Project Description

Project ID

06BH001

Project Type

Funded Project - Normal Project

Project Title

Snakebite Management in Bharatpur Hospital, Chitwan, Nepal

Project Summary

Snakebite is a major but neglected public health problem in southeastern Nepal (Sharma et al.2004).  Pandey 2005 could not provide the accurate records of mortality and morbidity in venomous snakebite in relation to types of snake, time taken to arrive hospital, practice of treating before arrival in the hospital as the study was purely the field based. Sparse studies have been conducted so far as to know the snakebite management in Nepalese hospital which complicate the public health problem. Hence, this study will have an invaluable endeavor to draw attention to some of the aspects of snakebite management at Bharatpur hospital.

Location

Bharatpur Hospital
Bharatpur -10
Chitwan, Nepal

Time Frame

July 2006 to December 2007

Institution

Parasitological Research and Socio-Environmental Development, Nepal
Central Department of Zoology
Tribhuvan University
Kirtipur, Kathmandu

Contact

Deb Prasad Pandey
c/o Ass. Prof. Dr. Ranjana Gupta
President, Parasitological Research and Socio-Environmental
Development, Nepal, Central Department of Zoology
Tribhuvan University
Kirtipur, Kathmandu
Nepal

Email: debpandey@gmail.com
Telephone: 00977-056-531516 (Res.)
Fax: 00977-056-530136

ANMF/Nepal Project Manager

Ngawang Choedon Lama
NgawangChoedon@anmf.net

ANMF/America Project Manager

Fred Shepardson
FredShepardson@anmf.net

Project Description

I am institutional member of Parasitological Research and Socio-environmental Development, Nepal (PARSED, Nepal. I have been teaching Medical Zoology for Bachelor Level students in Science faculty in Birendra Multiple Campus, Tribhuvan University, Chitwan. In 2005, I have accomplished a research work entitled on" Epidemiology of Snakebite in Chitwan and Nawalparasi districts, Nepal" under the financial support of University Grant Commission, Nepal. That study was purely field based. This paper has been in press for its publication in Journal of American Toxicology.

Hereby, I would like to request you to provide me mini research grant so that I could compare my field based work and add the facts which could not be documented in previous research.

Material Requested

Some original research articles relevant to this research topic.

Training Requested

None

Advisors/Instructors Requested

Dr. Chhabilal Thapa (Toxinologist)
Senior Medical Officer
Dumkauli Health Center and Kali Gnadaki Hospital
Nawalparasi

Travel/Expenses Requested

None

Grants/Stipends Requested

Mini research grant has been requested here.

Other Items Requested

None

Total Funds Requested

$386.73

Budget

TA and DA for researcher

1 researcher @4day/month@ 6 months@ @$2.7/day= $64.8

Materials

Registers for recording different data on snakebite in emergency and medical ward= 2 recording registers @ $13.51/piece = $27.02

Travel cost directly related to research

For double way communication

Bharatpur to Bharatpur Hospital, Chitwan

1 research asst.@4 times per month@6 months@ $1 = 24.00

Other costs

a. For orientation programme for medical staffs at Hotel Gangotri for a day

i) For breakfast

10 ind. @ $1.35= $13.5

ii) For Lunch

10 ind. @ $2.7= $27

iv) For copy, pen, hands out etc.

10 ind. @ 1.35 = $13.5

v) For Programme Hall charge, Powerpoint Projector, Computer on

hire for 1 day @ $27 = $27

vi) For resource person

1 ind.@$13.5@ 1 day = $13.5

v) For incentive to participants

10 ind. @ $6.7 = $67

b. For report preparation

i) For progress report preparation

1 report @$6.7= $ 6.7

ii) For final report preparation

4 pieces hard binding report @$13.51= $54.05

Overhead cost = $35.15

Total Budget requested= $386.73

Additional Information

None

Project Status

6/10/06 Request received by ANMF/Nepal
8/14/06 Projects Committee approved the proposed project
8/24/06 $400 transferred to ANMF Nepal
2/11/07 Memorandum of understanding signed between ANMF Nepal and Parasitological Research and Socio-Environmental Development.

6/4/07 Under peer review by Nepal Health Research Council (NHRC), Ministry of Health and Education
7/4/07 Dr. Pandey reports:  The topic approved by ANMF has been amended to "Variation of ASVS vials with respect to first Aid, duration of bite and means of transport", as per the suggestion of ethical clearance board of NHRC. So, I have been collecting data to meet up the objective of amended research topic that is quite specific. We collected data on April onwards while the proposal has been under consideration by ethical clearance board of NHRC because of seasonal case of snakebite problems. It was done as per the suggestion of officer of NHRC - (Sharma sir). However, we have studied 14 envenomed cases till today. Interestingly, the highest ASV consumption is 94 ASVS vials and minimum is 28 vials. We will analyse the data partially while the case number exceeds 25.
7/16/07 NHRC has exempted the fees to only Rs.1000. $400 transferred from ANMF/Nepal to snakebite project.
8/20/07 Progress report submitted to ANMF. 21 snakebite victims studied to date.
9/20/07 Presentation made to Venom Week 2007 Conference.
11/17/07 Final report, to be presented at 14 December 2007 the 6th Asia Pacific Association for Medical Toxicology conference in Bangkok, submitted to ANMF. 39 victims studied.
11/27/07 Project completed.
12/4/07 Final report will not be able to be presented at Bangkok conference for lack of travel funds.
12/318/07