14 B+ Very Good 70 – 79 17 B Good 60 – 69 1 C+ Satisfactory 50 – 59

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 19 Mahendrajyoti Higher Secondary School, Chaurikharka (SLC Result 2016)

No. of students = 59 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 2 A Excellent 80 – 89 6 B+ Very Good 70 – 79 28 B Good 60 – 69 21 C+ Satisfactory 50 – 59 2 C Acceptable 40 – 49

Kharikhola Higher Secondary School (SLC Result 2016)

No. of students = 53 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 0 A Excellent 80 – 89 5 B+ Very Good 70 – 79 9 B Good 60 – 69 26 C+ Satisfactory 50 – 59 12 C Acceptable 40 – 49 Partially accept- 1 D+ 30 – 39 able

Taksindu High School (SLC Result 2016)

No. of students = 45 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 0 A Excellent 80 – 89 6 B+ Very Good 70 – 79 4 B Good 60 – 69 24 C+ Satisfactory 50 – 59 11 C Acceptable 40 – 49

Junbesi Secondary School (SLC Result 2016)

No. of students = 16 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 2 A Excellent 80 – 89 9 B+ Very Good 70 – 79 5 B Good 60 – 69 C+ Satisfactory 50 – 59 C Acceptable 40 – 49

Pike Loding High School (SLC Result 2016)

No. of students = 18 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 0 A Excellent 80 – 89 1 B+ Very Good 70 – 79 3 B Good 60 – 69 2 C+ Satisfactory 50 – 59 12 C Acceptable 40 – 49

20 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Chandrajyoti High School Bakanje (SLC Result 2016)

No. of students = 5 Grade Description Equivalent percentage 0 A+ Outstanding 90 -100 0 A Excellent 80 – 89 0 B+ Very Good 70 – 79 0 B Good 60 – 69 0 C+ Satisfactory 50 – 59 5 C Acceptable 40 – 49

B8. English Medium Teacher Training Programme

For the past 5 years, the Himalayan Trust Nepal has been supporting the teachers of 12 English medium schools of Khumbu region. In 2011, the schools adopted the English Medium in its basic classes, 20 teachers from 5 schools, Khumjung, Thame, Namche, Phortse and Pangboche were sent to Rato Bangala foundation for effective primary school teachers’ training. The following year, in 2012, 40 teachers from 12 schools got the opportunity to be trained by the Rato Bangala Foundation in Kathmandu.

In 2013, it was thought that if the trainings were localized, all teachers would get the opportunity to attend the English Medium training. REED Nepal vowed to take all the responsibility in managing the training experts and materials needed. The Himalayan Trust agreed to fund the training, with an aim that all teachers in 12 schools would be trained in English Medium so that all the teachers would be encouraged to learn English and attempt to teach using simple English in the classes.

B9. School Based Training

The first and second English medium training workshops were held in December - January in Rato Bangala Foundation, Kathmandu. Third, fourth and fifth training workshops were conducted in Chaurikharka HSS in April. The sixth phase of the EMT training was held in Lukla lower secondary school, Chaurikharka in April 2016.

The teachers of Khumbu schools are continuously taking part in the English Medium teaching training programs, from 2011 to 2016. The majority of the teachers now prefer school based class room trainings instead of going for a 10 day training session in Lukla every year from respective schools.

Rachael & Jeff Educational Evaluation team from New Zealand commented that, although many teacher trainings have been conducted to develop the teachers’ professional skills and knowledge, there seems to be minimum application of this in the classrooms.

There is massive need to create child centered teaching environment and support the teaching and learning to promote the learning output in the school children. To bring positive change against the traditional teaching habit of a teacher is a serious challenge; the trainers have felt a great deal working with the school teachers. Past experience tells us that school support programs and school based training have been helpful and effective in improving the teaching and learning situations as well as increasing the learning outputs of the students.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 21 B10. Scholarship Program after SLC

Himalayan Trust Nepal Scholarships are open to all students of Solukhumbu schools for grade 11 after the publication of SLC result in July of each year. The Himalayan Trust Nepal advertises its scholarship programs for various subjects through Solu FM radio, Khumbu FM radio, through District Education Office and also from Himalayan Trust Nepal Office in Kathmandu.

Eligible student submits scholarships applications to the district coordinator of the Himalayan Trust in Salleri or to the training coordinator at Lukla or students who come to study in Kathmandu directly submit the application to the Himalayan Trust Nepal office in Kathmandu.

The Himalayan Trust Nepal offers scholarships on various academic and vocational subjects. The applications are selected on the basic of achieving the highest SLC marks among the applicants. Therefore, the students who have passed the SLC exam with good marks from the community schools of Solukhumbu are often amongst those who qualify for the two year scholarship course.

After the selection of scholarships students, notices are sent to Salleri for Solu FM radio to announce the qualified students.

Names of selected students with their marks can be seen at Himalayan Trust Nepal office notice board. The scholarships being selected on merit basis, the HTN has never ever had any complain from the non-qualified students.

After SLC, the students go on to Grade 11 and 12 but some students are offered a 3 year Diploma Course on vocational subjects like Staff Nursing, Health Assistant and Electricity.

8 students under American Himalayan Foundation scholarship program are currently studying vocational subjects. They will complete their studies in May 2017 and May 2018.

Scholarship program for bachelor degree

New scholarship program for Bachelor level has been stopped from 2016 but committed to fulfill all existing scholarship obligations. Rachael and Jeff from New Zealand in their education evaluation report of Himalayan Trust, stressed scholarships should be provided to those most in need rather than on merit basis. This is a good perspective but at the same time it is a challenging concept to distinguish between the students studying in the government community schools of Solukhumbu.

22 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Himalayan Trust Scholarship 2015-2016

Grade 11 Students

S.N. Name School Name (SLC) Village address Subject College Name Donors Bhisma Devi White Hills Higher Secondary 1 Pike Sec. School Tamakhani-6 Management HT Ranamagar School 2 Milan Rai Taksindu High School Kaku-6, Kophu Management Texes International College HT 3 Pemba Finjo Sherpa Mahendra Jyoti HSS Chaurikharka-3, Management St. Lawrence College HT 4 Pemba Rinjin Sherpa Mahendra Jyoti HSS Chaurikharka Management Reliance International College HT Golden gate International 5 Daphuti Sherpa Mahendra Jyoti HSS Chaurikharka-8 Science HT College 6 Ujjwal Bhattarai Kharikhola HSS Kharikhola Science St.Lawrence College HT 7 Utsav Bhattarai Kharikhola HSS Kharikhola Science St.Lawrence College HT Golden Gate International 8 Bijaya Rai Kharikhola HSS Kharikhola Science HT College 9 Lhakpa Yangji Sherpa Mahendra Jyoti HSS Chaurikharka-8 Education Brilliant Multiple College TGHF 10 Nima Temba Sherpa Khumjung Sec.School Khunde Science Little Angel’s College L.W 11 Tshering Tenging S. Khumjung Sec.School Thame Science Little Angel’s College L.W 12 Lhakpa Nuru Sherpa Khumjung Sec. S. Khumjung Health Ass. Stupa College L.W 13 Tenging Doma S. Junbesi High School Lokhim-9 Nursing Stupa College N.W 14 Manoj Ranapal Taksindu High School Taksindu Electrical Nepal Polytecnical Institute N.W Janakalya Higher Sec. 15 Saugat Nachhiring Sagarmatha Sec. S. Bung-6, Solu Humanities G.L S,Boudha 16 Pratap kulung Sagarmatha Sec. S. Bung-6, Solu Education Solukhumbu Multiple Campus G.L 17 Roshan Kulung Birendrajyoti HSS Bung-1, Solu Science Morgan International College AHF Janajagriti Higher Secondary 18 Shuhha Kala Rai Janajagriti HSS Lokhim-4, Solu Education AHF School 19 Chiree Sherpa Phaplu Community S. Tapting-6, Solu IT (Computer) Xavier Academy AHF Janasewa Sec. 20 Asa Kumar Tamang Lokhim-7, Solu Education Active College AHF School 21 Mingmar Sherpa Phaplu Community S. Salleri-5 Science Xavier Academy AHF Nechha 22 Yogesh Babu Phuyal Himal Darsan HSS Education Pushpalal Memorial College AHF Betghari-7 Nechha 23 Kusal Kattel Phaplu Community S. Education Bal Uddhar HSS AHF Betghari-6 Nechha 24 Manita Bastola Phaplu Community S. Electrical Central Engineering Campus AHF Batase-1 25 Lakesh Gurung Jivan Jyoti HS Nele-7, Solu IT( Computer) Reliance international College AHF Sonam Gyalzen Khumjung Sec. 26 Khumjung Electrical Balaju School of Engineering AHF Magar School Bhakanje-5, Golden gate International 27 Susma Giri Jivan Jyoti HS Science AHF Solu College Nechha 28 Anil Katel Janata Ma Vi Science V.S. Niketan School AHF Batase-6 29 Dawa Jangmu Sherpa Khumjung Sec.School Khumjung Management Reliance international College AHF Nepal Institute of Medical & 30 Lajina Thapa Magar Kharikhola HSS Kharikhola Nursing AHF Science 31 Josika Ghimire Chandra Jyoti Ma Vi Bakanje-5 Education Shree Siddhesshowri HSS AHF 32 Rita Dorjee Sherpa Khumjung Sec.School Khumjung Management Reliance international College AHF Golden gate International 33 Dolma Shepa Phaplu Community S. Tapting, Solu Science AHF College

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 23 Okhaldunga Paramedical 34 Bal Kumari Basnet Singh Kali Ma Vi Tingla-7 CMA AHF College Mahendra jyoti Higher Sec. 35 Bikram Nepali Mahendra Jyoti HSS Lukla Management AHF School Bhamti 36 Yanji Sherpa Siddhessori Ma Vi Management Himalayan Int’l Model HSS AHF Bhandar-4

Himalayan Trust Scholarship 2015-2016 Grade-11 Students Index Girls Boys HT Himalayan Trust 13 23 Total TGHF The Great Himalayan Foundation 36 (Girls+Boys) L.W. Larry Witherbee N.W Noel Walshe G.L George Lowe AHF American Himalayan

Grade-12 Students

S.N. Name School Name(SLC) Village address Subject College Name Donors 1 Susmita Rai Kharikhola HSS Kharikhola Nursing Stupa College HT 2 Dayangdu Sherpa Khumjung Sec.S. Pangboche Management Reliance International College HT 3 PembaNuru S. Mahendra Jyoti HSS Chaurikharka-2 Management St. Lawrance College HT Mahendra Jyoti Higher Sec. 4 Ang Tenji Sherpa Mahendra Jyoti HSS Chaurikharka-4 Management HT School Sonam Wangdi Khumjung Sec. 5 Khumjung Management St. Lawrance College HT Sherpa School Khumjung Secondary Chaurikharka-1, 6 Ang Ngimi Sherpa Science Valley Public College HT School Beykar Khumjung Secondary 7 Pema Doka Sherpa Khumjung Management Bagmati Modern College HT School Khumjung Secondary 8 Arun Kulung Rai Dhran-4, Sunsari Management Shree Chandra Sanskrit HSS HT S. Phura Cheten Khumjung Secondary Chaurikharka-1, 9 Management St. Lawrance College HT Tamang S. Beykar Phaplu Community 10 Pema Doma Lama Phaplu Science Trinity International College HT School Himalayan institute of Science 11 Rupak Raj Parajuli Setidevi Ma Vi Syuchatar-1 Electrical HT & Techno. BP Koirala Institute of Health 12 Nisha Sharma Kedar MA Vi Nechha Betghari-3 Nursing HT Science Mt.Everest Kathmandu Institute of 13 Surendra BK Salleri-2, Phaplu Electrical HT Secondary S. Technology Kathmandu Institute of 14 Dhan Kumar BK White Hills HSS Salleri-2, Phaplu Electrical HT Technology Mingma Diki Chaurikharka-4, 15 Mahendra Jyoti HSS CDS Kantipur School of Dentistry HT Sherpa Surkey 16 Namuna Rai JivanJyoti HSS Kangel-5 ANM Himalayan Paramedical College HT Health All Nepal College of Technical 17 Pranil Rana Magar Kharikhola HSS Juving-9 HT Assistant Education Nepal Banepa Polytechnical 18 Sujan Bastola Kedar MA Vi Nechha Betghari Electrical HT Institute

