The Wachet Jivitadana Sangha Hospital
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The Wachet Jivitadana Sangha Hospital ( my, ဝါးချက်ဇီဝိတဒါနသံဃာ့ဆေးရုံ) is a monastic hospital located in Wachet,
Myanmar Myanmar, ; UK pronunciations: US pronunciations incl. . Note: Wikipedia's IPA conventions require indicating /r/ even in British English although only some British English speakers pronounce r at the end of syllables. As John C. Wells, Joh ...
. It was founded on 20 October 1984 by Sayadaw U Lakkhana (also known as Badandha Lakkhana Sayadaw), an
abbot Abbot is an ecclesiastical title given to the male head of a monastery in various Western religious traditions, including Christianity. The office may also be given as an honorary title to a clergyman who is not the head of a monastery. The fem ...
of the Kyaswa Gyaug Monastery in
Sagaing Sagaing (, ) is the former capital of the Sagaing Region of Myanmar. It is located in the Irrawaddy River, to the south-west of Mandalay on the opposite bank of the river. Sagaing with numerous Buddhist monasteries is an important religious and ...
, using donations from
monk A monk (, from el, μοναχός, ''monachos'', "single, solitary" via Latin ) is a person who practices religious asceticism by monastic living, either alone or with any number of other monks. A monk may be a person who decides to dedica ...
s,
nun A nun is a woman who vows to dedicate her life to religious service, typically living under vows of poverty, chastity, and obedience in the enclosure of a monastery or convent.''The Oxford English Dictionary'', vol. X, page 599. The term is o ...
s, and others in the village of Wachet. The hospital was established as a charitable institution to provide free medical treatment to monks and nuns. After 19 years, a committee of monks from Kyaswa Monastery decided to modernize the small facility. Since then, it has been significantly upgraded and expanded with local, national, and foreign aid. When first opened, it was a two-story clinic with four rooms. Today, it is a four-story, 50-bed facility that provides low-cost health services to the general public as well as to monks and nuns. The hospital provides both
Western medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practice ...
and
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
, including
acupuncture Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientifi ...
.


Location

Wachet is a village in the Sagaing region of
Upper Myanmar Upper Myanmar ( my, အထက်မြန်မာပြည်, also called Upper Burma) is a geographic region of Myanmar, traditionally encompassing Mandalay and its periphery (modern Mandalay, Sagaing, Magway Regions), or more broadly speak ...
, along the
Ayeyarwady River The Irrawaddy River ( Ayeyarwady River; , , from Indic ''revatī'', meaning "abounding in riches") is a river that flows from north to south through Myanmar (Burma). It is the country's largest river and most important commercial waterway. Origi ...
. The hospital is located north of the Kyaswa Monastery, east of the Sagaing Hills, and west of the Ayeyarwady River.


