Providing primary healthcare

Supporting primary healthcare is the foundation of our work and PHASE Worldwide currently supports community health posts in Bajura, Gorkha, Humla, and Sindhupalchok reaching 45,000 people per year.

Mountainous areas of Nepal offer many challenges for the delivery of primary healthcare. Many villages are very difficult to reach and are not accessible by road. These areas are often affected by natural disasters, such as earthquakes, landslides and flooding due to monsoon rains. This makes deliveries of medical supplies and the movement of staff very challenging, meaning that many health posts in these areas are under-equipped and under-staffed.

In the villages we work in, less than 20% of the population have a secure food supply all year round. This causes high levels of malnutrition, exacerbates the problems of existing disease and contributes to high rates of infant mortality.

In urban areas of Nepal, many people are living healthier lives than in the past decade. Nevertheless, in rural areas, people are still suffering needlessly from preventable diseases and too many are dying prematurely. Overcoming disease and ill health will require concerted and sustained efforts, focusing on population groups and regions that have been neglected by healthcare provision and are at risk of being left behind. This is where PHASE Worldwide works in accordance with the UN’s Sustainable Development Goal 3: ensuring healthy lives and promoting well-being for all.


of children under 5

suffer from a form of malnutrition (WHO, 2018)

What do we do?

PHASE places two qualified Nepali health workers (Auxiliary Nurse Midwives – ANMs) in the village health centres. Over time, the staff become an important part of the community as they build relationships of trust and gain the respect of villagers, working alongside and supplementing the skills of the government health workers. ANMs are experienced in antenatal care, child health and nutrition. Medicines and equipment are provided to ensure the health post is able to deal with a wide range of illnesses and situations, increasing the number of patients seen by health workers. The ANMs also conduct an outreach programme with street dramas, nutrition workshops and door to door visits to engage villagers and raise awareness of health problems and health services.

The most important element of our work is capacity building and developing resilience. The project is designed in a way that allows handover to the government when PHASE withdraws. This raises awareness of the importance of healthcare provision and empowers communities to request further support from their local government.


infant mortality rate

Number of deaths under one year of age (WHO, 2018)

What’s the Impact?

Chamaki Rawat is a 25-year-old woman from a remote village in Nepal. Chamaki gave birth for the first time last year but because she and her family live so far from the health post, she was unable to get there during labour. Chamaki, like many young women in Nepal, had her baby at home. Unfortunately, she faced complications during child birth and couldn’t deliver the placenta.

In a scenario like this, it would have taken days for Chamaki to reach the District Hospital to receive the vital healthcare that she needed. However, in the early hours of her labor, Chamaki’s family alerted the ANMs who came to the family home as fast as they could.

On arrival, Chamaki had delivered her baby but she appeared very unwell and hardly conscious. The ANMs emptied her bladder with a catheter and successfully removed the placenta. They gave her antibiotics and IV fluids, which over the course of the next few days, supported Chamaki’s full recovery.

Before the ANMs left Chamaki and her new born child, Chamaki’s husband Hari told the ANMs “I had lost hope in my wife surviving as the hospital is too far away. I am so grateful to PHASE for saving her life. We are indebted to PHASE for providing lifesaving services in such remote places in Nepal.”

PHASE has been working in extremely remote areas for many years and this case demonstrates our success in providing primary healthcare to those in desperate need. In this instance, we were once again able to save a life at birth.


Health Projects

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Start Strong Project: Improving Maternal Healthcare and Reducing Malnutrition


The Start Strong Project is a three-year project, starting in April 2022 and running until March 2025. PHASE Worldwide secured funds for the project through…


Improving Nutritional Practices for Women and Children in Bajura

Funded by the Waterloo Foundation   What is it? Since November 2019, PHASE Worldwide has been delivering a two-year project funded by the Waterloo Foundation….


Addressing Causes of Malnutrition

2018 - 2021

Funded by the Department for International Development (DFID)   Since March 2018, PHASE has been delivering a DFID funded project in Mugu that has been…


Rebuilding Communities

2016 - 2021

Funded by the Big Lottery Fund   What is it? PHASE Worldwide is delivering a five-year project which started in 2016. The project is based…


Tackling Malnutrition in Mugu – With a Focus on Women and Children

2015 - 2018

Funded by the Innocent Foundation   What is it? PHASE Worldwide completed a three-year project which was delivered between August 2015 – July 2018, funded…


Cervical Cancer Project

Funded by The Department for International Development and the Tropical Health and Education Trust   PHASE Worldwide has been working with the Nepal Network for…


Improving Food Security and Access to Basic Health Services – with a focus on Maternal and Child Health

2014 - 2017

Funded by the Department for International Development PHASE has recently finished running a three-year project (July 2014 – July 2017) funded by the Department for…


Health Stories

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Mansha’s Story

Healthcare can be hard to access in rural areas which means that births often take place at home; unattended by healthcare professionals which can put…


Dhami’s Story

Dhami is a 25 year old lady who lives in the Bajura district, Far West Nepal with her family of four. Dhami has hearing issues…



Kamala lives in Mugu and was 23 when she discovered she was pregnant with her first child. Whilst attending a regular antenatal health care check-up…



Babita is 32 years old and lives in Rara Chayanath, one of the poorest regions in the Far West of Nepal. Babita recently gave birth to her third child,…



Birjan Dhami, is a traditional healer and has a lot of respect within his community. People will generally go to his house to pray whenever…



Dansara Jaisi, a 53 year old women living in villages of Maila, first interacted with PHASE after her ninth child birth. Dansara married at the…



Junkali Rokaya, a 30 year old pregnant woman, walked for 30 minutes to reach the PHASE run Maila health post in Humla District for the…


Sumitra Malla

Sumitra Malla is a 23 year old mother of a two year old boy, living in the village of Kolti, Bajura. Sumitra wanted to have…


Health Locations

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One of the districts most severely affected by the 2015 earthquakes. Combined with Sindhupalchok, 40% of deaths caused by the earthquake occurred across the two districts. Gorkha is primarily a rural municipality, with a population of around 32,500 people.



In the Karnali Pradesh province of Nepal, Humla is the most northern district with a population of around 50, 858 people. It is an entirely rural municipality, with only one major road network.



The majority of Mugu is rural, aside from an urban town in its centre.



Across all of the districts PHASE works in, Bajura evidences the highest rates of food poverty.



There is a clear lack of healthcare support, educational opportunity and livelihoods development in this district which was one of the worst hit in the 2015 earthquake.

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