24 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 BP Koirala Institute of Health 19 Kanchan Bastola BP Sanskrit HSS Salyan-8,Solu Nursing HT Science Mugli-8, Pasang Lhamu Memorial 20 Ajay Sher Rai Taksindu High School Management HT Solukhumbu College 21 Kiran Kulung Rai Mahendra Jyoti HSS Chaurikharka Science Kathmandu Valley HSS HT Chhiring Ongmu Chaurikharka- 22 Mahendra Jyoti HSS Science Arunima College HT Sherpa 8,Solu Chhiring Yangji Chaurikharka- 23 Mahendra Jyoti HSS Science Little Angel’s College HT Sherpa 8,Solu Pike Secondary 24 Junumaya Tamang Tamakhani-2 Education Solukhumbu Multiple Campus HT School Janajagriti Higher Secondary 25 Roshani Tamang Junbesi High School Beni-3, Taktor Education HT School Khumjung Secondary 26 Kabindra Rai Jubu-2, Solu Science Pantagon International College L.W S. Kami Tshering Khumjung Secondary 27 Khumjung Management Pushpalal Memorial College L.W Sherpa S. Lhakpa Nuru Khumjung Secondary 28 Phortse Management Reliance International College L.W Sherpa S. Janajagriti Higher Secondary 29 Prakash Rai Taksindu High School Taksindu-1 Education N.W School Health 30 Chhewang Sherpa Junbesi High School Beni-5, Mopung Stupa College N.W Assistant Kamal Kumari Sagarmatha Janajagriti Higher Secondary 31 Bung-6 Education G.L Kulung Secondary S. School Ananda Prakash Sagarmatha Janajagriti Higher Secondary 32 Bung-4 Education G.L Kulung Secondary S. School Pema Chhutin 33 Mahendra Jyoti HSS Ghat-6 Humanities Reliance International College AHF Sherpa Ngima Doma Khumjung Secondary Hotel 34 Khunde Reliance International College AHF Sherpa S. Management Mingma Yangji Khumjung Secondary Hotel 35 Thame Reliance International College AHF Sherpa S. Management Sonam Chhutin Khumjung Secondary 36 Khumjung Education Active College AHF Sherpa S. 37 Bal Kumar Rai Kedar MA Vi Nechha Betghari-6 Management Solukhumbu Multiple Campus AHF Janajagriti Higher Secondary 38 Pandap Rai Janata Ma Vi Lokhim-3 Education AHF School 39 Anita Nachhiring Birendra Jyoti HSS Gudel-8, Namlung Management Kumari Academy AHF 40 Appa Sherpa Mahendra Jyoti HSS Salleri Education Solukhumbu Multiple Campus AHF Lhakpa Tshering Khumjung Secondary Health 41 Khumjung Stupa College AHF Sherpa S. Assistant Rinzi Pasang Phaplu Community Health 42 Salleri-1 Shankarapur Academy AHF Sherpa School Assistant 43 Hemanta Rai Kedar MA Vi Nechha Betghari-6 Science Grammer Public HSS AHF Phura Ngima 44 Mahendra Jyoti HSS Lukla Humanities Reliance International College AHF Sherpa Shailaj Acharya Smriti 45 Susmita Raut Kedar MA Vi Nechha Betghari-2 Nursing AHF polytecnics Phaplu Community 46 Renuka BK Phaplu Nursing Dhulikhel Hospital AHF School 47 Kiran Niraula Kalika Devi Ma Vi Panchan-3 Science V.S. Niketan School AHF Mingma Doma Khumjung Secondary Hotel 48 Taksindu Reliance International College AHF Sherpa S. Management

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 25 Pasang Tshering Khumjung Secondary 49 Khumjung Management Reliance International College AHF Sherpa S. 50 Shekhar Karki Kedar MA Vi Nechha Betghari-5 Science Laboratory HSS AHF 51 Umakala kulung Gudel Ma Vi Gudel-5, Baphudo Education Pashupati Multiple Campus AHF BP Koirala Institute of Health 52 Devi Bhandari Kedar MA Vi Nechha Betghari Nursing AHF Science

Himalayan Trust Scholarship2015-2016 Grade-12 Students Index HT Himalayan Trust L.W. Larry Witherbee Girls Boys N.W Noel Walshe 25 27 G.L George Lowe Total AHF American Himalayan 52 (Girls+Boys)

Bachelor Level

S.N. Name School Name(SLC) Village address Subject College Name Donors Ganesthan Secondary 1 Pradip Khadka Nechha Batase-7 Science Trichandra College HT S. Pasang Lhamu Chiran-Milan Biswa Santi 2 Mahendra Jyoti HSS Surkhey Education HT Sherpa College Birth Bahadur Pike Secondary Tamakhani-7, Hotel 3 Puspalal Memorial College HT Tamang School Loding Management Pasang Lhamu Memorial 4 Arjun Rai Kharikhola HSS Juving -4 Education HT College 5 Sapana Sharma Kedar Ma Vi Nechha Betghari-2 Education Mahendra Ratna Campus HT Tenging Nuru 6 Kathmandu Valley S. ThameTang Electrical Central Engineering Campus HT Sherpa 7 Phanidra Ranapal Taksindu High School Nunthala Science Trichandra College HT 8 Sarita Raut Himal Darsan HS Nechha Betghari-2 Education Mahendra Ratna Campus HT Nirmala 9 Birendra Jyoti Sotang-4 Education Mahendra Ratna Campus HT Nachhiring Rai 10 Kusum Basnet Mahendrodaya HSS Salyan-8, Phedi Science Everest International College HT BP Koirala Institute of Health 11 Punam Rai Kedar Ma Vi Nechha Betghari-5 Nursing HT Science 12 Krisna Kumar Rai Kharikhola HSS Juving -4 Education Mahendra Ratna Campus HT Travel and Kathmandu Academy of Tourism 13 Madan Rai Mahendra Jyoti HSS Cheskam-1 HT Tourism & Hospitality 14 Arpana Rai Kharikhola HSS Juving-2 Nursing BP Memorial Health institute HT 15 Tirtha Raj Kafle Khumjung Sec. School Mugli Management New Summit College HT Mt.Everest Secondary 16 Rekha Rajbhadari Salleri Nursing KU School of Medical Science HT S. Mt.Everest Secondary Chitwan School of Medical 17 Pawan Rai Nechha Batase-5 MBBS HT S. Science Sanjay Rana Patan Academy of Health 18 Junbesi High School Kaku-4 MBBS HT Magar Science Travel and 19 Phunuru Sherpa Mahendra Jyoti HSS Lukla Puspalal Memorial College HT Tourism

26 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 BP Koirala Institute of Health 20 Dik Prasad Katel Kedar Ma Vi Nechha Bedghari MBBS HT Science BP Koirala Institute of Health 21 Yogendra Basnet Mahendrodaya HSS Salyan-7 BDS HT Science Pasang yanjee Khumjung Secondary 22 Khumjung Education Puspalal Memorial College HT Sherpa S. Tshering Tashi 23 Little Angel’s School Khumjung MBBS Nepal Medical College HT Sherpa Mt.Everest Secondary 24 Salina Shrestha Bokhim-8, Bojpur MBBS KIST Medical College HT S. Phurba Chheten 25 GEMS Khumjung BBA Nepal College of Management HT Pradhan Mingma Chhiri Hospitality International College of 26 Mahendra Jyoti HSS Chaurikharka-3, HT Sherpa Mgmt Hospitality Mgmt. 27 Samjhana Sharma Kedar Ma Vi Nechha Betghari-5 Education Mahendra Ratna Campus HT Gudel Secondary 28 Jitendra Rai Gudel-4 Education Everest Multiple College HT School 29 Tara Sharma Kedar Ma Vi Nechha Betghari-7 Education Himal Darsan Campus HT Lhakpa Yangjee Khumjung Secondary 30 Phortse Science Lord Buddha Collage HT Sherpa S. 31 Gita Gurung Janakalyan HSS Jubu-1 Science Trichandra College HT 32 Sitaram Phuyal Himal Darsan HS Nechha Batase-2 Science Trichandra College HT 33 Sujata Tamang Mahendra Jyoti HSS Haldibari,Jhapa Science Trichandra College HT 34 Dandi Sherpa Junbesi High School Dhobane-9,Bhojpur BBS Reliance International College HT Hotel 35 Dev Raj Khadka Mahendra Jyoti HSS Lukla Nesfield College HT Management Khumjung Secondary 36 Sulochana Karki Okhaldunga-2, BBA Green Peace Lincoln Colege HT S. Ngawang Dorjee Travel and 37 Kharikhola HSS Waku-9 Public Youth College HT Sherpa Tourism 38 Lhakpa Lama Junbesi High School Beni-2 BBS Public Youth College HT Mingma Gyalzen 39 Mahendra Jyoti HSS Chaurikharka-2 BBS Cosmopolitan College HT Sherpa Ngima Lhamu Khumjung Secondary 40 Khumjung BBS Newton International College TGHF Sherpa S. 41 Pritu Kathet Diktel School Khotang IT(Computer) National College of Engineering TGHF Nima Ongchu 42 Baba B. School Khunde MBBS Manilla Central University SEHF Sherpa 43 Alina Bajracharya White Hills HS Salleri MBBS Qingdao University SEHF Lhakpa Thendu Khumjung Secondary 44 Khumjung MBBS Chitwan Medical College SEHF Sherpa S.

Himalayan Trust Scholarship 2015-2016 Bachelor Level Index HT Himalayan Trust The Greater TGHF Girls Boys Himalayan Foundation SEHF Sir Edmund Hillary Foundation 18 26 Total 44 (Girls+Boys)

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 27 Master Level

S.N. Name School Name(SLC) Village address Subject College Name Donor Ananta Kumar 1 Himal Darsan HS Nechha Batase-2 Education TU College of Education HT Phuyal Sonam Futi Khumjung Secondary 2 Khumjung Science Kathmandu University HT Sherpa S. Tshering Ongmu Khumjung Secondary 3 Khumjung MBA Himalayan White House HT Sherpa S.

Himalayan Trust Scholarship 2014-2015 Master Level Index HT Himalayan Trust Girls Boys The Great Himalayan TGHF 2 1 Foundation Total 3 (Girls+Boys)

GENDERWISE DISTRIBUTION OF HTN SCHOLARSHIP 2015-2016

Total Scholarships Boys Girls

Girls 58

Boys 77

Total Scholarships 135

GEOGRAPHICAL DISTRIBUTION OF HTN SCHOLARSHIP 2015-2016

Lower Solukhumbu Upper Solukhumbu

34%

66%

28 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 SUBJECTWISE DISTRIBUTION OF HTN SCHOLARSHIP 2015-2016 Total 135 CDS/BDS 2 ANM/CMA 2 Travel and Tourism 3 IT(Computer) 3 Humanities 3 Health Assistant 5 Hotel Management 6 BBA/MBA 7 Electrical 8 MBBS 8 Nursing 11 Management 22 Education 27 Science 28

0 20 40 60 80 100 120 140

What is HTN former scholar doing?

