BAYALPATA HOSPITAL	बयलपाटाअस्पतालNCASC,  FHD, FHI, UNICEF PresentationAchham, 8 Chaitra 2068<br />Bayalpata Hospital Repr...
Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Revie...
Nyaya Health Nepal: Who We Are<br />Social justice-oriented mission: <br />To provide free community-based healthcare in r...
Opened Sanfe Bagar Medical Clinic in 2065
Public-private partnership with Nepali Ministry of Health & Population in 2066
Opened the Bayalpata Hospital in Jestha 2066
Managed by a volunteer Board of Directors and 27 full-time employed Nepali staff</li></ul>2<br />
Nyaya Health: Mission and operations<br />Goal: infrastructure development, capacity building, not only care provision<br ...
Current Services: Bayalpata Hospital<br /><ul><li>All health care services free of charge:
Inpatient & Outpatient services
24-hour emergency room
Safe Motherhood program, CAC services
Laboratory & Pharmacy
Radiology: X-Ray & Ultrasound
HIV, TB treatment programs
Malnutrition treatment (CMAM)
Ambulance services
Community Health Worker (CHWs) services</li></li></ul><li>Bayalpata Hospital: Clinical programs review 2066 - 2067<br />* ...
Next Steps for 2068: Continue Renovations<br />6<br />
Next Steps<br />Next Steps for 2068: Scale-up of Surgical Services<br />7<br />
Next Steps<br />Next Steps for 2068: Building Solar Power Capacity<br />8<br />
Next Steps<br />Next Steps: Expanding Community Health <br />9<br />
Nyaya Health Nepal Financing – Income & Expenditures<br />All line-item financial statements available at http://wiki.nyay...
Projected Budget FY 2066-67 vs. FY 2067-68<br />*Over 99% of all NHN funds used in Nepal<br />
Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Revie...
Maternal Health Programs<br />Antenatal Clinic  – <br />Six days/week with range of  client flow being 5 to 15/day<br />On...
Maternal Health Programs<br />Preventing Unwanted Pregnancies <br />Family Planning – <br /><ul><li>Services (condom, depo...
Upcoming SlideShare
Loading in …5
×

Ncasc fhi fhd unicef site visit 042111

503 views

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
503
On SlideShare
0
From Embeds
0
Number of Embeds
24
Actions
Shares
0
Downloads
4
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Ncasc fhi fhd unicef site visit 042111

