A Glimpse of Our History

  Who We Are

Sano Paila (A Little Step) is a member-based, non-governmental, non-partisan organization working towards community development in the socially marginalized and impoverished regions of rural Nepal. Committed to redefining the development sector in Nepal, we take a bottom-up approach to development. We have a track record of diagnosing the most complex problems at grassroots level, conceiving innovative models to solve those problems, and effectively implementing programs by employing diverse and inclusiveimplementation teams.Our people are our assets, and the single biggest factor for our innovation and continual success in program implementation is our organizational commitment to diversity and inclusion.

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“Building unified, self-reliant, and empowered communities to build the nation”

Sano Paila aims to build unified, self-reliant & empowered communities in Nepalthrough sustainable development, rehabilitation and livelihood enhancement, peace-building, health improvement, and educational programs.

We are primarily focused on improving the economic, health, social, education, cultural and environmental conditions of the vulnerable and underprivileged communities, to integrate these communities into the life of the nation, and to empower them to contribute fully for the sustainable development of Nepal.

Founding Philosophy
It is a true fact that we ourselves hold the key to social reform and are responsible for the overall development of our communities. We are truly devoted to the idea that as the power of spirit rises within, so does the desire to serve our communities. We constantly seek a comprehensive approach towards care for and advancement of the poor and disadvantaged, and acknowledge that the best means to reach our goal is a large heart, an open mind and innovation based on needs, best practices, and new technologies.

Sano Paila has acquired all registrations and affiliations required by the laws of the Government of Nepal. We are registered with the Government of Nepal, Ministry of Home Affairs, Ministry of Finance,District Administration Office (DAO) of Parsa, and Inland Tax Office of Birgunj, Parsa. We are affiliated with the Social Welfare Council (SWC) of Kathmandu and have full-membership to the NGO Federation, Parsa.

DAO Registration Number/Year 1058 / 7 June, 2007
SWC Affiliation Number/Year 24134 / 31 December, 2007
PAN No, Dept. of Inland Revenue 303004309/ 14 November, 2008
(Registration & incorporation documents files to be uploaded)

Sano Paila has renewed its registration annually since its official registration in 2007. The organization is governed by its Constitution (registered under the provision of the Ministry of Home Affairs andDistrict Administration Office, Parsa); any regulations are promulgated under its bylaws and by national and international laws and will continue to exist even if the members change.

The governing and structural organs of Sano Paila are:

a) The Plenary Meeting/General Assembly. (Click)
The Plenary Meeting/General Assembly is the supreme body of Sano Paila and is formed by the ‘members’ as well as the Annual Meeting of the members. It meets on ordinary session during the last term of the year, and on extra-ordinary sessions on the summon of the Governing Board or at least one-third (1/3) of the active members.

The Plenary Meeting approves the year’s program of activities of the organizationand the three-yearly programs. Besides, the meeting also approves the budget, including the amount of budgeted compulsory and voluntary contributions, of the accounts and the Governing Board’s Annual Report. It adopts financial procedures and systems relevant to the needs of Sano Paila and amends the bylaws and general policies of the organization.

We have a diverse assembly of membersliving in the Terai region, Kathmandu, and outside of Nepal. (Members Directory will be uploaded)

b) Founding Committee. (Click)
The Founding Committee is comprised of ‘Founders’ representing those individuals who early on subscribed to the ideals and vision of the organization as set forth in the Constitution of Sano Paila and joined as members on December 9, 2006 in order to help ensure a solid start for the organization.

(# Committee members list with photos will be uploaded)

c) The Governing Board (Click)
The Governing Board is the ruling council and charged with the governance, management, administration, and strategic planning of the organization. The Board oversees matters concerning the functioning of Sano Paila towards fulfilling its mission and vision and even directs the implementation of programs and policies.

The Governing Board members are appointed through General Plenary Elections for a term of three years. The Chairperson elected and appointed at the Plenary Meeting leads the Board. The incumbent members of the Governing Board were elected and appointed at the Plenary Meeting in August 2013.