SN Student Name Qualification Working Place/Achievements 1 Ang Chokpa Sherpa MBA CEO DZI Foundation 2 Ang Dandi Sherpa(Blind) MA Kaku Pry. School permanent govt. teacher 3 Ang Finjo Sherpa Thanka Artist Self Working as thanka artist 4 Abaya Sher Rai Education Govt. Relief teacher, Taksindu School 5 Ai dan Rai I.Ed. Teacher at Lokhim School, Solu 6 Birbahadur Rai B.Ed. Teacher Kharikhola School, Solukhumbu 7 Biruman Rai B.Ed. Headmaster,Chaurikharka HSS, Solukhumbu 8 Dr. Chhewang Namgyal PHD Former Member Secretary SWC 9 Dr. Kami Temba Sherpa MBBS from Fiji Khunde Hospital 10 Dr. Mingmar Chhiring MDGP Phaplu Hospital 11 Dr. Mingma Kanchi MBBS (Philippines) Khunde Hospital 12 Dr. Mingma Nuru BDS Owned Dental Clinic 13 Dr. Mingma Tshering MBBS from KMC Khunde Hospital (Further study for MD) 14 Dr. Phurba Yangjee Sherpa BDS Sechen Dental Clinic, Boudha 15 Dr. Tshering Wandi MBBS from KU Bir Hospital, Kathmandu 16 Dr. Yangjee Sherpa BDS Medical college Kathmandu 17 Dr. Ang Jangmu BDS from Dharan Worked at Phaplu 18 Dr. Eliza Bajracharya MBBS Worked at Khunde Hospital 19 Dr. Ang Dali Sherpa MBBS (Bangladesh) Kathmandu 20 Dr. Rewanta Rajbhandari BDS KMC Hospital, Bhaktapur 21 Dr. Gyaneshor Rai MBBS Doctor in Okhaldunga 22 Dr. Jangbu Sherpa BDS,MD Khumbi Yulha Dental Clinics, Kathmandu 23 Dawa Tshering Sherpa MTTM Himalayan Trust Kathmandu 24 Dawa Kesi Nurse Civic International Hospital, Kathmandu 25 Durga Devi Tamang Nurse Teaching Hospital, Kathmandu 26 Damber Bahadur Magar SLC trained Teacher Wapsa, Waku 27 Duryodhan Rai M. Ed Teacher at British Gorkha College 28 Gelu Sherpa PHD (Sherpa Linguistic) 29 Ishworman Rai Master in EPM Himalayan Trust Nepal 30 Jitendra Rai B. education Govt. Teacher

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 29 31 Jaya Kumar Rai M.A. Founder /Director of Grammar Public HSS 32 Kancha Nuru Sherpa M.Ed. mathematics Shivapuree School / Math teacher 33 Kunga Tashi Sherpa Fashion Designer Sherpa Gear, Kathmandu 34 Kami Doma Sherpa B. Education Thame School 35 Lhakpa Tenjing Master in tourism The Mountain Institute 36 Lhakpa Sherpa Bachelor News Reader (Avenues Television) 37 Laxman Adhikari Bachelor Manager EV-K2-CNR , Khumbu 38 Lhakpa Tamang SLC trained Harisey khotang 39 Lagan Rai SLC trained Juving School, Solukhumbu 40 Mingma Pradhan BBS RJ,Radio Nepal 41 Manoj Babu Karki BDS from Dharan Self employed 42 Ming Phuti Nurse Civic International Hospital 43 Mr. Khatri Engineer Self Employed 44 Norbu Sherpa Mechanical Engineer Force Motor Balaju (Service engineer) 45 Nima Yangji Sherpa Nurse Civic International Hospital, Kathmandu 46 Ngawang Thapkey Sherpa B. Science Mountain Spirit 47 Pasang Dorjee (Phera) Chartered Accountant C.A Nepal Bank Limited, Kathmandu 48 Pasang Tshering Sherpa Thanka Artist Hello Himalayan Homes 49 Phura Doma Sherpa B. Sc. Nursing Khunde Hospital 50 Praki Dhan Rai B. Education Bung High School, Bung 51 Padam Rana Magar I.Ed Headmaster, Kharikhola HSS 52 Rajan Kathet Master in Film industry Film Director and Script writer 53 Rekha Rajbhandari B. Sc. Nursing Teaching Hospital, Kathmandu 54 Sarmila Ranapal Staff nurse Army hospital Kathmandu 55 Sonam Dolma Sherpa Anesthesia Assistant Phaplu Hospital, Solukhumbu 56 Sonam Dorjee Sherpa Bachelor Manager Khumbu Bijuli Company 57 Sonam Jangbu Sherpa BIT Local Singer 58 Sonam Futi Sherpa Master in Glaciology ICIMOD 59 Shree Dhoj Rai CMA Sotang Clinic, Sotang 60 Suman Rai Engineer Engineer 61 Sarki Sherpa B. Education Ringmo School teacher, Solukhumbu 62 Thagindra Kattel MA LLB Deputy Secretary Supreme Court 63 Tashi Gyalzen Sherpa Chartered Accountant Sidhartha Bank Namche, Solukhumbu 64 Tara Sharma B. Education Govt. teacher 65 Tshering Sherpa MA Chairman, Buffer Zone Khumjung 66 Tshering Sherpa Education Janajagriti LS, Solukhumbu 67 Tshering Thendu Lab Technician Khunde Hospital 68 Tej Bahadur Magar SLC trained Wapsa, Waku 69 Usha Parajuli CMA Gorkha CMA 70 Yubaraj Kattel LLB LDO, Sindupalchok Chautara 71 Yangjee Doma Sherpa B.Environment Science Public relation Officer, SPCC 72 Yogesh Niraula B. Science Got Chancello’s Award of Troy University, USA

30 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Voice of Scholarship Student

I am Shekhar Karki, 17 years old, currently studying science at grade 12 in Laboratory Higher secondary school, Kirtipur, Kathmandu.

I had attended for my SLC examination form Shree Kedar Higher secondary School, Betghari-5, Necha Solukhumbu at 2071 B.S. (2014 A.D) and passed it with first division (77.8 percentage) and became District topper as well. I have got 5 members in my family. My father farms for living and my mother is a housewife.

While talking about reality of life being born in a village I would like to say that there is true life in village. People in the village are more helpful than the people of urban area. There exists the felling of oneness among the people in village. On the other hand there is also a bitter reality of life being born in village. As village is not much developed we are getting less facility form the state such as lack of good colleges for higher studies or even lack of institution that provide quality education, lack of modern communication media such as internet facility, lack of easy transportation, lack of good health service facility, lack of job opportunity in the village etc. Villages are often ignored by the country when it comes to the development.

I was interested to study Science but there is no facility to study Science in my village .So major reason to come to Kathmandu was to get good learning environment and quality education that I could not get in my village. Besides that, Kathmandu being a capital city, there are lots of students like me from different parts of the country assembled for getting quality education, and I believed that it will help a lot to increase the level of my competency as well as to groom up my learning abilities. That is why I took a decision to continue my higher studies in Kathmandu.

After the publication of SLC result, my teachers from the school gave me information about American Himalayan Foundation Scholarship. I went to Himalayan trust and submitted an application asking for scholarship, along with all my academic documents as well as a copy of fee payment bill that I got from the college at the time of admission.

As I was district topper of Solukhumbu district in SLC at that time, my name was at the top of scholarship list.

My college fee was very high. I pay around 3000 rupees per month as tuition fee. There are additional charges for admission fee; lab fee etc. I used all amounts Rs. 3,500 that I got from American Himalayan Foundation Scholarship to pay my tuition fee and to buy other necessary supplies for my education. Hence it helped me to fulfill my basic needs.

This scholarship has supported me as well as many other students like me who are from a weak socio- economic background from remote area like Solukhumbu district. It would not be an exaggeration in saying that this scholarship has been the pillar of my Educational upbringing so far. I believe that it is very valuable for the student like me who want to pursue higher education in Kathmandu. If it is possible I would like to say that it should increase its scholarship quota and should provide scholarship in further study of student as well. I want to become a good citizen and help the society.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 31 Educational Journey of Ang Dawa Sherpa

I am Ang Dawa Sherpa, scholar of Benoit Chamoux Foundation since 1998 through 2016. Throughout this academic journey of 17 years, Benoit Chamoux along with Himalayan Trust Nepal has benevolently provided infallible support and care assuring the fulfillment of every significant resources any student would require in order to make a smooth academic pursue. I will be always in debt towards the love and support that has been extended towards me. As an acknowledgement and great respect towards the concern of foundation, I prepared myself in every possible extent to make sure that this opportunity is put into best practice and ultimately become a part in making the objective of foundation a real one in near days that would benefit not only this generation but also the one to come.

Since, my childhood I believed in creativity and uniqueness. These traits had helped me to define potential solution against various circumstances that life threw upon. Over the years I got an opportunity to be participant of various national and international programs.

Getting a job right after graduation is difficult in Nepal. I believe this is the root cause of increasing trend of brain-drain in most of developing countries like Nepal. However, this has never been the reason for quitting my quest to gain experience and becoming the part of larger community.

Since, first-grade, I was the Benoit Chamoux scholar. Later in the college years, I was Helene Berr scholar, one of the prestigious scholarships. Certain traits such as Self-confident, hard-work, steadfast dedication, leadership and perseverance had helped me to always excel in both academic and extra-curricular activities.

My journey began right from school, when I was chosen as the hostel captain. More than 200 students were under my captainship. It was a perfect blend of challenges as well as privilege to take that position and gain experiences about leadership at an early age.

In high school, I was a basketball team captain. The School was impressed with the number of trophies we collected during national level inter school tournaments. Likewise, during my college year, I was chosen as mentee under the mentorship of Dr. Shanta Raj Jnawali by WWF (World Wildlife Fund). He is one of the senior conservationists representing WWF, Nepal. This was a whole new level of experience. Learning about relation of wildlife, environment and society was new dimension for us. His immense insights and genuine expertise in this field was really encouraging. He always used to quote that, “until and unless social issues remains unaddressed, havoc persists.”

During my third year, I was a team leader for Nepalese delegates to New-Delhi, India for South Asia youth environment conclave. That was my first international experience where I learnt how perception matters with respect to places they represent. It was a great platform for learning and sharing about different dimension of social and cultural issues regarding the environmental condition in Asia.

32 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Similarly, in the same year (2015), I was a team member among two others for NASA DEVELOP program organized by NASA (National Aeronautics and Space Administration). This was an opportunity to work together with the international team from Bhutan and USA including researchers from NASA, Goddard flight station based at Washington. Most importantly, it taught me the set of skills that are paramount in accomplishing common objective at international ground.

With these national and international experiences, I was at last year of my college. For my thesis, I developed an empirical equation for landslide prediction in the Koshi Basin, Nepal. This region is extremely prone to landslide resulting 100s of casualties every year. Due to fixed number of previous researches in this field, it was really difficult to seek guidance. The only solution I found was to interact with international scientist working in this field. I am grateful towards them for their time without which my thesis would have been incomplete. Due to limited kind of such study, my finding was selected by panel of scientist of NAST (Nepal Academy of Science and Technology) for seventh national conference on science and technology.

Currently, having qualified with Bachelor degree in environmental management and science, I am working as a Geographic Information System (GIS) with an international consultant LAHMEYER INTERNATIONAL and NIRAS for the service package 4: Irrigation Master Plan Preparation through Integrated River Basin Planning. The client of this service is Ministry of Irrigation and Department of Irrigation, government of Nepal.

I will be representing Nepal for HARVARD PROJECT FOR ASIAN AND INTERNATIONAL RELATIONS (HPAIR) 2016, which will be taking place in Hong Kong at Chinese University of Hong Kong (CUHK) for 5 days (August 19 through 23). Hosting delegates from 75 countries, HPAIR has emerged as Harvard University’s largest annual events in the Asia-Pacific region.

Whilst the endeavor, I always felt that my curiousness were constantly being put into test. However, my inner confidence and creativity always strengthen my core belief that quenching thirst for knowledge will never be hindered by anything but by willingness to learn.

Once again I would like to express my deepest gratitude to all members of Benoit Chamoux Foundation who have made this entire journey of learning possible.

Last but not the least; I would also like to express my deepest appreciation towards all the members of Himalayan Trust for their constant moral support and encouragement in the time when it was most needed.

Message from former scholarship student

My name is Yubaraj Katel, currently working as a Director in Department of Civil Registration under the Ministry of Federal Affairs and Local Development since one year. In the past, I have worked in the capacity of local development officer (LDO) in different districts ranging from remote district, Bajhang to accessible district, Sindhupalchok. Because of my schooling in an excluded and inaccessible village of Solukhumbu, my focus in service career has always been destined to far-flung areas where people are in abject poverty and deprived from the basic services of the state. While studying Intermediate in Forestry Science after the S.L.C. with scholarship from Himalayan Trust, it triggered me to inculcate the thoughts to serve the helpless people, to hear untold stories and listen to unheard voices as a government representative. I remember the

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 33 day of my parents’ cries, worries and fears regarding the monetary management for my further study. Being a farmer, our family had very limited income for subsistence. My two big brothers were pursuing higher studies in Kathmandu on the other hand. We eventually got the supportive hand of Himalayan Trust for three years while studying in Forestry Campus in Pokhara. On getting one thousand rupees every month then as a scholarship, our happiness knew no bound because it complemented me to sustain in Pokhara to a large extent and ultimately parents got liberation from the burden of debt that they were seeking for. Completing the Intermediate in Forestry Science from Institute of Pokhara Forestry College in 1995, I switched to administration sector through an open competition of Public Service Commission Examination and worked as an under Secretary of Government of Nepal in 2010.

Likewise, my brother Thagindra Katel also got scholarship from Himalayan Trust Nepal during his Master Degree in Law (LLM) for one year in 1999. At that time as an unemployed student studying higher degree with a token of financial assistance from Himalayan Trust made significant difference in his career. Firstly, it supplemented the living cost in Kathmandu to complete the study. Secondly, it motivated and created positive pressure to achieve the degree with high score. As a result of the support, he has assumed the position of undersecretary through the open competition and has been working in Supreme Court of Nepal for six years.