  1. 1. BAYALPATA HOSPITAL बयलपाटाअस्पतालNCASC, FHD, FHI, UNICEF PresentationAchham, 8 Chaitra 2068<br />Bayalpata Hospital RepresentativesDan Schwarz, Executive DirectorDr. Amir Bista, HIV Program DirectorMs. MeghaGiriBista, Nurse In Charge Ms. Ranju Sharma, Community Health Director <br />
  2. 2. Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Review (Ms. MeghaGiriBista)<br />HIV Services Review (Dr. Amir Bista)<br />Community Health Services Review (Ms. Ranju Sharma)<br />Questions & Discussion, Facilities tour<br />
  3. 3. Nyaya Health Nepal: Who We Are<br />Social justice-oriented mission: <br />To provide free community-based healthcare in rural Nepal with a focus on the most marginalized populations<br />To work in a public private partnership with the Ministry to strengthen the public sector for long-term health systems development<br /><ul><li>Founded in 2063 in Nepal along with partner organization Nyaya Health International (NHI) in the USA
  4. 4. Opened Sanfe Bagar Medical Clinic in 2065
  5. 5. Public-private partnership with Nepali Ministry of Health & Population in 2066
  6. 6. Opened the Bayalpata Hospital in Jestha 2066
  7. 7. Managed by a volunteer Board of Directors and 27 full-time employed Nepali staff</li></ul>2<br />
  8. 8. Nyaya Health: Mission and operations<br />Goal: infrastructure development, capacity building, not only care provision<br />Goal: collaborate with the government in development of pro-poor, rural health care<br />Government partnership contract for 5 years Jestha 2066 – Jestha 2071<br />
  9. 9. Current Services: Bayalpata Hospital<br /><ul><li>All health care services free of charge:
  10. 10. Inpatient & Outpatient services
  11. 11. 24-hour emergency room
  12. 12. Safe Motherhood program, CAC services
  13. 13. Laboratory & Pharmacy
  14. 14. Radiology: X-Ray & Ultrasound
  15. 15. HIV, TB treatment programs
  16. 16. Malnutrition treatment (CMAM)
  17. 17. Ambulance services
  18. 18. Community Health Worker (CHWs) services</li></li></ul><li>Bayalpata Hospital: Clinical programs review 2066 - 2067<br />* X-ray services were commenced in Mangsir 2067, thus only five weeks of data is represented here.**ART services were commenced in Shrawan 2067, thus only five months of data is represented here. <br />
  19. 19. Next Steps for 2068: Continue Renovations<br />6<br />
  20. 20. Next Steps<br />Next Steps for 2068: Scale-up of Surgical Services<br />7<br />
  21. 21. Next Steps<br />Next Steps for 2068: Building Solar Power Capacity<br />8<br />
  22. 22. Next Steps<br />Next Steps: Expanding Community Health <br />9<br />
  23. 23. Nyaya Health Nepal Financing – Income & Expenditures<br />All line-item financial statements available at http://wiki.nyayahealth.org for full organizational transparency and accountability<br />
  24. 24. Projected Budget FY 2066-67 vs. FY 2067-68<br />*Over 99% of all NHN funds used in Nepal<br />
  25. 25. Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Review (Ms. MeghaGiriBista)<br />HIV Services Review (Dr. Amir Bista)<br />Community Health Services Review (Ms. Ranju Sharma)<br />Questions & Discussion, Facilities tour<br />
  26. 26. Maternal Health Programs<br />Antenatal Clinic – <br />Six days/week with range of client flow being 5 to 15/day<br />One separate staff<br />Lab services and USG services<br />Needs: USG training <br />PMTCT – <br />One trained staff <br />Testing all clients on first visit and during deliveries when indicated<br />Needs: PMTCT training to more staffs<br />Delivery Service – <br />24 hour service <br />Separate well equipped labour room ,vacuum and forcep delivery, <br />One SBA trained nurse and one New Born Care trained nurse<br />Ambulance with preference to deliveries <br />In-service training to the clinical staffs <br />Needs: SBA training to nurses and doctors, radiant warmer<br />
  27. 27. Maternal Health Programs<br />Preventing Unwanted Pregnancies <br />Family Planning – <br /><ul><li>Services (condom, depo, pills, IUCD)
  28. 28. Counselling
  29. 29. Locally developed patient information video (shown in patient waiting area)
  30. 30. Needs: training for implants and permanent sterilization, better supply of IUCDs</li></ul>Safe Abortion Services – <br /><ul><li> CAC (MVA & MA)
  31. 31. PAC
  32. 32. Free of cost
  33. 33. Needs: provision of free supply of medabon for MA</li></li></ul><li>Antenatal Visit and PMTCT Program<br />
  34. 34. Bayalpata Hospital: Monthly Deliveries<br />
  35. 35. Family Planning Service – Video education in OPD<br />
  36. 36. Safe Abortion Service<br />T-645<br />
  37. 37. Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Review (Ms. MeghaGiriBista)<br />HIV Services Review (Dr. Amir Bista)<br />Community Health Services Review (Ms. Ranju Sharma)<br />Questions & Discussion, Facilities tour<br />
  38. 38. HIV in Nepal & in the Far West<br />HIV in Nepal<br />National prevalence only 0.49%, but heavily focused in high-risk groups 1, 2<br />CSWs<br />IDUs<br />Migrants / Wives of migrants – 3.3% in WoM’s in Doti/Achham 3<br />Only ~16,000 out of an estimated 70,000 HIV+ have been diagnosed 2<br />Only ~15% of those known to be eligible currently on treatment 4<br />24 ART sites in the country, 20 of which are MOH-run sites 5<br />HIV in the Far Western Hills<br />Over 80% of the men are migrants; over 7% return from India HIV+ 6<br />Resource-poor primary health infrastructure<br />Until 2008, no ART at all; now 4 MOH sites plus Bayalpata Hospital 4<br />MOH; 2009 <br />UNGASS; 2010 <br />
  39. 39. Nyaya’s HIV Program—History to date<br />Petition to NCASC beginning in 2008<br /><ul><li>Service pre-requisites:
  40. 40. Inpatient / outpatient
  41. 41. Radiology
  42. 42. Dedicated buildings for ART consultations
  43. 43. Dedicated pharmacy space
  44. 44. Delays in program initiation while Bayalpata developed facilities
  45. 45. Sub-center facility initiation: July 2010
  46. 46. Great progress for Achham
  47. 47. Improved access to care for many remote populations who previously had to go to Mangalsen
  48. 48. Currently: April 2011
  49. 49. Nine months of enrollment
  50. 50. 130 patients enrolled in treatment; 103 on ART</li></li></ul><li>Bayalpata Hospital HIV/AIDS Treatment Program<br />
  51. 51. Nyaya’s ART Program – Demographics<br />
  52. 52. Nyaya’s HIV Program—Challenges <br />Barriers to patient enrollment and follow-up:<br />Awareness<br />Inconsistent presence in the district <br />Migrants<br />Agricultural demands<br />Transportation to Bayalpata<br />Seasonal work demands<br />Seasonal access to roads<br />Increased risk of LTFUs, drug-resistance<br />Service constraints:<br />Cannot initiate HAART or change regimens<br />Lack of CD4 counter (must go to District Hospital)<br />Lack of PVL in all of the Far West<br />Lack of pediatric formulations<br />
  53. 53. Outline of Presentation<br />Nyaya Health – Bayalpata Hospital, Overview (Dan Schwarz)<br />Maternal Health Programs Review (Ms. MeghaGiriBista)<br />HIV Services Review (Dr. Amir Bista)<br />Community Health Services Review (Ms. Ranju Sharma)<br />Questions & Discussion, Facilities tour<br />
  54. 54. Bayalpata Hospital Community Health<br />Innovative program to strengthen the MOHP FCHV program<br />Partnership between Bayalpata Hospital and local FCHVs<br />Surveillance of VDC<br />Clinical follow-up from Hospital visits<br />Enhanced FCHV training<br />Financial incentives weekly<br />Currently in six VDCs, 70 FCHVs<br /><ul><li>Ridikot
  55. 55. Mastamandu
  56. 56. Sidheshwor</li></ul>Scale-up to six additional VDCs in 2068<br /><ul><li> Bagheshwor
  57. 57. Chandika
  58. 58. Hatikot</li></li></ul><li>Bayalpata Hospital Community Health<br />Constant Communication with the FCHVs to ensure that we, <br /><ul><li>Never forget the patients!
  59. 59. Never forget the FCHVs and their needs!</li></li></ul><li>Questions, comments, discussion…<br />28<br />

×