Kyaswa Monastery and Sayadaw U Lakkhana

The Kyaswa Monastery was founded in the
14th century As a means of recording the passage of time, the 14th century was a century lasting from 1 January 1301 ( MCCCI), to 31 December 1400 ( MCD). It is estimated that the century witnessed the death of more than 45 million lives from political and n ...
and is located in Wachet. Sayadaw U Lakkhana, the founder of Wachet Jivitadana Sangha Hospital, was the abbot of the monastery when the hospital was founded in 1984, and was known both in Myanmar and abroad as a
meditation Meditation is a practice in which an individual uses a technique – such as mindfulness, or focusing the mind on a particular object, thought, or activity – to train attention and awareness, and achieve a mentally clear and emotionally cal ...
teacher and spiritual leader. He traveled extensively to lead
Satipatthana ''Satipatthana'' ( pi, Satipaṭṭhāna, italic=yes; sa, smṛtyupasthāna, italic=yes) is a central practice in the Buddha's teachings, meaning "the establishment of mindfulness" or "presence of mindfulness", or alternatively "foundations of ...
meditation retreats, including in
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,
Malaysia Malaysia ( ; ) is a country in Southeast Asia. The federation, federal constitutional monarchy consists of States and federal territories of Malaysia, thirteen states and three federal territories, separated by the South China Sea into two r ...
,
Nepal Nepal (; ne, नेपाल ), formerly the Federal Democratic Republic of Nepal ( ne, सङ्घीय लोकतान्त्रिक गणतन्त्र नेपाल ), is a landlocked country in South Asia. It is mai ...
,
Singapore Singapore (), officially the Republic of Singapore, is a sovereign island country and city-state in maritime Southeast Asia. It lies about one degree of latitude () north of the equator, off the southern tip of the Malay Peninsula, borde ...
, and the
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. In 1988, the Myanmar government awarded him the title of Agga Maha Kammathanacarriya, its highest honor for meditation instruction. The resulting publicity helped him garner support for community projects. In addition to founding Wachet Jivitadana Sangha Hospital, Sayadaw U Lakkhana and the Kyaswa Monastery opened a primary school in Wachet, provided grants for students, and delivered humanitarian relief to civilians after
Cyclone Nargis Extremely Severe Cyclonic Storm Nargis ( my, နာဂစ်, ur, نرگس ) was an extremely destructive and deadly tropical cyclone that caused the worst natural disaster in the recorded history of Myanmar during early May 2008. The cyclone m ...
in 2008. Sayadaw U Lakkhana died in 2014.


Facilities and services

The hospital has 50 beds, but often accommodates up to 200 patients. In 2014, according to a hospital pamphlet, the average number of medical outpatients per month was 131. The average numbers of dental, ENT, and
dermatological Dermatology is the branch of medicine dealing with the skin.''Random House Webster's Unabridged Dictionary.'' Random House, Inc. 2001. Page 537. . It is a speciality with both medical and surgical aspects. A dermatologist is a specialist medical ...
cases were 341, 59, and 34 per month, respectively. An average of 322 patients per month received acupuncture, and an average of 284 were treated with other forms of traditional medicine. There are about 50 permanent staff members, including one doctor, five
nurses Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health ca ...
, nine
paramedic A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are p ...
s, and five administrators. The hospital has three operating theatres, one laser treatment room in the outpatient department, and five dental chairs. Additional facilities include a laboratory, a
radiology Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiat ...
department, and a traditional medicine and acupuncture unit. Four
air conditioned Air conditioning, often abbreviated as A/C or AC, is the process of removing heat from an enclosed space to achieve a more comfortable interior environment (sometimes referred to as 'comfort cooling') and in some cases also strictly controlling ...
rooms with attached bathrooms, as well as five beds and bathrooms in the main hall, are reserved for
VIP A very important person or personage (VIP or V.I.P.) is a person who is accorded special privileges due to their high social status, influence or importance. The term was not common until sometime after World War 2 by RAF pilots. Examples inc ...
patients. The hospital provides a variety of health services throughout the week, but certain procedures that must be performed by specialists are only available during certain days and times.
Physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s,
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
s, and dental surgeons from
Mandalay Mandalay ( or ; ) is the second-largest city in Myanmar, after Yangon. Located on the east bank of the Irrawaddy River, 631km (392 miles) (Road Distance) north of Yangon, the city has a population of 1,225,553 (2014 census). Mandalay was fo ...
are available Sunday mornings; the dental surgeons are also available on Saturdays. An acupuncture team from Mandalay provides services on Wednesdays and Saturdays. Eye specialists and
ear, nose, and throat Otorhinolaryngology ( , abbreviated ORL and also known as otolaryngology, otolaryngology–head and neck surgery (ORL–H&N or OHNS), or ear, nose, and throat (ENT)) is a surgical subspeciality within medicine that deals with the surgical a ...
(ENT) teams from Mandalay come on Thursdays. For billing purposes, the hospital divides patients into three categories. Those in the first category, including monks, nuns, and
yogi A yogi is a practitioner of Yoga, including a sannyasin or practitioner of meditation in Indian religions.A. K. Banerjea (2014), ''Philosophy of Gorakhnath with Goraksha-Vacana-Sangraha'', Motilal Banarsidass, , pp. xxiii, 297-299, 331 Th ...
s, receive treatment free of charge. Those in the second category—low-income or otherwise disadvantaged patients—are responsible for a small portion of their treatment costs. All other patients are responsible for the total cost of their treatment, or most of it.


