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Presentation to Yale Faculty Presentation to Yale Faculty Presentation Transcript

  • Bibhav Acharya Vice President
  • Outline
    • Achham/Nepal Statistics
    • History and current services of Nyaya
    • Short and long term goals
    • Challenges
    • Opportunities for collaborations
  • Total population: 28 million Per Capita GDP (PPP): $1,100 (169 th ) Life expectancy: 60.94 yrs (male: 61.12, female: 60.75 )
  • Achham and the Far-West
  • Achham
    • Number of citizens: 250,000
    • Number of doctors: 1
    • 99.5% of babies are delivered outside a health center
    • 1 in 125 deliveries result in death of the mother
    • 60% of children are chronically malnourished
    • Average person makes $150 a year
    • Nearest functioning airport and hospital: 10 hour bus ride away, costs 1-2 months' average income
    • 80% households have one male migrating to India
  • Birth of Nyaya Health
  •  
  • Current Services
    • Health Center Community Health Workers
  • Clinical services
    • Adult and Pediatric Primary care
    • 24 hr safe delivery
    • Pre and Perinatal Care
    Pharmacy Diagnostic Lab Acute care Nutritional support 4 inpatient beds
  •  
  • Community Health Workers
    • Active case-finding
    • Referrals and follow-up
    Home-based interventions Leaders of change
  • Energy and communication
  • Innovation and Transparency
  • Next Steps
    • Expanding Primary Care
    • Starting X-ray services
    • 14-bed inpatient ward
    Next Steps Blood transfusion Expanding surgical capacities
  • Collaborations
    • Guidance for protocols
    • - beyond WHO and uptodate
    • Optimization of investments
    • -beyond “cost-effectiveness”
  • Measurement and Improvement of performance and outcomes
    • Opportunities for Residents/Fellows
  • Equipment procurement
    • Surgical Camps
    • Curriculum development
    • Home-based interventions
    • Service-based research
    • Operations
    • Global Health Delivery
  • Collaborations
    • Guidance for protocols
    • Optimization of investments
    • Residents/Fellows
    • Equipment procurement
    • Surgical Camps
    • Home-based interventions
    • Service-based research
    • Innovations
  • Acknowledgments
    • Board of Advisors
    • Donors
    • Student Affairs Office
    • Ahimsa
    Follow-up: [email_address]