The document discusses approaches to improving healthcare in rural Nepal, including the PAHS (Patan Academy of Health Sciences) model. PAHS was established to train health workers and provide care with a focus on improving accessibility in rural areas. Its mission is to enhance health in Nepal, especially for the poor and rural, through education, service, and research with innovation, equity, excellence and compassion. PAHS collaborates internationally and aims to address the rural-urban health divide through community-focused training and service requirements for students.

1. Towards meeting health care challenges of rural Nepal: The PAHS approach Arjun Karki Patan Academy of Health Sciences (PAHS) 6 th July 2010 Nyaya Health BOSTON

6. Building a New Nepal – a national agenda

11. Nepal context service accessibility by the poverty quintiles Source: NLSS- II, CBS

17. Current realities …. Regional differences (NHDS, 2001) Place of Residence Infant Mortality Under 5 Mortality Urban 60 94 Rural 100 147 Mountains 132 201 Hills 85 131 Terai 104 147

30. MSSC Members … MSSC Chairperson with a member

32. Good Doctor (generic) Knowledge Problem-solver, Conceptual thinker, Ability to apply knowledge appropriately Technical competence, Psychomotor skills Team worker Organisation and administrative skills, conscientious, reliable Capacity to empathise Communication skills (approachable, listens, uses appropriate language) Ethical, high integrity Calm under pressure, Copes well with stress Life-long learner, maintained interest Good decision making skills * * Process Personality Interests Knowledge PPIK theory:

48. If medicine is to fulfill her greatest task, then she must enter the political and social life. Do we not always find the diseases of the populace traceable to defects in society ? - Rudolf Virchow

54. Namaste and Thanks very much