kathmandu mid town rotary

Nyaya Health 2011

Nyaya Health:

Achieving Justice in Health in Achham

Mark Arnoldy | Incoming Executive Director

Rotary Club of Kathmandu Mid-Town

4.15.2011

Nyaya Health 2011

Outline of Presentation

1. The Nyaya Health Story

2. What We Do | Who We Are

3. Nyaya’s Unique Model of Delivering Health Care

4. A Call to Action

Nyaya Health 2011

“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.

Nyaya Health 2011

Nyaya Health: Who We Are

Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an

open-access, public-private partnership.

What We Do:

Nyaya Health 2011

Nyaya Health: Who We Are

Social justice-oriented mission:

1. To provide free community-based healthcare in rural Nepal that strengthens the public sector

2. To develop and disseminate a replicable model of health delivery in resource-poor settings throughout the world

Founded in 2005; public-private partnership with Nepali Ministry of Health & Population in 2009

Partners In Health (PIH) Partner Project Nyaya Team:

31 full-time employed Nepali staff + ~50 CHWs

1 full-time US-based Executive Director Volunteer Executive Team, Board of

Directors and Board of Advisors

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Where We Work: Nepal – Achham District, Far Western Region

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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

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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 Sanfe Bagar

Airport destroyed during war

Hospital 5 hours, surgery 6 hours, ICU 14 hours

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What problems plague the NGO system in Nepal?

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Nyaya Health: Unique Features

Collaboration with the Government Managed by a volunteer Board of Directors, 31 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

Staff:70% achhami60% female35% dalit

Patients:65% female

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Nyaya Health: Wiki

Wiki is a searchable repository of: Management policies Financial data Clinical protocols De-identified clinical data

All pages viewable to the public

A forum to share lessons-learned from Achham with organizations in similar settings around the world

Opportunity for critical feedback and collaboration

http://wiki.nyayahealth.org

Nyaya Health 2011

Nyaya Health at Bayalpata Hospital

Mission: infrastructure development in collaboration with the government, not only care provision

Government partnership contract for 5 years signed June, 2009 – June, 2014

Over 60,000 patients treated to date

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Next Steps: Continue Renovations

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Next Steps

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Next Steps: Scale-up of Surgical Services

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Next Steps

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Next Steps: Building Solar Power Capacity

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Next Steps

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Next Steps: Expanding Community Health

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“Morality must march with capacity.”- Jim Grant, Former Executive Director of UNICEF

A Call to Action:

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A Call to Action: Leveraging a $75,000 Matching Grant

Nyaya Health has just received a$75,000 matching grant from the Nick Simons Foundation.

How can YOU help leverage that for the benefit of Achhamis? A Rotary partnership? Introductions to influential Achhamis? NRN

Associations? Member of U.S. – Nepal Congressional Caucus?

Connections to a specific CSR program? A personal contribution? Facilitating more presentations? Time, advice, mentorship?

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Questions, Reflections, Comments?

THANK YOU!www.nyayahealth.org