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Coe q&s june 15 2011
- 2. The Problem: Quality Chasm in Global Health Delivery “ The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -Ruma Rajbhandari, MD, MPH March 22, 2011 Brigham Internal Medicine Resident Global Health Equity Fellow Nyaya Health Board of Advisors Member
- 3. Study Aim To develop a systems-oriented morbidity and mortality conference (M&M) quality improvement initiative in a remote rural resource-denied setting, aimed at facilitating structured dialogue of hospital operations and identifying barriers to providing quality care.
- 4. Setting: Nepal – Achham District, Far Western Region
- 11. Results: Selection of Cases
- 23. Community Health Worker Program
- 24. Community Health Outreach Program
- 28. Inputs and Outputs Total Expenditures: $166,000 Annual Per Capita Public Health Expenditures in Achham: $5
- 29. Expenditures
- 30. Funding
Notes de l'éditeur
- 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)
- CHWs and CHWLs at the training session on mental health at BH.
- 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”