http://blog.nyayahealth.org Working towards Health Equity and Access in Rural Nepal Wed, 08 Feb 2012 04:00:21 +0000 en hourly 1 http://wordpress.org/?v=3.3 http://blog.nyayahealth.org/2012/01/27/theoryofchange/ http://blog.nyayahealth.org/2012/01/27/theoryofchange/#comments Fri, 27 Jan 2012 04:00:28 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3954 http://blog.nyayahealth.org/2012/01/27/theoryofchange/feed/ 0 Posted by Duncan Maru We in the development, global health delivery, and social justice businesses seek to change current conditions that produce poverty, injustice, and ill-health.  On the one hand, our vision is often ambitious and over-sized for our levels of experience both as practitioners and visitors in communities that can remain unfamiliar even after [...] http://blog.nyayahealth.org/2012/01/23/placeofcontradictions/ http://blog.nyayahealth.org/2012/01/23/placeofcontradictions/#comments Mon, 23 Jan 2012 04:00:07 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4012 http://blog.nyayahealth.org/2012/01/23/placeofcontradictions/feed/ 0 Posted by Agya Poudyal Doctors in Achham are God.  Ask the woman with a sick ten month old baby waiting outside the outpatient department (OPD) at Bayalpata Hospital and she will convince you that they are.  As one of our doctors and his clinical staff walk the long path to the OPD, a horde of [...] http://blog.nyayahealth.org/2012/01/20/mohsupport/ http://blog.nyayahealth.org/2012/01/20/mohsupport/#comments Fri, 20 Jan 2012 04:00:27 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4185 http://blog.nyayahealth.org/2012/01/20/mohsupport/feed/ 0 Posted by Dan Schwarz This past week, Nyaya Health Nepal received a further allocation of 30lakh rupees (approximately $35,700 USD) from the Ministry of Health of Nepal.  As part of Nyaya Health Nepal’s public private partnership with the Nepali Ministry of Health to administer services at Bayalpata Hospital, the Ministry has made the strong commitment [...] http://blog.nyayahealth.org/2012/01/14/misplaced_fluid_missed_oppor_to_care/ http://blog.nyayahealth.org/2012/01/14/misplaced_fluid_missed_oppor_to_care/#comments Sat, 14 Jan 2012 04:00:19 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4090 http://blog.nyayahealth.org/2012/01/14/misplaced_fluid_missed_oppor_to_care/feed/ 0 Posted by Duncan Maru In Boston, I often see patients bounced around from one hospital or specialist to another.  It is a bit surprising to see this happen here in Achham, where the main challenge is a dearth of clinicians and hospitals, rather than an excess of them.  A sixty year old woman had been [...] http://blog.nyayahealth.org/2012/01/11/picofwk34/ http://blog.nyayahealth.org/2012/01/11/picofwk34/#comments Wed, 11 Jan 2012 04:00:41 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4126 http://blog.nyayahealth.org/2012/01/11/picofwk34/feed/ 0 Posted by Tess Panizales ————- Tess Panizales is the Quality Program Manager of the Department of Surgery at the Brigham and Women’s Hospital Center for Surgery and Public Health. Tweet This Post http://blog.nyayahealth.org/2012/01/07/mothers-love-in-achham/ http://blog.nyayahealth.org/2012/01/07/mothers-love-in-achham/#comments Sat, 07 Jan 2012 04:00:28 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4081 http://blog.nyayahealth.org/2012/01/07/mothers-love-in-achham/feed/ 1 Posted by Richa Pokhrel If you asked an average mother how much they care for their children, I bet the answer would be a lot.  It would be so much that there would be no number value for it.  I ask this question because here in Achham we have come across some instances where human [...] http://blog.nyayahealth.org/2011/12/31/psgn/ http://blog.nyayahealth.org/2011/12/31/psgn/#comments Sat, 31 Dec 2011 04:00:32 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3975 http://blog.nyayahealth.org/2011/12/31/psgn/feed/ 0 Posted by Duncan Maru A five-year-old boy presented with five days of dark-colored urine, swelling around his eyelids, and a recent rash over his left lower leg that itself had started over three weeks ago.  He lived relatively closer than many patients, a one and a half hour walk from Bayalpata.  