To ensure proper involvement and participation of Board Members for development and utilization of human and financial resources of the organization and its mission, the Governing Board is further divided into sub-committees such as:

a) Nominating Committee
The Nominating Committee, chaired by the Vice Chairperson, is responsible for nominating new members and tabling it to the Governing Board for approval of membership.

b) Finance Committee
The Finance Committee, chaired by the Treasurer,manages the financial administration of Sano Paila through the CEO & Chief Financial Officer. It oversees the integrity of accounting and financial reporting systems, including independent audits and systems of internal control and the engagement of external auditors.

d) The Chief Executive Officer (Click)
The Governing Board appoints the Chief Executive Officer (CEO) and delegates the authority to manage and conduct day-to-daybusiness and affairs of Sano Paila. The Board via the CEO directs the overall performance, management, administration, and functioning of Sano Paila.

The CEO leads the senior management team and is not a member of the Governing Board,and is therefore the main competent authority acting on behalf of the Chairperson and the Governing Board of Sano Paila.

e) Advisory Board (Click)
The Advisory Board is the advisory branch of Sano Paila, consisting of members who are knowledgeable in the areas of social work, finance, accounting, risk management, public policy and relations, fundraising, and other relevant areas useful to the Organization. The Governing Board on a nomination basis appoints Advisory Board members for a term of 2 years. Besides, there is a Community Advisory Board in each district including community members, activists from diverse groups and/or professionals, to provide community inputs into Sano Paila’s activities and local procedures.

The Advisory Board members are independent, committed to social works, and do not have any professional relationship with Sano Paila or its management. The Advisory Board advises, coordinates, and guides the Governing Board and the CEO in formulating appropriate policies, administrative guidelines, and fundraising tools.

(# Governing Board and Advisory Board Members list will be uploaded)

  What We Do?

Since our establishment, we have tackled a number of complex issues (issues often ignored by the government, private sector, and state security system) including: human trafficking & child abuse, drug addiction treatment,youth development, access to education, and health improvement. We have designed and implemented programs through an extensive network of local, national, and international development partners, NGOs, and government agencies. Our projects are diverse and target to improving the lives of rural communities and bring positive change.

We recognize that the protection of human rights, access to education, and development of Nepal’s youth and their leadership capabilities will be key to bringing about social, economic, and political change.

We generate awareness regarding ownership and sense of belonging in community development among local residents and influence policy makers, state, and non-state actors through advocacy programs at the local and national level.

It is very encouraging to know that people and businesses that are at bottom of the economic pyramid are willing to help for the cause we believe in. By contributing their time and resources, locals have demonstrated a sacrificial gesture and have sent a strong positive message nationwide that we ourselves hold the key to social reform and are responsible for the overall development of our communities and our nation.

  Where We Work

Sano Paila is committed to working for marginalized communities, especially the poor, the disadvantaged ethnic groups, and social excluded people, and where development opportunities are severely limited. We work closely together with residents and provide a holistic response to community needs while recognizing the core services that should be essentially rendered.

Over the years, we have expanded our network and increased our social capital in different districts of Nepal with a strong focus on the Terai region.

Directly working in Parsa, Bara, Rautahat, Dhanusha, Mahottari, Kathmandu, Lalitpur, Kavrepalanchowk, Bhaktapur. Indirectly working in Sarlahi, Kanchanpur, Kailali, Bardiya, Humla, Banke

Sano Paila has its Secretariat and Head Office in Birgunj, Parsa District, Regional/Branch offices in Lalitpur and Dhanusha Districts, and a Field office in Mahottari District. We have trained a network of over 1,000 youth volunteers throughout central and eastern Terai districts.
The Terai region is an important region of Nepal that is geographically distinct from the hills and is home to more than 50 percent of Nepal’s population. It shares an open, porous border with India and is the backbone of Nepal’s economy, producing about 59 percent of the nation’s gross domestic product and about 76 percent of the government’s revenue (according to government sources).

Despite the fact that the Terai significantly contributes to national growth and development, the region has received little attention and bears a high burden of social, economic, health, and environmental problems, including high migration rate, widespread prevalence of diseases like tuberculosis and HIV/AIDS, and trafficking of women and children. Likewise, poverty, illiteracy, discrimination, lack of awareness and opportunities are obstacles to development and stability that exist in the Terai.

