Sloan ghd course final project bodell, debroy, miller, nanni

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  • Given this challenging environment, Nyaya has come up with some creative new solutions as well as learned lessons from successful organizations, like Partners in Health, and have a very effective mix of solutions to deliver care and grow. Nyaya provides (go through bullets). And has an interesting mix of methods to deliver care (go through four quadrants)
  • PIH (www.pih.org)Himalayan Health: (http://www.himalayanhealth.com/about.htm)Nick Simons Institute: (http://www.nsi.edu.np/nsi/index.php
  • Sloan ghd course final project bodell, debroy, miller, nanni

    1. 1. Nyaya HealthDecember 6, 2010 – Board of Directors Report<br />15.965 Global Health Delivery and Management<br />Molly Bodell, PompaDebroy, Sophie Cain Miller, & Evvie Nanni<br />
    2. 2. Outline<br />1<br />Mission Statement<br />2<br />Background<br />3<br />Model<br />4<br />Recommendations<br />
    3. 3. Nyaya Health has a two-pronged mission<br />Overarching Mission: Quality Health Care Delivery<br />
<br />Other Goals:<br /><ul><li>PIH model of delivery:
    4. 4. No one is denied care
    5. 5. Use CHWs (Community Health Workers)
    6. 6. Permanent on-the-ground care</li></ul>- Become teaching model for delivery of quality health care<br />- Be known and serve as a model for open source organizations <br />Mission 3<br />
    7. 7. Main challenges to delivering Healthcare in Achham, Nepal<br /><ul><li>Geography:
    8. 8. Mountainous terrain
    9. 9. Poor road conditions
    10. 10. History:
    11. 11. Civil war
    12. 12. Lack of existing medical care in district
    13. 13. Poverty:
    14. 14. Median household income <$1 / day
    15. 15. Government:
    16. 16. Unreliable provision of healthcare </li></ul>Source: 2009 Annual Report<br />Image Source: Roof of Nyaya Health Clinic; Wikipedia<br />Background 4<br />
    17. 17. Key health status indicators in Achham prior to Nyaya Health<br />Background 5<br />Source: 2009 Nyaya Health Annual Report<br />
    18. 18. High maternal mortality ratio (MMR) in district<br />Italy: 4<br />United States: 17<br />Nepal: 240<br />Achham: 740<br />Source: IHME 2010, Maternal Mortality (Global), Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5, Institute for Health Metrics and Evaluation, Online, viewed 13th April, 2010. Note: numbers are per 100,000 live births <br />Background 6<br />
    19. 19. US-based Staff<br />Historically unpaid<br />volunteer<br />Hired first US-based ED<br />Nepal-based Staff<br />28 employees<br />100% Nepali<br /><ul><li>Free care
    20. 20. Egalitarian
    21. 21. Transparency
    22. 22. Accountability
    23. 23. Open-source
    24. 24. Information sharing
    25. 25. Documentation and data collection
    26. 26. Website, blog & Wiki
    27. 27. Owns facility
    28. 28. Provides 38% of funding
    29. 29. 5 year agreement with Nyaya Health
    30. 30. Trains and hires CHWs</li></ul>Nyaya Health Employs Unique Model for Free, Quality Care Delivery<br />Nyaya Health<br /><ul><li>Comprehensive health care delivery
    31. 31. 24/7 service
    32. 32. 25 doctors and staff
    33. 33. 36,000 patients per year
    34. 34. 67% women
    35. 35. 50% of patients travel 1-3 hours by foot
    36. 36. Top 2 diagnoses: gastritis and upper respiratory infections (URIs)
    37. 37. Multiple sources of funding</li></ul>Model 7<br />
    38. 38. Nyaya Funding Comes From Multiple Sources<br />Sources of Funding<br />Spending<br />c<br />57%<br />59%<br />c<br />32%<br />29%<br />c<br />12%<br />11%<br />Model 8<br />
    39. 39. US-based Staff<br />Historically unpaid<br />volunteer<br />Hired first US-based ED<br />Nepal-based Staff<br />28 employees<br />100% Nepali<br /><ul><li>Free care
    40. 40. Egalitarian
    41. 41. Transparency
    42. 42. Accountability
    43. 43. Open-source
    44. 44. Information sharing
    45. 45. Documentation and data collection
    46. 46. Website, blog & Wiki
    47. 47. Owns facility
    48. 48. Provides 38% of funding
    49. 49. 5 year agreement with Nyaya Health
    50. 50. Trains and hires CHWs</li></ul>Nyaya Health Employs Unique Model for Free, Quality Care Delivery<br />Nyaya Health<br />Model 9<br />
    51. 51. US-based Staff<br />Historically unpaid<br />volunteer<br />Hired first US-based ED<br />Nepal-based Staff<br />28 employees<br />82% Nepali<br /><ul><li>Free care
    52. 52. Egalitarian
    53. 53. Transparency
    54. 54. Accountability
    55. 55. Open-source
    56. 56. Information sharing
