1

TABLE OF CONTENTS

Contents Page No.

INTRODUCTION 2-3
Background 2
Goals and Objectives 3

METHODOLOGY 4-6
Project Area 4
Project Duration 4
Target group/ Beneficiaries 4
Inclusion Criteria 4
Tools and Techniques 4
Ethical Considerations 5
Work Plan 6

ORGANIZATION OF THE PROJECT 7-9
Project Operations 7
Geographical Coverage of the Project 9
SWOT Analysis of the Project 9

MAJOR FINDNGS 10-11
Age group of the recipients 10
Sex of the recipients 10
Employment Status 10
Lost Hand 11
Reason for Loss of Hand 11

ANNEX
List of Committee Members
Photo Gallery
Promotional Materials
Registration Form
Consent Form



2

INTRODUCTION

Rotaract Club of Kathmandu Mid-Town, sponsored by Rotary Club of
Kathmandu Mid-Town, is a youth-based, non political, non religious,
international social organization established in 1997. It is dedicated to serve
and make a difference to the community following the Rotary International
theme of Peace through Service.

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.

During the routine community service projects of the club, the rotaractors were in a continuous
interaction with the people 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 visit to Bangkok
for RI Convention, which raised our motivation to serve those whom we were unable to support
in the earlier days.

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 mentor/advisor Dr. Lekhas idea of providing a
prosthetic hand that led to the formation of a coordination committee. Finally, the project was
initiated as Giving Hands-Enabling Mobility.

The prosthetic hand is an artificial device used to
supplement the lost part of the hand below the elbow. It
is a simple, low cost, durable, 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 recipients arm,
can support more than 25 pounds of weight.


3

Goals and Objectives

Goal
To support the below arm amputees with the activities of their daily living.

Objectives
To provide a functional prosthetic hand free of cost to the needy.
To facilitate the recipients to use the prosthetic hand in the activities of their daily living.
Rotaract Promotion.

4

METHODOLOGY

Project Area
Giving Hands-Enabling Mobility is a nation-wide project. Therefore, the needy recipients from
all over the nation are registered for a prosthetic hand.

Project Duration
The time period of the project ranges from 16
th
July 2012 to 3
rd
Following criteria have been set up for the candidates to be
eligible as a recipient of prosthetic hand.
December 2012.

Target group/ Beneficiaries
A prosthetic hand that is being provided under Giving Hand-Enabling Mobility is targeted for
all needy candidates, irrespective of cause, economic status, gender, sex, religion, caste and
ethnicity.

Inclusion Criteria
The candidate must be 2 years old or 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 will be
delivered per candidate.

Tools and Techniques

Interview
The registration of the recipients is 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.



5

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 15
th

August 2012 to guide the project with
new strategies.
Organizational Visits
The numbers of governmental and private hospitals, organizations working in the field of
disability were visited to find out the needy recipients. Some the major visited institutions
included Bir Hospital, Nepal Orthopedic Hospital and Nepal Orthopedic Center.

Ethical Considerations
Objectives of the project were clarified to the recipients before the registration.
Written consent of the potential recipients was taken.
Assurance of the confidentiality on sensitive issues was done.
6


Work Plan

July July-Aug Aug-Sep Sep-Oct Oct-Nov Nov-Dec
16-23 24-30 31-6 7-13 14-20 20-27 28-03 04-10 11-17 18-24 25-01 02-08 09-15 16-22 23-29 30-05 06-12 13-19 20-26 27-05
Organization Visits
Registration
Promotion
Fund-raising
Event Day
Evaluation

7

ORGANIZATION OF THE PROJECT

A coordination committee of three members has been formed under the supervision of
mentor/advisor. Further, an executive committee of nine members was formed under the
coordination committee for the effective and efficient operation of the project.


Project Operations

a) Registration
The registration of the potential recipients was direct (desk) as well as through e-mails. Desk
registration was made through the visit of recipients to Spectra Eye and Contact Lens Clinic 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 48
Online Registration (via e-mail) 2

b) Promotion
Numbers of initiatives have been taken into consideration for a widespread promotion of the
project.

