Rapti Academy of Health Sciences (RAHS)

Rapti Academy of Health Sciences, Ghorahi, Dang is an institution committed to excellence in Medical Services, Medical Education and Research. The Legislature-Parliament unanimously endorsed the "Rapti Health Science Academy Bill, 2074" on 10 October 2017. Following the government's resolution "One state one medical college in each province", the bill was passed with the aim of promoting the Rapti Sub-Regional Hospital into Rapti Academy of Health Sciences in Lumbini Province.

This is a landmark step towards expanding medical access to the public in the region. The service will be outstanding, innovative, and patient centered care transforming the health care delivery system in the region. RAHS apart from being the hub hospital of this region, it serves to be the primary tertiary referral centers. Its catchment areas include Kapilbastu, Arghakhanchi, Rukum, Rolpa, Pyuthan, Dang, Salyan, Banke, etc.

Vision

RAHS will be national leader in education, research and patient care, recognized for supporting and empowering its students and faculty to realize their passion for discovery, healing, health and life and for its ability to transform medical education, health care and research.

Aim

Rapti Academy of Health Sciences (RAHS) has been established by an act of Parliament of Nepal with the following major aims:

• To produce qualified manpower in health sciences starting from undergraduate to postgraduate.

• To provide quality education.

• To provide high quality health service to the people of Nepal .

• To conduct research in health sciences.

• To upgrade the specialty health services and research in different parts of the country.

Mission

To inspire and educate individuals to be exemplary physicians, leaders in medicine, scholars in discovery and pioneers in innovative technology to improve the health and well-being of all.
Patient centered education is achieved by outstanding medical care and services, ground breaking research, and leading edge medical and biomedical education enriched a diverse population.

Goals

• Excel in medical and biomedical education

• Excel in medical science and health care

• Provide outstanding innovative service and create while transforming health care delivery

• Achieve distinction in advancing inspiring infrastructure to support the future of medical science and health care

OPD Services at RAHS

OPD Facility Services: RAHS runs Outpatient Department Services (OPD) from Sunday to Thursday (Full time) and on Friday and Saturday (Part time) through its various departments.

ENT, Opthomology, Dental, Radiology, Psychiatry, Orthopedics, Pediatrics, Physiotherapy, Dialysis and Nutrition. It has recently added "urology subspecialty". As a non-practicing institute of the region, patients get services through Extended Health Services (EHS) after OPD hour.

Over the past year, RAHS has revolutionized in the hospital health services. The number of OPD patient exceeding more than 700 per day along with increasing number of laboratory test and emergency more than 90 percent is a reflection of RAHS proving itself as a successful tertiary center.

The modern Operation Theatres, ICU, Dialysis Unit, NICU/ PICU, Maternity Unit, Emergency Ward, Geriatric Ward, Pediatric Ward, Medical Ward, Post Op Ward, Private cabin provides better glimpse of services.

Now RAHS has metamorphosed in such a short span of time. Away from the evolving changes in infrastructure, increasing number of human (HR) resources has definitely been a great support in executing quality services to the people of this region. Today RAHS stands to be a family of 435 members.

Major and Minor Departments at RAHS

Medicine and Geriatrics

Department of Medicine serves the patients with medical issues of various organ systems. The various services provided by the department are as follows: a) OPD for communicable and non-communicable disease through Pulmonology, Cardiology, Hematology, Nephrology, Neurology, Gastroenterology, Hepatology, Infectious disease, Endocrinology services. b) In-patient Medical Ward c) Geriatric OPD and Geriatric Ward d) Day care procedures including Hemodialysis, Endoscopy services, ECG and Echocardiography services e) Services to people living with HIV through ART clinic f) Services to people diagnosed with Tuberculosis through DOTS clinic

Services to people diagnosed with Sickle Cell Disease and Thalassemia through Social Service Unit.

General Surgery

General Surgery is a major department in RAHS which provides various kinds of services in Out patient and In patient Department. Range of services are provided by our consultant and skilled surgical unit. All surgical procedures including cholecystectomy, appendectomy, hernia, anorectal and vascular diseases are provided as per protocol under our surgical unit. Emergency services like acute abdominal surgery, trauma, and burns are being performed. Recently, Urology as a subspecialty service has been added under general surgery department providing Urology specialty in RAHS.

Orthopedics & Traumatology

Skeletal frameworks are formed by bones around which various body organ are placed. It gives us a form and also helps us to move around and perform necessary actions. However, bones can become weaker & joints can be worn out and injured if they are not well taken care of.

At RAHS, we can take care of any problem that may arise in your bones; joints. The team of orthopedic surgeons in our department can take care of any difficulties arising in your bones, joints and help solve your problem so that you can get back to your normal life & live it to the fullest.

