Presentation to Yale Faculty

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Presentation to Yale Faculty

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

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