Pediatrics mgr april 2011
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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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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.
Hsph saso presentation, dan schwarz, april 2010
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.
Brown presentation, Dan Schwarz, December 2010
This document discusses the importance of developing partnerships to improve global health delivery in resource-poor settings. It provides three case studies from Nyaya Health's work in Achham District, Nepal to illustrate how partnerships can help address the upstream causes of mortality and morbidity. The case studies show how local, regional, and global partnerships helped provide diagnostics, treatment, and emergency transport that were otherwise inaccessible to patients. These partnerships strengthened the health system by maximizing the potential of available resources and connecting patients to critical care. The document argues that partnerships are key to delivering better healthcare and avoiding unnecessary mortality and morbidity in resource-limited areas.
Globe Med Presentation, Dan Schwarz, March 2010
This presentation was delivered as one of the "Partnerships in Global Health Equity" workshops at the 2009 GlobeMed Summit (http://www.globemedsummit.org/) on March 6th, 2010.
Globe med presentation, dan schwarz, march 2010
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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Nyaya Health is a non-profit organization that provides healthcare in rural Achham district of Nepal. It works in partnership with the Nepali Ministry of Health to build a replicable model of community-based healthcare. Nyaya Health operates Bayalpata Hospital and works with around 50 community health workers. It aims to provide free healthcare that strengthens Nepal's public health system and can be replicated in other resource-poor areas. The presentation outlines Nyaya Health's model and impact, and calls listeners to help leverage a $75,000 matching grant to further expand its healthcare services in Achham.
ANMF and Nyaya Health: Providing free healthcare in the Far West
This document discusses the shared mission between ANMF and Nyaya Health to provide free healthcare in rural Nepal. Nyaya Health operates a primary health center in Sanfe Bagar and will soon open a hospital in Bayalpata, Achham to serve the 250,000 residents who previously had no access to doctors. Nyaya Health aims to build healthcare infrastructure, develop a scalable model of care, and train local staff to establish a sustainable system that improves health outcomes in the region.
Dhulikhel hospital
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 programs. Nyaya Health aims to strengthen Nepal's public health system through this model of collaborative care. It is seeking to expand services like surgery and renewable energy projects. The presentation concludes by requesting support to leverage a $75,000 matching grant to further benefit the people of Achham.
Visual Tour of CGHC 2009
An overview of the history & recent accomplishments of the Common Ground Health Clinic, as of February 2009.
Brown id presentation, dan schwarz, december 2010
A 29-year-old female from Achham, Nepal presented with cough, hemoptysis, vaginal discharge, weight loss, and a husband who had similar symptoms. This suggests potential HIV/AIDS. The region has high HIV rates due to male labor migration to India. Nyaya Health established an HIV/AIDS treatment program in 2010 to address the need, but faces challenges including lack of infrastructure, treatment restrictions, migration, and agricultural demands that impact patient enrollment and follow-up. Expanding community services, strengthening collaborations, and allowing advanced treatment could help improve outcomes.
Building primary care infrastructure in rural Nepal
This is an overview of Nyaya Health's work in Nepal, starting with some basics of Nepal's health, economics, and history. This talk was given by Jason Andrews at UCSF/San Francisco General Hospital on 6/4/2009.
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This document provides an overview of public health and the structure of Pakistan's healthcare system. It begins with definitions of key terms like health, public health, and healthcare systems. It then describes the main functions and objectives of public health, including health promotion, disease prevention, and treatment. The document outlines Pakistan's three-tiered public and private healthcare system consisting of primary, secondary and tertiary levels of care. It also discusses issues like inadequate funding, reliance on out-of-pocket payments, and an understaffed and underequipped public system. In conclusion, it presents statistics on Pakistan's health infrastructure and workforce.
IAFCC 2014 Statewide Survey Report Print Final
Key Finding 1: In 2013, 21 free and charitable clinics across Illinois served over 67,000 unique patients and provided more than 83,000 healthcare visits.
Key Finding 2: Free and charitable clinics provide comprehensive primary care and chronic disease treatment to uninsured and underinsured low-income populations, including immigrants, homeless individuals, formerly incarcerated people, those with substance abuse disorders, and veterans.
Key Finding 3: In 2013, free and charitable clinics sustained their operations through charitable donations, over 151,000 volunteer hours, and in-kind donations of medications, diagnostics, and specialty services.
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Nyaya Health at ANMF 2010 Conference: Telemedicine
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A Day at Nyaya-FINAL
Nyaya Hospital in Nepal provides medical care to the local community. The author describes a typical day at the hospital, beginning with morning rounds where doctors examine inpatients, many being treated for pneumonia. Afterward, doctors see outpatients and fill out cards with exam findings, diagnoses and prescriptions for patients to take to the pharmacy. In the afternoon, the author assists with prenatal care, spending time learning ultrasound techniques from the head of the antenatal clinics to measure fetal heart rate and locate the placenta.
Progress with Time
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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Gregory Karelas is the Country Director for Nyaya Health in Nepal. He starts his day by answering emails and making plans from his office. He then has breakfast with the hospital staff in the kitchen. In the morning, he conducts a staff meeting. Throughout the day, he examines construction projects, interviews candidates, discusses landscaping and future renovations, and finalizes financial guidelines with the accountant. In the evening, he has supper with friends in the local village.