Department of Orthopedics & Traumatology at RAHS is renowned for the sophisticated level of patient friendly treatment. At RAHS, we have treated and have a series of successful joint replacements. With the help of sophisticated joints in joint replacement, we are able to cater almost all orthopedic needs of our patients, simple or complicated.

The back which includes the body is a vital organ and the back-ache is one of the common complaints the patients come to the hospital for. Our specialized team of surgeons ensures the orthopedic patients are treated either with medicine, physiotherapy. Beside this our team has successfully treated operative management of spinal injuries patient.

A dedicated team of trauma surgeons take care of trauma, which mostly involves the limbs and the bones. With no delay, the surgeons manage trauma immediately and procedures are planned and executed so that the patient can have early recovery and less chances of complications.

Obstetrics and Gynecology

"Transforming Communities by Enhancing Women's Health."

The health of women is not only the capital but in a true sense it is also the capital of a community, a province, a country and the world. This belief of Department of Obstetrics and Gynecology of Rapti Academy of Health Sciences, Dang establishes itself as one of the largest and busiest department of RAHS. Apart from rendering quality care to the people of Lumbini Province as well as Nepal Province, our effort to uplift the communities health has been emphasized on proper counseling, safety, patient autonomy and privacy as well.

Our Services at RAHS

A. Out Patient Department

(i) Antenatal clinic

(ii) High Risk Antenatal Clinic

(iii) Safe Motherhood

(iv) General Gynecology

(v) Immunization and Family Planning

(vi) Urogynecology

(vii) UV Prolapse Screening and Management

B. Inpatient

(i) Gynecology and Obstetrics Wards

(ii) ICU

(iii) Operation Theatre

(iv) Post-operative ward

(v) Private ward

C. Maternal and Child Health Care (Safe Motherhood Program)

24-hour services available under Safe Motherhood program

(i) High-risk Antenatal ward

(ii) Pre-delivery Antenatal wards

(iii) Postnatal wards

(iv) Abortion Services (Post abortive care - PAC)

(v) Counseling Room

(vi) CTG Services

(vii) NICU, PICU

D. Procedure/Operative Services

(i) Hysterectomy (Total, Subtotal, Vaginal)

(ii) Myomectomy

(iii) Laparotomy

(iv) LSCS

(v) Hydro tubation, Marsupialization

(vi) D & C: uterine exploration, etc.

Academy Activities

We currently are involved in training and teaching paramedics (like HA, SN) and MBBS students (Pre-intern and internship) allocated from MOH (Ministry of Health and Population)

Our Activities:

1. CME

2. Bed Side Teaching

3. Problem Based Learning

4. Medical Audits

5. Research and Publications

Pediatrics

Children are the future heritage of every nation who is going to take responsibility of the various aspects of nation building. Healthy childens' expected account, health and wellbeing of every child is the top priority of nation. Due to poverty, unemployment and illiteracy, pediatric population are being deprived of basic, essential and preventable health schemes in developing and low-income countries like Nepal. To address this need by surgery, RAHS has been regarding Pediatrics department as special part of hospital services since its establishment.

With the mission of "Dedicated to serve every child with trust and love", Department of Pediatrics has been providing quality, evidence based, patient care and patient centered care for different age group of children who visit RAHS from wide geography of western Nepal with firm belief and expectations.

Available Services

1. Outpatient Department

• Day wise different subgroups of patients

• Sunday, Thursday, Friday - General Pediatrics

• Monday, Wednesday - Pulmonology

• Tuesday, Thursday - Neonatology

2. Inpatient

• a. General Pediatric Ward(10 bedded)

• b. Neonatal Intensive Care Unit(8 bedded)

• c. Pediatric Intensive Care Unit(8 bedded)

• d. Nutrition Rehabilitation Home (6 bedded)

3. Emergency services

Three Pediatric friendly cubicles with monitors are allocated in newly opened well equipped ER where sick child are stabilized and transferred to respective areas.

Department of Emergency Medicine and General Practice

Department of Emergency and General Practice is the major department of any hospital and academic health institutions with high responsibility.
The mission of RAHS Department of Emergency And General Practice is to deliver outstanding emergency and OPD care for our patients through excellence in clinical care, education, research and innovation.

RAHS hospital has been providing 24-hour accessible, high-quality services for diverse population with non-negligible life-threatening illnesses and injuries. We provide the highest level care for all patients with the support from in-house and emergency department is equipped with 2 ER bays, a minor operating room, a delivery room and well equipped minor operation theatre with 2 NICUs. We provide a variety of FAST and extended diagnostic services for critically ill and trauma patients. Beds and spaces are separated as Red, Yellow and Green zone. Patients are kept in the Red Zone until they are stable.

