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Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
Dhulikhel hospital
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Dhulikhel hospital


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  • 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
  • Goal of slides 6-8 is to offer audience an understanding of where we work and what changes/progress we’ve seen there over the last 5 years. Slides 6 & 7 will offer general numbers, divided into People and Infrastructure, with slide 8 offering a summary of where we are in 2011.
  • “ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)
  • Transcript

    • 1. Nyaya Health: <br />Achieving Justice in Health in Achham<br />Mark Arnoldy<br />Nyaya Health | Executive Director<br />Dhulikhel Hospital<br />4.4.2011<br />
    • 2. Outline of Presentation<br />The Nyaya Health Story<br />What We Do | Who We Are<br />Nyaya’s Unique Model of Delivering Health Care <br />A Call to Action<br />
    • 3. “The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -RumaRajbhandari, MD, MPH, March 22, 2011.<br />
    • 4. Nyaya Health: Who We Are<br />What We Do:<br />Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an open-access, public-private partnership.<br />
    • 5. Nyaya Health: Who We Are<br />Social justice-oriented mission: <br />To provide free community-based healthcare in rural Nepal that strengthens the public sector<br />To develop and disseminate a replicable model of health delivery in resource-poor settings throughout the world<br /><ul><li>Founded in 2005; public-private partnership with Nepali Ministry of Health & Population in 2009
    • 6. Partners In Health (PIH) Partner Project
    • 7. Nyaya Team:
    • 8. 31 full-time employed Nepali staff + ~50 CHWs
    • 9. 1 full-time US-based Executive Director
    • 10. Volunteer Executive Team, Board of Directors and Board of Advisors</li></li></ul><li>Where We Work: Nepal – Achham District, Far Western Region<br />
    • 11. Achham: People<br />~270,000 people<br />99.6% Hindu<br />60% agricultural<br />>80% of men migrate to India, and 35% of families rely on remittances from India <br />33% literate: 54% men, 14% of women<br /><$1USD is daily per capita income<br />
    • 12. Achham: Infrastructure<br />2006:<br />>90% of houses have did not have electricity<br />0 doctors for 270,000 people<br />45% had access to clean water – 2.5x worse than national average<br />Hydroelectric plant functioning <50% capacity<br />Extremely limited landline telephone capacity, one cell phone tower<br />Paved road ended in SanfeBagar<br />Airport destroyed during war<br />Hospital 5 hours, surgery 6 hours, ICU 14 hours<br />
    • 13. Bayalpata Hospital: Current Services<br /><ul><li>Outpatient department
    • 14. 24-hour emergency services
    • 15. 24-hour birthing center
    • 16. 15-bed Inpatient ward
    • 17. Laboratory with point of care tests
    • 18. Testing and treatment for HIV, tuberculosis, and malnutrition
    • 19. In-house pharmacy
    • 20. Ambulance service
    • 21. X-ray
    • 22. Ultrasound
    • 23. Safe abortion
    • 24. Community Health Workers (CHWs)
    • 25. Telemedicine</li></ul>8<br />
    • 26. What problems plague the NGO system in Nepal?<br />
    • 27. Nyaya Health: Unique Features<br /><ul><li>Collaboration with the Government
    • 28. Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
    • 29. Over 99% of all funds used directly in Nepal
    • 30. Transparency
    • 31. Prioritizing the most marginalized</li></ul> Staff:<br /> 70% achhami<br /> 60% female<br /> 35% dalit<br /> Patients:<br /> 65% female<br />10<br />
    • 32. Nyaya Health: Wiki<br /><ul><li>Wiki is a searchable repository of:
    • 33. Management policies
    • 34. Financial data
    • 35. Clinical protocols
    • 36. De-identified clinical data
    • 37. All pages viewable to the public
    • 38. A forum to share lessons-learned from Achham with organizations in similar settings around the world
    • 39. Opportunity for critical feedback and collaboration</li></li></ul><li>Nyaya Health at Bayalpata Hospital<br /><ul><li>Mission: infrastructure development in collaboration with the government, not only care provision
    • 40. Government partnership contract for 5 years signed June, 2009 – June, 2014
    • 41. Over 60,000 patients treated to date</li></li></ul><li>Inputs and Outputs<br />Total Expenditures: $166,000<br />Annual Per Capita Public Health Expenditures in Achham: $5<br />13<br />
    • 42. Funding<br />14<br />
    • 43. Next Steps: Continue Renovations<br />15<br />
    • 44. Next Steps<br />Next Steps: Scale-up of Surgical Services<br />16<br />
    • 45. Next Steps<br />Next Steps: Building Solar Power Capacity<br />17<br />
    • 46. Next Steps<br />Next Steps: Expanding Community Health <br />18<br />
    • 47. A Call to Action: Leveraging a $75,000 Matching Grant<br />Nyaya Health has just received a $75,000 USD matching grant from the Nick Simons Foundation.<br />How can YOU help leverage that for the benefit of Achhamis?<br />Connection for a funding partnership?<br />A personal contribution?<br />Facilitating more presentations or meetings? <br />Time, advice, mentorship?<br />
    • 48. What might a partnership look like?<br />Question of the morning:<br />
    • 49. Questions, Reflections, Comments?<br />THANK YOU!<br /><br />