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This document discusses the story of Nyaya Health, a non-profit organization that builds health systems in rural Nepal. It summarizes Nyaya Health's work establishing the Bayalpata Hospital in Achham District to provide free healthcare services. The hospital has treated over 50,000 patients since opening. It faces ongoing challenges related to human resources, infrastructure, and supporting the rural public health system. Nyaya Health aims to continue expanding services and collaborating with the Nepali government to improve healthcare access for the remote region's 250,000 residents.
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Mit nyaya health april 22 2011
Nyaya Health is a non-profit organization that started a hospital in rural Achham district of Nepal where there was previously no access to medical care. The organization was founded in 2006 and opened Bayalpata Hospital in 2007, which has since expanded services and now provides outpatient and emergency care, birthing services, inpatient care, testing and treatment for diseases, and community health outreach. Nyaya Health aims to prioritize the most marginalized populations and works collaboratively with the Nepali government. It relies on volunteers and donations to continue improving healthcare in the region.
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Nyaya Health is a non-profit organization that aims to expand healthcare access in rural Nepal. It established the Sanfe Bagar Primary Health Center in 2008, which served over 17,000 patients in its first year. In 2009, Nyaya Health transitioned to managing the Bayalpata Hospital under a 5-year contract with the Nepali government, providing free inpatient, outpatient, emergency, and obstetric care, as well as expanding services like surgery, X-rays, and community health workers. Nyaya Health takes a transparent, data-driven, and collaborative approach through sharing operational and clinical data on its public wiki to improve accountability and allow for inter-organizational collaboration.
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Nyaya Health is a non-profit organization that provides free healthcare services in rural Achham District, Nepal. They work in partnership with the Nepali Ministry of Health to strengthen the public health system. Key aspects of their approach include community-based care through a network of community health workers, increasing transparency through publicly accessible data, and a focus on infrastructure development, quality improvement, and addressing challenges like limited transportation and energy resources. Nyaya Health's goal is to improve health outcomes in Achham while developing effective models of healthcare delivery for other resource-poor settings.
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This document provides an overview and review of services at Bayalpata Hospital in Nepal. It summarizes the hospital's mission to provide free healthcare with a focus on marginalized populations. It reviews the hospital's maternal health, HIV, and community health programs. For maternal health, it discusses antenatal care, delivery services, family planning and safe abortion services. For HIV, it provides data on patients enrolled in treatment and reviews challenges. For community health, it describes a partnership program with local health volunteers. The document outlines future plans to expand services and reviews budget and financing.
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Nyaya Health is a non-profit organization that started a hospital in rural Achham district of Nepal where there was previously no access to medical care. The organization was founded in 2006 and opened Bayalpata Hospital in 2007, which has since expanded services and now provides outpatient and emergency care, birthing services, inpatient care, testing and treatment for diseases, and community health outreach. Nyaya Health aims to prioritize the most marginalized populations and works collaboratively with the Nepali government. It relies on volunteers and donations to continue improving healthcare in the region.
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Nyaya Health is a non-profit organization that provides healthcare in rural Nepal. It operates Bayalpata Hospital, which offers free inpatient, outpatient, emergency, and obstetric services. Nyaya Health aims to develop a scalable model of healthcare delivery through transparency, accountability, and collaboration both within its teams and with other organizations. It shares operational data through an open-access wiki and communicates among teams using low-bandwidth technologies. Nyaya Health has also collaborated with Tiyatien Health in Liberia to enhance practices in both countries. Developing an effective model presents challenges around resources, infrastructure, and local engagement.
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The document describes implementing a morbidity and mortality (M&M) conference for quality improvement at a hospital in rural Nepal. Key points:
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Nyaya Health is a non-profit organization that provides free healthcare in rural Achham district of Nepal. It operates Bayalpata Hospital in partnership with the Nepali Ministry of Health. The hospital provides outpatient and emergency services, an inpatient ward, laboratory services, and community health outreach. Nyaya Health aims to strengthen Nepal's public health system and develop a replicable model of healthcare delivery. It is funded through donations and employs over 30 full-time Nepali staff. Upcoming projects include expanding surgical and community health services and increasing solar power capacity. Nyaya Health recently received a $75,000 matching grant and is seeking help leveraging additional support.
