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

1. BAYALPATA HOSPITAL बयलपाटाअस्पतालHospital Operations Committee (HOC) MeetingMangalsen, 18 Magh, 2067 Bayalpata Hospital HOC RepresentativesDr. BikashGauchan, Medical DirectorMr. NandramGahatraj, Hospital AdministratorMr. Dan Schwarz, Executive Director

2. Bayalpata Hospital HOC Meeting Outline, 18 Magh 2067 Introductions Orientation of Bayalpata Hospital Programs (Dr. Gauchan) Orientation of Bayalpata Hospital Finances (Mr. Gahatraj) Orientation of Nyaya Health International financing (Mr. Schwarz) HOC Meeting Agenda Items (All parties) Tea Break Discussion and decisions

4. Opened Sanfe Bagar Medical Clinic in 2065

5. Public-private partnership with Nepali Ministry of Health & Population in 2066

6. Opened the Bayalpata Hospital in Jestha 2066

7. Managed by a volunteer Board of Directors and 27 full-time employed Nepali staff2

8. Bayalpata Hospital: Mission and operations Goal: Infrastructure development, capacity building, not only care provision Goal: To collaborate with the government in the development of pro-poor, rural health care development Government partnership contract for 5 years signed Jestha 2066 – Jestha 2071

10. Inpatient & Outpatient services

11. 24-hour emergency room

12. Safe Motherhood program, CAC services

13. Laboratory & Pharmacy

14. Radiology: X-Ray & Ultrasound

15. HIV, TB treatment programs

16. Malnutrition treatment (CMAM)

17. Ambulance services

18. Community Health Worker (CHWs) services

19. 2067-2068 Expansion Plans:

20. Comprehensive surgical suite

21. Solar energy

22. Expanded CHW/FCHV network

24. Bayalpata Hospital: Safe Motherhood Program

25. Bayalpata Hospital HIV/AIDS Treatment Program

26. Bayalpata Hospital Community Health Innovative program to strengthen the MOHP FCHV program Partnership between Bayalpata Hospital and local FCHVs Surveillance of VDC Clinical follow-up from Hospital visits Enhanced FCHV training Financial incentives weekly Currently in three VDCs Mastamandu Siddheshwor Ridikot Plans to scale-up to three additional VDCs by end of 2067 Further scale-up in 2068

27. Nyaya Health Nepal Financing – Income & Expenditures All line-item financial statements available at http://wiki.nyayahealth.org for full organizational transparency and accountability

28. Projected Budget FY 2066-67 vs. FY 2067-68 Over 99% of all NHN funds used in Nepal

29. Bayalpata Hospital MOHP Allocation (30 lakhs)

30. HOC Meeting Agenda – 18 Magh, 2067 Bayalpata Hospital Agenda Items: Release of MOHP allocation (30 lakhs) to Bayalpata Hospital Discussion of Safe Motherhood Program reimbursements Discussion of MOHP and DHO related clinical and logistical trainings Discussion of supply of proper supplies and medicines from DHO (LMIS) Discussion of additional financial support and advocacy for facilities improvement Landscaping and grounds improvement NTC telephone landlines NEC dedicated power supply AEPC application for solar subsidy District and Community Representative Agenda Items:

31. Final thoughts 13