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Nyaya Health:  Achieving Justice in Health in Achham Mark Arnoldy Nyaya Health | Executive Director Dhulikhel Hospital 4.4.2011
Outline of Presentation The Nyaya Health Story What We Do | Who We Are Nyaya’s Unique Model of Delivering Health Care  A Call to Action
“The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -RumaRajbhandari, MD, MPH, March 22, 2011.
Nyaya Health: Who We Are What We Do: Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an open-access, public-private partnership.
Nyaya Health: Who We Are Social justice-oriented mission:  To provide free community-based healthcare in rural Nepal that strengthens the public sector To develop and disseminate a replicable model of health delivery in resource-poor settings throughout the world ,[object Object]
Partners In Health (PIH) Partner Project
Nyaya Team:
31 full-time employed Nepali staff + ~50 CHWs
1 full-time US-based Executive Director
Volunteer Executive Team, Board of Directors and Board of Advisors,[object Object]
Achham: People ~270,000 people 99.6% Hindu 60% agricultural >80% of men migrate to India, and 35% of families rely on remittances from India  33% literate: 54% men, 14% of women <$1USD is daily per capita income
Achham: Infrastructure 2006: >90% of houses have did not have electricity 0 doctors for 270,000 people 45% had access to clean water – 2.5x worse than national average Hydroelectric plant functioning <50% capacity Extremely limited landline telephone capacity, one cell phone tower Paved road ended in SanfeBagar Airport destroyed during war Hospital 5 hours, surgery 6 hours, ICU 14 hours
Bayalpata Hospital: Current Services ,[object Object]
24-hour emergency services
24-hour birthing center
15-bed Inpatient ward
Laboratory with point of care tests
Testing and treatment for HIV, tuberculosis, and malnutrition
In-house pharmacy
Ambulance service
X-ray
Ultrasound

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Dhulikhel hospital

Notas del editor

  1. 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 =&gt; 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
  2. Goal of slides 6-8 is to offer audience an understanding of where we work and what changes/progress we’ve seen there over the last 5 years. Slides 6 &amp; 7 will offer general numbers, divided into People and Infrastructure, with slide 8 offering a summary of where we are in 2011.
  3. “ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)