Likhu Project Activity Report | January 2026
- Jul 31
- 3 min read
Supporting an Environment Where Local Health Workers in Nepal Can Thrive
ASHA, a certified NPO, is working to build a healthcare delivery system that leverages “local resources” and “technology” in medically underserved areas of Nepal.
In the Likhu Tamakoshi district, located in the remote mountainous regions of Nepal where it is difficult to provide support, ASHA has been advancing its efforts since December 2023.
We would like to thank the following three individuals for their cooperation on this activity report!
Taka, Akari, and Yuri◇ Please tell us about your activities in the Likhu Tamakoshi District.
We support local healthcare by providing ASHAConnect (a smartphone-based medical questionnaire app), NepalEHR (an electronic health record system for medical institutions), First Aid (health education for middle school students), and community-based health activities conducted by Community Health Workers (CHWs) through home visits. The Likhu Tamakoshi District is located in a mountainous area, and some parts lack internet connectivity. Residents are also scattered throughout the district. In particular, it takes CHWs a long time to travel between locations, making it more difficult than in other regions to provide support to local staff and facilitate communication between the local community and ASHA. (Taka)
◇ What kinds of activities did you carry out in 2025?
In 2025, we focused primarily on the following three activities: 1. A survey on overall satisfaction with our programs 2. Final adjustments for the transfer of operations to the local government 3. Preparations for study sessions led by CHWs. (Taka)
◇ Were residents of Likhu Tamakoshi satisfied with the healthcare services provided by ASHA?
First, regarding awareness of ASHA’s CHW dispatch program, despite not conducting any promotional activities such as putting up posters, awareness was nearly 100%. In the satisfaction survey, we surveyed approximately 160 CHW users, broken down by region, and in almost all districts, respondents rated the CHW services as “good.” (Akari)
The satisfaction survey serves as a record of our activities and provides participants with a sense of progress. We plan to continue conducting it twice a year. Since many people cannot read or write, we create the survey forms in Nepali using multiple-choice questions to make them as easy to answer as possible. (Yuri)
◇ Is the transfer of operations to local governments progressing?
Since we set the goal of transferring operations to local governments from the very beginning, we’ve been managing our operations—both locally and in Japan—with care to avoid making them dependent on specific individuals. We’ve standardized our activities as much as possible, formalized agreements through contracts whenever feasible, and documented our training materials. We plan to travel to the site in early 2026 for final discussions with the local government. In 2025, we designed and reviewed the content of our reports to ensure that the CHWs’ activities are clearly communicated to the local government.(Taka)
◇ What kind of activities take place at the study sessions for local residents?
We are planning a study session on high blood pressure. The session will be led by a CHW. We’re aiming for a session with about 20 local residents in attendance. We would be delighted if this kind of initiative helps residents deepen their knowledge about health. (Taka)
◇ Please tell us about your future activities.
We would like to focus on providing timely on-site support. Also, while our current support through the Community Health Workers (CHWs) mainly focuses on pregnant women, infants, and lung diseases, I’d like to expand our scope to include the elderly in the future. In particular, dementia is not widely recognized in the local community. I’d like to share knowledge about dementia with the team at Likhu Tamakoshi and work together to solve local challenges. (Taka)
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