What We Do

Jevaia Oral Health Care uses a human-rights approach to establish primary oral health care in rural areas of Nepal, in collaboration with Nepal's government health care system. Our model is designed to be scalable, publicly owned, and most importantly, to prioritize the needs and rights of Nepal's rural communities.

Who We Are

We are a creative team of rural health professionals, social mobilizers, educators and a small but mighty admin staff. Our community-based model works in collaboration with local government bodies and is primarily implemented by auxiliary health providers and school teachers in their own communities.

Primary Care Dental Clinic

Auxiliary medical professionals, local to their communities, deliver the Basic Package of Oral Care in a weekly clinic in a government health post. It includes topical fluorides (FV, SDF), atraumatic fillings (ART), and simple extractions using local anesthetic.

We work from a human rights perspective that prioritizes the right to care. Weekly primary care dentistry in the public health facility provides access to dignified, appropriate health services for all members of the community regardless of age or socioeconomic status.

Healthy Schools

Daily Toothbrushing and Junk-Food Free schools are run by teachers trained as Oral Health Coordinators. The school brushing program is sustained through community-based efforts by parents, local shops, and school management committees. Each quarter, schools can enter a social media oral health promotion competition on a theme: singing, drawing, poetry, and more.

School Based Oral Health Care

Clinical teams provide almost three quarters of all treatment at "school seminars." The school outreach program includes on-site clinical care for all students, as well as screening, referral and some treatment for teachers and parents.

Clinicians receive extensive, ongoing professional development in patient-centered, child-friendly practice. We strive to create a nonthreatening environment that will be the foundation of lifelong care.

Community outreach

Clinical teams spend more time in community spaces than in the clinic. Outreach programs focus on health promotion through discussion, group problem-solving, and experience sharing. Technicians provide free screening and preliminary treatment in the field, referring patients back to the weekly local dental clinic for further care. Hundreds of patients annually are also referred to a partner hospitals from the primary point of care.

Who We Are

Co-Founders

Govinda Paudel and Laura Spero started the Kaski Oral Health Care Project at Sada Shiva Primary School, in the village of Kaskikot, in 2003. Today KOHCP has become Jevaia Oral Health Care and serves a population of over 50,000 people in rural areas of three districts in Nepal.

The Kaskikot Health Post in 2002; now it houses a dental clinic.

Admin Team

Muna Sharma

Program Manager

Sangita Poudel

Office Assistant

Rajendra Sapkota

Medical Field Coordinator

Laura Spero

Co-Founder & Director

Shreedhar Acharya

Education Field Coordinator

Dr. Bethy Turton, PhD

Dental Public Health Consultant

Bidhya Koirala

Education Field Coordinator

Gaurab the Bear

Treatment Buddy

Field Teams

Rupa Municipality

Hira Devi B.K. - Technician
Dinesh Raj Subedi - Technician
K.P. Acharya - Mentor Technician
Suraj - Clinic Assistant
Ganga - Clinic Assistant
Kamala - Clinic Assistant
Prashanna Subedi - Team Leader
Pramila - Team Leader
Sawabaks Miya - Team Leader

Tilhar & Katuwachaupari

Mina Sharma - Technician
Ashok - Clinic Assistant
Parbati - Clinic Assistant
Bolanath - Team Leader
Ranjana Pariyar - Team Leader

Sindure

Jagat Dura - Technician
Biju Dura - Clinic Assistant
Shova Dura - Team Leader

Kaskikot & Sarangkot

Dipendra Timilsina - Technician
Durga Bhujel - Clinic Assistant
Renuka Subedi - Clinic Assistant
Salik Ram Subedi - Team Leader

Salyan

Badri Paudel - Technician
Rekha - Clinic Assistant

Board and Advisors

Nepal Board

Govinda Paudel - Co-Founder and President
Shiva Poudel - Finance Chair
Shanti Shrish - Board Member
Mitushi Mittal - Board Member

U.S. Board

Don Spero - Chairman of the Board. New Markets Ventures, University of Maryland Dingman Center for Entrepreneurship
Herb Behrstock - United Nations Development Program, Asia Representative
Nancy Chasen - JD, Public Interest, Media
Laura Spero - Master of Social Work/Human Rights Concentration, Jevaia Co-Founder

Advisors and Friends of Jevaia

Tula Ram Sijali
Sanjaya Atreya - Kidasha (Nepal)
Anusuya Joshi, MPH - Environmental & Social Safeguard Expert, AEPC (Nepal)
Dr. Kiran Awasthi, DDS, MPH - Save the Children (Nepal)
Kathy Kretman - Director, Center for Public & Nonprofit Leadership, Georgetown University, (Washington D.C.)
Hon. Marjorie Margolies-Mezvinsky - Director, Women’s Campaign International (Pennsylvania)
Sam Worthington- CEO, InterAction (Washington, D.C.)
Allen Snyder - Attorney, (Washington D.C.)
Ambassador Charlene Barshefsky - (Washington D.C.)
Rajeev Goyal - Co-Director KTK-BELT, Former Peace Corps Nepal Volunteer (Nepal)

Our Partners

The Augmented Basic Package of Oral Care
(BPOC+)

The Basic Package of Oral Care (BPOC) was developed in 2002 by the World Health Organization's Oral Health Collaborating Center in the Netherlands. It is designed to be safely and effectively delivered by allied health professionals in limited resource settings. Unlike conventional hospital-based clinical care, BPOC techniques focus on preventative and primary care dentistry and relief of pain services. Our version, the "augmented" BPOC, also includes topical fluorides, so we call it the BPOC+.

