Mit nyaya health april 22 2011

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Mit nyaya health april 22 2011

  1. 1. <ul><li>NYAYA HEALTH: THE STORY OF STARTING AND OPERATING A HOSPITAL IN RURAL NEPAL </li></ul><ul><li>Bibhav Acharya, Executive Vice-President </li></ul><ul><li>[email_address] </li></ul><ul><li>April 22, 2011 </li></ul><ul><li>MIT </li></ul>
  2. 2. Outline <ul><li>Introduction to Nepal and Achham </li></ul><ul><li>Birth of Nyaya Health </li></ul><ul><li>Key features of the NGO </li></ul><ul><li>Current services provided by Bayalpata Hospital </li></ul><ul><li>Next Steps </li></ul><ul><li>Getting involved </li></ul>
  3. 3. Where is Nepal?
  4. 4. Where is Nepal?
  5. 5. Nepal: Key statistics <ul><li>Per Capita GDP (PPP): $1,100 (169/182) </li></ul><ul><li>Life expectancy: 59.8 yrs (male: 60.9, female: 59.5 ) </li></ul><ul><li>Fertility rate: 4 children/woman </li></ul><ul><li>Literacy rate: 48.6% (male: 62.7%, female: 34.9% ) </li></ul><ul><li>Number one cause of death of women aged 15-50: Suicide </li></ul>Sudan: $2,200 US: $47,400
  6. 6. West in the middle? Achham Kathmandu
  7. 7. Achham 250,000 population of Achham 0 allopathic doctors before Nyaya >80% of healthcare from private practitioners 2 allopathic doctors hired by Nyaya 12 Hours to nearest airport and operating room 16 hours to nearest ICU 1 in 125 deliveries results in the mother’s death 90% of deliveries in homes and cattle sheds 60% of children are chronically malnourished 50 ¢ average daily per capita income in Achham 50% of men migrate to India for work; over 7% return with HIV Achham
  8. 8. Outline <ul><li>Relevant health statistics of Nepal and Achham </li></ul><ul><li>Birth of Nyaya Health </li></ul><ul><li>Current services provided by Bayalpata Hospital </li></ul><ul><li>Key features of the NGO </li></ul><ul><li>Next Steps </li></ul><ul><li>Getting Involved </li></ul>
  9. 9. Birth of Nyaya Health
  10. 10. Sanfebagar Primary Health Center
  11. 11. Bayalpata Hospital
  12. 12. Bayalpata Hospital
  13. 13. Bayalpata Hospital: Then and Now
  14. 14. Bayalpata Hospital: Then and Now
  15. 15. Outline <ul><li>Relevant health statistics of Nepal and Achham </li></ul><ul><li>Birth of Nyaya Health </li></ul><ul><li>Current services provided by Bayalpata Hospital </li></ul><ul><li>Key features of the NGO </li></ul><ul><li>Next Steps </li></ul><ul><li>Getting Involved </li></ul>
  16. 16. Bayalpata Hospital: Current Services <ul><li>Outpatient department </li></ul><ul><li>24-hour emergency services </li></ul><ul><li>24-hour birthing center </li></ul><ul><li>15-bed Inpatient ward </li></ul><ul><li>Laboratory with point of care tests </li></ul><ul><li>Testing and treatment for HIV, tuberculosis, and malnutrition </li></ul><ul><li>In-house pharmacy </li></ul><ul><li>Ambulance service </li></ul><ul><li>X-ray </li></ul><ul><li>Ultrasound </li></ul><ul><li>Safe abortion </li></ul><ul><li>Community Health Workers (CHWs) </li></ul><ul><li>Telemedicine </li></ul>
  17. 17. Outline <ul><li>Relevant health statistics of Nepal and Achham </li></ul><ul><li>Birth of Nyaya Health </li></ul><ul><li>Current services provided by Bayalpata Hospital </li></ul><ul><li>Key features of the NGO </li></ul><ul><li>Next Steps </li></ul><ul><li>Getting Involved </li></ul>
  18. 18. Nyaya Health: Unique Features <ul><li>“ Justice in Health” </li></ul><ul><li>Collaboration with the Government </li></ul><ul><li>Managed by a volunteer Board of Directors, 33 full-time employed Nepali staff and many volunteers around the world </li></ul><ul><li>Over 99% of all funds used directly in Nepal </li></ul><ul><li>Transparency </li></ul><ul><li>Prioritizing the most marginalized </li></ul><ul><li> Hospital Staff: </li></ul><ul><ul><ul><ul><li>70% achhami </li></ul></ul></ul></ul><ul><ul><ul><ul><li>60% female </li></ul></ul></ul></ul><ul><ul><ul><ul><li>35% dalit </li></ul></ul></ul></ul><ul><li>CHWs: </li></ul><ul><li>100% female </li></ul><ul><li>Patients: </li></ul><ul><li>65% female </li></ul>
  19. 19. Outline <ul><li>Relevant health statistics of Nepal and Achham </li></ul><ul><li>Birth of Nyaya Health </li></ul><ul><li>Current services provided by Bayalpata Hospital </li></ul><ul><li>Key features of the NGO </li></ul><ul><li>Next Steps </li></ul><ul><li>Getting Involved </li></ul>
  20. 20. Continued Renovations Next Steps
  21. 21. Next Steps Surgical Services Next Steps
  22. 22. Community Health Workers
  23. 23. Next Steps Solar Power Next Steps
  24. 24. Getting Involved <ul><li>Running an organization </li></ul><ul><ul><ul><ul><li>Synergy: joining vs. starting </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Diversity: background, age, network </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Every task is important: treating patients and stuffing envelopes </li></ul></ul></ul></ul><ul><li>Helping Nyaya Health </li></ul><ul><ul><ul><ul><li>Demand Transparency and Accountability </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Spread the word </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Volunteer/intern </li></ul></ul></ul></ul><ul><ul><ul><ul><li>$$$ </li></ul></ul></ul></ul>
  25. 25. Getting Involved <ul><ul><ul><ul><li>Demand Transparency and Accountability </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Spread the word </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Nepal = Kathmandu? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Volunteer/intern </li></ul></ul></ul></ul><ul><ul><ul><ul><li>$$$ </li></ul></ul></ul></ul>
  26. 26. Acknowledgements <ul><li>Global Poverty Initiative </li></ul><ul><li>The staff of Bayalpata Hospital & the people of Achham, Nepal </li></ul><ul><li>The volunteers and individual donors of Nyaya Health </li></ul><ul><li>The Nepali Ministry of Health & Achham District Health officials: Dr. Deepak Gaylal, Mr. Sailendra Shrestha, Mr. Jhanak Dhungana </li></ul><ul><li>Institutional Supporters: Abbot Laboratories, AMD and the Open Architecture Network, America Nepal Medical Foundation (ANMF), BWH COE in Quality and Safety, Buddha Air, Cents of Relief, Child Health Foundation, CIWEC Clinic (Menlha Nursing Home), Ella Lyman Cabot Trust, EquityEditors Association, Ford Foundation, Frederick Lovejoy Foundation, Google Grants, Nepal Ministry of Health and Population (MOHP), New Aid Foundation, Partners in Health, QBC Diagnostics, Quidel Corporation, Singapore Internet Research Center, Ten Friends, The Hunger Site, The International Foundation, The Shelley and Donald Rubin Foundation, Until There's a Cure Foundation, UpToDate, William Prusoff Foundation, Yale University </li></ul>
  27. 27. www.nyayahealth.org
  28. 28. Bayalpata Hospital 2010
  29. 29. Safe Motherhood Program
  30. 30. Patient geography
  31. 31. Finances

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