We are the one from among many students getting financial assistance from Himalayan Trust. Many students destiny of life might have been changed with the help of Trust. Amidst, I would like to suggest the Himalayan Trust to focus the deprived and vulnerable section of the society living in Solukhumbu in consonance with the merit and competencies. Due to long gap, I am not well updated with the current activities so that I can provide proper feedback in the overall part of the Trust. I would appreciate if the Trust could manage some programs like meeting or interaction or form a committee to share the news and views in this regards. However, I firmly believe that Trust has been maintaining the philanthropic value and spirit of Sir Edmund Hillary.

34 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 CHAPTER C SCHOOL BASED SUPPORT PROGRAM IN 2016 By Mahendra Kathet and Iswor Man Rai C

C. School Based Support Program in 2016 (By Mahendra Kathet and Iswor Man Rai)

Background Introduction

It has been a while that, as a donor agency, Himalayan Trust has been very much concerned for the school children’s quality learning achievement of Himalayan Trust Supported schools of Mount Everest region. Every year in April, just after the completion of the academic year, ten day refresher training has been conducted in Chaurikharka School, particularly for the teachers of 12 English Medium schools of Khumbu regions. To follow up the training and support, the teachers in classroom teaching and learning activities, we, the HTN teacher trainers, visit the schools at least twice in each school year. This time we began the first phase school visit program from 9th May focusing on the attempt of improving quality learning of the students of 10 English medium schools. This report comprises the details of only 10 English medium schools which were benefitted from ‘in school support program’.

Rationale

Through this visit, we learned that in most of the community schools, the conditions of teaching learning activities need to be assessed and improved to meet the national goals of each level. We would prefer not to say that the quality of education in community schools is degrading but it would be right to mention that the schools have fallen behind in keeping up with the advanced system of modern education. We hope that this repot will be a helpful tool for the concerned schools, teachers and teacher trainers to find a new and effective way to adopt child centered teaching and learning and improve the quality in education at school level, and specially help to promote the literacy level of basic primary level.

The objectives of this report are as follows: • follow up on the application of the last training skills, • assess the literacy level of the focus group of students, (Model Class 4) and find ways to improve it, • Observe classrooms, explore strengths and weaknesses in teaching and learning and facilitate the teachers to apply child centered teaching, and provide immediate feedback. • Support the teachers in planning lessons, managing teaching materials and use them in classes. • provide a model teaching, • Collect detailed information on teachers and students.

Process (Methodology)

Before the class began, a short teaching staff meeting, in coordination of the head teacher, was organized in each school and planned for the day’s activities. Discussion about the teaching topics with the subject teachers were held and planned with appropriate teaching materials as far as possible. In class teaching time the subject teachers were facilitated with the shared / model

36 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 teaching. Feedback for the subject teachers were provided individually as well as in groups so that they would apply the skills and ideas in teaching later on. Secondly, we worked with the same teachers with the same subjects and observed their class teachings for further assessment to conclude whether or not they had improved their teaching techniques.

Students of class 4 of each English medium school were projected as the focus group, and given two parallel reading and writing tests in Nepali and English to check their reading fluency and understanding level.

This process was followed in each school. Finally, a teaching staff meeting was organized and discussed about the strengths and the issues to be improved to maintain standard of each class.

Activities Performed:

• Collected information on teachers and students, • Assessed reading fluency and understanding level of focus group of students, • Organized teacher staff meeting and analyzed the outcomes of the students assessment, • Discussed the ways to promote students’ reading fluency and understanding level, (Literacy level) • Supported to develop Teaching Improvement Plan (TIP), • Observed class teaching and learning, and provided immediate feedback individually and discussed in group, • Supported the teachers in planning lessons, managing teaching materials and use them in teaching, • Demonstrated model teaching for sharing the skills of developing child centered teaching learning environment,

Assessment and Findings:

Measurement of Reading fluency and understanding level of children Focus Group: Class: 4 Nepali Reading fluency and understanding A text with 70 Nepali words taken from class 4 Nepali Textbook.

Total Reading Fluency S. Understanding Grading Name of school Partici No. less than 1-2m 2-3m 3m & Poor pants 1 minute more A B C D poor 1 Khumjung S school 15 2 13 1 4 2 3 5 2 Thame LS school 7 2 2 3 1 2 2 2 3 Himalaya PS Namche 18 7 10 1 2 4 5 6 1 Yuva Varsha LSS 4 4 1 1 2 1 1 2 Manjo 5 Janasewa LS Gumela 12 9 3 4 1 7 6 Pemachhiling PS Ghat 3 1 2 3 7 Lukla LSS Lukla 38 6 14 10 5 3 2 12 6 9 9 Mahendra Jyoti HSS 8 9 1 6 1 1 1 3 1 4 Cha Total 106 16 55 16 10 9 6 27 19 21 33

Nepali Fluency: 67% good Understanding: 31% good Table: 1

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 37 A text with 100 English words taken from class 4 English Textbook English Reading fluency and understanding

Total reading fluency Understanding grading S. Name of school Partici- less than 3m & poor No. 1-2m 2-3m pants 1 minute more A B C D Poor 1 Khumjung S school 15 2 9 2 2 3 7 4 1 2 Thame LS school 7 3 4 1 1 4 1 3 Himalaya PS Namche 18 7 10 1 11 5 2 Yuva Varsha LS S 4 5 1 2 1 2 1 1 1 Manjo 5 Janasewa LS Gumela 12 5 4 2 1 1 6 2 3 6 Pemachholing PS Ghat 3 3 2 1 7 Lukla LSS Lukla 37 12 18 5 2 8 9 9 4 7 Mahendra Jyoti HSS 8 10 2 2 4 1 1 5 5 Cha Total 107 2 32 52 12 8 23 30 31 10 13

English Fluency: 31% good Understanding: 55% good Table: 2

Analysis of the data:

Table 1 A sample baseline test was taken in 8 English medium schools of Mt Everest region. Class 4 of each school was taken as the focus group. 106 students participated in the tests. They were asked to read a text, extracted from class 4 Nepali textbook, composed of 70 Nepali words. Out of 106, only 16 students could read the text perfectly in less than a minute. 55 students could recognize the words and read nicely in 1 to 2 minutes. 10 students were very slow to decipher the words and the other 9 students hardly recognized the letters and words.

Their understanding level was tested asking 5 short closed comprehensive questions related to the reading text. As shown in the table their understanding ability differs according to their reading fluency and recognition of the words.

The test proves that the literacy and understanding level of the students is moderate and urgently needs to be improved, although it would be a very challenging task.

Table 2 Secondly, another parallel test in English was conducted. A passage with 100 words, taken from a class 4 English Textbook, was given to read. 107 students were projected in the test. Out of them, 34 students could read the text perfectly well with correct pronunciation within 1 to 2 minutes. 52 students finished reading with minor pronunciation errors within 2 to 3 minutes, and were marked as slow readers. The last group of 20 students was very slow in making out the words, and was therefore marked as weak readers.

To test their understanding abilities, six short closed questions and a true false question were asked. From the written test, it was found that their understanding level in English was also moderate. The two parallel tests indicated that the students who are good in reading Nepali are also good in reading English. Comparatively, their understanding ability in both languages is found to be similar. 19 students could only decipher Nepali words, and 20 students have the same ability in English Language too.

38 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Problem Analysis:

To impart quality education to the children, the teacher plays a prominent factor. Regardless of poor facilities, a competent and skillful teacher is sure to make his/her teachings joyful and purposeful. Despite attending much training, school with lots of teaching resources, most of the time, teachers enter into the class with only a textbook in their hands. It seems a great challenge to bring a positive change in the teachers’ feeling, thinking and attitude to build their habit of developing a workable lesson plan equipped with effective teaching materials. Study habit in many teachers is found very limited. Many teachers are still reluctant to change the habit of traditional teacher centered teaching. These are some of the root causes that have affected the quality of teachings received by the majority of students in remote mountain village schools.

For slow learners, there are no clear strategies or time allocations. Teachers often focus on teaching the lessons from textbooks that students cannot read nor understand. Many schools lack appropriate reading materials to practice for developing reading fluency. Some schools have small libraries but are not utilized properly.

Student’s enrolment data indicates that in each English medium school, many children are from out of school catchment areas. In Khumbu region, every year, people from down valleys come to find jobs. They come from different language and cultural backgrounds. In the English medium schools, they enroll their children whose early childhood and basic level education is very poor and their age does not fit the grade. Their parents’ level of education, their family environment and poor financial status affects their learning.

Expectations till the second term assessment: Nepali

Total Reading Fluency Understanding Grading S. Nepali Partici- less than 3m & No. 1-2m 2-3m poor A B C D poor Pants 1 minute more Existing condition 106 16 55 16 10 9 6 27 19 21 33 Expectation 106 27 50 14 8 7 10 20 22 30 24

Expectations till the second term assessment: English

Total reading fluency Understanding Grading S. English Partici- less than 3m & No. 1-2m 2-3m poor A B C D poor Pants 1 minute more Existing condition 107 2 32 52 12 8 23 30 31 10 13 Expectation 107 10 40 41 10 6 30 32 27 8 10

Strategic Area: Students will success through Academic Achievement 6 month’s Annual 6 months’ Measurable Out Out Goal Data Source Baseline Target Target Objectives Come Come Students 70% students will be able Reading Fluency NRF of class 4 to read 70 Nepali words in 70% and Understanding 67% prepared 1 minute 40% will understand NUL for class Test 40% nicely 31% ERF 40% 40% students will be able 31% to read 100 English words 5 entrance in 1 minute, 58% will EUL understand nicely 55% 58%

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 39 Action Plan to improve Reading Fluency and understanding level

Note: NRF: Nepali Reading Fluency: NUL: Nepali Understanding Level ERF: English Reading Fluency: EUL: English Understanding Level

Possible ways to increase reading fluency, understanding and quality teaching and learning:

Way forward  Prepare a daily teaching plan to facilitate the children’s learning smoothly in the easiest way.  Provide the students with varieties of reading books of their interest and help them to read.  Teach the meaning and pronunciation of difficult words first.  Manage time for group reading, pair reading and individual reading activity.  Give extra time to help the slow learners.  Make teaching and learning effective by finding teaching materials that suit your teaching objective.  Use classroom language of at least 5 simple sentences every day, and let the children use these sentences daily.  Teach children the skills of questioning using ‘Wh’ words, and yes / no questions  Give clear instructions to the children what they should do and check whether they understood the instructions.  Create a proper learning environment and facilitate the children to learn independently.  Encourage children to present their work in the class.  Minimize the lecturing method of teaching. Make learning child centered as possible as you can.  Make children active participants by asking relevant questions, and assigning group and individual tasks every time.  Share your knowledge and skills with your colleagues.  Help children to make a habit of neat and clean handwriting.  Know yourself, and keep trying to be a reflective teacher.

Conclusion:

To improve the teaching and learning conditions and increase learning achievement of the English medium schools, HT trainers have a clear plan and time frame to support the teachers of each school. The trainers help the needy teachers in lesson planning, managing teaching materials, improving learning environment in the class and taking model classes. Monitoring and measurement are the most important factors to improve and assess the progress of the project. The ways mentioned under feedback topic will be strictly considered to follow that will help to make a change in teaching and learning as a result the learning achievement of the students will be increased. This strategy will be helpful to support other Nepali medium schools to improve their learning outcomes.

40 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Glimpse of Students Activities in 2016

Thame school children doing project work

Thame children learning computer skills

Children singing class song at Pangboche School Group teaching at Chaurikharka School

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 41

CHAPTER D REBUILD EARTHQUAKE DAMAGED SOLUKHUMBU SCHOOL (REDSS) PROJECT (By Satya Man Lama, EPM) D

D. Rebuild Earthquake Damaged Solukhumbu Schools (REDSS) Project (Jan-July 2016)

“Each of us is carving a stone, erecting a column, or cutting a piece of stained glass in the construction of something much bigger than ourselves.” - Adrienne Clarkson

44 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 1. Introduction

Two of the powerful earthquakes that rocked Nepal on 25 April and 12 May 2015 damaged 227 schools of Solukhumbu district; some are totally destroyed and some sustained with partial damage and crack. Due to this, the students at most of the schools in the district were excluded from the appropriate learning environment; hence direct negative impact on educational outcomes of vulnerable children will be seen.The Himalayan Trust has an historical relationship with people of Solukhumbu and various schools since it has been implementing the different school based program along with other program in health sector and cultural preservation. This historical relationship motivated the Himalayan Trust Nepal to serve the Solukhumbu people working on improving the child learning environment at various schools. At first stage, the emergency response phase had been successfully completed which included initial site visits, damage assessment, school needs assessments, straight forward building repairs, construction of Temporary Learning Centres (TLCs), and initial design work and planning for the next phase – school rebuilding project named “Rebuild Earthquake Damaged Solukhumbu Schools (REDSS) Project”. The implementation plan includes rebuilding and/or repair of school buildings for 15 schools of Khumbu Region (Chaurikharka, Namche and Khumjung VDCs), Mid Solu Region (Juving VDC) and South-West Solu Region (Dudhkunda municipality and Goli VDC).

