NepalBuilding Medical Clinic
This charity holiday is a great project for international development in Nepal and the aim is to build a small medical clinic in a rural area near the Everest region, as part of a very long term project we have been developing with our charity Moving Mountains for nearly twenty years now. We're looking for a group of motivated people who will carry out fundraising up to the project capital cost and then travel to Nepal and help to implement it. It's hard work though! Building techniques in the mountains include dry stone walling and using slate collected from the valley floor.
As you can see from the photo's on our Moving Mountains website, the shell of the clinic and the roof is almost completed, which means the remaining work that needs funded to make the clinic operational is the finishing work on the inside (ceilings, floors, glass in the windows, doors, painting, etc), male and female toilets built next to the clinic and medical supplies and equipment and furniture.
We welcome interest from individuals and groups to make up the project team. There are two costs involved with our International Development trips a) your own land based trip costs and b) the specific project costs that the team will need to raise for the project to be undertaken.
Ideally a team of up to 15 people would be perfect, and we will provide all the homestay accommodation and meals in the village, allowing you to experience traditional Sherpa hospitality. We have been doing this for many years, and we have all the safety issues covered, and we use our own company in Nepal to carry out the logistics. Moving Mountains also has it's own NGO based in Nepal, so the visiting team will truly be working with local people carrying out the aims of an international charity.
The core dates cover a 15 day period, which starts with your arrival in Kathmandu. The second day is a rest, briefing and sightseeing day. We fly up into the mountains on day 3 and arrive into the village on day 4. We then live, work and experience the local way of life and undertake the project in this stunningly beautiful part of the world for a full week. We then head back to Lukla (a 2 day walk) for our return to Kathmandu on day 14.
There is the option, if you have the time, to stay on for longer in Nepal. You can either work in the villages, trek to Everest Base Camp or in any of the other regions of Nepal, such as the Annapurna Circuit or the Langtang Valley. Alternatively you can visit the jungle, white-water raft, kayak or mountain bike! Nepal really does have something for everyone.
All of our International Development Projects have been identified, researched, assessed, priced and approved by our charity Moving Mountains. The next stage of the process is project implementation. For this we need people to help us firstly raise the funds to cover the project and then assist with implementation on the ground. If, after the project, you would like to stay for longer and take part in any of the other activities we run in Nepal this is easily organised.
|1-2||On day 1 arrive in Kathmandu. Transfer to the Adventure Alternative guesthouse. Day 2 will be a rest day, with time to prepare for the project, explore the city and visit local temples. Overnight at Adventure Alternative guesthouse.|
|3||Leave the guesthouse early to catch a mountain flight to Lukla. After landing in Lukla trek to Puiyan. This trek is up and down through the green countryside, staying in lodges in villages on the way. The days are about 5 or 6 hours long, and will begin at about 8:30, after breakfast. The trek will be at a relaxed pace, and there is plenty of time to stop and meet people, take photos, have long lunches and enjoy this amazing region called the Solu Khumbu. Altitude sickness is extremely unlikely to be an issue, since Bumburi is at an approximate height of 2,300m. Throughout the trek you will be very well looked after by the Sherpas.|
|4||Trek from Puiyan to Bumburi where the medical clinic is being built.|
|5-11||Aside from the work on the clinic you will get a chance to immerse yourself in the Sherpa culture, help and volunteer in the local school (also developed and supported by Moving Mountains Nepal) and other Moving Mountains projects set up in the region and enjoy the feeling of being away from the tourist trail in this spectacularly beautiful part of Nepal.|
|12||On day 12 we will bid farewell to our hosts and leave Bumburi to trek back through the valleys to Puiyan.|
|13||Trek from Puiyan to Lukla. Overnight in Lukla.|
|14||Fly back to Kathmandu and head â€˜homeâ€™ to the guesthouse, where Pasangâ€™s wife, Saraswoti, will have prepared a welcome meal.|
|15||Either continue your stay in Nepal or onward travel (home or elsewhere). In Nepal you can relax and visit the sights around the Kathmandu valley. In Kathmandu there will be time to explore temples and sacred sites in this eclectic capital, while staying in our own guesthouse with the family of Pasang Sherpa. We can help you with any optional add ons at this stage, such as exploring the Kathmandu valley, riding Elephants in Chitwan National Park or discovering more of Nepal.|
Building Medical Clinic - Nepal cost £855.00
- All accommodation and meals provided in the mountains
- Accommodation (either in shared rooms or tents pitched in the garden of our Kathmandu Guest House) - 3 nights
- Return internal flights to Lukla & airport transfers for these flights
- Adventure Alternative leader and guides
- Adventure Alternative porters (one porter carries 15kg for every 2 clients)
- Staff food, insurance and equipment
- Personal project fundraising target; Â£750 per person, which is paid directly to our charity, Moving Mountains Trust, so you can set up online fundraising pages and claim gift aid
- International air-fare
- Personal Travel Insurance
- Meals and drinks in Kathmandu
- Personal expenses such as extra snacks, bottled water and soft drinks, souvenirs
Travel Insurance - you will need travel insurance for this trip. Normal holiday travel insurance will be adequate. We advise you to get this insurance early on, so that if you have to make a late cancellation for some reason then you will get all your money back.
