Giving Hands-Enabling Mobility Project Report

i

A deep gratitude to…

Rtn. Dr. Chandra Lekha Tuladhar

Rtn. Buddha Laishram (RID 3292)

Rtn. Anand Tuladhar (RID 3292)

Rtn. Jim Yoder (RID 5160)

Rtn. Chuck Conner (RID 7530)

PDG Rtn. Tirtha Man Shakya (RID 3292)

Dr. Brad Wong (Aloha Medical Mission)

Dr. Suresh Mainali (Jana-Maitri Hospital)

ii

Thank you for your support

Ellen Meadows Prosthetic Hand Foundation

John Players (Surya Nepal)

Spectra Eye/ Contact Lens Clinic

Venue Nepal

QFX Cinema

Image Channel

Radio Sagarmatha

&

Rotary Club of Kathmandu Mid-Town

iii

We are grateful to…

Rtn. Anil Tuladhar (Rotary Club- Swoyambhu)

Mrs. Vijaya Manandhar

Rtn.Suman Shakya (Rotary Club- Balaju)

Rtn. Ranjit Acharya

Prem Kumar Sharma Poudel

iv

Few Words

I am grateful to state that the success behind this story is our team work. A

challenging job in the beginning was to find out the needy recipient but with a

hard working team of our club under coordination of Rtr. Prabesh Ghimire and

Rtr. Anil Dhungana & with the strong supervision of our Mentor/ Advisor, we

were able to provide LN-4 hands to 55 needy, which will surely help to simplify

their daily living. The dedicated volunteers didn’t leave any stone unturned in

trying to fit this hand to the needy recipients. We are very hopeful that the recipients will make

the wise use of the hand and bring changes in their life.

Rtr. Kishor Acharya

President

Behind the success of every project lies the sincere abutments and sumptuous

kindness of many luminaries. The success of Giving Hands-Enabling

Mobility Project is therefore, not the exclusive product of single hand. We owe

much of the credit to the support and assistance of many helping hands.

I would like to extend my warmest appreciation to all our Rotaractors and

Volunteers for their cheerful encouragement, amiable affection and ongoing

support. I cordially gratify each and every associates of this project for their colossal support and

helping create opportunities to serve.

We have overcome numerous hurdles and conquered numbers of difficulties to reach up to this

stage. Finally, it has really brought a great sense of satisfaction to me when we could fit a LN-4

hand to fifty-five amputees. I genuinely believe, this hand can bring change in the lives of people

who had lost their hands.

Rtr. Prabesh Ghimire

Coordinator

Despite the zero outcomes from different organizational visits to locate the

probable recipients for the LN-4 prosthetic hand at the beginning, we were

finally able to fit the hand for 55 amputees.

The project would not have been a success without the support and sumptuous

kindness of many personalities. I express a deep gratitude to all the volunteers

for their invaluable co-operation. A special thank goes to Rtn. Dr. Chandra

Lekha Tuladhar, who helped us immensely by letting pilfer times to us out of her busy schedules

by providing valuable guidance and supervision.

Last but not the least I hope a LN-4 hand would help to make the daily living of the recipients

easier.

Rtr. Anil Dhungana

Coordinator

Giving Hands- Enabling Mobility Project 1

TABLE OF CONTENTS CONTENTS PAGE NO. INTRODUCTION 2-3 Background………………………………………………………………………………. 2 Goals and Objectives……………………………………………………………………... 3 Ellen Meadows Prosthetic Hand Foundation…………………………………………….. 3 METHODOLOGY 4 Project Area………………………………………………………………………………. 4 Project Duration…………………………………………………………………………... 4 Target group/ Beneficiaries……………………………………………………………….. 4 Inclusion Criteria………………………………………………………………………….. 4 Ethical Considerations…………………………………………………………………….. 4 Organization of the Project………………………………………………………………... 4 PROJECT OPERATIONS 5-10 PHASE I………………………………………………………………………………….. 5 PHASE II (Fund Raising)………………………………………………………………… 8 PHASE III………………………………………………………………………………... 9 MAJOR FINDNGS 11-12 Age group of the recipients………………………………………………………………. 11 Sex of the recipients……………………………………………………………………… 11 Reason for Loss of Hand………………………………………………………………… 11 Left/Right Loss of Hand…………………………………………………………………. 12 District-wise Distribution………………………………………………………………… 12 SWOT ANALYSIS OF THE PROJECT 13 ANNEX Letter of Introduction Recipient Pre-Registration Form Consent Form Committee Members Roles and Responsibilities of Volunteers Name List of Recipients An Opening Speech from Ellen Meadows Prosthetic Hand Foundation List of Clubs/ Organizations Visited for Information Sharing Program Schedule of Distribution and Training Day Promotional Materials Photo Gallery Media Coverage of the Project


INTRODUCTION Rotaract is a worldwide network of youths between the ages of 18 to 30. It is a part of a global effort to bring peace and international understanding to the world through means of service. The services of Rotaracts aims to promote education, raise health and social awareness, combat poverty, protect environment and develop peace. In doing so, they develop leadership and professional skills as well as establish a worldwide network of friends.

