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Nyaya Health:  Achieving Justice in Health in Achham Mark Arnoldy | Incoming Executive Director Rotary Club of Kathmandu Mid-Town  4.15.2011
Outline of Presentation The Nyaya Health Story What We Do | Who We Are Nyaya’s Unique Model of Delivering Health Care  A Call to Action
“The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -RumaRajbhandari, MD, MPH, March 22, 2011.
Nyaya Health: Who We Are What We Do: Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an open-access, public-private partnership.
Nyaya Health: Who We Are Social justice-oriented mission:  To provide free community-based healthcare in rural Nepal that strengthens the public sector To develop and disseminate a replicable model of health delivery in resource-poor settings throughout the world ,[object Object]
Partners In Health (PIH) Partner Project
Nyaya Team:
31full-time employed Nepali staff + ~50 CHWs
1 full-time US-based Executive Director
Volunteer Executive Team, Board of Directors and Board of Advisors,[object Object]
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
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 SanfeBagar Airport destroyed during war Hospital 5 hours, surgery 6 hours, ICU 14 hours
What problems plague the NGO system in Nepal?
Nyaya Health: Unique Features ,[object Object]
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% achhami 		60% female 		35% dalit 	Patients: 		65% female 9
Nyaya Health: Wiki ,[object Object]

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Kathmandu mid town rotary

  • 1. Nyaya Health: Achieving Justice in Health in Achham Mark Arnoldy | Incoming Executive Director Rotary Club of Kathmandu Mid-Town 4.15.2011
  • 2. Outline of Presentation The Nyaya Health Story What We Do | Who We Are Nyaya’s Unique Model of Delivering Health Care A Call to Action
  • 3. “The ease with which young people die in Achham and the ease with which it is accepted continues to horrify me.” -RumaRajbhandari, MD, MPH, March 22, 2011.
  • 4. Nyaya Health: Who We Are What We Do: Nyaya Health is building a replicable system of hospital- and community-based healthcare in rural Nepal via an open-access, public-private partnership.
  • 5.
  • 6. Partners In Health (PIH) Partner Project
  • 8. 31full-time employed Nepali staff + ~50 CHWs
  • 9. 1 full-time US-based Executive Director
  • 10.
  • 11. 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
  • 12. 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 SanfeBagar Airport destroyed during war Hospital 5 hours, surgery 6 hours, ICU 14 hours
  • 13. What problems plague the NGO system in Nepal?
  • 14.
  • 15. Managed by a volunteer Board of Directors, 31 full-time employed Nepali staff and many volunteers around the world
  • 16. Over 99% of all funds used directly in Nepal
  • 18. Prioritizing the most marginalized Staff: 70% achhami 60% female 35% dalit Patients: 65% female 9
  • 19.
  • 24. All pages viewable to the public
  • 25. A forum to share lessons-learned from Achham with organizations in similar settings around the world
  • 26.
  • 27. Government partnership contract for 5 years signed June, 2009 – June, 2014
  • 28.
  • 29. Next Steps Next Steps: Scale-up of Surgical Services 13
  • 30. Next Steps Next Steps: Building Solar Power Capacity 14
  • 31. Next Steps Next Steps: Expanding Community Health 15
  • 32. A Call to Action: “Morality must march with capacity.” - Jim Grant, Former Executive Director of UNICEF
  • 33. 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?
  • 34. Questions, Reflections, Comments? THANK YOU! www.nyayahealth.org

Hinweis der Redaktion

  1. Identify where Achham is, and point out that most development, funding, tourism is in the KTM valley/east of the country – i.e. NOT the FW. Can also mention Achham (FW generally) was epicenter of Maoist conflict =&gt; even more destitution. Don’t spend more than 90 secs on this slide though, our goal is not to give a history of Nepal hehe
  2. Goal of slides 6-8 is to offer audience an understanding of where we work and what changes/progress we’ve seen there over the last 5 years. Slides 6 &amp; 7 will offer general numbers, divided into People and Infrastructure, with slide 8 offering a summary of where we are in 2011.
  3. “ICU” = intensive care unit (we should spell this out for the audience as many people likely won’t know what that is)