Company Insurance - we have full tour operators liability insurance which covers public liability and employers liability.
Financial Insolvency - we have full financial bonding in place which is both a requirement of membership of the Association of Independent Tour Operators and also of the European Travel Directive.
You can find out more information about taking out an insurance policy here.
Our local provider is Adventure Alternative Nepal. Adventure Alternative Nepal complies with UK tourism standards.
Where we do use providers such as tea house owners on the trek these are people our Adventure Alternative Nepal staff have known for years, and spent time with to build up the trust between both parties.
You do not need to be super-fit for this trip as it is focussed more on social interaction and team work than physical exertion. Having said that, you will enjoy the trip all the more if you are in good physical shape having exercised regularly and eaten nutritiously over at least the 6 months leading up to the trip. Some of the hills are steep and there are quite a lot of them! You will carry a small rucksack containing things you will need for the day, but we have porters to help with the main luggage and medical supplies. The whole thing is great fun and the Sherpas are such sociable people that even with a language barrier there’s rarely a problem.
You do need to be in good health as we will spend some time in locations that are many hours from professional medical care. Any pre-existing medical or dental conditions should be fully appraised by a doctor and their nature fully disclosed to your insurer and to ourselves.
TYPE OF TERRAIN
The trails are well made and used as they are the main transport arteries through the region. They are traversed by mules and people. They are often constructed as rough steps from local rock as they wind around the hillsides. Where-ever possible the paths have been constructed to minimise the ascent and descent between villages. However this is the Himalayas we are dealing with so there are some fairly demanding ups and downs to deal with along the way. Also bear in mind that the altitude will mean that something that you may bound up at sea level may slow you considerably at 2500m. You don’t have to be superfit but some of the hills are quite steep and there are a lot of them! You will carry a small rucksack but we have Sherpas to help with the main luggage.
On the trek you will be staying in tea houses and lodges and in the villages you will be staying in local houses. You will be extremely well looked after by the families! The accommodation is not western hotel standard, but it is comfortable. You will have a bed and a mattress. These are traditional buildings which are very much in keeping with the environment and the Sherpas have been perfecting their way of life for hundreds of years.
Food is of a good quality, will be mainly local foods such as dal bhat (lentil stew with rice and curried potatoes or meat), boiled potatoes with chilli sauce, Sherpa stew (meat, potatoes, vegetables in a rich sauce) or curry with rice. These are the staple foods for Sherpa people.
Bottled water is for sale on the trek to the villages but we do not recommend the purchase of plastic bottles which are environmentally unsound. The best option is to ask for boiled water from the kitchen to fill your water bottle in the evening, and use water purification tablets, or an AquaPure traveller water bottle (see section “h” - equipment list) during the day. Please note that cheap Nalgene water bottles bought in Nepal are fake and they split! So remember to bring a suitable bottle from home. River water is generally full of glacial silt and could possibly be contaminated with animal urine and the run-off from toilets, so do not drink this.
There will be electricity in the lodges while you are trekking and while you are in the villages. You must bring a two pin round plug adaptor though. The output is usually 110V. Power comes from a solar panel which is stepped up, or from hydro-electric power. Electrical charging in the villages is free, however there will be a charge for this in the lodges on your trek.
For this trip you don't need to be experienced in foreign travel or experienced in building techniques or working with children or in schools. The programme is designed so that you are the one getting the experience, while at the same time allowing you to interact with our professional staff who can show you their job. We are not expecting you to be experts in any specific or even related fields, but we will expect you to come back with a great deal of knowledge at the end of it.