Department of Emergency and General Practice is staffed with ? Professors, junior faculties, medical officer, interns and house staff including staff nurses.
We are committed to providing best in emergency services with easy availability of medical personnels and specialty services.

This department sees approximately >30000 patients (21000 emergency and 9000 OPD) cases/year.

Academics Progams

We are involved in training and teaching paramedics (HA, SN) and MBBS students (Pre-intern and internship) allocated from MOH (Ministry of Health and Population) and BN and BSc Nursing students.

Postgraduate program

Postgraduate program for General Practice and Emergency Medicine (MDGPEM)will be started under our department this year once approved by MEC. The curriculum is not only limited to medical expertise but also other competency domains like coordination, communication, leadership, professionalism, collaboration and health advocacy, which are vital for a competent GPEM specialist.

Training

We are conducting following trainings:

• Basic Life Support

• ACLS

• Primary Trauma Care

• CME programs

Otorhinolaryngology (ENT-HNS)

The Department of Otorhinolaryngology (ENT-HNS) deals with a broad spectrum of Medical as well as Surgical treatments for ear, nose and throat related problems for the patients from Lumbini Provinces, Karnali as well as from certain parts of India (Boarder Area). The department of ENT-HNS of RAHS is a combination of innovation expertise and excellent patient care.

Facilities

The Department of ENT is equipped with sophisticated operating Microscopes, diagnostic Endoscopes and Audiology labs.

Treatments

We have a wide scope of skills for treating various diseases of Ear, Nose and Throat.
Endoscopic as well as Microscopic Surgery

• Myringoplasty

• Tympanoplasty

• Mastoid Surgery

• Ossiculoplasty

Nose

• Functional Endoscopic Sinus Surgery (FESS)

• Septoplasty

• Rhinoplasty

Throat

• Thyroidectomy

• Adenoidectomy

• Thyroid Surgeries

Parotid

• Submandibular Gland Surgeries

Esophageoscopy Bronchoscopy

Urology

It is a new subspecialty added in the hospital service with the aim of providing care in urological disease. Services provided here includes minimal invasive surgeries that includes PCNL, cystolithotomy, cystoscopy, TUR- P etc. The department hopes to provide highly standard services.

Ophthalmology

The Ophthalmology department of RAHS provides comprehensive range of medical & minor surgical eye care, dedicated to excellence in prevention, enhancement & restoration of vision, for all age groups. Here, at RAHS, our team provides individual attention and treats each patient with their needs in mind. Our team helps patients with refractive errors, dry eyes, glaucoma, cataract, retina problems and other systemic eye problems like diabetic retinopathy, emergency with intraocular lens implantation in the near future.

Our integrated health system also enables us to collaborate with physicians and other specialists to develop a tailored treatment plan to help restore, improve or restore vision.

We have one ophthalmologist, one optometrist, two ophthalmic assistants and one office assistant within the department. OPD services including directly referred to OPD or through eye OPD cases. We have a point installation inside within the department which facilitates us in providing glasses prescriptions and consultation.

Pathology

Central laboratory Department is the largest department of RAHS comprising of 25 staffs and equipped with state of art facilities and infrastructures. Our Central laboratory is a primary part of medical practice and plays crucial role in early detection, diagnosis and treatment of patient. We aim to provide reliable and quality testing as diagnostic medicine for the people of Lumbini Province.

Our Services at RAHS

1. Fine Needle Aspiration Cytology (FNAC) & Fine Needle Biopsy (FNB) for diagnosis of various lesions.

2. Exfoliative cytology test for detection of various diseases including cancer.

3. Cervical cancer screening with PAP smear

4. Peripheral blood smear examination for detection of blood disorders like anemia, clotting/coagulation disorders, infections and blood cancer.

5. Routine biochemistry parameters like Complete blood count, Cardiac Troponin Thyroid function test, Renal function test, Liver function test, Lipid profile, Diabetes screening, Serology for HIV, Syphilis, Hepatitis B/C etc.

6. Microbiology culture and sensitivity testing.

7. PCR test for COVID-19/ Gene Xpert for Tuberculosis

8. Histopathology, Cytology.

9. Immunology and Hormone assays

10. Services to be added in near future are Histopathology, Bone marrow aspiration and Biopsy, Blood bank service including Immunology screening, serology and ELISA test

• Involve in laboratory research and publications.

Radiology and Imaging

"We work to provide quality radiological services for best patient management"

This well-equipped department is one of the largest departments at RAHS, the only public medical institution to have large services in the Lumbini province and west part of the country, providing qualitative and quantitative services to people residing in Lumbini and Karnali provinces.

