• confidence

    Our volunteers acquire the confidence to serve as primary care providers, treating 15 to 25 patients per day in our community style clinic.
  • rural nepal

    Home to eight of the highest mountains in the world including Mt. Everest, Nepal remains one of the poorest countries in the world.
  • Patient Education

    By providing simple explanations, we help patients understand their health concerns and make informed choices regarding their care.
  • Effective Treatment

    Frequent, focused treatments allow us to see positive changes in a patient's condition quickly.
  • objective outcomes

    Our volunteers hone their clinical skills by properly assessing their patient's condition and setting achievable outcome goals.
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Our Mission

Our unique model provides effective, efficient, primary care in rural Nepal. Read More
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Our Clinics

Since 2008, our clinics have provided over 350,000 primary care visits. Read More
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Our Partners

Influencing government policy and achieving educational goals. Read More
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Volunteer With Us

We need your help. Serve others while learning new skills. Read More
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Our Evidence

Case studies and field research helps us analyze our efficacy. Read More
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VOLUNTEER COMMUNITY CARE CLINICS IN NEPAL

Nepal remains one of the poorest countries in the world and has been plagued with political unrest and military conflict for the past decade. In 2015, a pair of major earthquakes devastated this small and fragile country. 

Since 2008, the Acupuncture Relief Project has provided over 300,000 treatments to patients living in rural villages outside of Kathmandu Nepal. Our efforts include the treatment of patients living without access to modern medical care as well as people suffering from extreme poverty, substance abuse and social disfranchisement.

Common conditions include musculoskeletal pain, digestive pain, hypertension, diabetes, stroke rehabilitation, uterine prolapse, asthma, and recovery from tuberculosis treatment, typhoid fever, and surgery.

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Featured Case Studies

  • Low Abdomen Pain due to Roundworm and Urinary Infection +

    30-year-old female presents with lower abdominal pain, burning urination and shortness of breath for the last 5 months. Read More
  • Low Back Pain with Radiation +

    30 year old male presents with severe back and left leg pain, exhibiting postural deviation as a way Read More
  • Candidiasis and Vaginal Discharge (Type II Diabetes) +

    63-year-old female presents with chronic purulent vaginal discharge, pruritus vulva and tingling in the extremities. Test results show Read More
  • Acute Cholecystitis +

    70-year-old female presents with acute abdominal, chest and scapular pain, vomiting and diarrhea. At the local hospital, she Read More
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Compassion Connect : Documentary Series

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    In the aftermath of the 2015 Gorkha Earthquake, this episode explores the challenges of providing basic medical access for people living in rural areas.

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    Episode 1: Rural Primary Care

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    Acupuncture Relief Project tackles complicated medical cases through accurate assessment and the cooperation of both governmental and non-governmental agencies.

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    EPISODE 2: INTEGRATED MEDICINE

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    Cooperation with the local government yields a unique opportunities to establish a new integrated medicine outpost in Bajra Barahi, Makawanpur, Nepal.

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    EPISODE 3: WORKING WITH THE GOVERNMENT

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    Complicated medical cases require extraordinary effort. This episode follows 4-year-old Sushmita in her battle with tuberculosis.

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    EPISODE 4: CASE MANAGEMENT

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    Drug and alcohol abuse is a constant issue in both rural and urban areas of Nepal. Local customs and few treatment facilities prove difficult obstacles.

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    EPISODE 5: SOBER RECOVERY

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    Interpreters help make a critical connection between patients and practitioners. This episode explores the people that make our medicine possible and what it takes to do the job.

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    EPISODE 6: THE INTERPRETERS

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    This episode looks at the people and the process of creating a new generation of Nepali rural health providers.

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    EPISODE 7: FUTURE DOCTORS OF NEPAL

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    In this 2011, documentary, Film-maker Tristan Stoch successfully illustrates many of the complexities of providing primary medical care in a third world environment.

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    COMPASSION CONNECTS: 2012 PILOT EPISODE

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From Our Blog

 

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

When we open the clinic doors at 8:30, there are usually already a handful of patients waiting outside in the crisp morning air. Patients arrive throughout the day. There are no fixed appointment times. Locals are encouraged to come in the afternoon so that patients who have to travel further can come in the morning and have time to get home before dark. If its busy, they may wait up to a few hours. The Nepali interpreters call out the names of patients and show them in. You never know what story or problem is going to present itself that day. At this point in the camp, the majority of patients are returning and on a treatment plan, but new patients filter in each day. The following is just a brief peek of the people I have the pleasure of treating on any given day.

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

My first patient of the day is U, who comes 2-3 times a week. She has pain in her elbow and forearm due to a fracture years ago. It was never properly reset and didn’t heal right. She experiences constant pain and an inability to fully flex or extend her arm. There is spongy depression where part of her ulna should be and her elbow is knobby and stiff due to calcification. She’s been coming to the clinic for a long time. The long term solution to her pain and inability to move is much more than what I can offer her, she probably needs to see an orthopedist and get surgery. She insists that the acupuncture helps reduce the pain and has allowed her more range of motion. I’m just not sure how much more progress we’ll realistically make, though continue on anyway trying to keep her below a certain threshold of pain. I remind myself she’s been living with this for over 20 years and still manages to work as a farmer. 

