This week was health camp for all the kids currently living in homes associated with Hope for Himalayan Kids (HFHK). A Dutch International NGO called Medical Checks for Children have been visiting yearly for the last three years. The children form Sahara Children’s home, New Ray of Life Children’s Centre and from the family group (some children who have already been through the deinstitutionalisation process and have been reintegrated with a family Mother) were present.
(Welcoming the guests with ticka and poinsettia.)
All together there were about 40 children who experienced physical developmental progress checks, basic health check ups and basic medication and/or vitamin and mineral prescription. Common findings included anemia and other mineral deficiencies, colds, flu and respiratory infections, as well as some skin and hair issues resulting from a lack of protein. Nearly all the children will now be taking some vitamin and mineral supplements. There is a strong correlation between stunted or below average development physically, socially and psychologically in children who are institutionalized, especially from a young age.
The findings from health camp showed signs of below average physical development in some children and a few were found to be stunted in their physical development.
These results are significant for the work we are doing in HFHK. They indicate that even with improved standards and credible NGO influence it is not in the child’s best interest to be institutionalized. These are actually fantastic results in comparison with other children’s centers (orphanages). Here are 40 children who are examples living in a couple of the best orphanages in the country in regards to standards, thanks to the work of HFHK. So if these are the health results of the children who are receiving a high level of care in the Napali context then you can begin to envisage the health and development of children who are housed in the other centers which may not meet the same standards of care.
This reinforces the need to deinstitutionalise as quickly and as carefully as possible. Doing so in a manner to develop best practice and overcome barriers of funding, lack of professional personal (psychiatrists, social workers, OTs etc) and the slow process of legislative change. The harsh reality I am struggling to reconcile is that we sit and watch children suffer from preventable illness and below average development unnecessarily. Children with special needs presents a whole new level of challenges for care.
For example, one of the young boys in one of our homes is about 7 (We shall call him Vickram for this blog .) Vikram presents with mild autistic behaviors and learning difficulties. He is such a beautiful boy but gets in trouble a lot because he seeks his attention though socially inappropriate behavior and general naughtiness (I know I’m not meant to have any but he’s probably my favorite!). While there is no way of getting any proper diagnosis in the near future, there is really not much point as he would not get the assistance to allow him to lead a functioning independent life regardless. He does not attend a normal school like the other children, and if he was in a developed country he would merely need an integration aid, and probably not for very long. As it stands at the moment his future is one of institutional care dependant on others for the rest of his life. But for the grace of God and the optimistically relentless care of the people associated with HFHK, hopefully this will not happen for him. As mentioned there are many barriers to overcome in the next few years to see Vickram and all the other children head in the direction of their potential.
To watch the case managers, office staff, house mothers, volunteers and directors working on these projects is so humbling, they are amazing people. They do it because there is a need. There is endless need here, but somehow they don’t get put off by this fact, they are focused. They are keeping their eyes fixed on creating sustainable macro change in one area of need without getting overwhelmed by the plethora of complicated issues in this country. Whether Nepal or Australia , this is a difficult concept to reconcile in one’s mind and be moved to action. Each day I ask myself how my colleagues are persisting with unwavering focus to roll out the process of deinstitutionalisation in Nepal , without getting deterred by the many other areas of poverty, corruption and human rights issues going on all around them.
Then I go and have a game of cricket with Vikram and the other children and am reminded why it is not at all hard to stay focused on the bigger picture.
Until next time…Give a kid a hug (preferably one you know…and knows you.)