Rotaract Club of Kathmandu Mid-Town is a Rotaract club sponsored by the Rotary club of Kathmandu Mid-Town and chartered on 5th

During the routine community service projects of the club, the Rotaracts were in a continuous interaction with the persons living with disabilities of various kinds. Although the club strived to support these people, we were bounded by several limitations. The idea of providing a prosthetic hand brought up by our mentor/advisor Dr. Chandra Lekha Tuladhar after her meeting with Rtn. Jim Yoder, Vice-President of Ellen Meadows Prosthetic Hand Foundation, during her visit to Bangkok for RI Convention in May of 2012 raised our motivation to serve those whom we were unable to support in the earlier days.

November 1997. It is a non-profit organization which organizes variety of projects and activities, depending primarily on the need and aspirations of the community and the youth members of the club.

The major goals of the club are to develop professional skills to the youth and serve the community as per the need of the community voluntarily and jointly with various national and international organizations. Background The situation of disability has always been a matter of concern for Rotaract Club of Kathmandu Mid-Town since its charter. The club has been working to serve the people from diverse areas of disability such as mental health, cerebral palsy, vision defects, physical disabilities and many more. From the constructions of ramps and provision of wheelchairs to advocacy on issues of disability, the club has always been a frontier.

Further, our preliminary study revealed that the Nepalese history with ten years of armed conflicts, increasing numbers of road traffic and other accidents as well as other natural disasters had left numerous people with lost limbs. Also many people were found to be born without limbs. This result added an essence to our advisor’s idea of providing a prosthetic hand.

Idea of project generated at RI Convention

Coordination Committee: Project Discussion


After numbers of discussions within the club and several consultations with LN-4 foundation, a coordination committee of four members was formed and finally the project was initiated as “Giving Hands-Enabling Mobility”. Project Goals and Objectives Goal • To support the below arm amputees with the activities of their daily living. Objectives • To provide a prosthetic hand to those with the hand lost below the elbow so as to enable

mobility to perform simple day to day activities. • To simplify many life who had been suffering and thus transform their lives through

Prosthetic hand. • To help those needy people who are not able to afford the cost for prosthetic hand. Ellen Meadows Prosthetic Hand Foundation (EMPHF) Ellen Meadows Prosthetic Hand Foundation is an organization that supported Rotaract Club of Kathmandu Mid-Town in providing the LN-4 hands to the needy in Nepal. This organization is incorporated as a non-profit corporation, at the address in Ashland, Oregon, USA, following the laws and regulations of the United States and the State of Oregon. EMPHF works with groups, such as Rotary and Rotaract Clubs and has already delivered over 10,000 prosthetic hands, in over 60 countries, since its inception in 2005. Their goal is to provide a LN-4 prosthetic hand to all those who need.

A LN-4 hand is an artificial device used to supplement the lost part of the hand below the elbow. It is a wonderful and functional tool; light weight, durable and can grip many things. It is a simple, low cost, reliable and functional helping hand, constructed of cocoa puff color, injected molded plastic, with brass and stainless steel metal parts. It is strong and, when properly fit on

the recipient’s arm, can support more than 25 pounds of weight. It helps people work and sometimes to get a job and take care of their family.


METHODOLOGY Project Area Giving Hands-Enabling Mobility was a nation-wide project. Therefore, the needy recipients from all over the nation were registered for a prosthetic hand. Project Duration The time period of the project ranged from 16th July 2012 to 3rd

• 2 years old or above.

December 2012. Target group/ Beneficiaries A LN-4 prosthetic hands that were provided under “Giving Hand-Enabling Mobility” was targeted for all needy candidates, irrespective of cause, economic status, gender, sex, religion, caste and ethnicity. Inclusion Criteria Following criteria was set up for the candidates to be eligible as a recipient of prosthetic hand.

• Minimum 12 centimeters of residual hand from the tip of the elbow to end of the amputed part.

• No open wounds and no unusual sensitivity on the residual hand. • Good flexibility and muscle tone in the upper arm, joint and residual limb. • For double amputees, only one prosthetic hand was delivered per candidate. Ethical Considerations • Objectives of the project were clarified to the recipients before the registration. • Written consent of the potential recipients was taken (see Voluntary Consent Form in

Annex). • Assurance of the confidentiality on sensitive issues was done

Organization of the Project A coordination committee of three members was formed under the supervision of our mentor/advisor. Further, an operation committee of twenty six volunteers was also formed under the coordination committee for the effective and efficient operation of the project. Another committee of six member functioned to generate the funds necessary for the implementation of the project activities.


