What Every Nepali needs to know about Blood banks and blood transfusion in Nepal April 28, 2074


Executive Summary:

1)know your blood type.

2) get on Twitter if the only reason is to follow @YouthForBlood

3) esp if you are AB ( + or -)

4) join their Nationwide FaceBook page or one of the local FaceBook pages. https://www.facebook.com/groups/youthforblood/

5) watch this inspiring Nepali-language video and share it with everyone you can think of:


I am on Twitter.  There was a tweet.

I read the Tweet because I follow  @ShiwaniNeupane  and she always has interesting perspective.  I have not read her novel, Crossing Shadows, but the reviews were excellent.

Another of her followers, a videshi from UK,  Tweeted:

Something really needs to be done about Nepal’s blood banks. Seeing increasing numbers of social media shout-outs for emergency donations.

I’m not sharing the name of the videshi. It’s not about that person. They imply that something is wrong when the opposite is true. They don’t know any better. But I realized that something amazing is actually happening in Nepal which, to my mind, shows the kind of love and community that is possible in Nepal.

The best of Nepal.

First Nepali-language video:


Here is an English-language video from The Netherlands that describes what happens when you donate. How the blood is processed, etc

Here is the amazing part

There now is a network in Nepal named Youth for Blood and they use social media to publicize the need for blood and it seems to be nationwide.  Click here for their website. http://youthforblood.org/

In Nepali-bhasa:

This only has 693 views as of today. I think we all need to publicize this organization and the work they do. Please share it as widely as you possibly can.

Oh and by the way here is some science

We need more donors but that is not the only problem. My first inclination when I read this was to focus on the AB blood type of the pregnant lady in the original tweet. We need to get donors with specific  blood types. Specifically, AB+ and AB-

If you google it you will find that scientific medical studies have been conducted. this is something Blood Banks do. Here is the summary of one study conducted by doctors at TU IOM:

This study was undertaken to find out the trend of blood group distribution (ABO and Rh) among the 1310 Nepalese attended in Tribhuvan University Teaching Hospital and Nepal Medical College Teaching Hospital Kathmandu. The frequency of distribution of A, B, AB and O was 28.5%, 27.3%, 8.7% and 35.5% respectively. Only 0.8% of them were found to be Rh (-) ve. In this population of study, O (+) ve blood group was found to be predominant among the Brahmins, Magars and Gurungs. A (+) ve blood group was predominant among the Chhetris, and B (+) ve among the Sherpas and the Lamas. (source: https://www.ncbi.nlm.nih.gov/pubmed/17357642 )

Get your blood tested.

Here is a chart showing distribution of blood types in various countries:


How to read the graph above?

Very simple. If you are walking down the street in Kathmandu, one out of every three people you pass will have type A, and another one of three will have type O. Only one out of twenty will have type AB. To find a donor for that person you may have to test nineteen more people before you find the one person who matches. That’s why most of the public appeals are for type AB.

The above graph did not include China. I have read reports that in China, 95% of people are type O. To find a matching donor is relatively simple in China.

If you have AB+ or AB- blood, get registered with Youth For Blood Nepal.


The Sacrament of the Goddess

The Sacrament of the Goddess is the title of my novel that takes place in a hospital in Nepal. You can find out where to get a copy if you browse this very blog you are reading. Part of the plot involves blood transfusion – the way that blood is transfused (or not) in Nepal.  Like many nurses and doctors, not just in Nepal but from USA, I have seen the lifesaving effect of blood transfusion but also personally watched people die for lack of blood.  I hate the helpless feeling when  no blood is available. Frankly, I found myself getting teary-eyed to learn about Youth For Blood and their mission.


Pre Reading for DHMC Nursing Grand Rounds Feb 19th

UPDATE April 4th, 2016

CCNEPAL will be at #CUGH 2016 in California. If you are in interested in global health in Nepal, find us there! Here are some links to look at before hand….

Pleased to announce that I will be the guest speaker for Nursing Grand Rounds at Dartmouth-Hitchcock Medical Center. The talk will be held at 12 noon in Auditorium F for an hour, Friday February 19th, 2016. DHMC is in Lebanon, NH.

I made a FaceBook event page for this. Tell your friends!

Here is some reading that will enhance the meeting, along with some random photos.


I got on another bus the next day. we drove past the first one.

I will bring a powerpoint of my favorite pictures from Nepal.

what do nurses want to know……

Nurses want the unvarnished truth, without sentimentality and without the glossy glamor.  Nurses may be picturing themselves there, doing patient care, interacting with the people, living the life, sharing their knowledge with newfound friends. Facing life’s issues – birth, death, sickness, tragedy- in a foreign culture.

blue tarp on hospital floor

This is in Kailali. It is not customary for any hospital to lay out the blue tarp. If tear gas is used, there is a noxious powdery residue. I presume this is the reason.

The main thing is, I do not present the “Fantasy Nepal.” The Nepal I live in when I am there is the one where we work to heal sick people and address human suffering. There are many dimensions.

Here are some things from the Internet to look at before we meet:

Learning about Culture Shock and Re-Entry Shock

http://www2.pacific.edu/sis/culture/. this is a critical resource for personal adjustment pre- and post-deployment on any global health experience, as well as for any disaster response.

My blog entry on How to prepare for global nursing. These are practical tips for how to lead your life as a cosmopolitan citizen of planet earth even if you never do a global health adventure.

Risk Reduction strategies

This is important if you are a newbie. The single most important risk reduction strategy is to eliminate alcohol use.  Click here for a more comprehensive analysis

Nepal-specific information

Subina Shrestha’s video on childbirth in rural Nepal. She has a terrific vimeo channel. She archives all her work for Al Jazeera English, there.


This book is a resource for every critical care unit in Kathmandu, and every nurse or nursing student. a Major reference book!

My blog entry on burn care, with all the links.

My blog entry on the differences between USA and Nepal hospitals. I used to use those pics when I did these talks, but I have more interesting stuff to cover these days!


marigolds 3

The FaceBook page for CCNEPal. There is also one for each of my two books. Look at the links to the right.

the Web Page for The Center for Medical Simulation. This is Nepal’s only American Heart Association International Training Center. If you are an ACLS or PALS Instructor, they would love to talk with you!

The twenty-minute video that shows what I do when I am in Nepal.

The Event February 19th

Here are the specific goals and format:


Nursing Grand Rounds in Culture and Global Health

short summary: a quick review of factors in Nepal that impact the
decision to volunteer in a global health nursing role.


examine aspects of personal readiness to volunteer in a Low Income Country.

Identify “culture shock” and “re-entry shock”

identify common myths about global health nursing.

create a personal plan to prepare for future role as a Globally Aware Nurse.

format; a slide show of about 40 pictures with minimal text. A
reading/viewing list related to Nepal health system will be available
online for study by attendees. About thirty minutes of the time will
be devoted to Q & A. During the presentation, participants will be
encouraged to text their questions to the presenter.