Affiliated organizations

Wachet does not receive funding from the Myanmar government. It is supported by donations and volunteers from both domestic and international organizations, including Japan Heart, the RANZCO Eye Foundation, the Brighter Future Foundation, and Vipassana Hawai’i.


Japan Heart

Japan Heart, a volunteer-based international health care organization based in
Tokyo Tokyo (; ja, 東京, , ), officially the Tokyo Metropolis ( ja, 東京都, label=none, ), is the capital and largest city of Japan. Formerly known as Edo, its metropolitan area () is the most populous in the world, with an estimated 37.468 ...
, was founded in 2004 by Dr. Hideto Yoshioka. The organization operates in both Myanmar and
Cambodia Cambodia (; also Kampuchea ; km, កម្ពុជា, UNGEGN: ), officially the Kingdom of Cambodia, is a country located in the southern portion of the Indochinese Peninsula in Southeast Asia, spanning an area of , bordered by Thailand t ...
, and began working with Wachet Hospital in May 2004. Japanese doctors and nurses assist local staff members in treating patients, and also work to improve the medical techniques used at the hospital. In Myanmar, Japan Heart volunteers help treat approximately 10,000 outpatients and perform up to 2,000 surgical operations per year. In 2004, its medical volunteers conducted, on average, 1,001 outpatient procedures and 154 operations per month. Its other initiatives in Myanmar include the Dream Development Center, or "Dream Train", a child development center in
Yangon Yangon ( my, ရန်ကုန်; ; ), formerly spelled as Rangoon, is the capital of the Yangon Region and the largest city of Myanmar (also known as Burma). Yangon served as the capital of Myanmar until 2006, when the military government ...
founded in 2010. Also in 2010, with funding from the
Japanese Ministry of Foreign Affairs The is an executive department of the Government of Japan, and is responsible for the country's foreign policy and international relations. The ministry was established by the second term of the third article of the National Government Organi ...
, Japan Heart opened a
vocational training Vocational education is education that prepares people to work as a technician or to take up employment in a skilled craft or trade as a tradesperson or artisan. Vocational Education can also be seen as that type of education given to an ind ...
center for the
visually impaired Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment ...
in Myanmar.


RANZCO Eye Foundation

The RANZCO Eye Foundation is a nonprofit organization, founded in 2002, that represents over 800
ophthalmologists Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
in
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
and
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
. It funds a number of initiatives, including sustainable eye care programs in disadvantaged communities in both countries, research on the causes of vision loss, and community awareness campaigns about eye health. It works with Wachet Hospital on the Myanmar Eye Care Project (MECP), which aims to reduce preventable vision loss and improve eye care in rural Myanmar. MECP is led by Dr. Geoff Cohn, a
Sydney Sydney ( ) is the capital city of the state of New South Wales, and the most populous city in both Australia and Oceania. Located on Australia's east coast, the metropolis surrounds Sydney Harbour and extends about towards the Blue Mountain ...
-based ophthalmologist. Eight times per year, Dr. Cohn leads a team of over 40 Australian ophthalmologists, technicians, and support staff to the hospital to treat eye diseases such as
cataract A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry or double vision, halos around light, trouble w ...
s and
glaucoma Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye rem ...
. The foundation also provides ophthalmic surgical equipment to the hospital and trains local specialists to perform eye care procedures in the absence of the Australian team. MECP has performed over 12,000 surgeries and currently performs 5,000 per year throughout Myanmar. In 2014, at Wachet Hospital alone, MECP treated 1,500 patients. It has also provided services to four other monastery-based eye care centers and one non-monastery-based clinic in Myanmar.


