hsph saso presentation, dan schwarz, april 2010
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Nyaya Health 2010
Developing a health system:The case of Nyaya Health in rural Nepal
Dan SchwarzExecutive Director | Nyaya Health
Nyaya Health 2010
Nyaya Health: Who We Are
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Mission:
1)To expand healthcare capacity in rural Nepal
2)To develop a scalable model of healthcare delivery in resource-poor settings throughout the world
501(c)(3) organization founded in 2006 Public-private partnership with Nepali
Ministry of Health & Population (2009)
Managed by a volunteer Board of Directors and 26 full-time employed Nepali staff
Over 99% of all funds used directly in Nepal
Nyaya Health 2010
Where We Work: Nepal – Achham District, Far Western Region
Nyaya Health 2010
Where We Work
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250,000 population of Achham
0 number of allopathic doctors in Achham before Nyaya
10+ hours in bus to reach the nearest airport and operating room
14 hours in bus to reach the nearest intensive care unit
1 in 125 deliveries results in the mother’s death
64 number of stillborns for every 1,000 live births
6% & 54% Female and male literacy rates, respectively
50% of men migrate to India for work; over 7% return with HIV
99.5% of babies are born in homes and cattle sheds
50¢ average daily per capita income in Achham
60% of children are chronically malnourished60%
Nyaya Health 2010
Achham district, Far West Region, Nepal
Nyaya Health 2010
History: Sanfe Bagar Primary Health Center
Opened for service April 6, 2008
Served over 17,000 patients between April ’08 and May ‘09
Services included: Outpatient department 24 hour emergency services Maternity suite with 24 hour-
obstetric services Diagnostic laboratory Pharmacy
23 all-Nepali staff
All services completely free
Nyaya Health 2010
History: Transition to Bayalpata Hospital
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Nyaya Health 2010
History: Transition to Bayalpata Hospital
Goal: infrastructure development, capacity building, not just care provision
Goal: to collaborate with the government in the development of pro-poor, rural health care development
Government contract for 5 years signed June 2009 – June 2014
Ministry of Health & Population to take over Bayalpata Hospital in 2014
Nyaya Health 2010
Current Services: Bayalpata Hospital Services include (all free):
Inpatient & Outpatient services 24-hour emergency and obstetric services Laboratory & Pharmacy Community Health Workers (CHWs) Clean water supply for surrounding communities
2010-2011 Expansion: Surgical suite X-Ray Services Expanded CHW network Solar energy
Nyaya Health 2010
Nyaya’s approach to transparency, accountability, & collaboration
• Data-driven health care delivery• Clinical, financial, and managerial • Nyaya’s wiki: http://wiki.nyayahealth.org
• Open-access data fostering transparency of operations:• Improves the accountability of individual organizations to stakeholders
• The 3P’s of accountability: Patients, Public sector, Partner organizations• Opportunities for inter-organizational collaboration
Nyaya Health 2010
Moving forward – the future
Key challenges:Human resourcesSupply chain managementEnergy systems &
telecommunicationsCommunity relationships,
outreach (CHWs)Public sector relationships
Nyaya Health 2010
Thank You… Questions?
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135 College St, Suite 323New Haven, CT 06510Phone: +1.724.986.5050Fax: +1.630-604-8615
[email protected] http://www.nyayahealth.org http://wiki.nyayahealth.org
http://blog.nyayahealth.org
Bayalpata Hospital, Ridikot VDCAchham, Nepal
Phone: 977-94-690-404 (Achham)Phone: 977-9845236035(KTM)