The Nepal Trust, which has been working in Humla since 1996, was one of the first NGOs in the district to address development (especially healthcare) issues at the grass-roots level. PHASE Nepal is a non profit organization which coordinates with the District Health Office in Simikot to provide comprehensive primary health services to the communities of Maila and Melchham, two of the most isolated VDCs of the district; as well as the neighboring villages who also received these services. The Trust was the only organization allowed to continue its development work throughout the district during the Maoist insurgency. The Torpa clinic was built by the trust almost 15 years ago to address the immediate need for health services. To date, the Trust has expanded services throughout the district including improvements made to the district hospital. Currently, Trust initiatives are related to ante/post natal care and infant mortality reduction programs. With its head office in Kathmandu, the Nepal Trust has its own satellite office and guest house in its Simikot office, which acts as a social enterprise (the first built in West Nepal) and along with healthcare works in education, renewable energy, heritage preservation, WASH, food security and agriculture, sustainable tourism development and income generation. Nepal Trust has been managing the Great Himalaya Trail Development Program since 2008.