Brighter Future Foundation

The Brighter Future Foundation (BFF) is a nonprofit organization founded by Zwe Nanda and Dr. Thinn Thinn Hlaing in 2005. It provides health services and equipment to public hospitals, helps educate health care professionals, and supports undergraduate and postgraduate medical education in Myanmar. In July 2013, its doctors and volunteers provided free
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
care to 270 patients at Wachet Hospital, offering each patient
blood test A blood test is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a hypodermic needle, or via fingerprick. Multiple tests for specific blood components, such as a glucose test or a cholester ...
s (to measure kidney function,
lipid profile A lipid profile or lipid panel is a panel of blood tests used to find abnormalities in lipids, such as cholesterol and triglycerides. The results of this test can identify certain genetic diseases and can determine approximate risks for cardiovas ...
,
glycated hemoglobin Glycated hemoglobin, also known as HbA1c, glycohemoglobin, hemoglobin A1c, A1C, is a form of hemoglobin (Hb) that is chemically linked to a sugar. Most monosaccharides, including glucose, galactose and fructose, spontaneously (i.e. non-enzymatic ...
(HbA1c), and
blood sugar Glycaemia, also known as blood sugar level, blood sugar concentration, or blood glucose level is the measure of glucose concentrated in the blood of humans or other animals. Approximately 4 grams of glucose, a simple sugar, is present in the blo ...
),
urine tests A urine test is any medical test performed on a urine specimen. The analysis of urine is a valuable diagnostic tool because its composition reflects the functioning of many body systems, particularly the kidneys and urinary system, and specimens a ...
, and a one-week supply of medication. In August 2014, the team made another visit. The foundation also gave the hospital an Afinion HbA1c analyzer, which measures glycated hemoglobin levels in blood.


Vipassana Hawai’i/MettaDana Project

Vipassana Hawai’i, based in
Hawaii Hawaii ( ; haw, Hawaii or ) is a state in the Western United States, located in the Pacific Ocean about from the U.S. mainland. It is the only U.S. state outside North America, the only state that is an archipelago, and the only stat ...
, promotes the teachings of
Buddha Siddhartha Gautama, most commonly referred to as the Buddha, was a śramaṇa, wandering ascetic and religious teacher who lived in South Asia during the 6th or 5th century BCE and founded Buddhism. According to Buddhist tradition, he was ...
as preserved in the
Pāli Canon The Pāli Canon is the standard collection of scriptures in the Theravada Buddhist tradition, as preserved in the Pāli language. It is the most complete extant early Buddhist canon. It derives mainly from the Tamrashatiya school. During th ...
of
Theravada Buddhism ''Theravāda'' () ( si, ථේරවාදය, my, ထေရဝါဒ, th, เถรวาท, km, ថេរវាទ, lo, ເຖຣະວາດ, pi, , ) is the most commonly accepted name of Buddhism's oldest existing school. The school' ...
. In 1995, Steven Smith of Vipassana, in collaboration with Sayadaw U Lakkhana and the Kyaswa Monastery, started the MettaDana Project, which provides funding, staff support, medicines, and other supplies to Wachet Hospital. The group has arranged a public health training program on
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
and funded additional training programs for the hospital’s technical and clerical workers. In addition, Vipassana helped establish the acupuncture training and treatment program at the hospital. The MettaDana Project collects charitable donations, which are then distributed to communities in Myanmar through the Kyaswa Monastery. In addition to its support for the hospital, it has provided educational grants to approximately 300 primary school students in Wachet, helped fund a new primary school in Wachet village, and assisted with humanitarian relief after Cyclone Nargis.


See also

* Health in Burma


References

{{DEFAULTSORT:Wachet Jivitadana Sangha Hospital Hospitals established in 1984 Hospitals in Myanmar