mit nyaya health april 22 2011
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Nyaya Health 2011
NYAYA HEALTH: THE STORY OF STARTING AND OPERATING A HOSPITAL IN RURAL NEPAL
Bibhav Acharya, Executive Vice-President
bibhav@nyayahealth.org
April 22, 2011
MIT
Nyaya Health 2011
Outline
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Introduction to Nepal and Achham
Birth of Nyaya Health
Key features of the NGO
Current services provided by Bayalpata Hospital
Next Steps
Getting involved
Nyaya Health 2011
Where is Nepal?
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Nyaya Health 2011
Where is Nepal?
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Nyaya Health 2011
Nepal: Key statistics• Per Capita GDP (PPP): $1,100 (169/182)• Life expectancy: 59.8 yrs (male: 60.9, female: 59.5)• Fertility rate: 4 children/woman• Literacy rate: 48.6% (male: 62.7%, female: 34.9%)• Number one cause of death of women aged 15-50: Suicide
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Sudan: $2,200
US: $47,400
Nyaya Health 2011
West in the middle?
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Achham
Kathmandu
Nyaya Health 2011
Achham
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250,000 population of Achham
0 allopathic doctors before Nyaya
>80% of healthcare from private practitioners
2 allopathic doctors hired by Nyaya
12 Hours to nearest airport and operating room
16 hours to nearest ICU
1 in 125 deliveries results in the mother’s death
90% of deliveries in homes and cattle sheds
60% of children are chronically malnourished
50¢ average daily per capita income in Achham
50% of men migrate to India for work;
over 7% return with HIV
Achham
Nyaya Health 2011
Outline
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Relevant health statistics of Nepal and Achham
Birth of Nyaya Health
Current services provided by Bayalpata Hospital
Key features of the NGO
Next Steps
Getting Involved
Nyaya Health 2011
Birth of Nyaya Health
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Nyaya Health 2011
Sanfebagar Primary Health Center
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Nyaya Health 2011
Bayalpata Hospital
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Nyaya Health 2011
Bayalpata Hospital
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Nyaya Health 2011
Bayalpata Hospital: Then and Now
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Nyaya Health 2011
Bayalpata Hospital: Then and Now
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Nyaya Health 2011
Outline
15
Relevant health statistics of Nepal and Achham
Birth of Nyaya Health
Current services provided by Bayalpata Hospital
Key features of the NGO
Next Steps
Getting Involved
Nyaya Health 2011
Bayalpata Hospital: Current Services
Outpatient department 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 Safe abortion Community Health Workers
(CHWs) Telemedicine
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Nyaya Health 2011
Outline
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Relevant health statistics of Nepal and Achham
Birth of Nyaya Health
Current services provided by Bayalpata Hospital
Key features of the NGO
Next Steps
Getting Involved
Nyaya Health 2011
Nyaya Health: Unique Features “Justice in Health” Collaboration with the Government Managed by a volunteer Board of Directors, 33 full-time employed Nepali staff and many volunteers around the world Over 99% of all funds used directly in Nepal Transparency Prioritizing the most marginalized
Hospital Staff:70% achhami60% female35% dalit
CHWs: 100% female
Patients:65% female
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Nyaya Health 2011
Outline
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Relevant health statistics of Nepal and Achham
Birth of Nyaya Health
Current services provided by Bayalpata Hospital
Key features of the NGO
Next Steps
Getting Involved
Nyaya Health 2011 20
Continued Renovations
Next Steps
Nyaya Health 2011
Next Steps
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Surgical Services
Next Steps
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Community Health Workers
Nyaya Health 2011
Next Steps
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Solar Power
Next Steps
Nyaya Health 2011
Getting Involved
•Demand Transparency and Accountability•Spread the word•Nepal = Kathmandu?•Volunteer/intern•$$$
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Nyaya Health 2011
Acknowledgements Global Poverty Initiative
The staff of Bayalpata Hospital & the people of Achham, Nepal
The volunteers and individual donors of Nyaya Health
The Nepali Ministry of Health & Achham District Health officials: Dr. Deepak Gaylal, Mr. Sailendra Shrestha, Mr. Jhanak Dhungana
Institutional Supporters: Abbot Laboratories, AMD and the Open Architecture Network, America Nepal Medical Foundation (ANMF), BWH COE in Quality and Safety, Buddha Air, Cents of Relief, Child Health Foundation, CIWEC Clinic (Menlha Nursing Home), Ella Lyman Cabot Trust, EquityEditors Association, Ford Foundation, Frederick Lovejoy Foundation, Google Grants, Nepal Ministry of Health and Population (MOHP), New Aid Foundation, Partners in Health, QBC Diagnostics, Quidel Corporation, Singapore Internet Research Center, Ten Friends, The Hunger Site, The International Foundation, The Shelley and Donald Rubin Foundation, Until There's a Cure Foundation, UpToDate, William Prusoff Foundation, Yale University
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www.nyayahealth.org
Nyaya Health 2011
Bayalpata Hospital 2010
Nyaya Health 2011
Safe Motherhood Program
Nyaya Health 2011
Patient geography
Nyaya Health 2011
Finances
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