  Our Projects

Action for Addiction (AFA) Center is a community supported initiative and isSano Paila’s first project established in 2007. Through this project, we have been serving local drug users through drug awareness, rehabilitation and support services in the rapidly growing communities of the Terai region of Nepal.

With residential rehabilitation centers in Birgunj and Janakpur,near the Indian border, where drug trafficking and drug abuse are both serious problems, Sano Paila is delivering support and rehabilitation services to drug users, including People Who Inject Drugs (PWID) and PWID living with HIV.

The heart of AFA program is the principle of natural healing, living and support, and uses a multi-disciplinary approach to provide awareness, counseling, rehabilitation, support, and surveillance related to drug abuse and HIV transmission.

Building on evidence-based drug addiction treatment and rehabilitation methods with the best new methods, we have combined a unique set of therapeutic and holistic techniques to ensure that each individual's interest are sparked and that they are motivated to engage in their recovery. We encourage people addicted to drugs to enroll in our ‘self-help’ program and become a ‘role model’ in their community.

AFA not only provides a comprehensive drug rehabilitation program, but also disseminates information to prevent and address injection-based drug abuse and HIV transmission. Our recovered clients (former drug users)work as managers in our rehabilitation centers and peer educators, providing behavior change communication skills to addicts and youths at risk. Likewise, AFA programs encourage parents and key influencers of youth to continue their healthy actions to prevent future drug-related problems.

As a community-based project run by former drug users, AFAis uniquely positioned in delivering its services and the group has credibility among local drug users. As more than half of the funds for operations come from the community itself, our approach is also to worktowards financial sustainability.

At present, through AFA, we deliver the following services:

  1. Fellowship Counseling (FC), Referral for Treatment, and residential ‘Self-help’ rehabilitation services
  2. Drop-In-Center-Basic Medical Care
  3. Harm reduction and Peer led intervention programs
    1. Education about safe injecting and prevention of HIV/AIDS
    2. Access to sterile syringes and promoting use of sterile equipment (Syringe Exchange Program)
    3. Peer Led Intervention Program
    4. Volunteer Training and Recruitment
  4. Enhancing community awareness, participation and advocacy
About 20 percent of the drug users who have received treatment and have graduated from the program have relapsed but about 80 percent of the users are successfully living a healthy life. Sano Paila is exploring to create employment opportunities for the graduates of the center so that they can live a dignified life and reintegrate in to the society.

Sano Paila has collaborated with Freedom Matters UK and has initiated “a big step” to work for the protection of rights of children. We work with Government of Nepal (GoN) authorities and stakeholders to rescue trafficked children and young people who are in exploitative and abusive situations. After rescue we provide immediate protection, care and rehabilitation of survivors, paving the way for their return to families or reintegration with society.

We are committed to working with the GoN to stop violence against children and fighting both internal trafficking and cross-border trafficking into India. We continually support and press the Government to implement the existing laws/regulations and to enforce mechanisms to ensure that Nepali children get an opportunity to live and grow with their families.

The following are the major projects of ThuloPaila:

  1. The Nepal Rescue Agency With research, rescue, prosecution, and survivor rehabilitation/repatriation as defined components.
  2. Visual Arts With jewellery, mosaics, and other income-generating training projects as defined components and include art therapy for counseling of traumatized children.
  3. Prevention & Education Awareness raising, training projects, and education support activities at the grassroots level as defined components.
  4. Advocacy and Communications Liaising with government officials, civil society members, and CBOs, and facilitating media and anti-trafficking communications as defined components.
Since mid-2013 we have been focusing primarily on the little-known area of child trafficking into orphanages - the "Orphan Business". This involves procurement of children from poor rural communities (giving false hopes of medical treatment and education to their parents)into a life of exploitation and abuse–an example of a handful of Nepali organizations engaged in exploitation of suffering. This focus fits within Sano Paila’s larger mission of eliminating corruption from Nepal’s development sector and redefining the development landscape.

In partnership with Child Welfare Scheme (CWS) Hong Kong and Right4Children, we are supporting a Children Receiving Home (CRH). Children who are rescued from corrupt orphanages are put in our care. We provide crucial services, offering medical checkup and counseling to help rehabilitate the children. Our aim is to track down the children's families and support their reintegration.

