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Nyaya Health 2011
COMMUNITY PARTICIPATION TO IMPROVE TRANSPARENCY, ACCOUNTABILITY, AND USAGE OF A
HOSPITAL IN RURAL NEPAL
Bibhav Acharya, Executive Vice-President
www.nyayahealth.org
April 16, 2011
GH/I Conference
Nyaya Health 2011
Next Steps
2
Bayalpata Hospital, Nepal
Nyaya Health 2011
Three common challenges
• Transparency –who is paying for what?
• Accountability –beyond donor reports
• Trust/Usage of the hospital
3
Nyaya Health 2011
Community involvement
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Male, literate, upper caste, higher socio-economic status
Nyaya Health 2011
Transparency
5
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Bayalpata Hospital Community Program
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• Pre- and post-intervention surveys
• Process indicators: •Attendance•Number of feedback collected•Female representation•Dalit representation•Registration of and response to feedback•Effectiveness of response•Repeated feedback
• Retrospective chart review of change in service utilization
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Evaluation
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Acknowledgements 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
www.nyayahealth.org