He was brought in [...] http://blog.nyayahealth.org/2011/12/29/onedaywages/ http://blog.nyayahealth.org/2011/12/29/onedaywages/#comments Thu, 29 Dec 2011 04:00:28 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4172 http://blog.nyayahealth.org/2011/12/29/onedaywages/feed/ 0 Dear members of the Nyaya Health family, I am writing you today to tell you why we must forever change the way infectious diseases are diagnosed and treated in Far-Western Nepal through a new partnership with One Day’s Wages. That “why” for me was found in Maya, a patient at Bayalpata Hospital last October. Maya was like many [...] http://blog.nyayahealth.org/2011/12/27/bare-and-bloody-feet/ http://blog.nyayahealth.org/2011/12/27/bare-and-bloody-feet/#comments Tue, 27 Dec 2011 04:00:55 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4071 http://blog.nyayahealth.org/2011/12/27/bare-and-bloody-feet/feed/ 2 Posted by Duncan Maru A baby boy died at 36 hours of life.  I had first heard about him back at the staff quarters at around midnight, when a seven month pregnant woman had just given birth in the bathroom.   He was small, 1.5 kg.  His heart rate was very slow, and we started bag-mask [...] http://blog.nyayahealth.org/2011/12/25/diagnosis-moral-paralysis/ http://blog.nyayahealth.org/2011/12/25/diagnosis-moral-paralysis/#comments Sun, 25 Dec 2011 04:00:08 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4097 http://blog.nyayahealth.org/2011/12/25/diagnosis-moral-paralysis/feed/ 0 Posted by Duncan Maru There is a new HIV diagnosis in the outpatient department for a man whose wife is dead, an infant in respiratory distress in the emergency department, an inpatient unit whose patients seem to be bathing in flies.  Another child in the emergency department fell on her elbow from a few feet [...] http://blog.nyayahealth.org/2011/12/24/fathers_back/ http://blog.nyayahealth.org/2011/12/24/fathers_back/#comments Sat, 24 Dec 2011 04:00:15 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4076 http://blog.nyayahealth.org/2011/12/24/fathers_back/feed/ 0 Posted by Duncan Maru “We’re just going for a walk down the hill.”  As he passed by me, I saw a sense of pride and almost playfulness in the father’s eyes.  He seemed to relish going for a walk with his daughter on a beautiful spring day in Achham.  I had met his daughter, sixteen [...] http://blog.nyayahealth.org/2011/12/23/radiologyrounds/ http://blog.nyayahealth.org/2011/12/23/radiologyrounds/#comments Fri, 23 Dec 2011 04:00:03 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3969 http://blog.nyayahealth.org/2011/12/23/radiologyrounds/feed/ 0  Posted by Duncan Maru We had engaging x-ray rounds today at Bayalpata Hospital.  On rounds the day before, we had been frustrated by the inefficiency and low quality of reading x-rays at the patient’s bedside without a viewbox.  Viewing x-rays at the bedside also did not afford us an opportunity to give meaningful feedback to [...] http://blog.nyayahealth.org/2011/12/20/failinghearts/ http://blog.nyayahealth.org/2011/12/20/failinghearts/#comments Tue, 20 Dec 2011 04:00:50 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3987 http://blog.nyayahealth.org/2011/12/20/failinghearts/feed/ 0 Posted by Duncan Maru This week, a 70-year-old woman with emphysema and heart failure was admitted to Bayalpata Hospital with shortness of breath and limited ability to walk, likely related to heart failure.  She had murmurs indicative of aortic and tricuspid valve insufficiency.  Based on an echocardiogram (ultrasound) performed by our Health Assistant Uday Kshatriya [...] http://blog.nyayahealth.org/2011/12/18/transformationschallenges/ http://blog.nyayahealth.org/2011/12/18/transformationschallenges/#comments Sun, 18 Dec 2011 04:00:43 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3966 http://blog.nyayahealth.org/2011/12/18/transformationschallenges/feed/ 0 Posted by Duncan Maru As I wrote in a recent tumblr post, it was wonderful to walk again through the halls of Bayalpata and to witness its continued transformation into a dignified hospital.  Over the course of ten months since my last trip, nearly every part of the hospital has been better organized and cleaned, [...] http://blog.nyayahealth.org/2011/12/14/3hrsfootwfailingheart/ http://blog.nyayahealth.org/2011/12/14/3hrsfootwfailingheart/#comments Wed, 14 Dec 2011 04:00:34 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4058 http://blog.nyayahealth.org/2011/12/14/3hrsfootwfailingheart/feed/ 1 Posted by Duncan Maru She arrived walking, her sandals dusty.  Her small heart, failing her, literally bounding out of her chest, somehow carried her three hours from her village and up the mountain to our small hospital in remote Achham, Nepal.  I first saw her after being called by Chanakya Timilsina, our Health Assistant, who [...]