The core objectives and goals include:

  • Provide temporary medical, counseling, food, clothing, shelter, and formal and informal education support in the short term to government-rescued children by establishing Children Receiving/Transit Homes.
  • Provide informal education, formal school support in government or private schools, and educational coordination for rescued children as a core component.
  • Facilitate the reintegration process with individual case management for post-rescue care, family tracing, assessments, reconnection, counseling, reunification, and access to education.
  • Lead, coordinate, and participate in collaborative meetings of government, NGOs, police, education, and private sector stakeholders and plan joint activities to advocate for effective post-rescue and reintegration policies and practices and to prevent child trafficking.

Sano Paila operates all its health-related projects and activities through the Health Services Center based in Birgunj.

The mission of Health Services Center is to provide free or low-cost resources, consultations, referrals, and educational programs to help members of marginalized and impoverished communities achieve optimum well-being. The center offers free walk-in services, including first aid, medical assessment and referrals, blood pressure checks along with health education and counseling to community members, on an individual basis and in group-setting.

The center also organizes free health checkup and medicine distribution camps every month providing direct access to health care in rural villages.

a) Annual May Day Program
Every year Health Services Center marks the International Labor Day on May 1 with the support of various financial firms in Birgunj and other community partners by organizing free health camp staffed by local doctors and nurses who volunteer their time,provide free medications, distribute lemonadeto members of the community, and lead an information campaignincluding a “street-drama” performance by our youth volunteers designed to increase community awareness about the dangers of tuberculosis, drug abuse, and HIV/AIDS.

Likewise, information desks are set up to distribute condoms and IEC materials on drug abuse, HIV/AIDS, and Tuberculosis. Street dramas on HIV/AIDS are organized to raise awareness and fight the stigma and discrimination.

Since January 2010 Sano Paila has collaborated with the John B. Kroc Institute for Peace and Justice (IPJ), University of San Diego, California to work in conflict mitigation in order to expand peacebuilding efforts in the Terai. IPJ has been working in Nepal since 2001 in conflict mitigation and post-conflict peacebuilding.

The Nepal Peacebuilding Initiative (NPI)’s role has been to assemble and listen to key individuals with the potential to move the country forward throughout difficult transitions. Programs in response to requests made to the IPJ have ranged from negotiation skills training to radio outreach for sensitizing Nepalis to their rights and common interests. Building inclusive relationships, from villages to the capital, and empowering future leaders with skills that give them the capacity to positively engage one another in constructing a healthy Nepal has been the agenda for the NPI. We remain committed to creating forums that assist in discovering the competencies that citizens can leverage to step away from violence and toward a just society.

NPI paves the way to have willing voices from all segments of the Nepalese society collaborate more substantially to overcome self-serving, narrow interests, and the distractions of those who have lost sight of the goal of a truly national, inclusive, more democratic Nepal. NPI’s programs play a role in peacefully resolving tensions and overcoming roadblocks from history and recent confrontations. The initiative engages communities long struggling with armed groups or powerless civil society in peacebuilding efforts, dialogue and negotiations.

(Programs: - Name and pictures)

Literacy of Nepal (LFN) is an initiative to improve the infrastructure of government schools in rural villages of Parsa District and to support students with scholarships to achieve higher education.

Literacy for Nepal is operating 2 libraries in Parsa Districts and helped build a high school in Pakha-Mainpur VDC. Besides, it continues to support 7 students from underprivileged communities whose economic conditions are weak.

Besides, under LFN banner we run various other education related projects/activities:

a) La Ngonpo (A Meeting Point) Project (Click)
Sano Paila in partnership with Multicultural Center Prague, Czech Republic, started La Ngonpo Project in Nepal in 2013. There are currently seven schools participating in this project, three fromBirgunj, three from Kathmandu, and one from Kavre. The La Ngonpo project is an international educational project, which focuses on multicultural and global education for pupils and students aged 12 – 16.

