Giz

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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)
  • Giz

    1. 1. Nyaya Health: <br />Achieving Justice in Health in Achham<br />Mark Arnoldy | Incoming Executive Director<br />GIZ<br />4.25.2011<br />
    2. 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. 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. 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. 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. 6. Partners In Health (PIH) Partner Project
    7. 7. Nyaya Team:
    8. 8. 31 full-time employed Nepali staff + ~50 CHWs
    9. 9. 1 full-time US-based Executive Director
    10. 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. 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. 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. 13. Bayalpata Hospital: Current Services<br /><ul><li>Outpatient department
    14. 14. 24-hour emergency services
    15. 15. 24-hour birthing center
    16. 16. 15-bed Inpatient ward
    17. 17. Laboratory with point of care tests
    18. 18. Testing and treatment for HIV, tuberculosis, and malnutrition
    19. 19. In-house pharmacy
    20. 20. Ambulance service
    21. 21. X-ray
    22. 22. Ultrasound
    23. 23. Safe abortion
    24. 24. Community Health Workers (CHWs)
    25. 25. Telemedicine</li></ul>8<br />
    26. 26. What problems plague the NGO system in Nepal?<br />
    27. 27. Nyaya Health: Unique Features<br /><ul><li>Collaboration with the Government
    28. 28. Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
    29. 29. Over 99% of all funds used directly in Nepal
    30. 30. Transparency
    31. 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. 32. Nyaya Health: Wiki<br /><ul><li>Wiki is a searchable repository of:
    33. 33. Management policies
    34. 34. Financial data
    35. 35. Clinical protocols
    36. 36. De-identified clinical data
    37. 37. All pages viewable to the public
    38. 38. A forum to share lessons-learned from Achham with organizations in similar settings around the world
    39. 39. Opportunity for critical feedback and collaborationhttp://wiki.nyayahealth.org</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. 40. Government partnership contract for 5 years signed June, 2009 – June, 2014
    41. 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. 42. Funding<br />14<br />
    43. 43. Next Steps: Continue Renovations<br />15<br />
    44. 44. Next Steps<br />Next Steps: Scale-up of Surgical Services<br />16<br />
    45. 45. Next Steps<br />Next Steps: Building Solar Power Capacity<br />17<br />
    46. 46. Next Steps<br />Next Steps: Expanding Community Health <br />18<br />
    47. 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 />Connectionfor a funding partnership?<br />A personal contribution?<br />Facilitating more presentations or meetings? <br />Time, advice, mentorship?<br />
    48. 48. Questions, Reflections, Comments?<br />THANK YOU!<br />www.nyayahealth.org<br />

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