giving totals
Total funding goal: $10,000
Total funding to date: $135
Remaining goal: $9,865
Total Donors: 3
Nyaya Health
Nyaya Health operates a hospital in Achham, an impoverished rural district of Nepal. We work in partnership with local government officials as part of an initiative to rebuild the public sector health system.
http://www.nyayahealth.org/
Project start date: 01/01/2011
Project completion date: 12/31/2013
Expansion of surgical services in rural Nepal
TweetAchham, Nepal
Achham lacks adequate surgical services. Currently, the nearest Cesarean section capacity is over 5 hours away from Bayalpata Hospital. However, for most other surgical services, patients need to travel between 12 and 16 hours for care. This lack of nearby surgical services significantly increases the morbidity and mortality from surgical emergencies in Achham, especially obstetrical needs, as the maternal health situation is particularly dire. To address this need, we are implementing sustainable surgical and obstetrical health care services.
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Where this project is located
Info about Nepal
Nepal, a landlocked country between India and China, is among the most impoverished countries in the world. The district of Achham is among the worst off in Nepal, with an average per capita income of $0.50, 60% of children chronically malnourished, 99.5% of babies born in homes/sheds, 1 in 125 deliveries resulting in the mother's death, and 83 of 1000 children dying before reaching the age of 5.
Project Milestones
The Bayalpata Hospital operating theater will be renovated in consultation with a Nepali physician and international technical surgical consultants. The driving rationale for surgical services is to provide general surgical and cesarean section capacity to combat the surgical morbidity and mortality. Given the acute need for general surgical services and Bayalpata Hospital’s approach of comprehensive health systems strengthening, we will aim to rapidly develop the human, technical, and financial capacity to meet the range of essential emergency and surgical needs of a district-level hospital. Particular milestones for 2011-2012 include: 1. Renovating and equipping the surgical center: $35,000 2. Hiring and training appropriate surgical staff: $30,000 (for doctors, nurses, anesthetist, and health aide) 3. Purchasing consumable supplies and pharmaceuticals: $20,000 Specific line-by-line details of our costing estimates can be found at http:/wiki.nyayahealth.org.
Background
One of the leading causes of death in the district of Achham is basic, easily preventable complications of childbirth in women. A woman in Achham is over 200 times more likely to die in pregnancy than in the US. Currently, the nearest Cesarean section capacity is over 5 hours away and requires transportation that is often unavailable. Additionally, traffic accident rates are extremely high in our area because of unreliable and dangerous roads, but adequate surgical facilities to treat such injuries often require a 10-15 drive through mountainous terrain. Such lengthy travel times are deadly during such emergencies. Without surgical capacity, Bayalpata Hospital remains ultimately inadequate to meet the needs faced by patients in Achham. Our aim is to reduce the mortality and morbidity associated with such medical emergencies, and thereby lessen the gross inequity that is currently so pervasive.
More Information
The district of Achham is a remote district in the west of the country that has suffered the consequences of war, long-standing poverty, a concentrated HIV epidemic, and whose citizens continue to struggle to access basic health services. Bayalpata Hospital is one of the few healthcare institutions in the district of 266,000 people and serves as the major referral center for Achham and surrounding two districts. Services at Bayalpata Hospital include outpatient services, 24-hour emergency services, inpatient services, 24-hour delivery services, comprehensive family planning and abortion services, comprehensive treatment for HIV/AIDS, tuberculosis treatment services, a diagnostic laboratory services, x-ray and ultrasound services, on-site pharmacy, ambulance service, community health programs, and mobile health camps. Minor surgical services are delivered, including repair of lacerations and incision/drainage of abscesses, closed reductions, casting, and manual vacuum aspiration. Given the poor roads, lack of transportation, dearth of other hospitals locally, and dispersed demography of the villages, patients typically walk several hours to reach the hospital.
