It gives me immense pleasure to introduce NCCDF from my perspective. I would like to give a background of how NCCDF was established.
The concept of NCCDF arose when I was pursuing my Clinical Fellowship in Adult Critical Care Medicine at University of Toronto. Every time I was in hospital and working with patients, I use to be very happy and excited and had tremendous job satisfaction. Whereas when I was back in Nepal, there was always some stress or other. Then I realized that the source of my satisfaction in work were the resources that I had. Being in Canada, and Health Service Ontario paying all the patients charges and all utilities and equipments being free to the patient was a big boon. Not a single person, including patients, families, healthcare workers had to worry about drugs, utilities and equipments whereas in a poor country like Nepal, we might have to even wait for hours after ordering an IV cannula for the patient family to buy and bring. At times, I also wished I could collect those disposables that we waste and bring it to Nepal, and wonder that would last another few years (some could be recycled).
With these thoughts, I was wondering if we could have some institution that can help in this regard. My thoughts became more energized after I met Dr. Redouane Bouali at University of Ottawa, Civic Campus and he explained the possibilities of my thoughts. We discussed and concluded that all of this was possible because of Department of Critical Care Medicine being a separate faculty in North America, and has separate budget, economic resources. Once the department and faculty becomes separate, then it will be more easy to concentrate on development of that speciality rather than trying to uplift whole health care of the nation, which is more of a responsibility of the state. What the department earns can utilise in its development. Dr. Bouali suggested that we should establish an NGO that could support the development of Critical Care Medicine, not only in an institution but also across Nepal, which will try to gather support from people around the world who will like to develop Critical Care Medicine and ICU services in Nepal. After this, I put this thought to my Attending Consultant, at University of Toronto, Dr Laura Hawryluck, who was also very much keen to help and develop CCM in Nepal.
And after my return to Nepal, I started my career at my home institution, Institute of Medicine, as the First Intensivist in Nepal, from July 2012. I then sat with my friends Dr. Archan Adhikari, Dr. Pramesh Shrestha, and Dr Diptesh Aryal and discussed about it. These three friends of mine have always been a great help and support to me in multiple aspects of my life and career. Then, we started looking for someone we could resort to opening and registration of NGO, and found a young enthusiastic person, Mr. Nipesh Acharya. With his academic background from Norway, and vision to support the organisation, we included him in the team. Then we formed an adhoc committee and registered the NGO as Nepal Critical Care Development Foundation (NCCDF). Once NCCDF was registered, the adhoc committee became the Founder Executive Committee and then Dr Redouane Bouali and Dr Laura Hawryluck were involved as International Members. Mr Nipesh Acharya, the General Secretary of NCCDF, who pursued all the administrative and managerial hassles, was appointed as Managing Director for NCCDF who is now working for smooth functioning of NCCDF.
And now, NCCDF is working to achieve its goal to develop Critical Care Medicine in Nepal. NCCDF will now start supporting Academic institutions, Professional Societies in conducting CMEs, Workshops, Seminars, Trainings and other aspects of Critical Care Medicine.
Above all, I would like to express my sincere gratitude to all individuals, institutions, societies who are dedicated to serve critically ill patients. Lets work together to care for these patients. They need us. Your support in any form will be valuable for us.
Dr. Subhash P Acharya, MBBS, MD, FACC
Critical Care Physician (Intensivist),
Clinical Coordinator, Intensive Care Unit,
TU Teaching Hospital, Institute of Medicine (IOM)