presentation to yale faculty
TRANSCRIPT
Bibhav AcharyaVice President
Outline
• Achham/Nepal Statistics• History and current services of
Nyaya• Short and long term goals• Challenges• Opportunities for collaborations
Total population: 28 millionPer Capita GDP (PPP): $1,100 (169th)
Life expectancy: 60.94 yrs (male: 61.12, female: 60.75)
Achham and the Far-West
AchhamNumber of citizens: 250,000Number of doctors: 1 99.5% of babies are delivered
outside a health center1 in 125 deliveries result in
death of the mother60% of children are chronically
malnourishedAverage person makes $150 a
yearNearest functioning airport and
hospital: 10 hour bus ride away, costs 1-2 months' average income
80% households have one male migrating to India
Birth of Nyaya Health
Current Services
Health Center Community Health Workers
Clinical servicesAdult and Pediatric
Primary care24 hr safe deliveryPre and Perinatal Care
PharmacyDiagnostic Lab
Acute careNutritional support
4 inpatient beds
Community Health WorkersActive case-finding Referrals and follow-up
Home-based interventions Leaders of change
Energy and communication
Innovation and Transparency
Next Steps
Expanding Primary CareStarting X-ray services14-bed inpatient ward
Blood transfusionExpanding surgical
capacities
Next Steps
CollaborationsGuidance for protocols
-beyond WHO and uptodate
Optimization of investments-beyond “cost-effectiveness”
Measurement and Improvement of performance and outcomes
Opportunities for Residents/Fellows
Equipment procurement
Surgical Camps
Curriculum development
Home-based interventions
Service-based researchOperations
Global Health Delivery
Collaborations
Guidance for protocolsOptimization of investmentsResidents/Fellows Equipment procurementSurgical CampsHome-based interventionsService-based research
Innovations