This report covers the physical and financial progress status, key challenges and learnings from implementation of REDSS project during Jan- Mid July 2016.

2. Project Objectives

The overall objective of the project was to ‘build back better’ damaged school infrastructure within Solukhumbu district caused by the earthquakes on 25th April and 12th May 2015. Specific objectives were:

2.1 Rebuild identified earthquake-damaged schools so that an appropriate and safer learning environment is provided for children – “build back better”. The rebuilding process needs to manage in a way that ensures that: a. School teaching and learning activities continue during construction; b. Other Himalayan Trust Nepal donor-funded school support programmes are maintained. 2.2 Develop construction skill levels within Solukhumbu District to promote the use of earthquake-resistant building techniques, and so that future livelihood opportunities are improved.

3 Accomplishment and Achievements

3.1 Project information The REDSS project is designed for two (2) years in 2016 and 2017 which covers 15 Schools; 7 schools in year 1 and 8 schools in year 2. The project comprises the construction of new classroom, wash (toilet), water supply and hostel room including the repair work at some of schools. The project has designed on the principle of intervention with holistic approach to meet the provision of child appropriate learning environment. The details of project information are given in the Table 1 as below. The second year project schools will be visited to verify the signed projects before the planning.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 45 Table 1: Details of REDSS Projects

Target Beneficiary HTN-Project # SN Name of Schools Location New Repair Water Hostel Compound Boys Girls Total Wash classroom room supply room wall A. Year 1 Projects (2016) 1 Janjagrity HSS Dhudkunda-5, Salleri 206 165 371 3 - - - - - 2 Pike SS Dhudkunda-3, Loding 78 79 157 9 - 2 1 - - 3 Jwalamai PS Dudhkunda-3, Tamakhani 15 17 32 - 4 - - - - 4 Junbensi SS Dhudkunda-1, Junbesi 83 68 151 12 - 2 - - - 5 Beni LSS Dhudkunda-2, Beni 26 20 46 4 - - - - - 6 Goli LSS Goli-7, Gepchuka 34 34 68 6 2 2 - - - 7 Lumukarma PS Goli-9, Lumukarma 6 10 16 3 - - - - - Total-Year 1 448 393 841 37 6 6 1 - - B. Year 2 Projects (2017) 8 Khumjung SS Khumjung-1, Khumjum 178 162 340 1 - 1 - 4 1 9 Thame LS Namche-7, Thame 23 19 42 6 - 2 - - - 10 Phortse PS Khumjung-9, Phortse 10 12 22 4 - - - - - 11 Yuba Barsha LSS, Chaurikharka-1, Monju 22 35 57 8 - - - - - Chaurikharka-9, 12 Janasewa LSS Sanogumela 82 60 142 6 - 1 - - - 13 Dudhkoshi LSS Juving-3, Bumbari 61 69 130 4 6 - - - - 14 Buksa LSS Juving-5, Buksa 55 38 93 4 6 - - - - 15 Juving SS Juving-2, Juving 118 112 230 4 4 - - - - Total-Year 2 549 507 1,056 37 16 4 - 4 1 Total Year 1 and 2 997 900 1,897 74 22 10 1 4 1

REDDS projects are being implemented with the support of various Donors. The principal donors are Himalayan Trust New Zealand (HTNZ), Himalayan Trust UK (HTUK) whereas other donors are The Sir Edmund Hillary Foundation (SEHF)-Canada, Grand Circle Foundation, Begretter HelfenIm Himalaya, The Greater Himalayas Foundation and Association of VentusSpei.

3.2 Output and Outcomes For year 1 projects, the projects are being implemented from the beginning of 2016 and ends by December 2016. The projects have made significant progress during this time in terms of physical and financial aspects. The eight (8) schools for second year (2017) had signed the offer letter for construction of projects as shown in the above project details in Table 1.

3.2.1 Physical Progress Status The progress status of new classroom construction at 4 project schools seems as per the implementation plan however at 2 project schools, there is some delay in the progress

46 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 status as we expected. At Goli LSS and Junbesi SS (Hostel side), the construction work could not be made speed up due to the shortage of construction materials like sand, rebar and stone. This was happened due to the early start of monsoon than we planned. The repair work at two schools (Goli LSS and Jwalamai PS), wash at three schools (Junbesi SS, Pike SS and Goli LSS) and water supply (Pike SS) could not be started due to the priority of other larger size projects. This will be started after the monsoon. The overall completion of all the works viz. new classroom construction, repair, wash and water supply will take bit longer time as shown in the below Graph 2. The completion of work includes the completion of all civil works, maintenance training, public audit and handover of the newly constructed project to the School Management Committee (SMC) in the presence of DoE representatives.

During the implementation of REDSS project, HTN was aware of managing the alternative classroom for the students so that they could run the classes’ in regular basis. So the school teaching and learning activities are being continued at all seven (7) schools with Temporary Learning Centers and existing classroom at the schools. Also, the construction labors are gaining new construction skills from the REDSS projects and they can use the new skills in other areas in the coming days.

3.2.2 Financial Progress Status The financial progress of REDSS project consists of two main headings viz; management cost and construction cost. The progress of management cost accounts for 48 per cent while that of construction cost is only 34 per cent. Hence the overall progress status seems to be 37 per cent till the end June 2016. The Graph 3 shows the pictorial view of REDSS budget progress status.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 47 3.3 Process/Methodology The implementation plan developed is the key project document to follow the process of REDSS project with time line which is revealed in Gantt chart. The implementation plan guided the project staffs to implement each project activities in a systematic way.

At field level, the project process had been involved some of the milestones like project selection, land approval, sign MoU with schools, orient community, formation of School Reconstruction Committee (SRC), selection of local and non-local vendors and start delivery of materials at sites. While at Centre level, project planning, design approval, agreement with Department of Education (DoE) and endorsement of project in Social Welfare Council (SWC) were accomplished.

The procurement of construction materials for REDSS project is being done at two (2) levels; one at Centre level and other at field level. The Centre level procurement committee was responsible for procurement of bulk construction materials like cement, rebar, CGI sheet, plywood etc. while at field level, the SRC was responsible for procurement of locally available materials like stone, wood, sand, aggregate and local labors. All the procurement of materials was being accomplished on the basis of procurement plan and procurement document for each project sites.

The community mobilization for the project is also important factor to engage them for developing ownership in the projects. This has been doing through the community orientation and by the means of community contribution in terms of labor and kind support as required.

3.4 Issues, challenges and difficulties During this reporting period, the REDSS project has come with different issues, challenges and difficulties as mentioned below:

3.4.1 Design approval of school building from Department of Education (DoE) and Department of Urban Development and Building Construction (DUDBC) was delayed due to the lengthy process and the former hired engineering consultant did not perform well. With this delay, the implementation schedule of project is being hampering with effect from the early start of monsoon. 3.4.2 The procurement of materials could not be completed before start of monsoon as planned due to the early start of monsoon than we had assumed. So the supply and delivery of materials is challenge for the project that is delaying in implementation schedule. 3.4.3 There was shortage of materials like rebar and wood in the market due to which the vendors could not supply in time. 3.4.4 Two (2) of Field Supervisors left the project during this reporting period which affected the supervision and monitoring of projects but other staffs mobilized to oversee their assigned project sites.

3.5 Lessons learnt, what worked during the implement and what did not; what are the ways to improve the intervention The following chart lists the lessons learnt for the REDSS project. These lessons are categorized by project knowledge area and descriptions, impacts, and recommendations are provided for consideration on similar future new construction projects. It is important to note that not only failures or shortcomings are included but successes as well.

48 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Table 2: Lessons Learnt for the REDSS Project

Category Issue Problem/Success Impact Recommendation Name Procurement Contract Tax requirement was not A contract All types of contract Management Clauses mentioned clearly in the modification was document should be contract agreement for required for which reviewed from REDSS team local vendors. it was difficult to and internal auditor. For the convince them in second year, the vendors signing the modified should be fully informed contract. about the clauses before signing. Human Award Plan All the field level staffs The team members are The management should Resources that performed very encouraged to perform continue the scheme for Management well were provided the better further. awards/recognition to each salary increment after staffs for every project. completion of probation period in recognize of their performance with hard work. Technical Design The approved design The modified designs The Engineer Project drawing, Change was reviewed at field are user friendly, Manager should maintain specification level and was modified more practical in the design change register to make it practical in implementation at with project. implementation. remote areas. Quality Inspection There was no any quality The quality of work The REDSS Project must management record and assurance checklist and implemented could have Inspection Record Plan technical training to masons not be assured in sheet for each important training each project sites stages of construction and and all the mason did provide on the job training not show ownership to masons. in maintaining the quality work. Health & Health & No health & safety risk Lack of awareness on Project stakeholders in Safety Risk Safety Risk management plan found health & safety risk at each project sites must be Management in the project. construction sites and oriented on health & risk Plan related hazards may management plan and the occur. plan should be implemented. Community SRC Formation of SRC could The inactive For next year, SRC must mobilization formation not be done during the participation of SRC be formed during the & community meeting and member may be community meeting and get orientation they were not oriented. delaying the projects. oriented properly about the project. Project Classroom There was no provision The available furniture The available furniture activities furniture of classroom furniture may be unsuitable for should be repaired and as new or repair in the the new classroom. brought at the suitable sizes project. The holistic approach and if budget available, concept does not child friendly new furniture provide full meaning should be prepared. with this lagging part. Labor Shifting the There is opportunity of The second year HTN should inform the management labor shifting the labors from projects will be labors and coordinate with for second year year 1 project sites to completed within the SRC of second year project projects year 2 sites at least for 3 time frame with good schools to engage the project schools. quality and the labors experience labors. will get confidence in working with earthquake resistant approaches.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 49 3.6 Good Practices

A good practice is not only a practice that is good, but a practice that has been proven to work well and produce good results, and is therefore recommended as a model. It is a successful experience, which has been tested and validated, in the broad sense, which has been repeated and deserves to be shared so that a greater number of people can adopt it. The following are some of good practices from the implementation of REDSS project;

3.6.1 All the type designs constructed during this period was approved by the concerned authority of Nepal Government i.e. DoE and DUDBC. Moreover, the DoE has published our “1 Storey-3 Room-Stone Masonry with wooden truss” design as Type Design 9 in their webpage to use for all schools who is going to build 3 room building. The link of the webpage is as given below;[http://doe.gov.np/userfiles/ files/1%20storey%203%20room%20stone%20masonry%20with%20wooden%20 roof%20frame%20(now%20with%20missing%20pages).pdf]

3.6.2 The financial control of REDSS project is being done by the Financial and Management Accounting System (FAMAS) software from the initial project period. This software controls all the transaction in a right track and can help to generate the reports as per the requirement in easy way without delaying.

3.6.3 The donor has made provision of internal audit system to audit the REDSS project time to time so that strong control system could be in place within the project which is good practice to implement the project in a transparent way.

3.6.4 Recently Himalayan Trust Nepal Webpage has been updated where the REDSS project is one of the interesting features under the tab named “EARTHQUAKE RESPONSE” and the link is [http://himalayantrust.org.np/about-redss/]

3.6.5 In addition to the REDSS Implementation plan and REDSS Financial Manual, the “Project Management Plan” is being developed which is at the final stage that provides a framework to align all project stakeholders in achieving of the project objectives, with the intention of promoting accountable and transparent decision- making and processes to ensure REDSS is delivering on the expectations and requirements of all involved - the two principal and other donors, implementing partners and communities in which the project is operating.

3.6.6 REDSS project arose as milestone for Himalayan Trust Nepal which gives the opportunity for developing the well functioned Project proposal which includes solid project with specific output, outcome and goal. The process for administrative management and project management could be the learning points for all staffs.

4 Conclusion

The REDSS project is the milestone for Himalayan Trust Nepal which is following the earthquake resistant design approved by concerned authority of Nepal Government. The project management and administrative process followed has been ensuring the internal control system within the projects. Till the end of July 2016, the project is making physical progress more than sixty (60) per cent in overall plan. Many lesson learning points were reporting with the project which will

50 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 be useful for the second year project and other too. The labors were trained with the new design of earthquake resistant design and construction.

