1. Building Health Systems in Rural Nepal: The story of Nyaya Health Duncan Maru, MD, PHDCo-Founder and President| Nyaya Health Harvard Kennedy School, February 17, 2011
15. Achham, Nepal 250,000 population of Achham 0 number of allopathic doctors in Achham before Nyaya 6+ hours in bus to reach the nearest operating room 14 hours in bus to reach the nearest intensive care unit 6% & 54% Female and male literacy rates, respectively 1 in 125 deliveries results in the mother’s death 64 number of stillborns for every 1,000 live births >80% of men migrate to India for work; over 7% return with HIV 99.5% of babies are born in homes and cattle sheds 50¢ average daily per capita income in Achham 60% 60% of children are chronically malnourished 8
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17. To develop and disseminate effective strategies of healthcare delivery in resource-poor settings throughout the world9
18. Public-Private Partnership We operate services that aim to bolster the public sector at three levels: Referral-level: Government hospital Primary care level: Government health posts (clinics) Outreach level: Government community health workers
19. SanfeBagar Primary Health Center Sanfe Bagar Health Center: After Sanfe Bagar Health Center: Before 11
22. Bayalpata Hospital Infrastructure development and capacity building, not care provision alone Government collaboration: Government partnership contract for 5 years signed June 2009 – June 2014 Currently one of the highest levels of clinical care in the Far West (2 million people) 50,000 patients seen to date
Stress the “success” of being approached by the gov’t for collaboration – this slide should really just be “a few months after opening the clinic, we were approached by the government and local community, and offered to join in a public-private partnership to re-open the Bayalpata Hospital
Stress the importance of our philosophy in how we approach our work
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