To overcome all the problems to travel to the city was too much. And so cataract could develope into blindness.
Our activities in health care started in the first year of Madat Nepal (1992) with arranging medicines for birth control. This was the explicit wish of the women from the village of Thulo Parsel. Following the rules of the district office we had to build a health post. They would provide the medical staff and utilities. We could arrange the money for the building and even before finishing the district office already had provided a health post assistant and a nurse for birth control and vaccinations (she is still working in the health post). We constructed the health post with a first floor, so patients could stay there overnight after having had a cataract operation. Transportation in the mountain area was initially a big problem. To travel to the capital was too difficult. This is the reason why many people became blind after having cataract. And this was actually not necessary. In this time people also started to have caries due to the introduction of sugar. There were also a lot of ear and skin problems. Especially in the beginning years the mobile health camps were really necessary. The complicated logistics were excellently handled by Kanchha Lama. Later there came more roads and bus connections.
In the areas were mobile health camps were not necessary anymore we continued the medical screenings of the school students.
In the past twenty years we have seen a positive development in awareness and quality of health care.