Kathmandu mid town rotary

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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)


  • 1. Nyaya Health:
    Achieving Justice in Health in Achham
    Mark Arnoldy | Incoming Executive Director
    Rotary Club of Kathmandu Mid-Town
  • 2. Outline of Presentation
    The Nyaya Health Story
    What We Do | Who We Are
    Nyaya’s Unique Model of Delivering Health Care
    A Call to Action
  • 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.
  • 4. Nyaya Health: Who We Are
    What We Do:
    Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an open-access, public-private partnership.
  • 5. Nyaya Health: Who We Are
    Social justice-oriented mission:
    To provide free community-based healthcare in rural Nepal that strengthens the public sector
    To develop and disseminate a replicable model of health delivery in resource-poor settings throughout the world
    • 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. 31full-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
  • Where We Work: Nepal – Achham District, Far Western Region
  • 11. Achham: People
    ~270,000 people
    99.6% Hindu
    60% agricultural
    >80% of men migrate to India, and 35% of families rely on remittances from India
    33% literate: 54% men, 14% of women
    <$1USD is daily per capita income
  • 12. Achham: Infrastructure
    >90% of houses have did not have electricity
    0 doctors for 270,000 people
    45% had access to clean water – 2.5x worse than national average
    Hydroelectric plant functioning <50% capacity
    Extremely limited landline telephone capacity, one cell phone tower
    Paved road ended in SanfeBagar
    Airport destroyed during war
    Hospital 5 hours, surgery 6 hours, ICU 14 hours
  • 13. What problems plague the NGO system in Nepal?
  • 14. Nyaya Health: Unique Features
    • Collaboration with the Government
    • 15. Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
    • 16. Over 99% of all funds used directly in Nepal
    • 17. Transparency
    • 18. Prioritizing the most marginalized
    70% achhami
    60% female
    35% dalit
    65% female
  • 19. Nyaya Health: Wiki
    • Wiki is a searchable repository of:
    • 20. Management policies
    • 21. Financial data
    • 22. Clinical protocols
    • 23. De-identified clinical data
    • 24. All pages viewable to the public
    • 25. A forum to share lessons-learned from Achham with organizations in similar settings around the world
    • 26. Opportunity for critical feedback and collaborationhttp://wiki.nyayahealth.org
  • Nyaya Health at Bayalpata Hospital
    • Mission: infrastructure development in collaboration with the government, not only care provision
    • 27. Government partnership contract for 5 years signed June, 2009 – June, 2014
    • 28. Over 60,000 patients treated to date
  • Next Steps: Continue Renovations
  • 29. Next Steps
    Next Steps: Scale-up of Surgical Services
  • 30. Next Steps
    Next Steps: Building Solar Power Capacity
  • 31. Next Steps
    Next Steps: Expanding Community Health
  • 32. A Call to Action:
    “Morality must march with capacity.”
    - Jim Grant, Former Executive Director of UNICEF
  • 33. A Call to Action: Leveraging a $75,000 Matching Grant
    Nyaya Health has just received a$75,000 matching grant from the Nick Simons Foundation.
    How can YOU help leverage that for the benefit of Achhamis?
    A Rotary partnership?
    Introductions to influential Achhamis? NRN Associations? Member of U.S. – Nepal Congressional Caucus?
    Connections to a specific CSR program?
    A personal contribution?
    Facilitating more presentations?
    Time, advice, mentorship?
  • 34. Questions, Reflections, Comments?