2. The Problem: Quality Chasm in Global Health Delivery “ The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -Ruma Rajbhandari, MD, MPH March 22, 2011 Brigham Internal Medicine Resident Global Health Equity Fellow Nyaya Health Board of Advisors Member
3. Study Aim To develop a systems-oriented morbidity and mortality conference (M&M) quality improvement initiative in a remote rural resource-denied setting, aimed at facilitating structured dialogue of hospital operations and identifying barriers to providing quality care.
Identify where Achham is, and point out that most development, funding, tourism is in the KTM valley/east of the country – i.e. NOT the FW. Can also mention Achham (FW generally) was epicenter of Maoist conflict => even more destitution. Don’t spend more than 90 secs on this slide though, our goal is not to give a history of Nepal hehe
“ ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)
CHWs and CHWLs at the training session on mental health at BH.
Wiki posited as Nyaya’s mechanism for transparency accountability & collaboration within GHD community Next slide to be posited as inter-team communication tools to facilitate GHD community TA&C DAI speaker: orgs often say “we don’t want to do that – we want to do something new… ” – Nyaya’s not trying to do anything new, we’re trying to encourage replication of the usage of technologies that are already available to enhance collaboration as a field “ 80/20 rule – 80% of what’s relevant in Zambia can be used in Malawi”
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