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.
2) The weekly M&M meetings focused discussions on patient cases using a framework of seven domains to identify systems issues impacting care delivery.
3) Preliminary results found improved communication, a better understanding of operations, and more rigorous identification of areas for improvement across the hospital.
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This document outlines plans to improve operations at Nyaya Health facilities. It discusses proposals to enhance salary and benefits for staff, clarify procurement processes, establish clear reporting structures and complaint channels, improve housing and transportation support, revise food and leave policies, implement disciplinary procedures, increase transparency, and strengthen community involvement. The goal is to address issues and better define guidelines, policies, and processes across the organization.
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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, elderly men presenting with heart failure and pneumonia, a woman with emphysema exacerbation, an elderly man with a history of tuberculosis now showing recurrent tuberculosis, an elderly man with alcoholic cirrhosis and extensive pulmonary disease, a man with heart failure, and a woman with renal failure and abdominal distension.
Radiology Rounds Sideshow
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 summarizes a proposed prospective study to evaluate the implementation of an expanded surgical care model (IMEESC-plus) at a district hospital in rural Nepal. The study aims to rigorously evaluate this innovative surgical care model, pilot an implementation research methodology, and generate data to support wider scale-up of surgical services globally. The proposed study would assess the implementation process, measure the quality of surgical services provided, and evaluate specific outcomes like complication rates. If successful, it could help address the large unmet need for surgical care in low-resource settings.
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This document proposes a prospective study to scale up surgical care at a rural hospital in Nepal using the WHO's Integrated Management for Emergency and Essential Surgical Care (IMEESC) model plus additional community follow-up and quality improvement methods. The study aims to rigorously evaluate this innovative model, pilot an implementation research methodology, and generate data to inform larger scale-up of surgical care worldwide. Specific objectives include describing the implementation process and measuring quality through adherence to protocols, follow-up rates, and complication rates. Metrics are proposed for evaluating pre-op, intra-op, post-op, facilities/supplies, and community follow-up. The study seeks to provide needed research on deploying surgical care in low-
Template
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.
Ruma rssp qi in resource poor settings 050211
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 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.
Med peds noon conference feb 2011
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.
Martin chautari talk shefali 060509
(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.
Idconference10 28final-091027054849-phpapp01
This document summarizes a case presentation of a patient with progressive neurological deficits and HIV. Over several weeks, the patient developed numbness that spread across his face and limbs, as well as other neurological symptoms. Imaging and spinal fluid testing did not reveal any abnormalities. A biopsy showed diffuse large B-cell lymphoma that was HHV8-positive but EBV-negative. This type of lymphoma is associated with Kaposi's sarcoma-associated herpesvirus (KSHV), which can cause various malignancies in HIV/AIDS patients such as multicentric Castleman's disease, primary effusion lymphoma, and diffuse large B-cell lymphoma.
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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:
- Bayalpata Hospital provides free healthcare services and is managed by Nyaya Health Nepal in partnership with the Nepali Ministry of Health.
- Services include inpatient/outpatient care, emergency services, maternal care, and treatment for HIV, TB, and malnutrition. Expansion plans include a surgical suite and solar energy.
- 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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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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Pediatrics mgr april 2011
- 5. Where We Work: Nepal – Achham District, Far Western Region
- 18. Community Health Worker Program
- 19. Community Health Outreach Program
- 26. Inputs and Outputs Total Expenditures: $166,000 Annual Per Capita Public Health Expenditures in Achham: $5
- 27. Expenditures
- 28. Funding
- 30. Continued Renovations Next Steps
- 31. Next Steps Surgical Services Quality Improvement Implementation Research Next Steps
- 32. Next Steps Solar Power Next Steps
- 34. My Personal Vision for Bayalpata Hospital
Editor's Notes
- http://wiki.nyayahealth.org/w/page/4682721/MortalityData
- Identify where Achham is, and point out that most development, funding, tourism is in the KTM valley/east of the country – i.e. NOT the FW. Can also mention Achham (FW generally) was epicenter of Maoist conflict => even more destitution. Don’t spend more than 90 secs on this slide though, our goal is not to give a history of Nepal hehe
- “ ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)
- Maru, Duncan “Death by HIV” http://blog.nyayahealth.org/2008/01/08/hiv-stigma-and-the-need-for-integrated-health-programming/
- http://wiki.nyayahealth.org/w/page/4682721/MortalityData
- http://wiki.nyayahealth.org/w/page/4682721/MortalityData
- CHWs and CHWLs at the training session on mental health at BH.
- http://wiki.nyayahealth.org/w/page/4682721/MortalityData
- Wiki posited as Nyaya’s mechanism for transparency accountability & collaboration within GHD community Next slide to be posited as inter-team communication tools to facilitate GHD community TA&C DAI speaker: orgs often say “we don’t want to do that – we want to do something new… ” – Nyaya’s not trying to do anything new, we’re trying to encourage replication of the usage of technologies that are already available to enhance collaboration as a field “ 80/20 rule – 80% of what’s relevant in Zambia can be used in Malawi”