The project was originated as a partner project in India (Ladakh) and The Czech Republic. Since 2012 the project has been expanded into other countries. The main project objective is to provide the methodology which will facilitate teaching for the teachers and to encourage contact with peers in foreign countries. Pupils could widen their understanding of the world through interactions with their foreign “classmates”. It offers elaborate manual tested in practice. It could be used across the school subjects (especially in English, Social Sciences, Art, but also in Mathematics etc.)

b) Urban Child focused Education Project
This project targets urban children (10-14 years of age) who have not received any kind of formal education in school or those who have stopped going to school. In collaboration with the community members, Sano Paila has arranged teachers and classroom for these children where they are taught informally to ensure that every ‘left out’ child in the community receives education.

Sano Paila, in coordination with Non-Governmental Organization Coordination Committee (NGOCC) and financial support from UNICEF, initiated this project in January 2012. So far, 125 children are enrolled in this project. There are 5 teachers involved as well who teach two hours a day.

Youth Community Services Centre (YCSC) is a Sano Paila forum to facilitate connections between the youth and the community, providing a credible, effective, and rewarding avenue for community service for the youths. The center considers the free time, energy, drive, and frustration of local youths to be resources rather than obstacles, by positively channelizing the youth energy into something constructive.

The key focus of the YCSC is to improve the social and economic conditions of at-risk youth, and as a result, the community. YCSC promotes youth involvement by offering opportunities for experiential learning, effective community service, process-oriented approaches to self and community development, and an outlet for personal growth and socializing.

Over the years, we have developed a strong network of Local Youth Volunteers (LYVs) who are mobilized at the grassroots-level to disseminate information on drug issues, tuberculosis and HIV/AIDS, and peace-building initiatives among other youths in the community.

The following are the major ongoing activities of the YCSC:

a) Youth Communication Program
Sano Paila has established a grassroots initiative – Youth Communication Program (YCP) that provides a solid platform for disadvantaged youths to enhance their life through communication skills and contribute to youth empowerment at the community-level. YACP currently offers the following trainings and participatory workshops to youths belonging to vulnerable communities in various districts of Terai region:
  1. Behavior Change Communication and Peer-led Education programs
  2. Leadership Development and Introductory Media trainings
  3. Planning, Dialogue and Negotiation skills
Through YACP, we orient and train individuals as Local Youth Volunteers whothen work as peer educators and outreach workers in their communities as well as at the school level.

b) Hospital Volunteer Services
Local Youth Volunteers of YCSC assist people who are at the bottom of the socio-economic pyramid, drug users, and homeless patients at government hospitals in accessing health care and help them receive appropriate treatment without prejudice and free of charge, including no-cost medications. Also, a full-day hospital cleaning program is conducted every month where volunteers clean the floors, walls of the general wards, and the premises of the hospital.

Likewise, through the Safe Needle Disposal Program, (started in 2008), puncture-resistant, leak-proof syringe/needle disposal boxes are regularly distributed to hospitals, clinics pharmacies, including government hospitals and are collected four times a week by our volunteers. The collected items are sterilized, grounded, and discarded at permitted landfills.

  Our Team

Kanchan founded Sano Paila (A Little Step) in 2006 with the aim of tackling the most complex problems in the socially marginalized and impoverished communities of rural Nepal. In 2009, the Foundation for Youth Social Entrepreneurship, Hong Kong, honored him as a ‘Paragon 100 Fellow’ an award given to Asia’s most inspiring young entrepreneurs and social change-makers. Recognized for his work, Kanchan has been honored with numerous awards for implementing sustainable development projects and inducing change at the grassroots level. Besides Sano Paila, he also works as a freelance news producer and fixer contributing to international news companies like Al-Jazeera and Channel-4 UK. He has conducted and organized various participatory discussions on communication, negotiation, and conflict resolution at all levels.

Kanchan holds a Bachelor of Arts in International Relations and a Bachelor of Science in Public Health, from USA and Nepal respectively. He also holds a Diploma in Journalism from Nepal Press Institute.
Brijlal joined Sano Paila in 2010. As the Chief Operating Officer (COO), Brijlal oversees the implementation of all Sano Paila projects and programs, as well as manages the overall operations of the organization. Prior to Sano Paila, he had founded and managed an education project - Literacy for Nepal (LFN) – an initiative which is now integrated into Sano Paila with a degree of sustainability built into the project. In recognition for his projects’ impact and in financial support for the projects, he has received numerous grants and awards including: Davis Project for Peace, United World Sustainability Grant, and Tanner Fellowship. As a social entrepreneur, Brijlal has founded PrakritiKrishi Farm that focuses on commercial goat, fish, and mango farming, and Paurakhi Savings & Credit Cooperative Limited - an institution driving financial innovation at the grassroots level in Parsa district.