    57. 57. Documentation and data collection
    58. 58. Website, blog & Wiki
    59. 59. Owns facility
    60. 60. Provides 38% of funding
    61. 61. 5 year agreement with Nyaya Health
    62. 62. Trains and hires CHWs</li></ul>Nyaya Health Employs Unique Model for Free, Quality Care Delivery<br />Nyaya Health<br />Model 10<br />
    63. 63. US-based Staff<br />Historically unpaid<br />volunteer<br />Hired first US-based ED<br />Nepal-based Staff<br />28 employees<br />82% Nepali<br /><ul><li>Free care
    64. 64. Egalitarian
    65. 65. Transparency
    66. 66. Accountability
    67. 67. Open-source
    68. 68. Information sharing
    69. 69. Documentation and data collection
    70. 70. Website, blog & Wiki
    71. 71. Owns facility
    72. 72. Provides 38% of funding
    73. 73. 5 year agreement with Nyaya Health
    74. 74. Trains and hires CHWs</li></ul>Nyaya Health Employs Unique Model for Free, Quality Care Delivery<br />Nyaya Health<br />Model 11<br />
    75. 75. US-based Staff<br />Historically unpaid<br />volunteer<br />Hired first US-based ED<br />Nepal-based Staff<br />28 employees<br />82% Nepali<br /><ul><li>Free care
    76. 76. Egalitarian
    77. 77. Transparency
    78. 78. Accountability
    79. 79. Open-source
    80. 80. Information sharing
    81. 81. Documentation and data collection
    82. 82. Website, blog & Wiki
    83. 83. Owns facility
    84. 84. Provides 38% of funding
    85. 85. 5 year agreement with Nyaya Health
    86. 86. Trains and hires CHWs</li></ul>Nyaya Health Employs Unique Model for Free, Quality Care Delivery<br />Nyaya Health<br />Model 12<br />
    87. 87. At the End of the World: The Cutting Edge of Health IT<br />Model 13<br />
    88. 88. Nyaya Wiki<br />http://wiki.nyayahealth.org<br />Model 14<br />
    89. 89. Nyaya offers unique value proposition for four key audiences<br />Population served by traditional NGOs<br />Stakeholders not traditionally served by global health community <br />Model 15<br />
    90. 90. Business model success dependent on feedback loop between two sides of mission<br />Operations are transcribed directly to website<br />Demand increase through publicity and word-of-mouth<br />Quality of Information available on wiki<br />Quality of care delivered in Achham Valley<br />Awareness and use of Nyaya resource by other NGOs<br />Key reinforcing feedback loop<br />Feedback on care delivery model <br />Operational & service delivery improvements <br />More users will provide diversity of input & expertise<br />Model 16<br />
    91. 91. Despite successful model, Nyaya Health currently faces three key challenges<br />Model 17<br />
    92. 92. Recommendation 1: Growth in scale & scope<br />Recommendations 18<br />
    93. 93. Recommendation 2: Strengthen available resources for model replicability<br />Nyaya Health currently maintains website, blog & wiki <br />Recommendations 19<br />
    94. 94. Recommendation 3: Create sustainable revenue streams; monetize services<br />Recommendations 20<br />
    95. 95. Q&A<br />21<br />
    96. 96. Works Cited<br />22<br /><ul><li> Phone interview with Dan Schwarz, Executive Director (Dan@NyayaHealth.org)
    97. 97. Email correspondence with Ryan Schwarz, Director of Operations (Ryan@NyayaHealth.org)
    98. 98. 2009 Nyaya Health Annual Report
    99. 99. Nyaya Health Wiki: http://wiki.nyayahealth.org
    100. 100. Nyaya Health Website: http://www.nyayahealth.org/</li></li></ul><li>Appendix<br />23<br />
    101. 101. Nyaya Org Chart<br />24<br />
    102. 102. Nyaya budget is expected to increase by more than 250% in 2 years<br />25<br />
    103. 103. Nyaya’s Organizational Model<br />26<br />
    104. 104. History of Nyaya<br />27<br />
    105. 105. At the End of the World: The Cutting Edge of Health IT<br />28<br />
    106. 106. 29<br />Similar organizations lack reinforcing feedback loop created by wiki<br />Himalayan Health<br /><ul><li>Multiple locations
    107. 107. Donates to orphanages and provides care to patients in clinics through medical tourism, arranging for trips for medical volunteers</li></ul>Partners in Health<br /><ul><li>Multiple countries
    108. 108. Access to primary care, free health care and education, community partnerships, addressing basic and economic needs, serving poor through public sector </li></ul>Nick Simons Institute<br /><ul><li>Based in Nepal
    109. 109. Quality training for health care workers
    110. 110. Support for rural health workers
    111. 111. Scholarships for health leaders</li></ul>UNUSED SLIDES<br />

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