Our Services

A. Diagnostic Radiology

1. ULTRASOUND (USG) Service

2. X-RAY Service

3. Computed Tomography (CT) Service

4. Magnetic Resonance Imaging (MRI) Service

5. Image-guided procedure

B. Interventional Radiology

Image-guided therapeutic procedures

1. Drain placement.

2. Image-guided therapeutic drainage.

3. Image-guided PTBD, PCN placement

Psychiatry

RAHS is the only hospital in Dang district to provide regular psychiatric services with notion that mental health is an integral part of health care system.

In Nepal where there is 0.22 psychiatrists for one lakh population currently department of psychiatry, RAHS is able to facilitate the services. Newer service such as ECT has been started.

This department provides outpatient as well as inpatient services. These services include treatment and management of depression, anxiety disorder, psychotic disorder, substance use disorder, school related emotional disorder, suicide issues and counseling and psychotherapy are also available. Along with this, under going patients from Rolpa and Rukum are also making psychiatric care visit.

In near future the department will start services as EEG, community services, etc and aim to minimize unmet mental health needs.

Anesthesiology & Critical Care

The department was established with the academy in 2017. It provides regular hospital services in form of Anesthetize for Elective and Emergency Surgeries, Day Care anesthesia, pre anesthetic checkup, intra and post-operative Pain Management.

The department takes charge of 10 bedded ICU patients and attends call for critical care in emergency and wards.

The department is set up to continue medical education, acute and chronic pain management service, research activities, anesthesia for modified electroconvulsive therapy and expand ICU beds and services as per need. Procuring further advanced equipment’s and strengthening its current services are in the minds in addition to continuing the excellence in education and research activities.

Services:

• Anesthesiology => Routine, Emergency & Day care Anesthesia.

  • Preanesthetic Check up.

  • Post operative pain management

• Intensive Care Unit=> Covid and non covid.

Forensic Medicine

Forensic Medicine is a field of medicine which acts as a bridge between medicine and law and this department has been dealing with various medico-legal cases.

Services that we provide:

• Medico-legal autopsies,

• Age Estimation

• Injury examination

• Drunkenness examination

• Medicolegal examination of victim and perpetrators of sexual assault

• Torture victim examination and various other medicolegal cases.

Similarly, other gender-based violence related cases are also being frequently examined in OCMC.

This department is being headed by Forensic Medicine Specialist Dr. Bibuthi Sharma and is being assisted by various efficient medical officers. The Department has also been helping the legal system frequently by visiting the courts as an expert witness. It has almost all necessary equipment’s for conducting medico legal autopsies and sample collection. There are also facilities for the storage of dead bodies.

The department is in its growing phase and has planned to develop Toxicological Gardens where we can grow various plants of Toxicological values so that undergraduates and Postgraduates can learn toxicology and also has planned to establish museum for teaching learning process.

Dermatology

Dermatology Department in RAHS provides care for Medical and Surgical Dermatology problems. Department provides services for Skin, hair and nail related disorders, Venereal diseases and Leprosy and related problems.

Procedures performed in the department:

• Skin Biopsy
• Electrocautery surgery
• Intralesional Injection
• Ear keloid
• Cryotherapy
• Nail surgery
• Vitiligo
• Chemical Peeling
• Vitiligo surgery
• Scar Management
• Scoputing
• Cyst excision
• Chemical cautery

Dentistry

Our department deals with screening, diagnosis, prevention, and treatment of oral health; diseases of teeth, gums, and supporting structures; and diseases of the soft tissue of the oral cavity.

Services that we provide from our department:

• Regular dental check-up

• Oral prophylaxis and OHI (Scaling)

• Extraction of mobile teeth or those teeth that cannot be restored

• Restoration/filling of decayed tooth

• Endodontic procedures (Root canal treatment, pulpectomy)

• Replacement of missing teeth

• Minor and major surgical procedures

• Periodontal surgery

• Correction of misaligned or irregularly placed teeth

Academic Programs

Research Activities

1. On the process on accreditation of institutional review committee (IRC) from Nepal Health Research Council (NHRC)

2. On process of publishing Journal of RAHS

3. Various teachings related to research activities.

Contact Rapti Academy of Health Sciences's administrative office for detailed information on the course, admissions, location, fees, scholarships, facilities, counseling or eligibility.

Contact Office:

Rapti Academy of Health Sciences,

Ghorahi -14, Dang.

082-563976, 082-563973

Liaison Office:

Rapti Academy of Health Sciences,
Buddhanagar, Kathmandu
[email protected]
+977-01-5431215