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Archive for the ‘Logistics and Management’ Category

Posted by Shefali Oza
Given the remote location of many households in Achham, our community health workers (CHWs) represent a critical bridge to the community. CHWs are primarily responsible for providing health education, conducting general surveillance, and visiting patients who require follow-up. The lack of roads and communication networks, which make this program an important step [...]

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Posted by Dennis Feehan
The staff at Bayalpata Hospital keep meticulous records of each patient’s visit to the facility. These records allow us to improve clinical services, track simple measures of activity, forecast future clinical needs, and fulfill our reporting requirements to the government. They also give us a window into the health and [...]

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Posted by Aram Harrow
Running a clinic or a hospital constantly requires large amounts of supplies, from medicine and syringes, to patient registration stationary and generator fuel. Managing these supplies is a crucial, but unglamorous, job. Since supplies of different types are used at very different rates, and often by more than one member [...]

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Posted by Shefali Oza
A bandh, which literally means “closed”, is a type of strike commonly used in Nepal and other South Asian countries. Such strikes often involve the closing of roads, businesses, and schools and can last anywhere from a day to several weeks. In Nepal, recent bandhs have been called for a [...]

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Posted by Duncan Maru
Operating a professional global health organization on all-volunteer power requires solid management structures. Our donors, our staff, and the communities we serve all demand professionalism. Our purpose in this post is to describe the distinct approach that Nyaya Health has taken to achieve efficiency, professionalism, and reliable results while maintaining [...]

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Posted by Shefali Oza
For the last two weeks, we have been working on renovating Bayalpata Hospital, which we plan to open early this summer. We requested costing estimates from different contractors to find the most competitive pricing scheme for the phase 1 renovations, which include a main hospital building, a mess hall, and staff [...]

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Posted by Shefali Oza
The district of Achham, where our clinic is based, is currently suffering from one of the most severe power outages in recent memory. In this blog post, we provide an update on how Nyaya Health’s energy systems are functioning and what we do during severe power outages to ensure the best [...]

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Posted by Duncan Maru
Peptic ulcer disease, a condition in which the lining of the stomach is damaged, is commonplace throughout the world. If left untreated, peptic ulcer disease can lead to severe disability and, if an ulcer ruptures, death. Helicobacter pylori is the bacterial cause of this condition. H. pylori is also [...]

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Posted by Duncan Maru
Over the last year, we have renovated a grain shed into a clinic and employed the only allopathic doctor in a region of over 250,000 people. In this time, we have treated over 15,000 patients, established the only safe birthing center in the district, and deployed the first ultrasound in the [...]

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Posted by Duncan Maru

One of Nyaya Health’s main objectives is to develop a model of evidence-based rural healthcare delivery. For a clinic providing free medicines, it is important to carefully define the scope of pharmaceuticals that are offered. This is necessary for efficient management of patients, but also because local community members, foreign [...]

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Posted by Duncan Maru
Nyaya Health has recently updated our Budget page on our public-access wiki to provide our line-by-line budget that is accessible to all. This, we believe, is fundamental to our mission of creating testable, scaleable, and accountable models for the rapid scale-up of comprehensive health services in areas affected by poverty, isolation, [...]

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Posted by Chhitij Bashyal
Operating a health clinic in as rural and remote an area as Achham poses many sanitation challenges, both in the clinic and the surrounding environment. Since we opened the clinic in April 2008, we have been constantly evaluating how to 1) process and dispose waste, 2) clean the clinic, 3) wash the [...]

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Posted by Duncan Maru
Nyaya Health is partnering with Kathmandu-based Lotus Energy to deliver sustainable energy solutions for healthcare in rural Nepal.  The Lotus Energy group has agreed to provide Nyaya Health with a 12% price reduction on the costs of our battery and inverter energy system for our present clinic.  Long-term, we will be collaborating [...]

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As told by Dr. Jhapat Bahadur Thapa, MBBS
Recently, a rabid dog entered one of the villages about an hour away. Four children, aged five to ten years old, were bitten. The dog also bit a buffalo calf and another dog. The children were brought to Nyaya’s clinic [...]

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Posted by Tenzing Tekan
6:30am Wake up at sunrise. Carry water to the house from the spring and get washed and cleaned. While I am washing, the night watchman brings a paper with a question from the overnight shift Assistant Nurse-Midwife regarding a dehydrated infant. Since it is a simple intervention, I write a reply instead [...]

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