Website
The detailed information concerning the project has been made available on our club
website www.rotaractnepal.org.np. The information manual of the project is also available
on www.scribd.com.

8

Facebook Campaign
A facebook page Giving Hands-Enabling Mobility has been formed to provide a day to day
updates of the project. This page has also been established as a forum of discussions.
Moreover, numbers of promotional materials (see annex) of the project has been shared,
which has been the most effective means of disseminating information to the public. For more
information, please follow the link http://www.facebook.com/GivingHandsEnablingMobility.

Radio Interviews
Radio Sagarmatha (102.4 MHz) had 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 19
th
July 2012. Also the president disseminated the project
information through another radio interview on 30
th

July 2012.
Posters and Pamphlets
Numbers of promotional materials have been developed to spread the information to the
public. These materials included fliers, introduction letters, posters, visiting cards, information
manual, etc. These materials were posted on the walls of colleges notice boards, groceries,
tea caf, pharmacies, stationeries, temples and other various community settings. Also, the
materials were distributed to the public.

Information Sharing
The detailed information of the project has been shared to all the Rotaract clubs of RID 3292
and appeal for support was made. Similarly, the information has also been shared to various
Rotary clubs and several other organizations.

As per the need, various techniques of promotion such as district visits, media interviews and
rallies will be implemented.


9

Geographical coverage of the project


As shown in a map above, the registered clients have been reported from 27 districts of which
the highest number of recipients are from Kathmandu (i.e. 9) followed by Nuwakot district (6
recipients).
SWOT Analysis of the project
Strengths Weakness
- Wide spread flow of information.
- Strong guidance from mentor/advisor.
- Fully committed committee members
- Limited budget for program
operation.
- Problems in the registration of
recipients outside Kathmandu
valley.
-
Opportunities Threats
- Good support from FM media.
- Support from various Rotary clubs and
organizations.
- Lack of records of amputees in
hospitals.

10

MAJOR FINDINGS

A total of fifty potential recipients have been registered by the end of August. The analysis of the
information of the recipients showed the following findings

Age-Group of Recipients

Out of the total registered recipients, it was
found that majority of them belonged to the
age group 31-60 years.


Sex of the recipients

The majority of the recipients registered for
a prosthetic hands are males (i.e. 39).



Employment Status

The information showed that despite the hand
loss, majority of the registered recipients (i.e.
22) are employed. However, 38% of them
were unemployed.

16%
34%
48%
2%
0%
10%
20%
30%
40%
50%
60%
<18 18-30 31-60 >60
78%
22%
0%
20%
40%
60%
80%
100%
Male Female
44%
38%
36%
Employed
Unemployed
Student
11

Reasons for loss of hand

Reasons Number of recipients Percentage
Congenital 13 26
Factory accident/ machine cut injury 8 16
Crush injury 6 12
Electric Shock 6 12
RTAs 1 2
Blast Injury 4 8
Fall Injury 3 6
Others 4 8

Left/ Right Loss of Hand

Out of the 50 recipients, 56% were found to
have lost their right hand.


56%
44%
Right
Left









ANNEX

Committee Members

Coordination Committee







Rtr. Kishor Acharya
President (2012/13)







Rtr. Prabesh Ghimire
Coordinator








Rtr. Anil Dhungana
Coordinator

Executive Committee






Rtr. Deepak Upreti






Rtr. Prabin Sharma






Dinesh Rupakheti






Rahisha Maharjan






Ruby Shrestha






Mohan Shrestha







Radhika Bogati







Chudamani Aryal







Basudev Khanal

PHOTO GALLERY



Registration Desk

















Arm Evaluation




















Orientation Session to Recipients





















Project Promotion in Pashupati Area





















Information Sharing at the Community





















Poster display at Various Public Places


PROMOTIONAL MATERIALS














Letter of Introduction
Giving Hands-Enabling Mobility is one of the community service projects initiated by
Rotaract Club of Kathmandu Mid-Town. The goal of the project is to provide a prosthetic 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 Prosthetic 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 recipients
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 rotaractktmmidtown@yahoo.com.
Reg. No: .

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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