Nepal Leprosy Trust is a Christian initiative, established in 1972 by Miss Eileen Lodge, to serve the most needy people of Nepal. It is registered as a non-governmental organisation (NGO) in Nepal, and as a Charity in England (No. 1081952; Company limited by guarantee No. 4046961). The Trust is also registered as a Charity in the Republic of Ireland.
NLT is an indigenous organisation in Nepal, governed by respected Nepali professionals and managers. NLT in the UK and Ireland exists to support its work in Nepal through receiving funds, communications, administration and provision of expatriate personnel for developmental roles in Nepal.
Although the work has grown significantly during the past 20 years, it has managed to maintain a warm ‘family’ spirit through close friendships, and a vision shared by both its Nepali and expatriate workers. Visitors regularly notice and comment upon the quality, commitment and positive attitude of the staff.
NLT is committed to the active collaboration of people affected by leprosy in all its programmes. Its policy is also to provide on-going training to its Nepali staff, a significant proportion of whom are drawn from families affected by leprosy. We adhere to standards of practice aimed at preserving the dignity of all those served.
NLT has worked to increase Nepali leadership within the organisation, and NLT in Nepal is now an autonomous organization led and managed by Nepalis. The Chief Executive of NLT in Kathmandu and the Programme Director of Lalgadh Leprosy Services Centre are both Nepalis who have served with NLT for many years. NLT in the UK and Ireland, and NLT in Nepal, all regard themselves as part of the “NLT Family” with a shared vision and a shared Christian ethos.
The work of NLT in Nepal is based in two areas:
The Headquarters in Kathmandu is in the Lalitpur area and deals with the main organizational relationships with Government departments, etc, and supports the Leprosy Services Centre at Lalgadh with purchasing of supplies from Kathmandu, and looking after leprosy patients who have to travel to Kathmandu for specialized treatment.
The Kathmandu Headquarters also houses three separate projects.
- Himalayan Handicrafts is a sheltered workshop staffed partly by people affected by leprosy and other disabilities, and also people who have been marginalised by poverty, and other causes. Himalayan Handicrafts is part of the Nepal Fair Trade Group and exports high quality leather, cloth, felt, and batik goods around the world. Some of these products can be viewed and purchased at our online shop. You can see more about Himalayan Handicrafts under “Kathmandu” in the menu above.
- Lydia Children’s Fund sponsors children from very poor backgrounds to enable them to go to school. Obtaining education in Nepal is still a challenge for many families who live on little more than the equivalent of a dollar a day, and yet many now value education much more highly than was the case 15 years ago. Lydia Children’s Fund encourages sponsors to support very needy families with £12 a month, to allow their child to go to school. The child has to submit school reports to our office and writes to sponsors at Christmas. All the funds supplied by a sponsor, go to the family concerned. There are currently about 60 children supported in this way. You can see more about Lydia Children’s Fund under the menu “Get Involved”
- Capacity Building is a programme supported by a donor who wishes to see poverty overcome and
independence developed amongst people who have been seriously affected by leprosy or other marginalization. The programme provides skills training, and microcredit loans for business venture start-up, and is helping a growing number of people to climb out of poverty and dependence, and regain dignity, and the ability to enjoy a better life.
Lalgadh Leprosy Services Centre is based in a village in southeast Nepal, called Lalgadh, next to the Ratu River, on the East-West Highway about 90 kilometres east of Patalaya and about 30 kilometers north and west of Janakpur.
You can see the Centre on Google Earth – coordinates are 26 degrees 59 minutes and 30 seconds North and 85 degrees and 55 minutes East.
Lalgadh Leprosy Services Centre (LLSC) is NLT’s largest venture. The Government of Nepal gave permission for its
construction in 1990 and provided free lease of about 17 acres of land. NLT took on an obligation to build the Centre, provide staff and finances to run it, and establish, monitor and develop appropriate programmes. LLSC began to receive patients in 1993 and was officially opened in 1996. It is now the busiest Centre of its kind in the world – in terms of new cases – with around 1000 new cases diagnosed each year. As well as around 7000 visits by leprosy patients seeking help each year, it also receives about 40,000 visits every year from people needing help for general medical problems – mainly skin diseases. Many come because of the excellent reputation that LLSC has earned over the years since it opened.
NLT in the UK funded LLSC’s construction through generous donations, mostly from private individuals, at a total cost of approximately £750,000. The construction costs have been met in full.
In 1986, NLT’s total annual income was just £12,000. However, the work has since grown to the point where the total running costs of the Centre and its programmes are approximately £350,000 per year. Despite the dramatic increase, this is still a remarkably low figure in view of the large number of people who visit the Centre each year for help and treatment.
Those affected by leprosy receive all treatment, food and drugs free of charge, although they do make a small
payment, equivalent to about 35 pence, towards their special footwear. This makes it more valuable to them and they take more care of it as a result. Non-leprosy out-patients and in-patients are asked to pay for the basic cost of their treatment, although some are not able to do so, and LLSC tries to help them when it can, using funds collected for supporting the very poor.
A proportion of NLT’s financial support comes from individuals around the world, many of whom have given faithfully for a number of years.
Approximately 12% of NLT’s total income is from the sale of fair-trade Nepali products, mainly those manufactured in NLT’s own income generating projects in Kathmandu. The profits from local and export sales help to operate NLT’s social welfare projects in Kathmandu, with some additional profits going to support the work at Lalgadh.
Further income is generated by the sale of low-cost medicines and basic health services to general patients who come to LLSC for help. We hope to expand our general services in certain areas to increase the revenue we can make and thereby help to subsidise our leprosy work.
NLT also receives regular grants from several organisations that support leprosy control and prevention-of-disability projects around the world, including:
Sasakawa Memorial Health Foundation
American Leprosy Missions (ALM)
The Leprosy Mission International (TLMI)
NLT has also built up partnerships with a number of grant-making trusts, that share its aims and objectives. It is looking to build further relationships with trusts willing to support its work both on a one-off or regular basis.
Employment and Staffing
NLT employs, either directly or through its income generation projects, about 150 Nepalis, 110 being at LLSC. Under its agreement with the Nepal Government, NLT also has permission to employ some expatriate professionals from abroad, if necessary. LLSC employs 4 Nepali doctors and has one expatriate doctor, as well as Nepali nurses and paramedical workers. NLT has also sponsored a number of young Nepali doctors during their training.
NLT’s workshops in Kathmandu provide employment for people affected by leprosy and other disadvantaged groups.
UK administrative expenses are comparatively low, since offices are donated to the Trust and the Directors and Trustees are unpaid volunteers. Volunteers carry out a significant portion of the necessary work in the UK, and there are only 3 part-time paid UK staff, equivalent to 1.2 full time staff.