After the heavy damage of school’s buildings and other infrastructures, the students were compelled to study under temporary learning center shade. Soon the newly built infrastructures; child friendly learning environment; are being ready to use for those children where they can enjoy and learn new things. In the meantime, the output from the REDSS project will be assisting the Nepal government; added as bricks to the whole building in Government national plan.

5 Appendices

5.1 Progress photos

The nearly completed new construction building regenerates the hopes to the students for the quality education at Janajagriti HSS, Salleri.

The construction labors are busy to complete the erection of wooden truss; promotion of local materials, at Beni LSS, Benighat.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 51 The connection of wooden truss component; modern pratice, at Junbesi SS, Junbesi

The Lightweight gable wall made of CGI sheet; preventing damage, at Pike SS, Loding

Due to the early monsoon, the construction materials could not be transported Concreting at top band; EQ compo- at the project sites; delayed the schedule, at Goli LSS, Gepchuka nent, at Lumukarma PS, Lumukarma

52 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 CHAPTER E KHUNDE HOSPITAL ANNUAL REPORT (2015/2016) (By Dr. Kami Temba Sherpa) E

E. Khunde Hospital Annual Report (2015/2016) - By Dr. Kami Temba Sherpa

1. Introduction

Background Kunde hospital is located in Kunde Village in Khumjung VDC of Solukhumbu district, Nepal. Built in 1966 at the request of Khumbu community by Sir Edmund Hillary, Kunde hospital has expanded its services to four village health clinics, public health services and health education projects. The hospital and its peripheral outreach clinics are entirely funded by Sir Edmund Foundation; Canada for the last 40 years. The hospital has provided high quality health care services to the local community and visitors visiting the region for nearly five decades.

Catchment The hospital serves the communities of Khumbu and Upper Pharak region. The area is in very remote mountainous region of Solukhumbu district that extend from an altitude of 2800 meters to 4300 meters from sea level. Historically, the largest population group in the area has been Sherpa. More recently, other ethnic groups have moved into the area, largely in the employ of the Nepal Government in services and in tourism such as teashops and lodges. In the addition, thousands of trekkers and a large number of seasonal workers(porters and guides)also visit the area in trekking season.

Reporting Period This report covers the twelve months period from July 2015 to June 2016. It includes an overview of the hospital and outreach health services provided in this time period, a brief description of major activities conducted, and data related to patients and health services in this fiscal year.

2. Updates on Kunde hospital and Outreach clinics

Kunde hospital and the village clinics have had another busy year. Our main objectives have been to provide prompt and quality medical care and continue our efforts to provide public health and primary health care programs within the Region. We are firmed with our vision that all patients should be given equal access to the fundamental right of health care with no distinction made based on origin, caste, or religion.

Our working hours remain unchanged: the hospital opens six days a week from 9 AM to 4 PM and emergency services are available 24 hours. Fees applied for both Nepalese and trekkers have remained unchanged.

54 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 2.1. Out Patients’ Clinic

The main types of clinical problems seen daily at both hospital and village clinics are similar to previous years with predominantly respiratory tract infection, peptic ulcer disease, skin disease, diarrheal disease and trauma. The detail updates on clinical activities of the hospital and village health clinics are presented below. The statistics are collected based on the Nepali calendar, as required by District and Regional Public Health Office of the government of Nepal and presented in Appendix I.

2.1.1 Antenatal Care Nepal has one of the highest maternal and neonatal mortality rates in the world. Therefore, it is an important area and all possible measures have been adopted to improve this field. Antenatal care is well accepted in the region and we believe that more than 98 % of pregnant women visit our antenatal clinic. No postpartum mortality has been reported more than ten years. The Antenatal Care at Kunde hospital involve a thorough counseling, physical examination to rule out any serious underlying medical problem and high risk factors, regular iron supplement, ultrasound scan and laboratory investigation for HIV, Hepatitis B and VDRL test. Two cases of breech and one with twin pregnancy were referred to Kathmandu. Timely referral to higher center is made if there is need of expertise care such as elective Caesarean section.

2.1.2 Obstetric The quality of antenatal care directly affects the obstetric outcome. Women with high risk for delivery such as first pregnancy, bad obstetric history in past, teenage pregnancy were always encouraged to have hospital delivery. Those who have relatively low risk factors and keen to have home delivery are given a set of Safe Delivery Kit that contains (a pair of sterile gloves, sterile blade, sterile threads, a plastic sheet and small bar soap). Around 30% of the births still occur at home. The Safe Delivery Kit and clean delivery practices have offered a simple and cost saving way to prevent any postpartum complications. A total of 17mothers have given birth at hospital in this fiscal year. Three deliveries were assisted with vacuum for prolonged second stage and fetal distress. One lady presented with no fetal movement at her mid third trimester and had stillbirth at hospital.

2.1.3 Family Planning Family Planning has continued to be one of the most successful preventive health program provided by Kunde hospital and the village health clinics. The contraception is well accepted by both the local and immigrant people. The majority of the younger generation people prefer to have one or two children only. Depot Provera and Norplant remain the most popular contraceptive methods used in the region and there has not been any shortage of supplies in the hospital and outreach clinics. Other methods such as vasectomy, IUCD are rarely accepted in this region.

2.1.4 Immunization and Postnatal Care program Vaccination is well accepted and the coverage has been excellent in the region. Recently the area has been declared as “fully immunized region” by the government of Nepal, and Kunde Hospital has been facilitated with Letter of Appreciation for its vital role in providing immunization program in Region for many years. Our health workers in peripheral health clinics continue to play a major role in making sure that not a single child in their catchment misses the regular vaccinations. District Public Health Office at Phaplu supplies the vaccines free of cost. Pneumococcus vaccine and parenteral polio vaccine are added in our regular Immunization program from the beginning of September 2015.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 55 2.1.5 Postnatal Clinic A separate Postnatal Care Clinic is conducted on every immunization day as this is the day the new mothers from far distance come to hospital for their baby’s shot. The postnatal natal care involves thorough physical examination, counseling for proper care of new babies, exclusively breast feeding for 6 months, contraception use, Vitamin A and Iron supplements etc. On the same day, well baby check is done and growth chart is used every time when the babies are weighed. Explicit counseling for balance diet is done in order to avoid micronutrients deficiency. Babies in the region are doing excellent and not a single baby with underweight has been found in the last fiscal year.

2.1.6 Tuberculosis Although Tuberculosis remains a major public health issue in Nepal, there has been significant reduction in TB cases in Khumbu and upper Pharak region since the last ten years. There has been an average of five to six TB cases seen in each year. Sputum test for TB bacteria is the gold standard investigation for Tuberculosis and the sputum test are done regularly in our laboratory for all the suspected cases seen in hospital and outreach clinics. Kunde hospital is the only government DOTS (direct observation therapy short course) center in this region and we are working closely with District Public Health Office and National TB Control Center. Every effort is made by the hospital forour staffs to attend short training course run by the District Health Office or other authorized organization.

2.1.7 Non-communicable Disease: Hypertension: The number of people with hypertension is increasing and more than 60 chronic hypertensive patients are under medications. Treatment compliant is relatively good. Most patients are on combination therapy that is considerably resources implication as the treatment is necessitates for life long. A cost recovery system may have to be considered in near future if the hypertensive cases continue to increases.

Diabetes Mellitus: Similarly, diabetic mellitus mainly type two are increasing in the area. We believe this is due to the combination factors such as increasing health awareness, screening more frequently as well as changes in life style. However, it is very encouraging that treatment compliant is not an issue in this community compare to other parts of Nepal. We believe this is largely due to adopting considerable time on explaining and counseling provided to each individual patient.

Arthritis: The other common and most frequently seen cases are osteoarthritis of knees among the population of older Sherpa women. Kunde hospital provides regular supportive care with anti inflammatory drugs, steroid injection, physiotherapy and education for life style modification. However we have few patients whose quality of life isso severely affected that TKR (total knee replacement) are the only last solution. The surgery is done in Kathmandu but unfortunately it is limited only to affluent families because of its long morbidity and the high cost.

Gastritis: Gastritis is another very common problem seen among Nepalese patients. Large portion of annual drug budget goes on H2 Blocker and proton-pump inhibitor (PPIs). Functional dyspepsia is common and often responded well to anti depressant medicine.

56 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Consideringthe high prevalence of Gastric cancer among local Sherpa population, we take the cases seriously especially those with older age group and family history of gastric malignancy.

Given the high prevalence of Helicobacter Pylori infection among all age groups of local Sherpas shown in the study conducted in 2010, we have adopted some changes in our treatment regimen for the management of dyspeptic patients. The ideal management to eradicate H pylori is Test and Treat method and there is plan to set up testing facilities at our laboratory in near future. This could be an opportunity to reduce the burden of upper gastro intestinal disease, which appears to be so common in local Sherpa community in Khumbu and Pharak region.

2.1.8 Acute Mountain Sickness: In the past, acute mountain sickness was predominantly seen among the foreign trekkers but the illness pattern has been changed over the last few years because of better information, education and readily available rescue helicopters. It is now a major medical problem seen among the low land Nepali porters and guides and lowlanders working in construction sites. We had seen more than 60 patients with acute mountain sickness in the last fiscal year and more than 75 % of them were lowlander Nepali Patients. Unfortunately this will continue to be a major problem and challenges in future.

2.2 Village Health Clinics

We believe that the health workers in village health clinics are the key person to deliver public health and primary medical care to the remote community where it takes several hours to reach the nearest hospital. Doctors continue visit the outreach clinics to provide regular refreshment training to the health workers to make the village health program more effective and accessible. Supporting the village health workers through training and basic supplies of medicines and equipment continued to be the major responsibility and a high priority of Kunde hospital.

Kunde hospital continues to supervise three Village Health Clinics located in most remote villages in the region. The Village Health Clinics are based in Thami, Phortse, and Monju. These clinics are directly supervised by Kunde hospital and fully funded by the SEHF Canada. All outreach Clinics are functioning satisfactorily.

2.3 Kunde Hospital Staff

Physicians: Dr.Mingma Tshering Sherpa left for good at the end of April 2016, and Dr.Mingma Kanchi Sherpa has joined us from June 1st 2016.

Support Staff: Mingma Temba Sherpa, our longest serving staff has retired from June 1st, 2016. Other than that, there has not been any change in other staffs and every one continues performing their duty well.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 57 2.4 Health Status

2.4.1 Overview of Health Status in Nepal Nepal with its population of nearly 28 million and Annual GDB growth rate of 4.40 is amongst the poorest nations of the world. Although most health indicators have in fact improved significantly in recent years, Nepal still has a long away to go even to reach the South Asian average. The positive health indicators are that the life expectancy has risen in recent years estimated to be M/F 65/67 in 2012, considerable reduction in fertility rates (birth per woman) from 3.1 to 2.39 (2012) and it is said to be largely attributable to foreign employments. Maternal and child health remain important issues but recent statistic shows some improvement in both maternal and childhood mortality.

2.4.2 Health Status in Khumbu/Pharak Although we don’t have comparable data to compare them directly as the demography survey done in 2003 was the last survey done in this region. However we experience that Health status of Khumbu/Pharak population in many respect are far better than most part of Nepal. The positive health indicators are no maternal mortality more than ten years, high immunization coverage we think more than 99% of children in our catchment area are immunized, well nourished children, high turned out in antenatal clinic, high rate of institutional delivery and high rate of contraception use. This is the direct result of continued accessible, affordable and quality health services provided by Kunde hospital and outreach clinics for a period of five decades.

3. Other Activities

3.1 Kunde Hospital 50th Anniversary Celebration

It has been 50 years since Sir Edmund Hillary established Kunde Hospital to provide primary healthcare services to the Sherpas of Khumbu Region. A special event was organized to celebrate the 50years of service that Kunde Hospital has been providing in the Region. The event was attended by several hundreds of people including ex-doctors; guests from Canada, New Zealand and Europe; representatives of government and non- government organizations; and local communities.

The one-day event started with a trek up to the Hillary View Point and a memorial service at Hillary Memorial in the morning. The official event was inaugurated by the event Chair,

Figure 1: Kunde Women’s group welcoming guests with a Figure 2: People enjoying the 50th anniversary celebration traditional song at the 50th Anniversary celebration. event at Kunde.

58 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Figure 3: Dr. John and Diane Mackinnon, first Kunde Figure 4: Local people enjoying Sherpa cultural dance at Doctors attending the 50th anniversary celebration. nighttime at the 50th anniversary celebration.

