Few rural villages have access to medical care within a day’s walk (there are no roads in most rural areas of Nepal)
By providing scholarships for students from villages to study emergency medicine, local people will have the training they need to assess and treat basic medical problems that can be life-threatening. Dangerous conditions include complications of childbirth and bacterial infections that result in severe dehydration.
University level medical courses may not be helpful, since villages do not have access to equipment used by medical professionals in other parts of the world. Wilderness First Responder training, or Wilderness EMT training with additional training focused on village-specific medical problems would be most helpful.
Begin a guide exchange program
Bring professional mountain guides from the United States to Nepal as volunteers to train Sherpas in modern climbing techniques, safety systems, and Leave-No-Trace practices.
Partner with the Khumbu Climbing School in Phortse, and bring training courses to villages so those who cannot afford to go to the climbing school can still receive training.
Start a guide co-op in Kathmandu
Guides looking for work must travel to Kathmandu where tourism companies are located (there are no phones or internet in most villages). As a result, guides are forced to live in sub-standard apartments while looking for work. Those who do not find work sometimes become homeless.
A subsidized housing space for guides who do not have family to stay with in Kathmandu will alleviate poverty in both Kathmandu and rural areas.