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Bayalpata Hospital has undergone several renovations and expansions, including a new inpatient building with male, female, and maternity wards as well as an attached delivery suite. The clinical team provides round-the-clock care to all inpatients. Outpatient services have been expanded with four new examination rooms staffed during office hours. Emergency room facilities have also been improved with new beds and an on-call room. Additional administrative offices and a large new store room have further strengthened hospital operations and support for growing patient numbers.
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Sar 2011_Dr. Bikash Gauchan
1) A hospital in remote rural Nepal implemented a morbidity and mortality conference (M&M) to improve healthcare quality by involving both clinical and non-clinical staff.
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The document describes a series of x-ray images taken of various patients, including a young woman with a foot fracture, an elderly gentleman with heart failure and pneumonia, a woman with emphysema exacerbation, an elderly gentleman previously treated for tuberculosis now with a recurrent case, another elderly gentleman with a history of tuberculosis also now recurrent, an elderly gentleman with alcoholic cirrhosis and multiple lung issues, a gentleman with heart failure, and a woman with renal failure and abdominal distension.
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The document describes various areas of a hospital including a conference room where patient discussions take place, beautiful hospital grounds, well-maintained corridors, operating theatres, pediatric wards, a medical education complex, staff and student housing, an ultrasound room, post-operative area, sterile supply room, an autoclave facility, a surgical stock room, and a post-operative supply room. It also mentions Gregory meeting with other staff.
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This document outlines over 40 powerpoint presentations given by members of Nyaya Health about their work providing healthcare in rural Nepal. The presentations cover topics such as implementing quality improvement programs, managing cases of diarrhea, introducing healthcare quality initiatives in resource-poor settings, building healthcare systems and primary care infrastructure in rural Nepal, and developing partnerships for improved global health delivery.
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Nyaya Health operates a clinic in Achham District, Nepal that provides free, high-quality healthcare using a unique model. Their model employs community health workers, is open-source and transparent, and relies on multiple sources of funding. They aim to become a teaching model for healthcare delivery and serve the underserved population. However, Nyaya Health faces challenges of growing their scale and scope while strengthening resources for replicability and creating sustainable revenue streams.
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A 6-month-old boy presented to a hospital in Nepal with severe respiratory distress. Despite his poor condition, supportive treatment was delayed. That evening, a power outage caused equipment failures and the inability to provide oxygen. The child was found unresponsive hours later and died after unsuccessful resuscitation efforts. Quality improvement tools that can be used in resource-poor settings include quality committees, standards/checklists, clinical audits, patient interviews, and morbidity/mortality conferences to systematically analyze care quality and identify areas for improvement.
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This document summarizes a proposed prospective study to rigorously evaluate the implementation of an expanded surgical care model (IMEESC-plus) at a district hospital in rural Nepal. The study aims to 1) evaluate the implementation process using mixed quantitative and qualitative methods at the hospital, staff, and patient levels, 2) pilot an implementation research methodology for potential larger studies, and 3) generate data to inform wider scale-up of surgical care globally. Specific objectives include evaluating hospital operations and costs, staff adherence to protocols and experiences, and changes in surgical volumes, complications, and patient follow-up over time.
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(1) Nyaya Health provides free healthcare in rural Nepal through clinics and hospitals, operating the Sanfe Bagar Medical Clinic from 2008-2009 and currently the Bayalpata Hospital.
(2) Their model focuses on five key pillars: free healthcare for all, full transparency, working with the community and government, integrating clinical and community services, and using evidence-based medicine.
(3) Their current priorities include maternal and child health through community outreach, HIV/AIDS and tuberculosis programs, and expanding access through technology and community health workers.