PROJECT OPERATIONS

The overall project was divided into three main phases Phase I (Intensive Data Collection) Phase II (Fund Raising) Phase III (Training and Distribution)

Phase I The first phase of the project included intensive and wide spread data collection (registration) of potential recipients as well as the promotion of the project to spot as many recipients as possible. This was the longest phase of the project ranging from 16

July to 15 November with series of activities performed during this period.

a) Registration Registration was the major task undertaken during the first phase of the project. The registration of the potential recipients was direct (desk) as well as through e-mails. Desk registration was made through the visit of applicants to Spectra Eye and Contact Lens Clinic located at Bluebird Mall, Thapathali on every Wednesday and Friday. The e-mail registration was made by sending a filled pre-registration form and a scanned copy of consent form with signatures.

Desk Registration 70 (excluding 15 provisional recipients) Online Registration (via e-mail) 2 Walk-ins (in the main event) 9

• Interview The desk registration of the applicants was based on an interview using a questionnaire (see annex). The questionnaire included the complete information of the recipients regarding their personal details and other information regarding their disability. • Observation The arm evaluation was done by observation of a lost hand based on the eligibility criteria. The evaluation included measurement of residual hand using a measuring tape and checking the flexibility and muscle tone in the upper arm, joint and residual limb. After a formal registration procedure, the applicants were categorized into two categories based on the inclusion criteria. The applicants meeting the criteria were listed as eligible recipients while those who failed to do so were listed as provisional recipients. Such provisional recipients were well informed in prior about their chances of LN-4 hand being unfit for their hand. However, they were requested to make their presence in the distribution day so that the fitting volunteers would try their best to fit a hand, if possible by any means.


Also the registration process included a filling of voluntary consent form where the applicants/ relatives signed a form by voluntarily agreeing to give the necessary basic information on their disability that was required for the project.

b) Spotting (Search) of potential recipients Numbers of volunteers were mobilized through the club to share the information in specific organizations that were expected to have needy recipients. For this, the numbers of governmental and private hospitals, organizations working in the field of disability were visited. Some of the major visited institutions included Rotary Karunalaya, Bir Hospital, Nepal Orthopedic Hospital, Nepal Orthopedic Center and Dharmashalas. Hospitals were requested to support by co-operating to share the required information of their patients, who meet the requirements for receiving the prosthetic hand. Similarly, several other approaches were taken into consideration to find out the recipients from the communities, some of which are described below: • Personal contacts: Many Rotaract and non-Rotaract friends, colleagues, families, and

relatives served as a liaison person between the club and the recipient candidate by making personal contacts with the target needy individual helping to register their name for further proceedings.

• Public Health Agencies/ Voluntary, Corporate and Private Organizations: Some organizations responded to the project by helping to locate the needy recipients in their organization or in their community through the network of their staffs and contacts.

c) Promotion Promotion was another important activity of the project performed in the preliminary phase. The objective of promotion was to help the information reach the needy so that they are registered for the prosthetic hand. Numbers of initiatives were taken into consideration for a widespread promotion of the project. • Website

The detailed information concerning the project was made available on the club website www.rotaractnepal.org.np. The website included all the necessary documents concerning the project such as registration form, consent form, information manual, progress report, introduction letter and promotional brochures

• Facebook Campaign A facebook page “Giving Hands-Enabling Mobility”, was initiated to provide a day to day

updates of the project (http://www.facebook.com/GivingHandsEnablingMobility). This page established as a forum of discussions and numbers of applicants contacted us for registration through the access of facebook information. Moreover, numbers of

http://www.rotaractnepal.org.np/�

http://www.facebook.com/GivingHandsEnablingMobility�


promotional materials (see annex) of the project were also shared, which became the most effective means of disseminating information to the public.

The numbers of groups/pages from the facebook community responded to our cause by sharing the necessary information through their respective groups/pages.

• Radio Interviews Radio Sagarmatha (102.4 MHz) also supported the cause and helped us air the information

about the project. Three members from a team of coordination committee were interviewed on a program “Sewa Ma Rotary” on 19th July 2012. Also the president disseminated the project information through another radio interview on 30th

• Posters and Pamphlets

July 2012.

Numbers of promotional materials were developed to spread the information to the public. These materials included fliers, introduction letters, posters, visiting cards, information manual, etc. Such materials were posted on college notice boards, groceries, tea café, pharmacies, stationeries, temples and other various community settings. Also, the materials were distributed to the public.

• Information Sharing The detailed information of the project was formally shared

to all the Rotaract clubs of RID 3292 and appeal for support was made. Similarly, the information was also shared to various Rotary clubs and several other organizations (see annex). Also the presentations were made in numbers of Rotary Clubs.

d) Miscellaneous

Besides registration, search and promotion, few other activities were performed periodically, some of which are described below:

• Meeting (formal and informal) Numbers of formal and informal meetings were conducted to facilitate the operation of the project. One strategic meeting was conducted on 15th

August 2012 to guide the project with new strategies.