The most important characteristics you need are openness, willingness to learn and take part, enthusiasm, initiative and a sense of curiosity. Your experience simply as a person from another culture will give you an enormous amount to share with local people who perhaps have less opportunities than you. The trip is very emotional, and you will meet people whose lives seem almost impossible to live, but your interaction with them will help in ways you can't measure.
ADVENTURE ALTERNATIVE SUPPORT
We run our treks from a permanently staffed office in Kathmandu and our dedicated team provide an excellent service. All of the guides have been employed for over 10 years with us, and they have been trained to our high standards personally by Director and high altitude climber, Gavin Bate, who has climbed Everest 6 times. They know how to deal with medical emergencies and speak good English. They are very attentive and after so many years have a good understanding of western needs. The porters will carry your main bag, up to a maximum of 15kgs and cater for all the group needs, including assisting you if you need to go back down to the valley. All accommodation is in lodges or teahouses which are well equipped, warm and sociable.
Pasang Tendi Sherpa is our operations manager in Kathmandu and Director of Adventure Alternative Nepal. He organises the staff, equipment, permits and hotel arrangements. He is the organiser, translator, problem solver, advisor and the main link between you and the UK office. He will talk to your Sherpa guides regularly on the trek and can make arrangements while you are on the trek. You will also have continued support from the main office in Northern Ireland. Should a problem arise of significant proportion then you only need to call us. In the Khumbu region, although there is little mobile phone signal, there is still the opportunity to communicate since most lodges now have satellite phones, you will have one in the villages too.
- Rucksack or duffle of no more than 20kgs as luggage, 60-70litres (anything not needed for the camp can be left in Kathmandu).
- Small day pack, approx 30-40 litres
- Waterproof covers for your bags
- Dry bags, various sizes - these are good to keep your things in, to prevent them getting wet in the rain
- Sleeping bag - 2-3 season
- Sleeping bag liner - cotton/silk
- Waterproof, breathable jacket & trousers (trousers are optional depending on personal preference)
- Warm jacket/fleece for the evenings
- Trekking trousers or shorts
- Trekking t-shirts
- Long sleeved tops for the evenings
- Trousers for the evenings
- Walking shoes/boots and trekking socks
- Sandals/flip flops/crocs/trainers for the day time in the clinic and evenings
- Sunglasses, with good UV protection
- Wide Brimmed Sun Hat/baseball cap
- Personal Wash Kit - toothbrush & toothpaste, soap, shampoo, deodorant, wet wipes, lip salve
- Personal First Aid Kit - see below
- Insect repellent
- Microfibre trekking towel
- Antiseptic handwash/gel
- Head torch (LED are best) & spare batteries
- Camera, memory card, batteries and charger
- Mobile phone & charger - unlocked to take a local SIM card (optional)
- Water bottle, for example the AquaPure traveller bottle
- Second 1 litre water bottle
- Water purification tablets (if you do not have an AquaPure traveller bottle)
- Umbrella - you can buy these in Kathmandu
- Clothes wash
- Walking poles (optional)
- Money belt
- Small padlock - with security code
- Optional personal items: books/kindle, diary & pen, games e.g. cards
- A good guide book
- Local language phrasebook
- Documents: passport & copies, insurance details & a copy of your policy certificate, money & credit cards*, passport photos, waterproof bag for all documents
- We are driven by good intentions and not just good practise; our trips work with professional bodies that work full time in the field of international development.
- We do not contract out our trips, we employ full time staff, offering job security and good benefits.
- We are passionate about responsible tourism and our company has promoted sustainable development since 1995, and it is still growing!
- We work with Moving Mountains which is tightly linked with the company, and provides relevant long term programmes and projects that benefit the host communities.
- Financial security guaranteed as we are AITO bonded.
- We are members of Interhealth which gives you access to pre-trip health information and on-site assistance by phone in the event of an emergency.
- Our staff only work for Adventure Alternative.
- We use low cost sustainable technologies and a business model which incentivises a local NGO.
- We have independent research to evaluate and assess the projects we run.
- We deliver value and an informed choice to our clients, through a highly comprehensive communications network that you can access, and we can provide that evidence to stand behind everything we say.
- We have credibility because our projects are not all self-regulated, but assessed in a collaborative process that involves many stakeholders such as the community leaders, the NGO staff and the regulatory bodies in-country.