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This document summarizes the minutes from a Hospital Operations Committee meeting at Bayalpata Hospital in Nepal. It provides an overview of the hospital's programs, finances, and expansion plans. Key points include:
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- Clinical program data from the past year show growth in services like x-rays and HIV/ART treatment. The Safe Motherhood program and community health worker network are also
Gm 2011 032711
Nyaya Health provides free community-based healthcare in rural Nepal. It was founded in 2005 as a partnership between medical professionals and the Nepali government. In 2006, one of the co-founders visited Achham district and saw extreme poverty, lack of infrastructure and healthcare access, and high rates of HIV, malnutrition and maternal mortality. While Nyaya made some progress between 2006-2011 by hiring doctors, improving roads and health spending, major challenges remained like limited electricity, long travel times for advanced care, and lack of data. Nyaya transitioned from an all-volunteer model with no paid staff to a more professional organization in order to reliably expand its operations, access more resources, and develop local healthcare solutions through partnerships
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Diarrheal cases were high in Bayalpata Hospital from Falgun to Baisakh. The medical director recommended distributing necessary medical supplies to health posts and sub-health posts, providing oral rehydration solution and water treatment, and immediate public health messaging through female community health volunteers and mothers' groups on the radio to address the issue. Long-term recommendations included improving water facilities and strengthening coordination between sectors in Achham district.
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Kennedy presentation
- 1. Building Health Systems in Rural Nepal: The story of Nyaya Health Duncan Maru, MD, PHDCo-Founder and President| Nyaya Health Harvard Kennedy School, February 17, 2011
- 3. Birth of Nyaya Health
- 4. Current services provided by Bayalpata Hospital
- 5. Challenges
- 6. Key features of the NGO
- 7. Next steps
- 9. Where We Work: Nepal – Achham District, Far Western Region
- 10. Achham District, Far Western Region, Nepal
- 11. Achham District, Far Western Region, Nepal
- 12. Achham District, Far Western Region, Nepal
- 13. Achham District, Far Western Region, Nepal
- 14. Achham District, Far Western Region, Nepal
- 15. Achham, Nepal 250,000 population of Achham 0 number of allopathic doctors in Achham before Nyaya 6+ hours in bus to reach the nearest operating room 14 hours in bus to reach the nearest intensive care unit 6% & 54% Female and male literacy rates, respectively 1 in 125 deliveries results in the mother’s death 64 number of stillborns for every 1,000 live births >80% of men migrate to India for work; over 7% return with HIV 99.5% of babies are born in homes and cattle sheds 50¢ average daily per capita income in Achham 60% 60% of children are chronically malnourished 8
- 17. To develop and disseminate effective strategies of healthcare delivery in resource-poor settings throughout the world9
- 18. Public-Private Partnership We operate services that aim to bolster the public sector at three levels: Referral-level: Government hospital Primary care level: Government health posts (clinics) Outreach level: Government community health workers
- 19. SanfeBagar Primary Health Center Sanfe Bagar Health Center: After Sanfe Bagar Health Center: Before 11
- 22. Bayalpata Hospital Infrastructure development and capacity building, not care provision alone Government collaboration: Government partnership contract for 5 years signed June 2009 – June 2014 Currently one of the highest levels of clinical care in the Far West (2 million people) 50,000 patients seen to date
- 24. Inpatient & Outpatient services
- 25. 24-hour emergency and obstetric services
- 27. Radiology: X-Ray & Ultrasound
- 28. HIV, TB treatment programs
- 31. Community Health Worker (CHWs) services
- 32. Telemedicine
- 35. Solar energy
- 39. Managed by a volunteer Board of Directors, 29 full-time employed Nepali staff and many volunteers around the world
- 40. Over 99% of all funds used directly in Nepal
- 41. Transparency
- 42. Prioritizing the most marginalized Staff: 70% achhami 60% female 35% dalit Patients: 65% female 17
- 43. Next Steps Continued Renovations 18
- 44. Next Steps Next Steps Surgical Services Quality Improvement Implementation Research 19
- 45. Next Steps Next Steps Solar Power 20
- 46. My Personal Vision for Bayalpata Hospital
- 48. The volunteers and individual donors of Nyaya Health
- 49. The Nepali Ministry of Health & Achham District Health officials: Dr. Deepak Gaylal, Mr. SailendraShrestha, Mr. JhanakDhungana
- 50. Harvard School of Public Health Global Health Forum and Nepal KoYuwa
- 54. Finances
Editor's Notes
- Stress the “success” of being approached by the gov’t for collaboration – this slide should really just be “a few months after opening the clinic, we were approached by the government and local community, and offered to join in a public-private partnership to re-open the Bayalpata Hospital
- Stress the importance of our philosophy in how we approach our work
- 50,000 patients to date