Dr. John Mackinnon (the first Doctor of Kunde Hospital). Dr. Kami Temba, hospital in charge welcomed everyone at the event, some ex doctors shared their experiences; and Mr. Ang Temba, Coordinator of Kunde Hospital Advisory Committee thanked everyone for their participation. Certificate of Appreciation was presented to ex-doctors and supporters during the event. Various cultural songs and dances were performed by women’s’ groups, youth groups, school students and locals in the event. Despite the bad weather, everyone enjoyed the celebration till midnight.

3.2 Zeke O’Connor Beyul Garden

On the occasion of 50th Anniversary of Kunde Hospital, a garden was built in the forested land behind Kunde hospital. The garden was named as “Zeke O’Connor Beyul Garden” in honor of Mr. Zeke O’Connor, founder of the Sir Edmund Hillary Foundation of Canada that has been supporting Kunde hospital for the last 40 years. Mr. Zeke O’Connor inaugurated the garden on the 29th of May 2016.

The garden is a very good blend of forested areas, trails and various cultural artifacts. A helipad was also built near the garden behind the hospital to provide rescue services to patients for further treatment in Kathmandu. The new garden behind the hospital has been a major attraction during the 50th Anniversary celebration of Kunde Hospital, and many people appreciated it. The Kunde Hospital Advisory Board and the local people of Kunde have played a major role in setting up the garden. The Sir Edmund Hillary Foundation of Canada provided funding support for the garden and helipad.

Figure 5: Mr. Zeke O’Connor, founder of SEHF Figure 6: Zeke taking a tour in the garden along with the inaugurating the Zeke O’Connor Beyul Garden on the hospital staff and local people 29th of May 2016.

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 59 Figure 7: People taking a tour and resting in the newly Figure 8: Helicopter landing at the newly built helipad built garden behind Kunde Hospital. behind Kunde Hospital.

3.3 Reconstruction of Kunde Hospital Blocks

The massive earthquake of 7.8 magnitudes struck in Nepal on 25th April 2015, followed by series of aftershocks caused major structural damages at the buildings of Kunde Hospital. A team of Nepali structural engineers led by HTN carried out a thorough assessment of the buildings in August 2015, and designed a plan to rebuild the four blocks of the hospital following seismic resistant codes. The Sir Edmund Hillary Foundation – Canada is funding the construction of the largest block (main block - no. 2). Wolfgang Nairz and Messner Mountain Foundation are funding the reconstruction of Block 1 and Block 3. Whereas funding for Block No. 4 is waiting for approval from donors.

Figure 1: External rock wall of main block (no. 2) was Figure 2: Dr. Kami thanking the construction team after demolished keeping the internal wooden structure intact; completion of reconstruction of stone masonry wall of the Workers laying a new foundation as the old structure has main building no foundation.

Figure 3: Completion of construction of stone masonry Figure 4: A three-layer tie beam (DPC, Sill and Lentil) wall of the main block (2). In picture, back view of the has been used in the reconstructed stone masonry wall main building with attached drug store/X-ray/ultrasound to make it earthquake resistant. Further, vertical rods of room. 16 mm diameter have been placed at a distance of 8 feet throughout the building.

60 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Reconstruction of the main building (block 2) funded by SEHF started in the first phase in June 2016. As recommended by the engineers the internal structure (which has been completely intact) has been kept as it is; and the external rock wall has been demolished and reconstructed following seismic resistant codes. Construction of the outer stone masonry wall of the main building (Block 2) has been completed with some works remaining in gable part. Some of the interior works and construction of patient’s waiting room will be resumed later. Collection of construction materials for Block 1 and Block 3 are currently undergoing.

4. Coordination with District Health Office (DHO)

The DHO is the main government district health administrative body that overlooks a large number of health policy and directives in their respective district. The office is based at Phaplu and it is quite separate from the government district hospital. It is now mandatory for all the heath care institutions to follow the Government Health Policy. We have been continued to work closely with them to implement those policy. This includes maintaining the standard requirements in hospital, participating in any training programs if asked to and supplying the monthly statistics on time etc. Three very important items such as Family Planning Supplies, Vaccines and Tuberculosis Drugs are provided by the DHO free of costs and we have no problem getting those supplies in time.

5. Concluding Remarks

The SEHF’s continuing generous supports in the Health Care System in this remote region is highly appreciated by all the local people and the beneficiary groups. Foreign visitors who keep interest in community activities are very impressed and highly admired with the service provided by Kunde hospital.

I personally and on behalf Kunde hospital and Sherpa communities in this region gratefully acknowledge and express our sincere gratitude to The Sir Edmund Hillary Foundation, Canada for all the generous financial support. The tireless hard work of Mr. Zeke O’Connor, the founder and executive director, Ms. Karen O’Connor - the president of SEHF and our hard working staffs in Toronto office Bob, Martin and Kevin are truly appreciated by us all.

Our sincere gratitude to Mr.Ang Temba Sherpa and all the members of Kunde Hospital Advisory Committee, Sir Edmund Hillary foundation, Himalayan Trust, Kunde/Khumjung mothers group for their valuable time and enthusiastic supports in celebrating the lifetime event held on May 28, 2016.As we celebrate 50 years of service, Kunde Hospital greatly recognized the founders Late Sir Edmund Hillary and Himalayan Trust, Mr. Zeke O’Connor and Sir Edmund Hillary Foundation, Volunteer doctors from NZ, Canada and Nepal, all individual personnel who have served the community by providing exceptional care, helping those in need, sharing their knowledge, improving the condition of health and quality of life in Khumbu and transforming the Kunde hospital a solid Health Institution.

I would also like to acknowledge the valuable supports from the staffs at the Himalayan Trust Nepal office, our Sherpa colleagues of HTN and all the good efforts of the hospital staffs and village health workers. I believe that strong teamwork is the backbone of every success we achieved in these 50 years.

Thank you. Kami Temba Sherpa

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 61 Table 1: Distribution of OPD services provided by Kunde Hospital and outreach Clinics: July 15, 2015 to July 15, 2016 OPD-Kunde Hospital OPD-Outreach Clinics S. Month Adult Child Total Adult Child Total Referral No. M F M F M F M F 01 Jul/Aug 205 260 89 60 614 62 84 8 14 168 1 02 Aug/Sep 114 193 54 65 426 129 129 19 21 298 03 Sep/Oct 164 219 76 66 525 79 127 17 10 233 1 04 Oct/Nov 119 215 55 61 450 65 110 13 9 197 2 05 Nov/Dec 134 195 67 61 457 57 104 18 8 187 1 06 Dec/Jan 48 97 7 4 156 30 25 10 15 80 4 07 Jan/Feb 111 235 53 42 441 08 Feb/Mar 141 233 87 79 540 30 71 12 4 117 09 Mar/Apr 154 247 88 86 575 46 61 6 2 115 10 Apr/May 151 260 77 83 571 42 87 4 1 134 11 May/Jun 165 226 103 72 566 34 77 3 4 118 1 12 Jun/Jul 156 229 72 48 505 50 72 5 5 132 2 Total 1662 2609 828 727 5826 624 947 115 93 1779 12

Table 2: Delivery and Maternal/Child health services: July 15, 2015 to July 15, 2016 Delivery S. Prenatal Postnatal Month Retained Still D &C Referral No. SVD Vaccum Breech PPh Care Care placenta birth 01 Jul/Aug 17 2 02 Aug/Sep 12 2 1 03 Sep/Oct 1 1 23 4 04 Oct/Nov 3 1 24 3 1 05 Nov/Dec 4 1 17 4 06 Dec/Jan 1 16 1 07 Jan/Feb 1 1 21 1 08 Feb/Mar 1 1 13 3 09 Mar/Apr 2 1 14 1 10 Apr/May 1 1 31 3 11 May/Jun 1 1 21 3 12 Jun/Jul 2 23 3 Total 17 3 2 2 1 231 30 2

Table 3: Distribution of Contraceptive and Immunization services: July 15, 2014/July 15, 2015 Contraceptive Services Immunization Program S. Month Dpt, Measles/ Vit No. DMPA Norplant OCP IUCD Others BCG Polio DT hepB,hiB Rubella A 01 Jul/Aug 37 6 4 6 6 3 18 02 Aug/Sep 31 2 2 3 9 9 2 18 1 03 Sep/Oct 30 2 4 1 4 2 8 8 3 21 3 04 Oct/Nov 33 2 7 2 6 6 20 2 05 Nov/Dec 29 2 2 3 3 6 6 3 14 3 06 Dec/Jan 41 1 5 4 2 10 10 2 11 4 07 Jan/Feb 49 1 6 2 2 10 10 2 13 1

62 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 08 Feb/Mar 39 2 7 3 3 9 9 4 22 1 09 Mar/Apr 42 3 1 1 9 9 51 22 1 10 Apr/May 44 1 2 2 3 10 10 5 32 2 11 May/Jun 34 1 4 1 6 8 8 1 1 12 Jun/Jul 34 4 3 3 15 15 3 9 4 Total 443 14 52 3 24 31 106 106 79 200 23

Table 4: Kunde Hospital – Patient Morbidity – July 15, 2015 to July 15, 2016 S.No. Disease Categories M F Total 01 Communicable/immunisable diseases 8 8 16 02 Communicable water and food borne diseases 157 115 272 03 Communicable STD 1 1 04 Other infection (Respiratory/urinary/reproductive) 376 391 767 05 Nutritional and Metabolic disorder 36 59 95 06 Skin and soft tissue infection 195 143 338 07 ENT related infection/disorder 147 166 313 08 Oral and dental health related disorder 58 70 128 09 Eye problem 58 63 121 10 OB/Gynae related complication 64 64 11 Mental Health related problems 63 100 163 12 Cardiovascular related problems 138 344 482 13 Falls/injuries/fractures 353 118 471 14 Malignancy 2 2 15 Surgical problem 16 8 24 16 Gastritis/peptic ulcer disease 277 392 669 17 Arthritis 55 105 160 18 Disease not mentioned above 587 427 1014 Total 2526 2574 5100

Table 5: Distribution of Inpatients and other services – July 15, 2015 to July 15, 2016 S. Admission Minor Diagnostic test Months Emergency No. total recovery Death surgery Xray USG ECG Lab test 1 Jul/Aug 4 4 13 9 40 10 69 2 Aug/Sep 7 7 16 2 11 5 2 32 3 Sep/Oct 6 6 22 3 14 10 2 35 4 Oct/Nov 9 9 12 2 20 22 3 43 5 Nov/Dec 8 8 12 7 26 5 2 59 6 Dec/Jan 9 8 1 6 4 12 12 3 30 7 Jan/Feb 4 4 7 2 13 5 2 68 8 Feb/Mar 8 7 1 9 2 17 7 1 74 9 Mar/Apr 8 8 20 6 18 7 3 138 10 Apr/May 7 7 22 7 9 12 4 65 11 May/Jun 8 8 16 5 18 9 4 60 12 Jun/Jul 6 6 14 11 15 9 3 45 Total 84 84 2 169 60 213 113 29 718

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 63

CHAPTER F PHAPLU HOSPITAL ANNUAL REPORT 2015/2016 (By Dr. Mingmar Chhiring Sherpa, MDGP) E

F. Phaplu Hospital Annual Report (2015/2016) (By Dr. Mingmar Chhiring Sherpa, MDGP)

Phaplu hospital survived a devastating earthquake which came more than a year ago. Most of the buildings were damaged especially the maternity block which is already pulled down and now being rebuilt. Without proper place for the operations, procedures, laboratory services; it is difficult to deliver the services. With the support from GON, Himalayan Trust and other organizations, we were able to deliver following services.

1. Outpatients Services

Phaplu hospital outpatient’s service opens every day except public holidays declared by government of Nepal. In the fiscal year 2073/74, total of 14959 clients visited our outpatients department. The highest number of clients was in the month of Ashadh (June/July) with 1619 whereas Poush (Dec/Jan) was the month with lowest no. of clients with 961.