• Reporting Periodic reporting was done to Ellen Meadows Prosthetic Hand Foundation regarding the updates of the project as well as to report the names of new pre-screened applicants registered by the club. Also the updates in the project were reported to all the committee members through e-mails.

Information sharing at Rotary Club-Chitwan


Phase II (Fund Raising)

This was another important phase as no project could sustain without making financial considerations. Hence, under the supervision and advice of Rtn. Ananda Tuladhar, a financial committee was operated to raise the necessary funds required for the project and especially to overcome the expenditures that could be incurred in organizing the event for the distribution of the prosthetic hand.

A charity show of bollyhood movie “Talaash” (in English: Search) was held on 30 November 2012 at QFX Cinema, Hall No. 1 (Civil Mall) to generate the revenue. The charity show was attended by more than 400 viewers; most of whom were Rotarians and Rotaracts. A very short video presentation was also screened prior to the movie to provide the information to the public regarding the project.

Besides charity show, some personal and organizational contributions were received by the club for the project. John Players from Surya Nepal Private Limited was the main sponsor of the project.

Ticket for charity show of movie Talaash


Phase III (Training and Distribution) This was the most important and final phase of the project. The final phase of the project was divided into two parts: a) Training and orientation of volunteers b) Distribution of prosthetic hands with necessary training a) Training and orientation of volunteers

An operation committee of 25 members were trained and oriented as volunteers in two different sessions. On 28 Nov 2012, twenty volunteers were trained by Jana Maitri Hospital on how to fit the hands to the recipients. On 02 Dec 2012, twenty five volunteers were again trained on methods to fit the hands to the recipients. Also the volunteers were well- oriented on how to execute the main event in the following day. Rtn. Chuck Conner, a representative of Ellen Meadows Prostheic Hand Foundation facilitated the session.

b) Distribution of prosthetic hands The event for distribution of LN-4 prosthetic hand for pre-screened applicants was held on 03 December 2012 marking the International Day of Persons with Disabilities. The event was organized at SAP Falcha, Babarmahal, Kathmandu where 54 recipients were fitted with a LN-4 prosthetic hand.

The event was divided into two sessions • Formal opening session • Distribution & training session

• Formal opening session An hour of formal session was conducted prior to the distribution of prosthetic hands to introduce the organizers as well as supporters of the project (see Annex for schedule).

The session was conducted among Rotarians from various Rotary Clubs, Rotaracts, persons living with disabilities and their friends/relatives. The chief guest for the program was PDG Rtn. Tirtha Man Shakya. Mentor/Advisor Dr. Chandra Lekha Tuladhar presented the history of the project as well as patient’s data. Rtn Chuck Conner (Representative from LN-4 Foundation) presented a letter

on behalf of Jim Yoder (Vice-President) from Ellen Meadows Prosthetic Hand Foundation.

• Distribution & training session The opening session was followed by distribution of prosthetic hands to the recipients and necessary trainings regarding the use of LN-4 hand. For this the event venue was divided into three main stations. Registration Station Fitting Station Training Station

Chief Guest addressing the opening session


Registration Station On registration station, attendance was made with verification of names of pre-screened applicants. The tagging with identification number was done in registration station for easy identification of recipients. The registration desk also served as a help desk for the recipients.

Fitting Station Fitting station was a closed room where 10 different tables were set up for fitting the hands to the recipients. At each fitting table, 1-2 volunteers assisted the recipients to fit the hands (see annex for materials used in each table). The recipients were also encouraged to fit the hands on their own through repeated self-practice.

Training Station In a separate training station, five volunteers demonstrated and trained the recipients on ways of using a prosthetic hand. The recipients themselves practiced various activities such brushing, typing, writing, holding a cup, etc (see annex for materials used). A short video was also shown to the recipients to demonstrate the activities that can be performed by the use of LN-4 hand. Apart from these three stations, few volunteers were mobilized for management of logistics, food & refreshments and photo & video taking (see annex for the categories of volunteers).


MAJOR FINDINGS

Out of 72 registered eligible recipients, a total of sixty three candidates appeared for the event of which only fifty-five were eligible to receive a LN-4 hand. The analysis of the information of these fifty-five recipients showed the following findings. Age-Group of Recipients

Out of the total recipients receiving a LN-4 hand, it was found that majority of them belonged to the age group 31-60 years. About 20% (12) of the recipients were youths between the age-group 18-30 years.

Sex of the recipients

Majority of the recipients receiving a prosthetic hand were males (i.e. 41).

Reasons for loss of hand Reasons Number of recipients Percentage Congenital 14 25.5 Factory accident/ machine cut injury 11 20 Electric Shock 8 14.5 Fire Burn 6 10.9 Road Traffic Accidents 3 5.5 Blast Injury 3 5.5 Fall Injury 3 5.5 Crush Injury 3 5.5 Others 4 7.3 The cause of hand loss among 25.5% the total recipients was congenital.The second most reason for the loss was occupational, resulting from industrial and machinery accidents.

