AMDA Nepal, Itahari. This is located in Itahari. In 1979, a Japanese doctor, Dr. Shigeru Suganami, and two medical students rushed to Thailand to extend assistance to Cambodian Civil war refugees. Their good intentions and enthusiasm, however, could not be achieved, as circumstance did not allow them the opportunity to visit the refugees. These very circumstances served as the impetus for the Japanese doctor and medical students to eventually reach out to their colleagues in other countries. It dawned to them that things would have been facilitated if they have known some health practitioners in the local communities.