What is in the BPOC+

Fluoride Varnish

A painless topical medication that mineralizes
enamel to prevent decay.

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Accessible Fluoride Toothpaste

Daily toothbrushing with fluoride toothpaste is essential Basic Care.

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Silver Diamine Fluoride

A topical fluoride-silver mixture that
painlessly arrests decay.

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Simple Extraction

Relief of pain by extraction of teeth that can be safely removed with local anesthetic.

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Atraumatic Restorative Treatment

Hand-mix glass ionomer used for simple
fillings with no drills.

Hand-mix Glass Ionomer Cement

GIC Sealants

Glass ionomer is also used preventatively to place fluoride-releasing sealants in 6-8 year olds.

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Quality of Care & Human Rights

International Human Rights documents guarantee all people the right to "the highest attainable standard" of health care. But too often, health care in limited-resource settings is "good enough" or "better than nothing." Jevaia Foundation has spent over a decade developing standardizable quality of care protocols for the BPOC+.

World Health Organization
Quality of Care Framework

Safety
Effectiveness
Timeliness
Efficiency
Equity
People-Centeredness

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Clinical Protocols

√ Standard, patient-friendly clinic setup designed specifically for rural health posts, with painted walls, portable dental chair, and other furniture and materials.

√ Infection Control Protocol developed for rural health post settings and posted in large-print Nepali language in every clinic.

√ Each Primary Oral Health Provider works with a trained assistant to implement clinic protocols.

√ Documentation tools and formats appropriate for BPOC+ delivery in by auxiliary health workers in rural settings.

Professional Development

Every six months clinicians attend professional development with dentists, community dentistry specialists, public health experts, and more. Topics covered are specific to primary-care BPOC+ delivery in Nepal, and have covered topics such as as patient counseling; BPOC+ with conditions common to older adults; full-mouth SDF application; treatment planning; infection control; differential diagnosis and referral; adverse event management.

Competency Certification

Dental Technicians maintain an annual competency certification based on international criteria. Jevaia Oral Health Care is advocating for this competency framework to be a standard part of BPOC+ care anywhere in the world.

Dental Hub

Dental Hub is an open-source app created to support BPOC+ delivery by auxiliary providers in primary care settings. Its people-centered design prioritizes easy patient follow-up and referral for auxiliaries who work in communities where they are familiar faces.

Dental Hub was developed in collaboration with Abhiyantrik Technology in Kathmandu, Nepal. Key public health metrics collected through Dental Hub are building a database of powerful population health trends that can be used to continually adjust delivery of care based on the needs of Nepal's rural communities. Our real-time web interface provides up-to-date analytics of Dental Hub data.

In a time when tele-medicine is rapidly advancing in ways that are clinician-focused and often draw autonomy away from frontline health workers in rural areas, Dental Hub is designed around dental auxiliaries as experts in the BPOC+. Its purpose is to support and enhance the technician-patient interaction, strengthen the care pathway through documented referrals, and provide much needed evidence around BPOC+ implementation at a systems level.

Race to the Rock

2020 Virtual Fun-Run

16th Annual Thanksgiving Day Event

Whether you're an R2R veteran or joining us for the first time by virtual format, we invite you to be part of the crazy, happy, totally fun R2R world. We're ready to have a great time this year despite the challenges of Covid-19. Here's how it's going to work:

1. Register for the Race .
100% of your donation benefits Jevaia Foundation. If you can donate the race fee, we're so grateful. We have also added a "donate what you can" option, knowing many families are struggling with financial pressures of this challenging year. All are welcome!
Now, join the Facebook Event and follow on Instagram, where the online action will happen.

2. Download a free run-tracking app.
You'll use this to record your 2.6 mi / 3.87 km run / walk / skate / hop. Try Strava, RunKeeper, Mapmyrun, Runtastic, RunGo, and many others. Each runner in your group will need to carry a smart phone with a tracking app to record their own time.

3. Prepare: Paint a Rock, Dress Up, and Find Friends.

√ Enter the Rock Painting Contest! (Tips here). Winning Rocks will be chosen for: 1) Inspiring Rock 2) Pet Rock 3) Abstract Art Rock and 4) Seasonal Rock Upload a Facebook photo or email entries to racetotherock@jevaia.org any time until
8pm on Nov. 25 Eastern Standard Time. Rock entries are unlimited!

Run with friends by signing up for a run time or neighborhood with other Rockers around the world, here.

Dress up! Categories are CULTURAL HERITAGE and ROCKSTAR. Please read costume guidelines here.

