International Trauma Symposium,
5 Nov 2019, Janakpurdham, Nepal
Report on Panel Discussion on Trauma Care System for Province-2, Nepal
Date/Venue/Time: 05 Nov 2019: 02.00 – 06.00 PM : Hotel RajDurbar, Janakpurdham, Nepal.
Coordinator: Panel Discussion:
Prof Ramesh P Singh: Nepal Medical College, Kathmandu
Chair, Steering Committee, AO Alliance-Asia
Attendance: Faculty & Participants: Total 80 persons.
Program Coordinators
Ramesh P Singh Chair, Steering Committee, AO Alliance, Asia
Ram K Shah Regional Director, AO Alliance. Asia
International faculty
Heiner Winker Trauma Surgeon, Germany
Leslie Snape CMF Surgeon, New Zealand
Jayant Kesave CMF Surgeon, India
Klaus Lowka Trauma Surgeon, Germany
Sunil K Sah CMF Surgeon, England
Mark Shaw Disaster Expert, England
National faculty
Pashupati Chaudhary BPKIHS, Dharan, Nepal
Gopesh Thakur Police Hospital, Kathmandu, Nepal
Vijayendra Adhikari Nepal Medical College, Kathmandu,Nepal
Subin Byanjankar Green Pasture Hospital, Pokhara, Nepal
Yogendra Agrahari Trauma Hospital, Butwal, Nepal
Pawan Sultaniya Nepal Medical College, Kathmandu Nepal
Ranjib Jha Provincial Hospital, Janakpurdham, Nepal
Subhas B Shah Saptrishi Hospital, Lahan, Nepal
Rakesh Pandit Janaki Medical College, Janakpurdham, Nepal
Health Task Force Members
Ajay Mishra Janakpurdham, Nepal
Pramod Sarraf Birganj, Nepal
Pashupati Chaudhary Lahan, Nepal
WHO Representative
Ramesh Kumar Yadav Nepal
Organizing Committee
Awadhesh K Shah Janakpurdham, Nepal
Amit Karn Janakpurdham, Nepal
Ankit Shrivastava Janakpurdham, Nepal
Program / Agenda:
3: Panels: Service Providers, Experts, Service Regulators.
Each panel will present a working paper/proposal (15 min each)
Discussion on each paper/recommendation.
Participants: stakeholders
Final Conclusion
Service Providers: Stakeholders/ Hospital Chief, Pradesh-2.
Topic: Identification of problems, needs of improvement, mays and means to do
improvement. Provincial Hospital Representative: Jamun P Singh
Service Regulators: Health Task Force Members/ Government of Province-2; WHO-Representatives:
Topic: Intention and provision of improving trauma care: Ram K Shah
Trauma Experts: Heiner Winker, Germany; Sunil Sah, UK; Jayant Kesave, India,
Ram K Shah, Nepal; Les Snape, New Zealand.
Topic: Rationale of installing Trauma Care System for improving trauma care in
Province-2, Nepal: Heiner Winker
Partners & Supporters:
Health Task Force, Province-2 Government, Nepal
World Health Organization, Province-2, Nepal
Orthopaedic & Trauma Foundation, Nepal
Nepal Trauma Society
AO Alliance, Switzerland
Future Faces
Conclusions & Recommendations:
Identification of Stakeholders:
Children Schools: lesson on Prevention & Primary Trauma Care
Hospitals: Appropriate Trauma Care, Proper Referral & Safe Transport
NGOs: for public awareness and involvements
Trauma Association: Research & Analysis
Private Doctors/Hospitals: Public-Private-Partnership.
Ambulance System: for safe transport of injured persons.
Prehospital Care: Proper Rescue plan for safe and effective plan for appropriate trauma care:
Paramedics/ Doctors: FIRST RESPONDER
Police:
Community:
Media:
Ambulance
Hospital Care Plan:
Improve Infrastructure
Insurance Policy
Doctors : Perks & Privileges
Specialized Trauma Services: “Trauma Center”
Networking of District Hospitals with Provincial Hospital
Conclusions:
Province-2 is deprived and marginalised.
Poorest state in Nepal: highest rate of multidimensional poverty – with every second person being multidimensionally poor (50%)
Health Status is Poor in Province-2 as compared to other states in Nepal
Needs Improvement ( and Investement)
Networking of Existing Health Institutions
Provincial Postgraduate Medical Institute
Provincial Trauma Center
Prepared by:
Prof Dr Ram Kewal Shah
Chairperson, Health Task Force, Province-2.Nepal
