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<\/a>Secondly, task shifting has helped in giving the field of nursing a much-deserved boost. Trained nurses and midwives work alongside doctors in city-based obstetric facilities, and independently in more remote health care centers, like health posts and sub-health posts. In teaching hospitals, they act as CAC trainers, and train medical students and other nurse-midwives.<\/p>\n
Nursing is now a very exciting profession in Nepal, according to Kiran Bajracharya, the President of the Midwifery Society of Nepal and\u00a0an Associate Professor of Midwifery at the Maharajgunj Nursing Campus in Tribhuvan University. \u00a0\u201cStudents are so confident, and so empowered these days,\u201d she said. This new sense of empowerment was encouraging women in rural Nepal to come to city for a few years of education, and then return with new found knowledge. These young girls would not be allowed to live in the city, but with their new education, they lead an independent and empowered life in their villages.<\/p>\n
Task Shifting also gives nurses a chance to run autonomous care facilities called birthing centers. An excellent example of such a center stands at the outskirts of Katmandu city. Ms. Laxmi Tamang who runs this center is a nurse trained in obstetric care, and is currently working on her Ph.D. thesis out of a university in Australia. She is also one of the nurses who pioneered the idea of a center that runs on government funds, and the nurses\u2019 own money.<\/p>\n \u201cWe did not want donors involved,\u201d she said. \u201cWe did not want them to tell us what to do, or how to provide service. So, we put in our own money and began one or two birthing centers.\u201d Laxmi and her fellow-nurses were almost running at a loss when they began their grassroots venture. Currently the government of Nepal has stepped in to provide financial aid for centers that already exist, as well as for starting additional ones.<\/p>\n The birthing center Laxmi runs provides women with holistic obstetric care. In the mornings nurses run a small out-patient unit where they do routine ante-natal check ups. On the first floor of the center, they offer two services: normal delivery and CAC. A third room serves as a recovery ward. A 24-hour pharmacy provides women with family planning services. Trained\u00a0obstetricians\u00a0and CAC providers visit on two days to handle complicated cases.<\/p>\n<\/a><\/a>