20% 21.8%

54.5%

3.6%

0%

10%

20%

30%

40%

50%

60%

<18 18-30 31-60 >60

74.5 %

25.5%

0%10%20%30%40%50%60%70%80%

Male Female


Left/ Right Loss of Hand

Out of the 55 recipients, 49.1% were found to have lost their right hand. Two of the recipients had both of their hands lost.

District-wise Distribution

The 55 recipients who received a LN-4 hand were from 26 different districts of which the highest recipients were from Kathmandu (9) and Nuwakot (9) followed by Lalitpur and Bara districts. The shaded areas in the map represent the recipients from the respective district.

49.1%47.3%

3.6%

RightLeftBoth


SWOT ANALYSIS OF THE PROJECT

Strengths Weakness - Wide spread flow of information. - Strong guidance from mentor/advisor. - Fully committed volunteers.

- Problems in the registration of recipients outside Kathmandu valley.

Opportunities Threats - Good support from print, audio & visual

media. - Support from various Rotary & Rotaract

clubs and other organizations. - Financial support from various

organizations and personnels.

- Lack of records of amputees in hospitals.

ANNEXES

Letter of Introduction

“Giving Hands-Enabling Mobility” is one of the community service projects initiated by Rotaract Club of Kathmandu Mid-Town with the support of Ellen Meadows Prosthetic Hand Foundation. The goal of the project is to provide a prosthetic LN-4 hand to the needy people so as to enable their mobility to perform the activities in their daily life. The initial phase of the project: Data collection in detail. Source: Hospitals, health centers, public sectors, voluntary, corporate and private organizations/clubs. On accumulation of 50 or more pre-screened applicants, arrangements for providing a prosthetic hand free of cost from USA will be organized and the recipients will be contacted when it arrives. The LN-4 Hand is not a medical device. It is a simple, low cost, durable, reliable and functional “helping hand.” It is constructed of “cocoa puff” color, injection molded plastic, with brass and stainless steel metal parts. The prosthetic hand is resistant to water, heat, dirt and salt, and it is easy to clean with just clear water. It is strong and, when properly fit on the recipient’s arm, can support more than 25 pounds of weight. One size fits all recipients and functions as either the left or right hand. The hand is attached easily and is easily removed by the wearer in a few seconds. Key features of a prosthetic hand • Durable – Simple – Light-weight – Functional • Easy to fit by trained non-medical volunteers • No significant maintenance – replace when damaged • Fills a previously unfilled need Eligibility criteria for receiving prosthetic hand • The candidate must be about 2 years old and above. • Minimum 12 centimeters of residual hand must be present from the tip of the elbow to

end of the cut part. • There should be no open wounds and no unusual sensitivity on the residual hand. • There must be good flexibility and muscle tone in the upper arm, joint and residual limb. • For double amputees, only one prosthetic hand is delivered per candidate. Rotaract Club of Kathmandu Mid-Town sponsored by Rotary club is a youth-based, non political, non religious, International social organization established in 1997 dedicated to serve and make a difference to the community following the Rotary International theme of “Peace through Service”

Our club data, project details and contact information can be available on our web site, www.rotaractnepal.org.np. Our email is [email protected].


mailto:[email protected]�

Rotaract Club of Kathmandu Mid-Town “Giving Hands-Enabling Mobility Project”

Recipient Pre-Registration Form

Name Age/sex Occupation Contact no. District Zone Municipality/VDC Ward no.

Lost hand: Right Left Dominant hand: Right Left Date of loss: ………………………………………………………… Reason for loss: …………………………………………………….. Additional notes (if any): …………………………………..…………………………..……… …………..……………………………………………………………………………………………………..……………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………… Additional Contacts (if any) Contact person Relation Occupation Contact

no.

Contact Address

Evaluation Yes No Remarks Length of residual arm (≥14 cm) Good flexibility of upper arm, joint and residual arm Muscle tenderness of residual part No open wounds and no unusual sensitivity on the residual part

Referred by: ………………………………………………………………………………….. Name of individual taking report: ……………………………………… Date: …………… Name of the organization/club: ………………………………………… Ph. No. …………. (Note: please attach a photo with clear view of residual arm)

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COMMITTEE MEMBERS

Coordination Committee

Rtn.Dr.Chandra Lekha Tuladhar (Mentor/ Advisor)

Rtr. Kishor Acharya President (2012/13)

