i

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





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





Rtn. Anil Tuladhar (Rotary Club- Swoyambhu)
Mrs. Vijaya Manandhar
Rtn.Suman Shakya (Rotary Club- Balaju)
Rtn. Ranjit Acharya
Prem Kumar Sharma Poudel


iv
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 didnt 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
Giving Hands- Enabling Mobility Project
2
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 5
th
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 advisors idea of providing a prosthetic hand.
Idea of project generated at RI Convention
Coordination Committee: Project Discussion
Giving Hands- Enabling Mobility Project
3
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 recipients 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.


Giving Hands- Enabling Mobility Project
4
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 16
th
July 2012 to 3
rd
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.



Giving Hands- Enabling Mobility Project
5
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.
Giving Hands- Enabling Mobility Project
6
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
Giving Hands- Enabling Mobility Project
7
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 19
th
July 2012. Also the president
disseminated the project information through another radio interview on 30
th
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 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 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 15
th

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
Giving Hands- Enabling Mobility Project
8
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
Giving Hands- Enabling Mobility Project
9
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 patients 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
Giving Hands- Enabling Mobility Project
10
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).













Giving Hands- Enabling Mobility Project
11
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
Giving Hands- Enabling Mobility Project
12
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%
Right
Left
Both
Giving Hands- Enabling Mobility Project
13
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
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.




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)


==-=

=== =-= -+==, -: -
--, + cc+-, = = Rotaract
Club of Kathmandu Mid-Town = ===- =+ ++= -- - ==+ Giving
Hand- Enabling Mobility +==-+ -=- =-=+ =a=- --- ---c+ =
|++ c


== == +==-=: = == ~++ c ~-== == ==-+ +- +- -
=|= +=-+ --= - =-= -- += == =-|++ c

== - =a+ -=
s=-
---






= =

=+ -=
s=-
---






= =




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 Volunteers
Attendance Sheet.
Take registration of all the visitors attending the formal session, in a Visitors 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
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 its 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: rotaractktmmidtown@yahoo.com



Dr. Chandra Lekha Tuladhar Rtr. Kishor Acharya
Mentor/Advisor President (2012/13)
RAC Kathmandu Mid-Town RAC Kathmandu Mid-Town
racs@wlink.com.np 977-9849027646
mekishoracharya@gmail.com


Rtr. Prabesh Ghimire Rtr. Anil Dhungana
Coordinator Coordinator
977-9849134766 977-9841917883
prabesh45@gmail.com anil.dhungana1990@gmail.com


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