- We have progressive ideas about the structural determinants of poverty and the implementation of 'clever aid' to create sustainable benefits.
- We don't take people's jobs, we use these trips to invest in people.
- We fulfil the criteria of Fair Trade Volunteering.
- Our projects and programmes determine the trip, not the other way around.
- We believe in what we do, and we have the experience to carry it out.
SUMMARY FOR HOMEPAGE WIDGET
An international development project for the fundraising and construction of a small hospital in the Khumbu region of rural Nepal
Our charity, Moving Mountains, has been working in the Himalayan region of Bumburi for many years as part of a sustained long term strategy. Our projects have already seen a huge improvement in the quality of life of its inhabitants. Previous phases have included provision of a clean drinking water system, a hydro-electric installation, renovation of the monastery, building of essential pathways and many other projects.
Another of our successful initiatives has been the provision of medical camps whereby Nepali doctors have supervised a group of UK medical students in providing a free medical consultation and treatment programme over the course of ten days. These camps have been extremely well attended and as a result of this and consultation with our local comittee members we have identified a need for year-round healthcare provsion in the area. Full details about the last medical camp can be found by clicking here and a report on the medical findings by clicking here.
We've got lots of staff to help the team, including Everest climbing Sherpas and our full time development staff. Additionally there is the village committee in Bumburi and Bupsa who manage all of our projects on the ground. We've also got a guesthouse in Kathmandu where you can stay, we have lots of elective students and sabbaticals who spend several months living in the capital, so the set-up is comfortable and very sociable.
Read about Pasang Sherpa's (Adventure Alternative Nepal Director & Moving Mountains Nepal Vice-Chairman) involvement with the 2014 Rescue Mission to the Annapurna Range here.
This scheme is part of a wider ongoing initiative to improve the quality of life of people in the lower Khumbu region of rural Nepal. The village regeneration project is the implementation of a long-term development plan focussed around two rural villages. Overall enhancement of quality of life and sustainability of the community has so far been achieved via investment in infrastructure, education and healthcare as well as training and reliable employment.
Aside from the more obvious physical and material elements, one of the main achievements of the project has been the rejuvenation of a community that was in serious decline and plagued by emigration to the lowlands and Maoist related violence. Through improvements in sanitation, schooling, employment and future prospects the communities have again begun to be an attractive proposition for life-long habitation.
The sustained close links of Adventure Alternative to the area has provided locals with a reliable and ethical source of employment and training. Throughout the course of ten years, Adventure Alternative has been running Mount Everest expeditions and Everest base camp Treks. These have brought in charitable donations and also a reliable revenue stream. Many of the local Sherpa people have been employed to staff these trips as guides, porters and logistical organisers. In so-doing they have gained invaluable skills and experience.
A number of local Sherpas have now summitted Mt Everest with Adventure Alternative. This is an achievement that is held in huge esteem by the Sherpa community, helping to further raise the profile of their home villages as successful and thriving communities.
So far the physical achievements of the project include:
- Design, building, installation and commissioning of 6kw hydro-electric plant in Bumburi
- Electrical connection of 66 Bumburi homes to the hydro-electric plant
- Installation of hydro-mechanical milling machinery at the hydro plant in Bumburi
- Building of 6 new classrooms at Bupsa school
- Building of 6 new classrooms at Bumburi school
- Building of improved toilet facilities and water tap at Bumburi school
- Renovation of Bupsa Buddhist monastery
- Renovation of Bumburi monastery
- Provision of 66 improved cooking stoves in Bumburi
- Provision of clean running water to 66 homes in Bumburi
Other initiatives include
- Previous annual medical camps in Bupsa and Bumburi providing free medical consultation and medication.
- Funding of 4 teachers’ salaries in each of the two village schools
- Sponsorship of 12 local children to go on to higher education in Kathmandu
- Training and employment of local villagers to run and maintain the hydro-plant
- Establishing community cooperative programmes for wealth generation
The project will get its financial support from Moving Mountains, which receives its funding from donors. Part of your commitment to this trip is to help raise the funds for the hospital, and we as a charity build what we can with the money we get. So the whole hospital project may progress over several trips.