Rtr. Prabesh Ghimire

Coordinator

Rtr. Anil Dhungana Coordinator

Operation Committee

Rtr.Deepak Upreti

Rtr. Prabin Sharma

Rtr. Niranjan Bhattarai

Rtr. Karishma Banjara

Rtr. Bijeta Maharjan

Rtr. Nisha Sharma

Rtr.Unesh Bajracharya

Rtr. Bishan Bajracharya

Rtr. Sushma Katwal

Rtr. Yunish Shrestha

Rtr. Padam Kant Dahal

Rtr. Om Kumar Thakur

Radhika Bogati

Dinesh Rupakheti

Ruby Shrestha

Sarina Maharjan

Sadiksha Maharjan Choodamani Aryal

Hira Katwal Sudarshan Dhungana Rubina Pulami

Eliza Shrestha Sabin Pokhrel

Rosy Shahi

Nischal Bajracharya

Rtr. Rakshya Ojha

ROLES AND RESPONSIBILITIES OF VOLUNTEERS 1. Registration and Evaluation • Take registration of all the recipients attending the event to receive a LN-4 hand. • Verify the details of all the recipients from the pre-registration list including arm

evaluation. • Provide a tag no. to the recipient for easy identification and efficient fitting procedure. • Take registration of all the volunteers working in the event in a separate Volunteer’s

Attendance Sheet. • Take registration of all the visitors attending the formal session, in a Visitor’s Attendance

Sheet.

2. Fitting Volunteer (14) • Fit the prosthetic hands to the recipients in the main event day (03 December 2012). • Assist the recipients in removing the hand as well as putting the hand back on their own

through self-practice.

3. Volunteers for Group Training (5) • Assist in the group training of recipients through demonstration and self-practice on

different ways of using a LN-4 hand. • Encourage the recipients for repeated self-practice at homes for the easy and wise use of

LN-4 hand.

4. Photo & Video Volunteer (3) • Take action photographs/videos of all the major activities (Opening session, Fitting

Hands, Group Training, Demonstration, etc) in the main event day.

5. Food & Beverages Committee (1) • Make arrangements for the breakfast, lunch & snacks for all the participants in the

training day and the main event day. • Make arrangements for food coupon for effective serving and ensure that the coupon is

available to all the participants. • Ensure the timely availability of the food to the participants. • Ensure that the drinking water is available at the event rooms (Fitting room, training

room, waiting room, registration desk, etc.)

6. Master of Ceremony (1) • Conduct a formal session in the main event day.

NAME LIST OF RECIPIENTS (03 Dec 2012) Name Age/ Sex Address R/L Length of

residual Date of Loss

Reason for Loss Remarks

1 Sunita Shrestha 13/F Sindhupalchok, L 10 1999 Congenital 2 Kipa Sherpa 45/M Gokarna, Kathmandu L 14 1996 Electrical burn 3 Pen Bahadur Thapa 55/M Tanahaun L 22.5 2002 Machine cut 4 Rabina Tamang 12/F Sitapaila, Kathmandu R 12 2000 Congenital 5 Ramesh Rai 35/M Nuwakot L 20 2012 Blast Injury 6 Ram Sharan Baniya 52/M Naikap, Kathmandu R 36 1992 Machine cut 7 Jeet Bh Tamang 51/M Kavre L 23 1997 Stone crush (masonry) 8 Subash Kunwar 20/M Achham L 13 2011 Electric burn 9 Maiya Devi Singh 44/F Bhaktapur R 18.5 2011 High fever 10 Shailesh Shrestha 31/M Kathmandu L 12 1984 Electric burn Unable to fit 11 Dude lama 51/M Sindupalchowk L 15 2006 Accident 12 Lekh Bh Dhital 51/M Nuwakot R 15 2009 Electric burn 13 Kalyan K Rai 35/F Solukhumbu R 22.5 1977 Fire burn 14 Yashodha Koirala 28/F Koshi /Sunsari R 11 1992 Fall Injury 15 Sukra Ram Tamang 26/M Ramechap R 22 2008 Industrial Accident 16 Sherong Tamang 35/M Nuwakot R 31 1991 Stone crush injury 17 Kartok Lama 28/F Langtang Rasuwa L 23.5 1984 Congenital 18 Ruku Ale Magar 22/F Simara, Bara R 23 1990 Fire injury 19 Mahendra Adhikari 27/M Gongabu, Kathmandu L 10 1985 Congenital 20 Pitamber Sapkota 33/M Nawalparasi L 28 2001 Industrial Accident 21 Sabina Sharma 14/F Parbat L 24 1997 Congenital 22 Rameshwor Khatri 33/M Nuwakot R 17 1988 Electric Burn 23 Mohd. Samim Akhtar 27/M Rautahat L 28 1987 Fire Burn 24 Chakra Bdr. Pakhuwal 51/M Dolakha R 14 Industrial Accident 25 Chitra Kumar Gurung 17/M Lalitpur L 25 2004 Blast Injury 26 Ananda Pashwan 17/M Kathmandu L 23 Congenital 27 Anil Magar 20/M Gorkha R 26 1992 Congenital 28 Ram Bdr. Maharjan 50/M Chapagaun R 24 1982 Machine cut 29 Yadav Sitaula 44/M Kathmandu R 14 1975 Fall Injury

