Rationale of selecting KGCH as SMRC

Since fiscal year 1999 Epidemiology Disease Control Division (EDCD) has been providing. training on snakebite management yearly in Biratnagar, janakpur, Bharatpur, and Nepalgunj to Medicos and paramedics for about 3 days (EDCD 2003). Till date 1000 medicos and paramedics has got snakebite management training. Despite 11 years practice of training. the snakebite mortality rate has been slightly reduced than past years (Thapa and Pandey 2009). Also, its effectiveness has not been studied yet.

Because of time and financial constraints, faculties and participants got trouble to stay in entire training duration. So, first and last day are always disturbed. So, this center may provide the regularity and punctuality of all the faculties and participants since it will be only one center in Nepal. So. the participants will get better and enough knowledge on snake and snakebite.

Annually. the participants (if from previous treatment center), will be compelled to brine, general shakebite management progress report. Hence, we will provide impact of trainings annually to those who donate (e.g. Nepal Government) us for the training and other educational programs.

So. we would like to assure donor agencies that we will provide effective trainings to health personals based on progress reports and past experiences.

The participants could not get enough educational materials (like books, booklets, posters, photocopies, CDs. snake specimens etc.) because most of budgets were separated to travel accommodation. foods and allowance of faculties and participants. Financial limitation hindered to provide quality learning with educational materials. Since snake species identification is very important to appropriate snakebite management, the training shall be carried out in such a place where snake species (live or specimens) become easily available. But previous trainings were not carried out in such places. Hence, learning could not be very effective. In this way, decentralized trainings and lack of dedicated snakebite management and research center in Nepal, the existing educational (training) and research programs have not been very effective in our general review. Hence, it is national demand of making centred snakebite training and research center. ln these circumstances, SMRC will be in KGCH that provides every necessary space and in infrastructures.

KGCH has its own seminar hall and museum specimens. And, in near future. it is going to farm snakes for biomedical research. All of these will be very important tools for better learning in cheaper way.

KGCH is located in highly Snakebite prone district 30 km far from Bharatpur and about 200 km far from Kathmandu and beside East-West (Mahendra) highway. Moreover, it lies almost in central part of lowland Nepal geographically. lt is connected by bus anytime from every part of snakebite prone districts in Nepal. Hence, we envisage previous travel expenses in regional trainings will be saved. The saved money may be applied to provide additional educational materials very important to participants, Hence, KGCH will be appropriate center for SMRC.

Moreover, it is only one and lirst private hospital providing snakebite treatment since I993. Hence. we assure the participants and faculties will get opportunities to learn sign. symptoms, and treatment procedures in real practical settings in this center. ln addition. we have been designing to carry out several researches on snake and snakebite for appropriate management in this center. Hence, participants will also get appropriate knowledge and updates of research findings each year.

All the faculties will be available in this center for entire duration of training package in early snakebite session of each year. Since faculties and participants will board at same guest house, participants will get enough knowledge in or out of training programs both Formally and informally. All of these conclude that KGCH will be the appropriate SMRC.

For its sustainability and extra activities, this center will generate funds from other related national and international institute in addition to regular annual funding of Ministry of Health.
Nepal Government. So, snakebite management can be very effective and SMRC will be sustainable.