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

Today we get our usual busload of ladies from Chitlan, another village an hour up the road. They come 2-3 days a week and are a hoot! There are usually 10-15 of them. This Friday they inform us that since they are only 7, they convinced an ambulance driver to drop them off so that they wouldn’t have to wait for the bus and could come earlier. Myself and the other clinicians wonder how they pulled this off. These ladies are clearly bosses.  

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

One of these women, L. is in her 60’s and injured her knee in a fall years ago. Her patella won’t move at all and her knee pain causes her to limp, though she’s been limping less since starting treatment. I often use warm-needle moxa with her, which involves lighting a cone of mugwort at the end of the needle. She jokes that she’s burning and her pyre is lit, even though she is still alive. In Nepal, the dead are traditionally burned in a pyre on a river bank. All the other Chitlan ladies, who are sitting nearby with their needles in, laugh hysterically.  I try to help another women, in her 70’s who also has knee pain, up from the chair after her treatment.  She jokingly keeps squatting and hunching over as she walks out of the clinic, eliciting another round of laughs.     

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

Most of the Chitlan ladies are older, but S. is only in her late 20’s. She gets low back pain from muscle strain due to working bent over in the fields all the time and carrying heavy baskets of produce on her back. Despite her aches and pains, she is always cheerful. In addition to offering acupuncture, I teach her some stretches that she does enthusiastically and with lots of giggling. 

Another woman, K. comes to the clinic from another town a couple hours away with her friends. She came seeking treatment for her knee pain, but when I take her vitals and do a review of systems, I find that she has much bigger problems. Her blood pressure is 180/110. She says that she has a history of having blood pressure over 200 systolic (read: major hypertension!). At least once a week, she gets dizziness that lasts 3-4 days and ends with an episode of vomiting.  She is nauseous all the time and has frequent migraines. High blood pressure can either cause or aggravate many of these symptoms. I ask her if she’s on any medications, “No, I manage it with my diet. I’ve been told I need meds before, but I don’t want them.” I explain that what she is experiencing is unmanaged hypertension and that she really should consider medication as a possibility. She is resistant. I give her herbs that can be helpful in reducing blood pressure, do acupuncture to treat some of her symptoms and then write her a referral letter to the small regional hospital in Palung, a couple hours away. I never thought I would be a drug pusher, but I worry she could be a ticking time bomb for a stroke. Many studies have shown acupuncture and herbs to be effective in quickly lowering systolic blood pressure, but diastolic is more stubborn. I don’t want to risk the time in her case. I encourage her to come three days a week to continue to monitor her blood pressure and try to work on her symptoms, though its difficult since she lives far away.

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

My last patient on Friday was new, an old man in his early 70’s. N. begins by describing his leg pain then suddenly starts explaining how he keeps getting a weird movement in his stomach and then can’t breath. After some dancing around with my interpreter, I finally figure out that he’s referring to his abdominal aortic pulse. I take his vitals and they aren’t good. His respiratory rate and pulse rate are extremely high, his oxygen saturation is extremely low. He’s basically suffocating before my very eyes. The “movement” in his belly he is experiencing is the flutter of his heart rate increasing to try to distribute what little oxygen he’s inhaling to the cells of his body. I listen to his lungs and review his medications: a steroid inhaler, a diuretic, and a bronchi-dilator. It doesn’t take much to infer that he has advanced COPD and probably emphysema, a very common condition in this part of the world. 

There is very little I’m equipped to do for this man. The nearest hospital is a couple hours away and the health post next door is closed, all the health care workers are gone for the day. There are no doctors in this village and medications are limited. Only short-acting bronchodilators are available in Bhajra and any stronger medications or procedures that could help him breath are only available at the regional hospital in Palung. They are also closed for the day, but could possibly open for an emergency. Even then, there may not be a doctor available. At the very least, he needs oxygen asap. With the help of the Nepali ARP staff, we are able to arrange access to the health post to use their oxygen machine. 

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

When N. bends over to put his shoes one, he becomes severely out of breath and then has to stop three times as we walk the 15 meters up a small hill to the health post next door.  Someone I don’t recognize unlocks the door, turns on the oxygen machine and disappears. After an hour of breathing pure O2, his vitals stabilize a bit. His grandson comes to pick N. up and take him home on his motor-bike. I press them to go to Palung as soon as possible. 

(Follow up: N. came in two more times, his condition continuing to deteriorate. Finally on Monday, we were able to convince the family to send him to the hospital a couple hours away. His grandson called an ambulance that picked him up from the health post where we had taken him for more oxygen).

Acupuncture Relief Project  | Good Health Nepal | Sugandhi Jordan

As with anything, some days are more challenging than others. Each day in the clinic I feel more and more grateful to be here and to have this medicine as a tool. It’s a pleasure and an honor to get to bear witness to the stories that unfold and the progress that’s made. I can only hope that each patient who passes through my little corner of the clinic gets the best that I have to offer. -- Sugandhi Jordan

 

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