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- 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
Notas del editor
- 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