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Dhulikhel hospital
- 1. Nyaya Health: Achieving Justice in Health in Achham Mark Arnoldy Nyaya Health | Executive Director Dhulikhel Hospital 4.4.2011
- 2. 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
- 3. “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.
- 4. 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.
- 6. Partners In Health (PIH) Partner Project
- 7. Nyaya Team:
- 8. 31 full-time employed Nepali staff + ~50 CHWs
- 9. 1 full-time US-based Executive Director
- 11. 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
- 12. 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
- 17. Laboratory with point of care tests
- 18. Testing and treatment for HIV, tuberculosis, and malnutrition
- 21. X-ray
- 22. Ultrasound
- 23. Safe abortion
- 24. Community Health Workers (CHWs)
- 25. Telemedicine8
- 26. What problems plague the NGO system in Nepal?
- 28. Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
- 29. Over 99% of all funds used directly in Nepal
- 30. Transparency
- 31. Prioritizing the most marginalized Staff: 70% achhami 60% female 35% dalit Patients: 65% female 10
- 34. Financial data
- 37. All pages viewable to the public
- 38. A forum to share lessons-learned from Achham with organizations in similar settings around the world
- 40. Government partnership contract for 5 years signed June, 2009 – June, 2014
- 42. Funding 14
- 43. Next Steps: Continue Renovations 15
- 44. Next Steps Next Steps: Scale-up of Surgical Services 16
- 45. Next Steps Next Steps: Building Solar Power Capacity 17
- 46. Next Steps Next Steps: Expanding Community Health 18
- 47. A Call to Action: Leveraging a $75,000 Matching Grant Nyaya Health has just received a $75,000 USD matching grant from the Nick Simons Foundation. How can YOU help leverage that for the benefit of Achhamis? Connection for a funding partnership? A personal contribution? Facilitating more presentations or meetings? Time, advice, mentorship?
- 48. What might a partnership look like? Question of the morning:
- 49. Questions, Reflections, Comments? THANK YOU! www.nyayahealth.org
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
- 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 & 7 will offer general numbers, divided into People and Infrastructure, with slide 8 offering a summary of where we are in 2011.
- “ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)