Carry an item in solidarity with the Movement for Black Lives. Run with a poster, wear a t-shirt, or express your support for Black Lives Matter your own way, and upload or email your photos.

√ Please note that only rock-painting is a contest. All social justice statement photos and celebrations of cultural heritage will be shared through social channels. (Wondering what happened to our long-standing costume and "useful item" contests?
Read more here.)

4. RUN!!! Adults 2.4 miles / 3.87 km. Kids 12 and under .6 miles / .96 km.
√ Complete your run any time between Nov 1 and Nov. 26 at 12:30pm Eastern Standard Time.
√ Take photos to share.
√ Make sure to capture Cultural Heritage and Rockstar dress!
√ Share images of your #blacklivesmatter statements with the world.
√ Make sure that each runner carries a tracking app, and screen shot your run and time at the end.

5. Upload a screen shot of your run distance and time, and photos of your team, to the R2R Facebook page.
If you aren't on Facebook, you can also email submissions to racetotherock@jevaia.org. If you prefer we don't share your photos on social media, let us know and we will only share your results.

For fifteen years, Race to the Rock has been loosely based on a whitewashed story of the Mayflower, with runners racing from "England" to "Plymouth Rock." We recognize that this theme has casually glorified the violence of colonialism, which led to genocide against Native American peoples who continue to be subjected to apartheid today.

In 2019, our organizers began taking steps to shift the meaning and focus of our race name. We did away with English flags at the start line, introduced rock painting, and removed language about pilgrimage from our race materials. These changes were long overdue.

In 2020, we are saying goodbye to our "Useful Item" and Costume Contests. We've had lots of innocent fun with these over the years - hosting adults dressed as squirrels and running around the block in recycled halloween costumes. We've also been party to the appropriation of Native American symbols and dress. Similarly, we've raced with items that would have been useful on the Mayflower - barf bags, puzzles, toilet paper, and gadgets of all kinds. But we have not acknowledged that over 10 million Africans made the transatlantic journey in slave ships. We cannot blindly play games alongside one of the gravest human rights abuses in the history of mankind.

We unflinchingly state: Black Lives Matter. We grieve the injustices of colonization and the centuries of wrongs against Native peoples on their own land. We acknowledge that there is much work ahead and that our event has, in these ways, perpetuated racist harms. We offer apology, and also recognize that actions matter far more than words.

This year's changes are as follows. Replacing the "Useful Item" contest, we invite you, if you wish, to run in a t-shirt or with a poster or other statement of solidarity with the Movement for Black Lives. All social justice statements will be shared through social channels; this is not a contest.

We're still dressing up. The new categories are CULTURAL HERITAGE and ROCKSTAR. 1) Share your most colorful, powerful and authentic celebration of your cultural heritage. (We ask all participants to be conscious of dress choices that inappropriately co-opt Indigenous traditions if these were not inherited from your own ancestors). Or, 2) give us your best rockstar: rock some spandex; run with a guitar; dye your hair, or rock it out any other way you can think of.
Costumes will no longer be a contest. Photos of all entries will be shared through social channels.

There will be one contest: rock painting. (More here)
The categories are #inspirational, #petrock, and #abstractart.

We have retained Plymouth Rock as an organizing symbol of our race name. You will see the Plymouth Rock tree in the many photos we've taken over the years. Whether or not this remains appropriate is still a point of ambiguity that we acknowledge.

Jevaia Foundation is explicitly committed to human rights principles in our work in Nepal. As our founder, I humbly invite feedback, criticism, and ideas, shared in any format, about how we can better implement our values here at home and particularly at Race to the Rock.

1. Go rock hunting. The best rocks have at least one pretty smooth surface, but may also have some cracks or interesting features that look like a nose, or a mountain, or otherwise inspire your creativity!

2. Wash the dirt off your rocks and leave them out in the sun to dry for a day.

3. On all your rocks, use an acrylic white paint to cover the side of the rock you want to paint. (It doesn't have to be white, but that's the easiest background to paint on top of.) Acrylic will stick to your rock really well, but it will also stain your clothes, so make sure you paint on newspaper and maybe even outside. Give the background color a day to dry.

4. If you're adventurous, you can do your whole rock design using acrylic paint, which is easy to find at a stationary store. Or look for acrylic paint markers, which are neater and easier to use than brushes, and come in different thicknesses. Watercolor paint will not stick to your rock! The tricky part about using paint is it's a little messy, and you have to give the rock time to dry.

Another option, which we use at the race, is to decorate your rock using colored sharpies. It's easier to make detailed designs with markers, and of course they dry immediately.

If you really want to go all out, you can add glitter glue (it's a lot easier than glue + glitter...that will make a big mess and your parents won't like it!). Or you can stick decorations from the craft store on to your rock using Elmer's glue.

5. Submit your rock design by uploading it to the Facebook page and/ or emailing it to racetotherock@jevaia.org. Make sure to tag it with the category you've entered it in: #inspirationalR2R, #petrockR2R, #abstractartR2R, or #seasonalR2R.

THAT'S IT! HAVE FUN!!

The Kaskikot Health Post in 2002; now it houses a dental clinic.