Helping in Orphanage

Most of the orphanage homes in Nepal are running with poor management, under staffed, and lack of funding so they are struggling to continue their homes. There is urgent need of help and support form any interested people. There are many areas where volunteers can use their skills, and time for making meaningful contributions in the life of orphan kids of Nepal. Orphanages desperately need help for their schooling, sanitation, fund and administration.

We deploy volunteers in different orphanages around Nepal, mainly Kathmandu, Pokhara and Chitwan area. Orphan children are 5 to 14 years of age and each orphanage home have approximately 14-25 children. In the orphanages volunteers will work to improve the children's daily life by teaching them basic hygiene as like brushing their teeth, washing, personal care, etc). Volunteers will also help them teaching English, games, drawing, singing, dancing, help doing home works and assisting the children with their studies and extra curricular activities. We directly involved one of orphanage near Kathmandu where we have 8 orphan children and few staffs, please see more information below.

ORPHANAGE PROJECT IN THECHO VILLAGE:-  VSSN, F&F Project and Bal Mandir (Thecho), jointly helping orphanage home in Thecho villge, Lalitpur. There are 4 psychically/mentally challenged orphan children and other 4 orphan children (total 8 children) staying at the home. We are helping the kids by donating nutritious food and also providing a good care. We have regular volunteers group arriving to do construction project and other needed infrastructure development program for the kids.

Challenged children's details and doctor’s report:

Name: Dovan. Age: 16.

Medical Report: Boy in the wheelchair suffers from grade 4 spastic Cerebral Palsy (CP as well as micro-sephali. Grade 5 CP has no voluntary movement; at grade 4 he still has some voluntary movement.  Micro-sephali means the size of the head is much smaller than normal; therefore the brain is also smaller. His head measures 47cm instead of the normal 52cm for his age group. He may have suffered from a lack of oxygen at birth. He also suffers from epilepsy, but it seems that it may be under control at the moment.

Other physical disabilities include: 

A dislocated hip joint – this could be helped with surgery but would probably not serve much purpose; as he does not walk the condition would return within a few months. At the moment the bone is covered with cartilage, but with time and wear the bone may become exposed. At that time, he will experience pain.*contracture of the leg muscles – this means they are constantly contracted, and this has contracted the skin as well.  (Two years ago, this was an impending condition but now it is definite.) An operation exists in which the skin behind the knees could be clipped and muscle relaxation could be attempted.  Botox injections are often used for this, however they are extremely expensive and the results would be minimal in this case, and this situation would return within a few months.  (Some botox injections are donated to the CP centre but they are used for grade 2 or 3 cases.)

Advice: 

At this time there is no contracture of the hands or arms, therefore some exercises could be done.  It was recommended that a special table and chair be built.  At one of these tables he could engage in games or exercises to increase movement in his hands. It is vital that he have a chair in which he can be comfortable; this will also avoid deterioration of the cartilage surrounding the hip joint, thus diminishing the onset of pain. The person or persons that handle him must be trained in the proper ways to lift and transport him. He can also benefit greatly from human touch, and other stimulating activities.

Name: Kumar. 

Age: 13.

Medical report: 

He is a quiet boy suffers from autism. Foot:  was burned in an accident and the skin has lost its elasticity, which means he cannot contract his foot properly.  

Advice:

For the foot problem, it is recommended that he have surgery at the HRDC hospital in Banepa.  This operation is free for orphaned children. For the autism it is recommended that he be placed in autistic home – where there are other autistic children, and a stimulation room.  Here he can be toilet-trained, and can also be trained to eat alone, among other things. Speech therapy may be useful, but he would have to be evaluated first. ** He needs lots of stimulation of many types including human touch. ## He died in September 2016##

Name: Suvash.

Age:18

Mental development delay is his problem. On first examination, his mental age appears to be about 4 years old. Was able to understand and respond when asked questions about his name, what he ate for breakfast, etc. Does not appear to have any physical challenges.

NOTE:  Ideally he should be in a special school for mentally challenged children.

Advice:

Needs to have a daily routine which includes chores / jobs around the house (clearing the dishes etc.). The activities should be carried out at the same time each day for best results.  REPETITION IS OF THE UTMOST IMPORTANCE. If he cannot be placed in a special school, then he should attend the nursery school on site to further develop motor and mental skills as well as social skills. This interaction could greatly help him. ** He needs to have a psyc evaluation and assessment.

Name: Utsav.
Age: 14
 
He is always smiling; at times uses his hands when walking. Profound hearing loss and some mental delay is problem. Low muscle tone, although it is somewhat better than when last examined 2 years ago. Has the walking posture of a child of 1 ½ years. He has flat feet. On the game where different size rings are put on a cone holder, he has the ability of a 2-year-old. On the game of putting shapes into the correct holes, he has the ability of a 3-year-old. NOTE:  He has the potential to learn a lot.
 
Advice: 
Physio-therapy is needed for muscle-training and to develop balance, which will help him to walk better (some exercises were already shown to the house-mother). Speech therapy is recommended; communication skills can be improved although clear speech may be difficult to achieve. A home visitor should go to the house to develop a routine to improve daily living skills.
 
Final Notes:  
As suggested by therapist and doctors we made special furniture ( tables and chairs). All of the children could benefit from the special tables, and Doban also needs to have an appropriate chair. Utsav could also benefit from small wooden benches to practice balance (you can see new table and chair in the picture on the right). The children also need toys that are educational and stimulating.  (Colored balls, different shapes, different textures, etc). These could be used on the special tables. Also large yoga balls are good for balance. All the children should have a psyc evaluation/ assessment. It may be possible for the children to attend therapy. - Report written by Elizabeth Fernandes. March 2013
 
Updated in Septmeber 2016
 

Contact Address

Volunteer Service & Support Nepal
Dhumbarahi, Kathmandu.
GPO Box: 8974 CPC 478
Kathmandu, Nepal

Email

matrika@volunteer-nepal.org
volnepal@gmail.com

Contact

Matrika Rijal
(+977) 98510 48497