Community-based pulmonary health support project and COPD control-Promotion of comprehensive pulmonary rehabilitation.

May 16, 2019


The three year project began form 27th February 2019 and will complete on 26th February 2022. This project is supported by Japan International Medical Technology Foundation (JIMTEF) and the project is being implemented in Bhaktapur District. During the project period continuous coordination between JIMTEF, MoHP, TUTH, Bhaktapur Municipality and SOLID Nepal will be carried out.

Background and necessity of the project

In Nepal, patients with chronic obstructive pulmonary disease (COPD) have rapidly increased recently. COPD has become one of the leading causes of death due to high smoking rates, air pollution caused by vehicle emissions and industrial smoke, indoor air pollution caused by biomass fuel and occupational dust. As most of these patients remain undiagnosed and untreated, it is expected that patients may further increase in the future.

Non-communicable Disease (NCD)s prevention and control is gradually becoming a health priority of the nation since it is the one of the goals of Sustainable Development Goals. So far, NCDs prevention and control is incorporated in National Health Policy 2014 and also a separate multisector action plan for NCDs prevention and control has been prepared and implemented. One of the actions of the multi-sectoral action plan is to roll out the PEN packages throughout the country. The proposed project will significantly contribute to implement the PEN packages especially in pulmonary rehabilitation in the Bhaktapur District-as it has higher number of COPD cases compare to other districts and the reason behind are the various socio-behavioral and environmental factors such as smoking, use of biomass fuels, use of motorized vehicles, bricks industries, pottery and other sources of outdoor air pollution. Also, the National Ambient Air Quality Standard has set a standard of 40 microgram per cubic meter to protect public health however, average pollution level in Bhaktapur was recorded to be 83 microgram per cubic meter which is higher than Kathmandu Valley. Therefore, it has been selected as a target area for the implementation of the project.

Project purpose

The main purpose of the project is to improve the quality of life of COPD patients at Bhaktapur District. The project aims to provide pulmonary rehabilitation through Pulmonary Rehabilitation Center with essential equipment required.



Target area and target group

The project area is Bhaktapur District, the smallest district of Nepal with the population of 3,04,651 according to National Census 2068 B.S. The main target are COPD patient of Bhaktapur District. But around 10,000 people will be directly or indirectly benefited from our project.

Expected outcomes

From the project we can predict availability and use of quality pulmonary rehabilitation services and training to health worker from the Pulmonary rehabilitation center at regular basis and access to improved and quality pulmonary rehabilitation services from all the government health facilities of Bhaktapur districts by COPD patients.

Roles and responsibilities of JIMTEF:

JIMTEF is officially registered as an INGO in Nepal from 12 June 2018. The project will be directly supervised and monitored from JIMTEF Nepal’s Office. JIMTEF will provide technical support and guidance to run the project.

 Role of SOLID Nepal

The roles and responsibilities of SOLID Nepal are to;

  • Coordinate with Health Ministry, Municipalities, Tribhuvan University teaching Hospital (TUTH) to implement the project.
  • Work with the line agencies, local government and the targeted health facilities.
  • Monitor the Construction of Pulmonary rehabilitation center.
  • Organize pulmonary rehabilitation trainings as stated in the project activities.
  • Provide equipment for Pulmonary Rehabilitation Center
  • Development of training plans
  • Preparatory training of medical staffs at the center
  • Follow-up training of medical staff at the center
  • Conduct survey to measure the situation of the COPD and effect of the interventions.
  • Awareness activities
  • Provision of pulmonary function testing devices
  • Provide technical training for pulmonary function test.
  • Conduct lung age testing campaign.
  • Comprehensive pulmonary rehabilitation training.
  • COPD control training for female community health volunteers.
  • Implement a post survey to measurement of the effects of intervention through COPD assessment test and analyze the data.


Role of Municipalities:

  • The Bhaktapur Municipality, which serves as the responsible entity for the project implementation and operation, will take budgetary measures for the operation of the Pulmonary Rehabilitation Centers.
  • All four municipalities of Bhaktapur will take budgetary measures for the cost of training programs.





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