kathmandu mid town rotary
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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
Nyaya Health 2011
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
Nyaya Health 2011
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 2011
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