VALUE OF YOUR VISIT
The value is really meaningful to the villagers, and many people question how trips like this genuinely benefit communities in far-off locations. We agree with this caution and skepticism, and we highly encourage visitors to question the validity and integrity of any charity holiday like this. But we are extremely confident that this trip works because our business model is quite different, and we adhere to the principles of Fair Trade Volunteering. Most importantly, this project is determined by the village committee and by the Nepalese Trustees, there's no imposition from us; and also this project is part of a very long term plan that has aims and objectives which would fulfil any professional audit procedure. Too many projects are standalone, and don't always complement national objectives, but in our case the projects work hand in hand with Governmental aims in education, health and social welfare for mountain communities.
The project involves a 15 day travel and working stay in the village. However the fundraising and preparation work will take place on the lead up to the in-country phase.
As this is a large project it has been broken into a series of project stages or phases to make it more manageable for each group in terms of fundraising and time spent in the country. There will be 4 different group blocks but of course an organisation may choose to take on more than one project block and make the project an ongoing interest. We actively encourage this as it fits in with our overall organisational ethic of sustained, long-term strategic objectives. It also helps to build up a very rewarding relationship between the group members, organisation and local community.
Our International Development Projects have advertised dates for individuals to sign up and collectively take on a project. If you represent a group look at our tailormade options below.
Our International Development Projects are trips which look for committed and enthusiastic people who want to go on an adventure but undertake a worthy project whilst there, so you leave the country better than when you arrived.
The project will be phased due to its large nature, the phases will be as follows:-
Phase 1: Foundations for Hospital - COMPLETED
Phase 2: Walls and Roof for Hospital - COMPLETED
Phase 3: Painting, decorating, putting in ceilings and floors and adding equipment, furniture and medical supplies
Phase 4: Building male and female toilets next to the clinic
We have an advertised date for solo travellers or small groups of friends who are keen to take up the challenge. Individuals / small groups of friends sign up to the advertised date and when we have enough people they take on the project together.
If you represent a larger group (usually 8 or more people) then we can work with your dates so that the project can be undertaken at a time that suits you. Generally in Nepal the main seasons are March, April, May and September, October and December.
PRIVATE GROUP OPTION
We can adapt our standard programme to the requirements of indivual groups such as school or college initiatives or University Societies, please contact us if you would like to discuss this in more detail.
Adventure Alternative shares it's profit margin with our local company in Nepal, Adventure Alternative Nepal, which provides training and development opportunities for local people and communities. The profit share scheme ensures that our local company can run a good company and provide proper wages and training, which is an unusual thing to find in a tourist company in a developing country.
Every place you visit also has a share in the profit, and we always make sure that we bring clients to the same places over many years so that they can develop and compete against the bigger corporate places.
Places which are supported by Moving Mountains where you stay, for example the villages of Bumburi and Bupsa, also share in the profits. This is a highly successful way of using tourism to fund some of our developmental work.
This trip has been entirely thought out in terms of the local people and the impact upon them, and the benefit they can gain from having visitors. It’s not just a tourist trail, it really is an unusual adventure which is part of a wider ongoing initiative to improve the quality of life of people in the lower Khumbu region of rural Nepal.
In that respect the trip falls within all the categories of the FairTrade Volunteering trademark, the visit is about making a positive impact on the people who live there. You can find more information about the benefits of your trip here.
Without doubt you will witness the strong links between Adventure Alternative and Moving Mountains and the communities that you are placed in. As such, you will be an ambassador for both Adventure Alternative and Moving Mountains and there will be many young people looking up to you as a role model. You need to appreciate what responsibility you are taking on in this respect and to conduct yourself in an appropriate way. Don't be afraid of this, it's simply something to be aware of. Most cultures in developing countries are naturally conservative and traditional, but they are also fun-loving and naturally demonstrative and curious, so you might be surprised by just how much they fit in with our culture.
Also, don't forget that they will be a role model to you, this is not a one way process where you get to do all the giving! Actually, you may be surprised to find that the person benefitting the most is you. The staff who work for MM and AA are all inspirational and motivated people, highly educated and passionate, and many of them came from very difficult backgrounds. Their life story will amaze you, and their natural positive attitude to life will mean that they will almost certainly become a role model to you as well.
THE PROMISE TO MOVING MOUNTAINS
Moving Mountains started as a small charity in 1991 when Gavin Bate was teaching in the slums of Kenya. Some of the children he taught are now adults and working for the charity and the company. Along the way Gavin has put into action a set of beliefs in how a charity should best be run. This is nothing to do with helping a single poverty stricken child, but a way of running a community which can break free of poverty and not become reliant on others for handouts. It defines the way money is spent, how it is distributed, and how it fits in with the wider needs. It doesn’t focus on the child, but on how the child is brought up in the family and the community. It’s taken nearly twenty years of experience to get to the point where Moving Mountains is now a big charity which has such a successful ‘business model’ that the communities themselves love it.