He holds a Bachelor of Arts degree in Economics from St. Lawrence University, USA.
Kumud joined Sano Paila in 2015. As the Head of Strategy & Development, he focuses on multiple areas of the organization including: fundraising strategy, human resources strategy, development of robust monitoring & evaluation mechanisms, and innovative social entrepreneurship models. Prior to his role at Sano Paila, he served as a Project Management Consultant at Investment Board Nepal (IBN), where he assisted the Government of Nepal in finalizing the concession agreement (Project Development Agreement) for mega hydropower projects to ensure “bankability” from a financing standpoint and to ensure proper risk allocation. He was involved with finalizing the framework for the implementation of large-scale hydro projects in Nepal through the Public-Private Partnership (PPP) approach.

Prior to consulting, he has experience in investment banking (Goldman Sachs), private equity (Basileus Capital Partners), and internal strategy (Fidelity Investments). He holds a Bachelor of Arts degree in Economics from Brown University, USA, and a certificate from Tuck School of Business at Dartmouth, USA.
Helen joined Sano Paila in 2014. As the Head of Regional Office, she manages the overall operations in the Kathmandu region. She holds extensive experience in nonprofit organization management, and has worked in anti-human trafficking and women empowerment projects led by several national and international organizations including ActionAid Nepal and The Didi Project (Sisters Helping Sisters). Her areas of expertise include: program management, gender issues, efficient administration, and team management.

Helen received her education from Singapore.
Keshab joined Sano Paila in 2014. As the Head of Finance, he is responsible for budget formation and managing the financial management system within the organization. He has over 30 years of experience in management with an emphasis on accounting, finance, audit, budget, and treasury. He has extensive experience working in non profit organization management and public sector, and has also directly worked with multilateral/bilateral organizations and international agencies including: The World Bank Group, USAID, World Health Organization (WHO), Global Fund, and Norwegian Fund. In addition to working in Government of Nepal’s national treasury system, he has also worked in the Embassy of Nepal, New Delhi.

Keshab holds a Bachelor of Business Administration in Accounting and a Master in Business Administration from Tribhuvan University.
Subir joined Sano Paila in 2007. As the Head of Communications, he manages organization’s all major communication and outreach programs. He has strong skills in establishment and management of grassroots projects and has developed robust community relationships at the local level across regions over the years. His career is also marked by the conception and implementation of a number of entrepreneurial ventures.

Subir holds Bachelor of Business Studies and Master of Arts in Rural Development from Tribhuwan University.
Abha joined Sano Paila in 2013. As a Program Officer, she leads the organization’s visual arts program – an initiative for skill-development and financial independence of rescued individuals who had been victims of girl trafficking. She has an in-depth understanding of the cultural, social, and economic context that breeds and perpetuates human trafficking, and a nuanced understanding of effective approaches to tackle sensitive human rights issues. Prior to Sano Paila, she served as an Assistant Operational Director at the Esther Benjamin Trust Nepal (EBTN), where she managed jewelry and mosaic workshop and also supported the Circus Kathmandu Project.

Abha holds both Bachelor degree and Master degree from Indira Gandhi National Open University (IGNOU), and a certificate from Charles University, Czech Republic.
Arvind is a Founding Advisor at Sano Paila, and took a new role as Public Affairs & Government Relations Consultant in 2014. He has a robust network in all spheres both at the local level and national level. He is also a Founding Advisor of Sanskriti – a junction for creative youths – and a Founding Chairman of NRP Community Study Center. Furthermore, his involvement with social organizations and related events include participation in various programs on a range of issues: women rights, human trafficking, peace-building, HIV/AIDS prevention, and creation of an inclusive democratic society.

Arvind holds Bachelor of Law, Bachelor of Education, and Master of Arts in Political Science from Tribhuwan University.

