Background of the Amppipal Hospital

1951 - King Tribhuvan reestablishes monarchy.

1955 - 8.5 million inhabitants in Nepal, 90% farmers.

1957 - "Gorkha project" established by Jonathan Lindell from United Mission to Nepal (UMN). A six days’ walk West from Kathmandu a dispensary and
           a school was approved in Amppipal village. Two nurses, Becky Grimsrud and Nora Vickers, work alone in a shed.
           The literacy rate in the region was 2%.

1958 - A dispensary made from stone is built.

1960 - In November Dr. Helen Huston from Canada arrives to support the nurses until January 1961 and again after 1963 until the 90’s.

1965 - 2.500 students were enrolled at Gorkha schools started by UMN.

1968 - 25.308 patients were seen this year in the dispensary, 288 operations.

1969 - March 25, move to the new hospital building at a resting place (chautara) 15 minutes’ walk below the village.

1971 - Drs. Tom and Cynthia Hale join the Amppipal Hospital team.

1982 - Book burning at the hospital by communist village youth amidst political unrest in Nepal, affecting the hospital until 1984.

1985 - Canadian Dr. Del Haug is a senior member of the medical team. He is a primary care physician. The team also includes a specialist surgeon
          from Canada, a physician from the UK specializing in pediatrics and an Australian General Practitioner.
1985 - In 1985 Nepal has a population of 16.0 million people. It is one of the poorest countries on the planet. For the country as a whole, 
          life expectancy at birth is 51 years, infant mortality is 12%, mortality for children under 5 is 17% and maternal mortality is 13%. At least
          74% of the country’s population is illiterate. These percentages are higher in rural areas which have little access to health care and

1985 - The vast majority of patients attending the Amppipal Hospital are subsistence farmers who live in poverty.
          Ether anesthetics are used for major surgery. There are only 7 qualified anesthetists in Nepal – none work outside Kathmandu.

1990 - Democratic parties start to govern the country.

1992 - 23.0 million inhabitants in Nepal.

2001 - UMN leaves Amppipal hospital. One Nepali doctor is left, working in part time. The hospital is run by a local board under authority of the Nepal
2003 - Babu Ram Giri is hospital manager. Dr. Wolfhard Starke, surgeon from Germany, serves the hospital voluntarily until March 2012,
          becoming medical director. Nepalmed, a small German non-governmental charity organization, begins supporting the hospital with staff,
          funds and material. 28 employees at the hospital. Siemens x-ray installed.
2004 - A modern dental chair unit is being installed and manned with support from Dentists Without Limits, Germany. Local personnel trained as

2005 - December 25, the first road from the village to the hospital is built by funds from Dr. Starke and Nepalmed.

2006 - August, Hospital receives a first Ambulance car from the Indian Embassy.
2007 - The first of several medical studies by Nepalmed looks into maternal and child health care, followed by a study on respiratory diseases 2009
          and allergic diseases 2011. Every year, a number of week-long camps in medical specialties by Nepalese and German doctors.

2008 - A campaign to build smoke-free ovens starts in Amppipal Village Development Committee (VDC).

2011 - Photovoltaic electricity and solar warm water for patient bath are installed at the hospital with support from the German embassy.

2012 - March 2012 until December 2013 – interim period with no permanent doctor at the hospital. Multitudes of short term assignment doctors
          fill the gap, some with support from Senior Expert Service, until the new surgeon is found in Germany. Young Nepali doctors work on short
          term base, supported by Annapurna Neurological Institute Kathmandu.

2012 - The new building for operation theatre, labour ward and gynaecology ward are opened, financed by Nepal government and Nepalmed.
          New laundry and first canteen opened. Approximately 29.0 million people live in Nepal. In Amppipal Hospital 19.175 patients were seen
          out-patient and 2.126 on the wards, 144 normal deliveries, 42 cesarean sections, 1.078 surgical procedures.

2012 - September, Prime Minister Dr. Babu Ram Bhattarai visited the Hospital and appreciated the service provided by the hospital. Smoke free ovens
          starts in neighbouring VDC Palungtar and Harmi.

2013 - A waste incinerator is installed with support from the German embassy, Hein Stahl from Interplast and Nepalmed. Mobile x-ray installed in
          operation room. Medical school is revitalized, supported by Schoeck Family Foundation Germany, starting teaching local staff and surrounding
          health post workers. Application for a nursing school is submitted. The hospital features 55 beds and revenue covers for the salary of the 51

2013 - October, Amppipal hospital has its own MBBS doctor, trained with support of Nepalmed. A total of 4 young Nepalese doctors work in the
          hospital together with two German doctors from Rotary and Nepalmed.
2013 - December, 3 personnel from the hospital take part in the world wide first European Spirometry Driving License  course in Kathmandu,
          organized by Dr. Arne Drews with the European Respiratory Society.


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