We want you to be a part of it, but we ask that you respect our system. We have rules, which include not giving ‘things’ to children and not making private arrangements for personal sponsorships or gifts or money. We have seen this happen before, and it has never worked. The local communities respect a system that doesn’t just hand it out, but gives them a chance to become owners of something successful and long-term, like any self-respecting person. It’s easy to fall into the trap of responding to an emotional response and just handing over money, but that isn’t aid and it doesn’t actually help. What helps is clever expenditure of money, a strategy to spend it properly, and the realisation that money is hard to come by in any society.
Your trip is enough to make a difference. It’s part of something successful and inspiring, and it’s part of a vision that somebody had a long time ago. Your promise to us is to let that vision continue.
ADDITIONAL KIT INFO
Females will have to dress conservatively in public and especially in schools and the childrens homes. You will draw unnecessary attention to yourself and maybe cause offence if revealing clothing is worn.
Also don't forget:
Your passport must be valid for at least six months beyond your return date. Remember to leave a copy of this with friends or family
Insurance - comprehensive travel and medical insurance cover. Remember to leave a copy of your policy certificate with friends or family
Immunisation booklet - with details of all the jabs you've had.
Passport photos - take about six of these to be used as identification and if you are getting your visa on the border
List of emergency telephone numbers - to cancel/call insurers, credit/debit cards
Flight tickets - remember to leave copies of these with friends or family
Money - a mixture of some cash and credit/debit cards - you won't need to buy anything when you are on the trip in the villages, but you may want to take money with you to buy extra soft drinks and snacks (where these are available!). You will also need this while you are in Kathmandu for example for souvenirs, extra soft drinks and snacks or for independent travel.
There are many brands/types of water purification bottles and you can get them in good outdoor/travel shops and online shops. The Aquapure Traveller Bottle or something similar work well.
Personal Medical Kit
- Anti-malarial tablets (these are not required in the villages however you may need these elsewhere in Nepal - please see your GP or a local travel clinic for more information)
- Plasters & blister plasters
- Zinc oxide tape (very good for putting over plasters to hold them in place)
- Savlon/antiseptic cream
- Antiseptic wipes
- Anti-histamine tablets (e.g. certirizine/zirtec)
- Immodium (NB this should only be taken if absolutely necessary e.g. if you are on a journey or trekking)
- Dioralyte rehydration sachets
- Personal Medication as required e.g. asthma inhalers, insulin, epi-pen etc. Make sure you keep this on you at all times (i.e. in your day bag)
Possible Additional First Aid Items
- Gauze & dressings
- Crepe bandage & micropore tape
- Safety pins
- Latex (or similar) gloves
- Throat Lozenges
- Hydrocortisone/Eurax Hydrocortisone cream
- Antifungal cream: Canesten or Daktacort cream (Daktacort also contains Hydrocortisone)
- Antibiotics (optional) - these require a prescription, therefore you should talk to your GP
Co-amoxiclav: for skin, chest, throat, ear and urine infections. NB this is Penicillin based, if you are allergic to penicillin then Erythromycin can be used for skin, chest, throat and ear infections and trimethoprim for urine infections or cephalexin for all mentioned above
Ciprofloxacin: used for severe diarrohoea
Chloramphenicol eye drops: used for conjunctivitis
Fucidin cream: used for skin infections
Note: you must check with your GP for your personal suitability to all medicines and their possible side effects and interactions. Please inform us of the details of all regular medication that you intend to use though the course of your trip and any relevant allergies and medical history related to them. You also need to check the requirements and regulations of the airline and all countries visited in relation to medications. For example; laws governing transport of some pain control medication and the need keep insulin at a suitable temperature, ie not in the cargo hold.
For trekking to the villages it will be quite warm during the day and likely to be raining at some point (if you are travelling in monsoon season, June - September). The evenings can get quite chilly, so bring something warm to wear in the evenings. In terms of working in the villages, just take normal clothes however keep it conservative, the Sherpas are very traditional people. You can also buy any type of T-shirt or clothing in Kathmandu for very little money and contribute to local enterprises. There are literally hundreds and hundreds of equipment shops in Thamel and thousands of tailors.