30 Samir Pandit 5/M Nuwakot R 14 Congenital 31 Narayan Bdr. Budathoki 40/M Dhading R 27 1998 Machine crush 32 Kale Ghale 71/M Dhading L 26 1964 Crush Injury Unable to fit 33 Yog Maya Tamang 24/F Nuwakot R 17 1989 Fire Burn 34 Rajeshwor Pd. Singh 47/M Sarlahi R/L 28/28 2005 Blast Injury 35 Rishaj Upadhyaya 15/M Hetauda R 27 2012 Blast Injury 36 Ujjwal Bharati 09/M Kathmandu L 09 - Congenital Unable to fit 37 Nar Bahadur Bhandari 42/M Bara L 27 1970 Fire Burn 38 Nil Kantha Nepal 37/M Lalitpur L 12 - Congenital 39 Som Nath Pandit 63/M Kathmandu R 12 2011 Electric Burn 40 Ram Biswas Ray 30/M Sarlahi, Manpur L 32 2009 Machine cut 41 Ranjana Dhami 17/F Bara (Lalitpur, now) R 10.5 - Congenital 42 Lal Bahadur Lama 53/M Nuwakot, Trisuli R 15 Electric Burn 43 Jagdev Thakur 55/M Bara, Narayani R 28 1977 Machine cut 44 Lachin Ghale 11/M Nuwakot L 22.5 Congenital 45 Rite Mizar 13/F Nuwakot L 15 - Congenital 46 Bum Bdr. Khatri 71.M Mahottari R 11 1982 Fall injury 47 Mantu Chaudhary 23/M Dang L 25 2004 Industrial injury 48 Kamal Neupane 35/M Gulmi R 12 - Electric Burn 49 Shyam Krishna Shrestha 52/M Bharatpur, Chitwan L 15 2012 Electric Burn 50 Khagendra Man Thapa 50/M Mukundapur, Chitwan R/L 27/21 1986 RTA (Bus accident) 51 Rajendra Bdr. Pariyar 34/M Parsa R 6 2005 RTA (Bus accident) 52 Lil Bahadur Pahari 60/M Nawalparasi R 25 1979 Industrial accident (Mill) 53 Santosh Neupane 7/M Ranibari, Kathmandu L 12.5 - Congenital 54 Laxmi Pathak 31/F Butwal L 9 - Congenital 55 Puskant Pandit 46/M Butwal 15 2005 Machine Cut 56 Anurag Adhikari 5/M Nawalparasi L 8 - Congenital Unable to fit 57 Hem Bdr. Gurung 23/M SOS, Koteshwor L 14.5 - Congenital Returned 58 Manoj Thapa 20/M SOS, Koteshwor L 9 - Congenital Unable to fit 59 Maiya Bisunkhe 20/F SOS, Koteshwor R 9.5 - Congenital Unable to fit 60 Radhika Pandit 36/F Kupondole L 9.5 1987 Accident 61 Tej Datta Khakurel 28/M Kathmandu L 9 - Congenital Unable to fit 62 Shradha KC 33/F Dang 10

AN OPENING SPEECH FROM ELLEN MEADOWS PROSTHETIC HAND FOUNDATION

December 3, 2012

Greetings to the Rotary Club of Kathmandu Mid-town the Rotaract Club of Kathmandu Mid-town and all the honored friends and guests at this event, We have asked our Rotary friend Chuck Connors to represent the LN-4 team today, in Kathmandu. It has been our honor to partner with you to create this event today. When we began to discuss this in May of 2012, at the Rotary International Convention in Bangkok, we did not know for sure we could do it, but we took the chance, the opportunity really, and now we are here about to deliver on our promises to each other. This event and partnership is a part of the great joy that is Rotary International and most of all the several Rotary and Rotaract Clubs represented here. Congratulations to all who have been and who are involved, and thank you to everyone for all the hard work up to now. Today is the happy focus of all our efforts up to now. But, please know it is a beginning, because I hope and predict we will continue our partnership and help many more receive a new LN-4 hand in the future. Please join us in Rotary and join us in making that wish to help others become a reality. The applicants for our LN-4 hands who are here today are also to be congratulated. You have listened and trusted us and that trust is a wonderful thing. Today it is our job to handle that trust well. We will, together, do the best we know how and I hope we create a place today where we can work together to fit a LN-4 hand on every person who is here and who can benefit, and we also intend to provide the training and a beginning on practice that is required of the recipient to be effective and successful with the LN-4 hand. The LN-4 hand is like any tool we use – we must practice and use it often to be effective and happy. When you first see and use our LN-4 hand you know immediately that it may not be suitable for everyone. That is true, but I also am happy to tell you that we, the Ellen Meadow Prosthetic Hand Foundation, have delivered and fit over 10,000 LN-4 hands in over 65 countries since 2005, all free. So we know it is suitable, and even wonderful, for many people. We just received a letter of gratitude from one of our recipients in Kenya, recognizing the exact day that he received his LN-4 hand 7 years ago; he is very happy. We hope those of you here today will be as happy as Francis. I hope you will watch closely our short video, showing many of the activities we can do almost immediately with the LN-4 hand: ride a bike, drive a car, write with a pen, use a PC, washing, carrying thing, hoeing and farming tasks, sweeping with a broom. One man open a barbershop and used his LN-4 hand to hold the hair cutters. Francis sent his email to us from our web site at http://www.ln-4.org/. I hope some of you will do the same. In our experience, the LN-4 hand is best for those who have 12-13 cm of residual limb below the elbow, on either the left side or the right side, and for those who also are able and willing to be creative and inventive in finding ways to use the LN-4 hand to help them do the things they want and

