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 [email protected] April 22, 2011 MIT

Transcript of 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

[email protected]

April 22, 2011

MIT

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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

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Where is Nepal?

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Where is Nepal?

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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

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West in the middle?

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Achham

Kathmandu

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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

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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

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Birth of Nyaya Health

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Sanfebagar Primary Health Center

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Bayalpata Hospital

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Bayalpata Hospital

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Bayalpata Hospital: Then and Now

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Bayalpata Hospital: Then and Now

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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

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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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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

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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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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

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Continued Renovations

Next Steps

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Next Steps

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Surgical Services

Next Steps

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Community Health Workers

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Next Steps

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Solar Power

Next Steps

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Getting Involved

•Demand Transparency and Accountability•Spread the word•Nepal = Kathmandu?•Volunteer/intern•$$$

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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

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Bayalpata Hospital 2010

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Safe Motherhood Program

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Patient geography

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Finances