  Past Programs & Projects

Sano Paila, in partnership with Friends Affected and Infected Together in Hand (FAITH) is facilitating successful implementation of TB Reach Wave – 3 Project activities, which involves intensified case finding through contact tracing in the community level in order to reduce the morbidity of TB and its further spread in Bara and Parsa districts. This project targets population of age group 0 – 14 years of age in low case finding districts i.e. Parsa, Bara and Rautahat Districts.

The primary objective of the project is to increase new smear positive TB cases in low case finding districts and vulnerable/populations at risk through systematically involving the community and health workers in the detection of additional TB cases to increase the treatment success rate. Community members and other health care providers have been mobilized to trace the contacts of the index cases. Additionally, door-to-door visit for sputum collection and referral of the TB suspects, chest camps and regular sputum smear microscopy to detect new TB cases are conducted. Orientation is given to index patients and the community. TB suspected cases are referred to further testing and treatment.
Sano Paila, in partnership with The Britan Nepal Medical Trust and Stop TB Partnership is facilitating successful implementation of TB Reach activities, which involves intensified case finding through contact tracing and initial default tracing in the community level in order to reduce the morbidity of TB and its further spread in Bara and Parsa districts.

The primary objective of the project is to increase new smear positive TB cases in low case finding districts and vulnerable/populations at risk through systematically involving the community and health workers in the detection of additional TB cases and identifying primary defaulters to increase the treatment success rate. Female Community health Volunteers (FCHVs) and other health care providers have been mobilized to trace the contacts of the index cases and primary defaulters.

Additionally, door-to-door visit for sputum collection and referral of the TB suspects, chest camps and regular sputum smear microscopy to detect new TB cases are conducted. Orientation is given to index patients and primary defaulters. TB suspected cases are referred to further testing and treatment.
Parsa District is connected to India by an open, chaotic border crossing in Birgunj, which is not only popular for its industries and commercial trade activities but also infamously known as the district with the largest drug problem in the country. Birgunj is an important participant in the drug trade that traffics marijuana and opium both domestically and internationally.

Nepal’s recent political transition from monarchy to a republic has left an unstable political, economic and social system in its wake, a reality that has compounded the nation’s drug problems. In the villages of Parsa, people live with little economic or physical security, and seemingly no agricultural alternatives and options. In such circumstances, the farmers of Parsa began to view drug production as a much more lucrative field than food production. Even though farmers only earn a small fraction of the finished product’s selling price, many growers switched to opium and/or marijuana in order to make a better living.

As part of Sano Paila’s continued effort and focused steps against drug abuse, we launched a youth-run campaign to advocate against marijuana and opium poppy cultivation as well as drugs trafficking in the region. In 2009, according to police and media reports, the Parsa District alone was estimated to have 60 percent of its agricultural land area under drugs cultivation. Since July 2010, we have dedicated our efforts to regain the district as a drug-free zone by partnering with all sectors of the community and by emphasizing directly on uprooting the problem and exploring alternatives.

In this endeavor, we coordinated with the Parsa District Police Office, Parsa District Administration Office, Border Armed Police Force Birgunj and Community Services Center Birgunj with a goal to decrease drug production by using direct, personal appeals to the farmers. The youth involved in this campaign have done what the police dared not to do. The police had not been willing to risk this encounter alone, and the central government was largely ignoring the issue.

Over the course of the campaign, we reached out to over 500 farmers and their families in more than 40 villages of Parsa district confronting them to explain the adverse effects their crops have on the community and attempted to convince them to cease drug production. During the interactive sessions, village leaders, police authorities, government officials, media representatives and Sano Paila members mentioned about alternatives than drug farming and talked about drug issues reflecting on how the youth from villages who migrate to cities for education and jobs are more vulnerable to drug addiction.

Sano Paila’s “role models” (recovered drug users) shared their personal experiences and stories about how they got addicted to drugs and how it had ruined their lives. Also, the Chief District Officer (CDO), on the other hand, informed about the existing laws against drugs cultivation and publicly expressed his commitment to effectively implement these laws and prosecute farmers growing narcotics. The chief of police vowed to monitor his men and guaranteed that no protection money would be raised and bribery will not be tolerated.

