Bajura is a remote hill district located in Nepal’s far-western region. Its landscape is dominated by steep mountains, narrow valleys, and scattered rural settlements spread across difficult terrain. The district lies at elevations ranging from low river basins to high Himalayan foothills, making transportation extremely challenging. Kolti, one of the main gateways, connects the district through a small airstrip, as road access is limited and often disrupted by landslides and seasonal weather. Geographic & Socioeconomic Challenges Rugged terrain forces many residents to walk hours—sometimes entire days—to reach markets, schools, or health facilities. Most families rely on subsistence farming, which is highly vulnerable to drought, low productivity, and climate-related hardships. Limited road networks and poor infrastructure lead to isolation, especially during the monsoon season. Food insecurity and poverty are widespread due to low agricultural output and lack of stable income sources. Condition of the Health Sector Health facilities are few, understaffed, and unevenly distributed; several areas are reachable only by foot. Emergency referrals are difficult because vehicles cannot access many villages, and air evacuation is costly and weather-dependent. Maternal and child health indicators lag behind national averages, with low institutional delivery rates and limited availability of skilled birth attendants. Malnutrition, diarrheal diseases, respiratory infections, TB, and skin conditions remain common due to poor sanitation, unsafe drinking water, and low awareness. Eye-health issues such as cataracts, refractive errors, and chronic infections are prevalent, often going untreated for years. Diagnostic services, specialists, and essential medicines are frequently inadequate or unavailable.
APPRECIATION
Ek Ek Paila Foundation extends its heartfelt gratitude to our generous donors, without whose support the successful completion of our 35th Outreach Comprehensive Health Service would not have been possible. We are sincerely thankful to following organization for their unwavering support and commitment to improving healthcare access in remote communities of Nepal.
1. Budhinanda Rural Municipality
2. GETA eye hospital
3. Music for Medicine (M4M)
4. Buddha Air Pvt. Ltd
5. Himalayan Bank
6. Nepal life Insurance Co. ltd
7. Individual donors
35th PAILA TEAM MEMBERS
1.Dr. Suman S. Thapa- OPHTHALMOLOGY
2.Dr. Sudhamshu KC -GENERAL MEDICINE/HEPATOLOGY
3.Dr. Ashok Sharma- GENERAL MEDICINE
4.Dr. Shreeti Vaidya- GENERAL MEDICINE
5.Dr. Sabeena Bhattarai-DERMATOLOGY
6.Dr. Susan Bhattarai- PEDIATRICS
7.Dr. Amit Shrestha- RADIOLOGY
8.Dr. Punjan Bikram Thapa- RADIOLOGY
9.Dr. Bikram Basukala- GENERAL SURGERY
10.Dr. Sapana Amatya Vaidya- GYNECOLOGY
11.Dr. Richa Giri- GYNECOLOGY
12.Dr. Binita Adhikari- DENTAL
13.Dr. Alok Sagtani- DENTAL
14.Dr. Aquila Shrestha- DENTAL
15.Dr. Dipesh Shakya- ENT
16.Dr. Prashant Tripathi- ENT
17.Dr. Bishwo Niraula- ORTHOPEDIC
18.Dr. Sarah Marti- NEUROLOGY
19.Dr. Bikram Bashukala- GENERAL SURGERY
20.Dr. Sujan Vaidya- LOGISTICS
21.Janaki Magar- ENDOSCOPY ASSISTANT
22.Shanti Karki- OPHTHALMIC ASSISTANT
23.Mahadip Shrestha- PHARMACY
24.Ek Dev Neupane- PHARMACY
25.Sudha Bista- GYNE NURSE
26.Sabina Khadka- ENT NURSE
27.Swastika Sintakala- ENT NURSE
28.Samjhana Khakurel -PATHOLOGY
29.Dolkar Ghale- PATHOLOGY
30.Ashok Pandey-LOGISTICS
31.Ashish Bhattarai-LOGISTICS
32.Binodman Shrestha - IT
33.Sagun Shrestha- DOCUMENTATION
34.Prabhakar S. Thapa- LOGISTICS
35.Srijana Pandey- LOGISTICS
36.Anita Bhandary Adhikari- VOLUNTEER
GETA EYE HOSPITAL TEAM
1.Bhagiram Chaudhary
2.Suraj Baldar
3.Ramesh Chaudhary
4.Dhir Bahadur Khati
5.Bibek Bista
6.Damanti Chunaaraa
7.Jageswori Baija
8.Tej Rokaya
9.Samir Khan
LOCAL VOLUNTEERS
1. Mahesh Karki
2. Kaushal BK
3. Laxman Karki
4. Indra Sunar
5. Khakiina Rokaya
6. Prem Nepali
7. Moti Sunar
8. Aanga BK
9. Padam Lohar
10.Kesar BohoraKapin BK
11.Manju Bhat
12.Sita karki
13.Deuma Dhami
14.Chanda Dani
15.Krishna Bhakta Joshi
