Treatment of burns in Nepal: 'Common people are equally burnt'

 Sujata Koirala's mother and elder mother were killed in a fire in 1968. Sujata was troubled by the same issue after their death was announced: why couldn't anyone save them?




She was only 14 years old at the time and had no idea there was no burn hospital in Nepal.


His mother, Sushma Koirala, and Sushma's sister, Kumudini Sharma, both taught at Biratnagar's Adarsha Girls' School. After gas escaped from a new fridge supplied to the school, Kumudini was engulfed in flames. Sushma, who ran to help her sister, was also caught in it.


"When I was taken to the hospital, I thought my mother and grandmother would be fine," she said, but they died the next day.


"It was panchayat time." After nearly seven years in prison, his father (Girija Prasad Koirala) was released. I believed I'd be able to live with both of my parents for the first time. "However, less than two months after my father arrived, my mother abandoned me," she recounts.


Sujata had a distinct type of jealousy in her heart for over 30 years. What should we do to keep people who burn from growing up? She recalls attempting to do so in a variety of ways.


"I realized that there should not be a burn hospital in the country." "I've always wanted to open a hospital in my mother's name," she stated.


She shared her plans with Interplast Germany while residing in Germany in the 1990s. Because his father was in power, the Nepalese government also played a coordinating role, and his determination took shape.




In 1997, the country's first specialist hospital for the treatment of burns opened in Sankhu, Kathmandu, in collaboration with the Organization and the Sushma Koirala Memorial Trust.


She recalls the difficult labor she had to undertake at the time to provide necessary health care. She compares the current state of burn treatment in Nepal and says that no party administration has ever been "serious" about burn treatment.


This is not his only criticism.


Deputy Speaker Indira Rana offered Nepali Congress MP Dr Chandra Kanta Bhandari a 12-minute statement during


 That tragic address in the House.


Bhandari, who is slated to address parliament in three months, was making his way to the rostrum as all eyes were on him. He was escorted there by half a dozen guardians. After some strain, Bhandari sat in the chair and began speaking quietly: "The doctors at the hospital (India) where I was treated said that in the last three years, only three people have survived on the ventilator." One of them is Nepalese. Fortunately, I am still alive and well..."








On December 3, her mother Harikala died in a house fire caused by a gas leak. With the "resources and resources available" in the country, Bhandari's correct treatment did not appear to be easy.



And he was brought to India on the recommendation of a well-equipped health center outside the country as soon as feasible.



Following his treatment, he stated in the House, "Many Nepalis are facing the environment that I must face." Burns killed 111 people last year, including my mother.



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In a shaky voice, he posed numerous inquiries and pleas to the authorities. Despite repeated reminders, the Deputy Speaker did not stop speaking. He spoke slowly for nearly 18 minutes.



He stated that the Nepal Sushma Koirala Memorial Hospital and Kirtipur Hospital have "stopped" patients suffering from irritation throughout the country. He emphasized the need of such hospitals. Every year, he said, "great pain is hidden" in the burning of hundreds of children. In addition, he stated that the government will provide financial support to the hospital for himself.



Of course, there is the burning.



Bhandari emphasized the importance of including the topic of annoyance in the textbook, asking, "Why did none of our experts and curriculum makers pays attention to it?"


While discussing his desire, Baikuntha Prasad Aryal, managing director of the Curriculum Development Center, argues that topics related to irritation have been included in the curriculum of various levels.


"It was addressed before he got into trouble." Burns are covered in health, population, and social education classes. We can debate if that is sufficient."


In the infant class, students are taught letters; in the upper class, they are taught to make a word that begins with the letter; and in the upper class, they are taught to make a sentence out of that word.


Using the same method, identify products that produce minor irritation, what happens to them, what first aid should be used if they burn, and what should be done to avoid serious consequences. Dr. Rosina Craftsman, surgeon at Dr. Sushma Koirala Memorial Hospital.


"Irritation is not taught in class 8 at the same time," she explains. Everyone must have understood the subject from an early age in order to put what they have studied into practice.


A once-in-a-lifetime injury


Burning is a common concern in distant places, as opposed to urban ones. The decision is made by the craftsman. According to him, the majority of Sushma Koirala Hospital's service providers are poor people from the highlands and terai outside of Kathmandu.


"Every day, this is a problem/accident in poor people's homes." However, due to a lack of funds, they are unable to travel to Kathmandu quickly or know where to go for treatment. "When you travel to a lot of places, some people get big burns, some people get disabled, and some people die," she explained.


As a result, she believes that raising awareness about burn prevention and treatment is critical. They must travel to Kathmandu for treatment.


What makes Kathmandu so special?



In Nepal, there are no government hospitals to treat the injured. However, in recent years, federal hospitals that treat all types of disorders have received burn departments with 4 to 6 beds.



