Unite For Sight Presentation, April 16 2011, Bibhav Acharya

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Unite For Sight Presentation, April 16 2011, Bibhav Acharya

  1. 1. <ul><li>COMMUNITY PARTICIPATION TO IMPROVE TRANSPARENCY, ACCOUNTABILITY, AND USAGE OF A HOSPITAL IN RURAL NEPAL </li></ul><ul><li>Bibhav Acharya, Executive Vice-President </li></ul><ul><li>[email_address] </li></ul><ul><li>www.nyayahealth.org </li></ul><ul><li>April 16, 2011 </li></ul><ul><li>GH/I Conference </li></ul>
  2. 2. Next Steps Bayalpata Hospital, Nepal
  3. 3. Three common challenges <ul><li>Transparency –who is paying for what? </li></ul><ul><li>Accountability –beyond donor reports </li></ul><ul><li>Trust/Usage of the hospital </li></ul>
  4. 4. Community involvement Male, literate, upper caste, higher socio-economic status
  5. 5. Transparency
  6. 6. Bayalpata Hospital Community Program
  7. 7. <ul><li>Pre- and post-intervention surveys </li></ul><ul><li>Process indicators: </li></ul><ul><ul><ul><ul><ul><li>Attendance </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Number of feedback collected </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Female representation </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Dalit representation </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Registration of and response to feedback </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Effectiveness of response </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Repeated feedback </li></ul></ul></ul></ul></ul><ul><li>Retrospective chart review of change in service utilization </li></ul>Evaluation
  8. 8. Acknowledgements <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>www.nyayahealth.org

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