http://www.ln-4.org/�

need to do. This is not a replacement hand; there is no such thing. There is only a more or less suitable substitute for what has been lost. This is not a cosmetic hand. However the LN-4 is a wonderful and functional tool: it is light weight, durable and can grip many things. It helps people work and sometimes to get a job and take care of their family. This is what we all wish for in life – to take care of our self and our family – so we are very happy to be able to help in this way. Of course we also provide the LN-4 hand for recipients always for free. Today is a working day, and after these remarks we may be ready to set up for fitting and training, for the rest of the day. We wish everyone involved all the best today and everyday. We wish for a long, happy and productive experience delivering and fitting LN-4 hands for many years. Wishing you all happiness, Jim Yoder Vice-President Ellen Meadows Prosthetic Hand Foundation Rotary Club of Walnut Creek Sunrise, D5160

LISTS OF CLUBS/ ORGANIZATIONS VISITED FOR INFORMATION SHARING

List of visited Rotary Clubs Rotary Club of Kathmandu Mid-Town (as a guest speaker) Rotary Club of Chitwan (presentation) Rotary Club of Swoyambhu Rotary Club of Sainbu Bhainsepati List of organizations visited Nepal Orthopaedic Hospital Bir Hospital Nepal Orthopaedic Centre Rotary Karunalaya Dharmashala (Tilganga)

PROGRAM SCHEDULE OF THE DISTRIBUTION AND TRAINING DAY

(03 December 2012) Time Activities 09:00 Arrival 09:30-10:30 Opening Session 10:30-11:00 Tea Break 11:00-12:30 Fitting of Hand (Simultaneous group training) 12:30-01:00 Lunch Break 01:00-02:30 Fitting Session Continues 02:30-02:45 Tea Break 02:45-03:00 Closing and Group Photo Opening Session

Activities Duration MC welcomed everyone 2 minutes Recognition of dignitaries present- by MC 3 minutes Chief guest lightened the Panas 3 minutes Opening remarks by Mentor/Advisor Dr. Chandra Lekha 5- 8minutes Introduction to representative of LN4 Foundation- Rtn. Chuck Conners 2 minutes Address by Rtn. Chuck Conners on behalf of LN4 Fuondation 5 minutes Demonstration of LN-4 Hand and it’s uses- by Recipients & Volunteers 10 minutes Address by chief guest- PDG Rtn. Tirtha Man Shakya 5 minutes Address by Vice-President of Rotary Club of Kathmandu Mid-Town 2 minutes Vote of thanks and session close- by President Rtr. Kishor Acharya 5 minutes

LISTS OF LOGISTICS USED IN PHASE III OF THE PROJECT

1. Logistics used in Registration Station A file with list of recipients (for attendance and verification)

A file with attendance sheets (for volunteers and other visitors)

Tagging Stickers (for identification purpose)

Measuring Tape (for arm evaluation)

Stationeries

- Pens - Pencil, eraser and sharpener - Correction pen - Markers - Staplers with pins - Punching Machine

2. Logistics used in Fitting Station LN-4 hands with pouch Light Socks/ Cotton Cloth (if necessary) Scissors Lighters

3. Logistics used in Training Station LN-4 Hand with pouch Training aids

- Ball pens - Cups - Toothbrush - Bag - Comb - Bucket - Markers

PROMOTIONAL MATERIALS

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PHOTO GALLERY

Registration Desk

Arm Evaluation

Information Sharing to Recipients

Project Promotion in Pashupati Area

Information Sharing at the Community

Poster display at Various Public Places

Registration Station

Tagging Procedure

Fitting Station

Volunteers fitting a hand with necessary instructions

Group Training of Recipients

Recipients using a LN-4 Hand

MEDIA COVERAGE OF THE PROJECT

CONTACT INFORMATION

Rotaract Club of Kathmandu Mid-Town Email: [email protected]

Dr. Chandra Lekha Tuladhar Rtr. Kishor Acharya Mentor/Advisor President (2012/13) RAC Kathmandu Mid-Town RAC Kathmandu Mid-Town [email protected] 977-9849027646 [email protected] Rtr. Prabesh Ghimire Rtr. Anil Dhungana Coordinator Coordinator 977-9849134766 977-9841917883 [email protected] [email protected]

For further information visit us at www.rotaractnepal.org.np.







Documents

Giving Hands-Enabling Mobility Project Report