ABOUT US
PESHAWAR-KAI
”Go where others dare not go. Do what others dare not do.

1.Medical Project
2.Green Ground Fund for Afghanistan Programme
2(1).Water Supply and Canal Construction Projects
2(2).Agriculture Project
Profile of Tetsu Nakamura

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Basic Data
−Non-governmental organisation
−Established in 1983
−Membership: 12,000 (as of July 2003)
−Based in Fukuoka City, Japan
−Affiliated organisation in Pakistan: Peshawar-kai Medical Services (social welfare corporation)
−Major facilities in Pakistan and Afghanistan: 1 hospital, 4 clinics, 1 office, 1 sub-office and 3 staff houses
−Japanese staff in Pakistan and Afghanistan: 19 (as of May 2004)
−Local staff: 250 (not including temporary labourers)

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Peshawar-kai was established in 1983 to support the work of Dr. Tetsu Nakamura, who was scheduled to arrive in Pakistan the following year.

In 1984, Dr. Nakamura was assigned to Peshawar Mission Hospital in the North West Frontier Province (NWFP), Pakistan. At that time the Hansen's disease ward of the hospital was treating patients without sufficient medical equipment and without adequate facilities for carrying out operations.
In 1986, we began to treat Afghan refugees who had fled to Pakistan. Later, in December 1991, we opened a satellite clinic in Dara-e-Noor in the north-eastern mountainous area of Afghanistan as a base for further work in the country. This was our first clinic in Afghanistan. Subsequently, two more clinics were built in the north-eastern regions of Afghanistan. Since then we have provided medical services to the people in villages in mountainous regions, who previously had no access to medical institutions.


PMS Hospital
After an outbreak of malignant malaria hit the Dara-e-Noor area in 1993, we launched a large-scale fund-raising campaign in Japan to purchase anti-malaria drugs. Thanks to more than 20 million yen of donations from people throughout Japan, as many as 20,000 patients were saved. In 1998, we established Peshawar-kai Medical Services Hospital (PMS Hospital) as our permanent main hospital in Peshawar. Then two years later, in 2000, when severe drought hit Afghan villages, we started our "Water Supply Project", which involved digging wells and rejuvenating karez (the local traditional underground canals). This project is ongoing.


Food distribution in Afghanistan
In October 2001, we set up a "Fund for Life" to deliver food to internally displaced people who had fled their homes in the wake of the U.S. bombing of Afghanistan. This programme supplied food to 150,000 people until February 2002. From the funds we received, we launched our "Green Ground Fund for Afghanistan" - a programme to fully restore rural villages in Afghanistan.

1.Medical Project


Dr. Nakachi doing his rounds
We operate one hospital with 70 beds and four satellite clinics. The satellite clinics are all located in mountainous areas, one in Pakistan and the other three in Afghanistan.

In addition to the treatment of patients, this project also includes medical education and training for local staff. Since Afghan women, in keeping with Islamic tradition, never expose their skin to male strangers, even to medical doctors, Japanese female nurses have been helping to care for female patients.
We have also made efforts to rehabilitate Hansen's disease patients. A sandal workshop in the hospital compound has supplied sandals to patients with the disease to protect their feet from plantar ulcers caused by neuro-sensory damage.

Dr. Nakamura talking to elders on
building the Okinawa Peace Clinic
Dara-e-Noor Clinic was rebuilt with money from the Okinawa Peace Prize awarded in August 2002. In the autumn of 2003 it was renamed "the Okinawa Peace Clinic".

- Total annual cases: about 160,000 cases in 2002
- Medical staff: 110 in 2003



2. Green Ground Fund for Afghanistan Programme


Parched dry ground due to drought in
Dara-e-Noor, Afghanistan in 2001
A sudden increase in patients suffering from dysentery has occurred in our clinics in Afghanistan since July 2000. This was due to people drinking contaminated water during a water shortage caused by a severe drought.

In response, as a part of our medical project, PMS started our Water Supply Project in August of the same year. This involved digging wells and rejuvenating karez in the eastern regions of Afghanistan. The project continued even during the U.S. air attacks.

A well-digging site
In January 2002, we launched our "Green Ground Fund for Afghanistan". This programme aims to secure irrigation water for the local farmers. The purpose is to enable the farmers to be self sufficient. At the same time we have continued to carry out our medical project and drinking water supply project. Restoration of agriculture is vital for the rebuilding of Afghanistan. The continued development of this programme is one of our long term aims.

2(1). Water Supply and Canal Construction Projects


An irrigation canal construction site
The rejuvenation of karez was undertaken in the Dara-e-Noor valley in order to secure water for irrigation essential to agriculture. So far 32 out of 38 karez have been restored in the mid-stream areas which had been turned into desert by the drought. This restoration work has enabled about 1,000 families (about 10,000 people) to return to villages they had earlier abandoned due to a shortage of water. The digging of irrigation wells is also in progress.

Looking to the long term, a 15-year irrigation programme was started in March 2003 using the abundant water of the Kunar River. The construction of a 14-kilometer long canal has already begun.

−Working sites: 1132 sites (as of February 2004)
−Usable water sources: 1057 sites (as of February 2004)
−Water Supply & Canal Construction Projects staff: 140 (as of 2003)
−Labourers: 700 (as of 2003)

2(2). Agriculture Project

The partly dug canal succesfully
draws water

We selected the Dara-e-Noor valley as a pilot area for the restoration of a "self-sufficient agricultural village". This area, one of the poorest regions, was hit by a drought that resulted in 18,000 villagers being displaced. With cooperation from the local farmers, we were able to open a pilot farm of about 8,000 square metres.

A pilot farm in Dara-e-Noor
At the farm, we have experimented with crops and vegetables which do well in arid land, and have improved the soil to increase production. We have also made efforts to carry out research on alternative cash crops to opium poppies, to educate the people to respect agriculture, and to improve farm tools.

Furthermore, since dairy products are essential to the lives of Afghan people, we have also developed livestock farming.

- Agriculture Project staff: 3 (as of 2003)



Profile of Tetsu Nakamura


Dr. Nakamura and a Japanese
volunteer during a water-drawing trial
−Medical doctor
−Representative of Peshawar-kai in Pakistan and Afghanistan
−Executive director of Peshawar-kai Medical Services
−Born in Fukuoka City, Japan in 1946
−Graduated from Medical School of Kyushu University
−Served in Japanese hospitals
−Assigned to a hospital in Peshawar, the capital city of North West Frontier Province in Pakistan in 1984
−Has treated Afghan refugees including Hansen's disease patients


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