The results of the campaign have been positive, with drug farming currently at an all time low. According to recent media and police reports, there has been over 90 percent reduction in land area under illicit crops, once home to the country's largest nucleus of drugs cultivation. The majority of the farmers have stopped using their land to grow narcotics and have significantly curtailed drug cultivation.

Currently, we are working together with farmer groups to explore long-term alternatives and create sustainable livelihood programs in order to prevent them from switching back to illicit crops.
Funded by the International Labour Organization under Jobs for Peace program, Youth Empowerment Fund Parsa, Sano Paila undertook the project “Raising Awareness on HIV/AIDS and Drug abuse and Building Leadership”. The objective of the program was to contribute to youth empowerment with special emphasis on dialogue and mutual understanding for peace building in the Terai.

The focus was to orient and train 38 (19 male and 19 female) individuals as Local Youth Volunteers (LYV) on Peers education and leadership development sector who then mobilized themselves in awareness raising activity at community level as well as at school level. LYVs were further encouraged and empowered to interact with district officials to demonstrate increased understanding of services.

Altogether 30 orientation campaigns, 10 street dramas on HIV/AIDS and Drug abuse and one Mass Awareness rally to mark World AIDS Day 2010 were conducted targeting over 1000 relevant young women and men, beneficiaries of Farmers Field Schools, Junior Farmers Field Life Schools and skills training of the Jobs for Peace program. Other beneficiaries were disadvantaged and common youths of Birgunj Sub-metropolitan City. During the orientation campaigns trained LYVs informed beneficiaries and general public of over 14 VDCs about the use of condoms and other issues related with HIV/AIDS and drug abuse.

The orientation campaign, street dramas and World AIDS Day Rally provided the opportunity to bring diverse range of voices including recovered drug users, individuals, communities and political leaders together to raise awareness for HIV and get people talking. Alongside, leadership development and mass communication training offered to LYVs enhanced their life and communication skills and encouraged them to discuss and communicate their views on critical issues and articulate their aspirations and perspectives peacefully.
Birgunj Outcry was Sano Paila’s first community activity and was an interactive event designed to identify, hear, and understand the emerging political, social and economic outcry of the leaders, diversified public groups along with government, pro-government and non-government officials at the time when the district was witnessing political turmoil (Madhes Revolution) and community tension. The event was dedicated to the idea that love, peace, mercy and justice should dwell at the forefront of our social and political landscape.

District leaders from 7 major political parties were the speakers and a total of 200 people representing political groups, civil society, women groups, youth associations and individuals from vulnerable communities and marginalized ethnic groups participated in the program and voiced their opinions and thoughts.

  Reach Us

If you want further information about our work, please feel free to send us an email at or call us on +977 51 522203

Office of the Secretariat, Sano Paila
Hospital Road, Chapkaiya-2
Birgunj, Parsa, Nepal
Tel: +977 51 522203
Fax: +977 51 522203
Chief of Communications : Subir Ghosh, Mob: +97798

Regional/Branch Office Lalitpur
Sanepa-2, Lalitpur
Tel:- +977 1 5521416
Regional/Branch Office Dhanusha
Ramananand Chowk Janakpur, Mobile: +977 9844031496

Our Partners

Sano Paila has developed a strong framework to work in partnership with local government institutions, unions, and other independent associations. We proactively involve local government bodies, private institutions, and volunteer organizations in planning, designing, implementing and monitoring interventions. All the projects have formed a number of Joint Planning and Monitoring committees involving the government representatives and community members.

We have successfully conducted network meetings and workshops with Female Community Health Volunteers (FCHVs), Direct Observation Treatment Short Course (DOTS) Committees, Health Committees, mothers groups, religious and local leaders, faith healers, inter- and intra-voluntary organizations, farmer groups, teachers, youth associations, and women's groups in the region. From working with farmers and women in the smallest villages to top government officials, civil society and security leaders in the district headquarters, we have been utilizing the local infrastructure, capital, human resources, and the government’s local offices for collaborative and productive purposes. Our greatest strength lies in our ties with local people, ensuring our grassroots approach to development that lies at the core of our organization.

Likewise, we have fostered partnerships and collaborations with various national and international agencies, institutions and organizations listed below

Our Major Partners