New Clients Old Clients 0-9 Years 10-19 years 20-59 Years ≥60 years 0-9 Years 10-19 Years 20-59 Years ≥60 Years Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Total Shrawan 84 94 140 118 412 223 45 42 5 5 6 4 25 16 42 27 1288 Bhadra 99 96 90 83 347 211 58 53 9 8 7 17 67 37 39 13 1234 Aswin 92 102 101 79 349 158 64 48 19 18 7 21 82 37 29 34 1240 Kartik 62 47 74 37 268 103 57 33 30 45 20 40 48 40 37 20 961 Mangsir 68 72 113 64 224 157 43 33 36 58 32 34 132 65 47 31 1209 Paush 51 62 108 82 237 113 17 16 46 58 47 34 34 13 35 32 985 Magh 78 77 82 61 254 113 34 27 54 38 27 22 66 28 30 15 1006 Falgun 87 95 120 89 302 169 39 35 20 25 20 25 107 48 50 46 1277 Chaitra 84 70 81 55 414 185 59 30 23 39 19 16 137 58 50 30 1350 Baishakh 78 90 95 70 337 144 69 33 27 18 20 12 116 49 25 17 1200 Jestha 107 114 122 83 457 218 99 69 24 29 29 22 131 61 14 11 1590 Ashadh 122 150 140 108 319 237 110 50 31 32 35 27 152 60 28 18 1619 Total 1012 1069 1266 929 3920 2031 694 469 324 373 269 274 1097 512 426 294 14959

As in Solukhumbu district, Majority of population is Janjati (Rai,Sherpa,Tamang,Magar), Janati population visiting the hospital is in the highest number as shown in the table.

Dalit Janjati Madheshi Muslim Bram/Ksha Others Female Male Female Male Female Male Female Male Female Male Female Male Shrawan 67 46 500 358 1 1 0 0 191 124 0 0 Bhadra 77 62 483 337 1 1 0 0 117 21 1 0 Aswin 84 55 494 334 1 3 0 0 158 104 6 1 Kartik 111 60 361 233 1 4 0 0 123 68 0 0 Mangsir 82 57 416 320 2 6 0 0 192 129 3 2 Paush 57 44 368 251 3 2 0 0 147 113 0 0 Magh 78 66 423 231 3 2 0 0 119 82 2 0 Falgun 101 62 531 370 1 3 0 0 109 97 3 0 Chaitra 112 66 549 296 1 9 0 0 203 112 2 0 Baishakh 93 53 499 262 2 4 0 0 173 113 0 1 Jestha 117 79 626 356 2 4 0 0 235 166 3 2 Ashadh 150 91 449 339 3 7 0 0 331 240 4 5 Total 1129 741 5699 3687 21 46 0 0 2098 1369 24 11

66 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 2. Other Hospital Services

Phaplu hospital provides different health services like emergency, Laboratory, X-ray, ultrasound, EKG services. Altogether, 1394 patients were admitted and 1334 were discharged. This difference in no. of patients admitted and discharged is because they sometime leave the hospital without informing the hospital. Average length of stay for admitted patient is 3 days. 1659 emergencies were seen at the hospital and 3594 clients were given a lab services. Similarly, 2037 and 1594 were given x-ray and USG services respectively. In the month of Poush, Magh and Falgun, there were no EKG services as our EKG machine had some technical problem.

Av.Length Month OPD Emergency Admission Discharge Lab X-ray USG ECG of Stay Shrawan 1288 83 118 128 355 154 139 16 2.9 Bhadra 1234 138 133 123 415 148 140 12 2.8 Aswin 1240 144 122 115 284 152 154 19 3.5 Kartik 961 161 127 124 213 115 84 10 3.2 Mangsir 1209 150 81 84 278 202 148 6 3.1 Paush 985 107 98 89 175 184 125 0 2.9 Magh 1006 62 91 75 284 104 93 0 2.8 Falgun 1277 159 110 107 323 216 107 0 2.7 Chaitra 1350 120 126 113 352 208 132 10 2.9 Baishakh 1200 125 94 94 262 123 81 7 3.8 Jestha 1590 180 150 136 335 269 171 8 2.5 Ashadh 1619 230 144 146 318 162 171 17 3.1 Total 14959 1659 1394 1334 3594 2037 1545 97 3

Following is the table showing different types of laboratory services provided. 3594 clients were given different laboratory services like hematology, biochemistry, parasitology.

Total pers obta lab servic Haematology Immunology Biochemistry Bacteriology Virology Parasitology Shrawan 355 519 134 265 6 165 176 Bhadra 415 651 99 511 11 153 191 Aswin 284 440 37 502 12 172 205 Kartik 213 371 50 315 4 124 149 Mangsir 278 434 73 365 0 159 144 Paush 175 204 49 81 4 54 89 Magh 284 345 48 336 2 129 128 Falgun 323 387 68 245 6 223 152 Chaitra 352 560 90 563 7 216 168 Baishakh 262 405 50 459 5 201 117 Jestha 335 595 81 635 4 219 179 Ashadh 318 279 53 399 9 171 140 Total 3594

3. Minor procedures Among the minor procedures, 34 out of 199 Plaster/slab applications were done in intravenous anesthesia.

Procedure No. of patients Suturing/Excision/I&D/FB removal 155 Back slab/plaster application 199 (34 in IVA)

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 67 4. Maternity Services

Total of 272 deliveries were performed and 36 (13%) were delivered by Caesarian section (operative) deliveries. 6 deliveries were done using Vacuum/forceps (instrumental deliveries).

Instrumental Month SVD C/S(Operation) Total (vacum/forcep) Shrawan 24 0 3 27 Bhadra 27 1 7 35 Aswin 24 1 1 26 Kartik 28 1 3 32 Mangsir 20 0 2 22 Paush 13 0 2 15 Magh 19 0 3 22 Falgun 16 1 3 20 Chaitra 13 0 3 16 Baishakh 12 0 2 14 Jestha 18 2 4 24 Ashadh 16 0 3 19 Total 230 6 36 272

Total of 911 Antenatal checks up were done. Nepal has one of the highest infant and maternal mortality so the Government of Nepal has encouraged pregnant women to do at least 4 ANCs. Pregnant mothers get money as a transportation incentive if they come for 1st and 4th ANC check up and deliver at government health facilities.

1st ANC Visit ANC Visit in 4th month <20 ≥20 Total <20 ≥20 Total Shrawan 14 50 64 5 13 18 Bhadra 10 33 43 3 11 14 Aswin 11 57 68 2 14 16 Kartik 6 41 47 0 11 11 Mangsir 12 55 67 5 21 26 Paush 13 36 49 5 11 16 Magh 8 37 45 5 17 22 Falgun 8 41 49 3 13 16 Chaitra 14 45 59 5 15 20 Baishakh 6 39 45 0 20 20 Jestha 11 59 70 1 21 22 Ashadh 11 62 73 5 26 31 Total 124 555 679 39 193 232

Phaplu hospital also provides Comprehensive Abortion Care (CAC) and Post Abortion Care (PAC) services. Total of 110 clients were give CAC services and 14 were given PAC services.

CAC Service PAC Service Contraceptive used after abortion Medical Surgical Medical Surgical Short Long <20 ≥20 <20 ≥20 Medical Surgical Medical Surgical Shrawan 0 0 0 13 0 4 13 0 0 0 Bhadra 0 0 0 14 0 2 10 0 0 2

68 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Aswin 0 2 1 12 0 1 7 0 0 4 Kartik 0 0 1 6 0 0 4 0 0 1 Mangsir 0 0 0 9 0 1 6 0 0 0 Paush 0 0 1 5 0 2 4 0 0 1 Magh 0 0 0 0 0 0 0 0 0 0 Falgun 2 3 0 12 0 2 8 0 0 2 Chaitra 0 1 1 10 0 0 5 0 0 1 Baishakh 0 2 1 5 0 0 0 0 0 1 Jestha 0 2 0 4 0 2 3 0 0 0 Ashadh 0 0 0 3 0 0 0 0 0 0 Total 2 10 5 93 0 14 60 0 0 12

Following is the chart of delivery and abortion services with different caste. As Majority of population in Solukhumbu is by Janajatis (Sherpa,Rai,Magar,Tamang), most of the services are taken by Janajati population.

Delivery Abortion Dalit Janjati Madhesh Muslim Bra/Ksha Others Dalit Janjati Madhesh Muslim Bra/Ksha Others Shrawan 4 19 0 0 4 0 2 10 0 0 1 0 Bhadra 1 21 1 0 12 0 0 11 0 0 3 0 Aswin 3 15 0 0 8 0 0 11 0 0 3 1 Kartik 3 21 0 0 8 0 0 7 0 0 0 0 Mangsir 2 15 0 0 5 0 1 5 0 0 3 0 Paush 1 10 0 0 4 0 0 6 0 0 0 0 Magh 2 17 0 0 3 0 0 0 0 0 0 0 Falgun 3 14 0 0 3 0 0 16 0 0 1 0 Chaitra 4 10 0 0 1 1 0 11 0 0 0 0 Baishakh 3 7 0 0 4 0 1 4 0 0 3 0 Jestha 4 12 0 0 7 1 0 4 0 0 2 0 Ashadh 3 13 0 0 3 0 0 2 0 0 1 0 Total 33 174 1 0 62 2 4 87 0 0 17 1

5. Family Planning

Among the different family planning methods, Depot injections (3 monthly injections) are famous and used by many family planning users. Despite the other family planning methods counseling, they like to use Depot injections due to various reasons like easy to use, false belief about other methods.

Pills Depo IUCD Implant New Users Current u Defaulter New Users Current u Defaulter New Users Current u Defaulter New Users Current u Defaulter <20 ≥20 <20 ≥20 <20 ≥20 <20 ≥20 0 6 11 1 2 23 114 21 0 2 8 0 5 49 0 5 19 3 3 32 143 37 0 3 11 0 3 52 0 6 23 3 23 137 0 6 16 0 2 54 0 1 15 2 24 121 0 0 16 0 3 57 0 2 12 0 13 102 0 3 19 0 6 63 1 2 15 0 9 111 0 0 19 0 3 66 0 2 17 1 9 121 0 0 19 0 0 66 0 0 17 2 11 134 0 0 19 0 1 67 0 3 20 1 14 149 0 0 19 0 7 74 0 0 20 0 7 156 0 0 19 0 15 89 0 4 24 0 9 165 0 0 19 0 7 96 0 1 25 1 8 173 0 0 19 0 0 96

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 69 6. Immunization

Hospital follows national immunization protocol. PCV is introduced last year by the government of Nepal as Pneumonia is a major cause of death in under 5 years of children.

BCG DPT HepB Polio PCV Measles/Rubella 1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 9-11mon 12-23mo Shrawan 27 13 5 6 13 5 6 13 6 5 5 0 Bhadra 39 5 7 3 5 7 3 5 3 4 4 0 Aswin 17 10 9 6 10 9 6 10 6 11 11 2 Kartik 10 12 6 7 12 6 7 12 7 4 4 0 Mangsir 12 6 7 5 6 7 5 6 5 7 7 0 Paush 17 9 7 4 9 7 4 9 4 10 10 0 Magh 5 5 8 7 5 8 7 5 7 6 6 0 Falgun 20 4 5 9 4 5 9 4 9 3 3 0 Chaitra 4 6 2 5 6 2 5 6 5 5 5 0 Baishakh 5 7 9 3 7 9 3 7 3 0 0 0 Jestha 9 5 4 9 5 4 9 5 9 5 5 0 Ashadh 0 4 5 2 4 5 2 4 2 3 3 1

7. Mortality and Autopsy

There were 5 early neonatal deaths and no maternal death in this fiscal year at the hospital. Similarly, there were 8 other deaths due to complications from different co-morbid condition and 27 autopsies were done.

Early Neonatal Late Neonatal Maternal Other Postmortem Female Male Female Male Female Male Female Male Female Male Shrawan 0 2 0 0 0 0 1 1 2 3 Bhadra 0 0 0 0 0 0 1 0 0 0 Aswin 0 1 0 0 0 0 1 0 0 0 Kartik 0 0 0 0 0 0 2 0 1 1 Mangsir 0 0 0 0 0 0 0 0 0 3 Paush 0 0 0 0 0 0 0 0 0 0 Magh 0 1 0 0 0 0 0 0 0 0 Falgun 0 0 0 0 0 0 0 0 1 3 Chaitra 0 0 0 0 0 0 0 0 2 6 Baishakh 0 1 0 0 0 0 0 0 1 1 Jestha 0 0 0 0 0 0 0 0 0 0 Ashadh 0 0 0 0 0 0 1 1 1 2 Total 0 5 0 0 0 0 6 2 8 19

70 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 Happy mother with baby boy Mothers with their babies for immunization

Morning round of doctors

Mothers with their babies for immunization

HIMALAYAN TRUST ANNUAL REPORT - 2015/16 71 Annex-1

District Project Advisory Committee (DPAC) Meeting Minute-

72 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 73 Annex-2

74 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 75 76 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 HIMALAYAN TRUST ANNUAL REPORT - 2015/16 77 HIMALAYAN TRUST NEPAL Dilli Bazar, Kathmandu, Nepal Tel: +977-01-4412168 Email:[email protected] Website: www.himalayantrust.org.np