In 1963 AD Kanti Children's Hospital (KCH) was built up as an overall Hospital with the limit of 50 beds. At that point in 1970 AD, it was changed over to a Children's Hospital with the limit of 150 beds. The Government of japan started its inclusion in KCH improvement in 1973 AD when two Volunteers through japan abroad Cooperation Volunteers (JOCV), a birthing assistant and a medical attendant were dispatched to the clinic. From that point forward around 30 volunteers have been set at KCH. In 1983, fundamental clinical types of gear which assisted with building up the medical clinic's first Neonatal Intensive Care Unit (NICU) was given in connection with JOCV exercises.

In 1986 AD, under the japanese award Aid Program different remodels on existing clinical structures, wards and clinical types of gear were gotten. Regions like Casualty Department, Operation theaters, Central Sterilized flexibly office (CSSD), NICU/PICU, X-beam office, pressing clinical test room and Pathology office were refreshed or added to the medical clinic. An oxygen plant was additionally introduced with number of upgrades. After some time, the offices began to decay with an enormous increment being used. KCH was extended past its ability. As KCH was the main youngsters' medical clinic in Nepal, referral administrations and authority preparing offices of the deprtment of Pediatrics of IOM additionally turned into the duty of KCH. Anyway absence of exertion and regard for the emergency clinic made it extremely hard for the medical clinic to adapt to the consistently expanding request of patients for a top notch administration.

To meet these developing needs and to determine the expanded interest for specific pediatric preparing and human services benefits, the legislature of Nepal set up a task for the extension of the KCH and made a solicitation to the administration of japan for award help for the undertaking in the year 1993 AD.

Accordingly, the governmentof japan sent a fundamental structure study group through the japan International Cooperation Agency (JICA) to research the subtleties, including the ebb and flow emergency clinic circumstance, the proposed site, financial plan for preparing labor, development costs and other related issues. The administration of japan chose to give award help to the task dependent on the aftereffect of the examination. The notes for the principal period of the venture were traded between the administration of nepal and the legislature of japan were finished in june 29 1993 and the notes for second stage in were finished in july 28, 1994. The principal stage was finished in February 1994 and gave over to Kanti CHildren's Hospital in March 1994. The subsequent stage was finished in Feburary 1996 and gave over in March 1996.

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