Nyaya Health: Achieving Justice in Health in Achham Mark Arnoldy | Incoming Executive Director Rotary Club of Kathmandu Mid-Town 4.15.2011
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
“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.
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.
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
Partners In Health (PIH) Partner Project
31full-time employed Nepali staff + ~50 CHWs
1 full-time US-based Executive Director
Volunteer Executive Team, Board of Directors and Board of Advisors
Where We Work: Nepal – Achham District, Far Western Region
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
Achham: Infrastructure 2006: >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
What problems plague the NGO system in Nepal?
Nyaya Health: Unique Features
Collaboration with the Government
Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
A forum to share lessons-learned from Achham with organizations in similar settings around the world
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
Government partnership contract for 5 years signed June, 2009 – June, 2014
Over 60,000 patients treated to date
Next Steps: Continue Renovations 12
Next Steps Next Steps: Scale-up of Surgical Services 13
Next Steps Next Steps: Building Solar Power Capacity 14
Next Steps Next Steps: Expanding Community Health 15
A Call to Action: “Morality must march with capacity.” - Jim Grant, Former Executive Director of UNICEF
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?