"We have been providing treatment to patients from the government hospital's burn unit." Only if there are a large number of individuals with irritation who are not being treated should they be referred elsewhere." Bhandari was transported to India, according to Roshan Pokharel.



Some of the 'other locations' in Kathmandu are Kirtipur Hospital and Sushma Koirala Memorial Hospital.



Pokharel contended that the hospital was not built solely for burn patients because many types of problems were observed in various sections of the burn patient's body.



However, specialists claim that the patient's family suffers financially and mentally as a result of the absence of therapy for burns in Mofussil, and in certain cases, even the right first treatment of it.



"Even if there is only a 25% burn, some patients are sent to Kathmandu." "It costs Rs 200,000 to Rs 300,000 for two to three months of treatment here, and most of them cannot afford it," he said. According to the craftsman.


She has observed that many people have gone home while undergoing treatment owing to a lack of resources. "They know they're going to die, but they can't be stopped," she explains. ”


"A hospital was built as a result of Sushma Koirala's death." When the honorable one was like this, the issue came to the fore. But burns are the result of years of accidents that the state hasn't investigated," she added angrily as she treated dozens of burn patients every day.



She believes that the state should recognize that fire or fury "burns" the common people as well, and that they are spending large quantities of money to mitigate the effects of burns.



If only there were a hospital...



On March 14, Sushila Jogi of Sankhuwasabha went to the tap to get some water. His eight-month-old son was plowing in the courtyard on his way home. Her son, who was crying as a result of burns, rushed straight to the district headquaters.


Sushila's husband, Tek Bahadur Jogi, claims she must walk for two hours from the village of Panchkhapan municipality of Sankhuwasabha to Tumlingtar, a site where automobiles can be obtained.



"He went to Khandbari without waiting for me," the 48-year-old explained. Khandbari's local health center referred him to Dharan because there was no burn treatment available there. Dharan doctors sent him to Kathmandu. When a little youngster was in pain, it took three days to acquire first aid.



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Jogi stated that the right leg of the minor being treated at Sushma Koirala Hospital had to be amputated from above the knee and his left leg below the knee.


"I wouldn't have had to get rid of it if I had received timely treatment." "A child born at the end will become a support...," he paused, moaning.


He has been in Kathmandu for about three months for his son's treatment. He admitted that staying in the canteen was becoming difficult because he couldn't even buy food.


"Eating was difficult. This is where physicians and nuns come in.



However, Bhadra's statement to the House confirmed that the obligation for persons in such a tragic situation lies with the state, not with any individual.


Although the government has stated that it has provided the necessary support and coordination to burn hospitals, the claims of specialist burn hospitals that have opened differ.



According to reports, the hospital named after Sushma Koirala has just recently received financial assistance. So far, the government has collected Rs 6 million, with another Rs 5 million on the way. The craftsmen provided information.



The state financed the development of Kirtipur Hospital, which has been delivering subsidized or free treatment services to underprivileged Nepalis with the help of foreign donors. However, the chief of the burn unit was present. According to Kiran Nakarmi, the state level has failed to give services to burn patients.


"Various trainings have been organized with the government's assistance." Acid attack patients are being treated for free at the government's initiative. However, given the nature and number of cases, this is insufficient."


According to him, a major issue is a lack of infrastructure and human resources in relation to the number of patients.

What is the requirement?


According to experts, the most pressing issue of the day is precise data on burns.



Every year, 60,000 Nepalese individuals are burned, according to the Nepalese government. However, according to oncoplastic surgeon Dr. Surendra Basnet, the data is based on a 2008 study.



"Have you lost any new statistics?" "How many hospitals treating burns has the government received?" he inquires.


He contended that only reliable data can be used to identify the condition of burns, change the percentage of health workers and burn patients, and mobilize the standards for the operation of burn-related health centers and infrastructure.



Similarly, persons suffering from burn injuries from the Far East to the Far West should be "brought to Kathmandu and the death situation eliminated." Basnet stated.



"At the very least, the emphasis should be on producing manpower for first aid at the local or provincial level hospitals." "There is no other effective alternative to burn treatment decentralization," he stated.


Dr. Rosina Craftsman, on the other hand, believes that the most vulnerable persons will only receive treatment if burn therapy is offered free of charge.



"Because treatment is time-consuming and expensive, many poor people are forced to choose disability over treatment." "The government should remember these people and cover their medical expenses," she remarked.



Sujata Koirala reports that they have been running the same people-centered camps in the villages for the past few years. She is concerned, however, that without government assistance, the operation of such camps or hospitals may be short-lived.



"As the burns problem worsens, we are running out of equipment," she explains. "With whose assistance will it be met?"



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