http://blog.nyayahealth.org Working towards Health Equity and Access in Rural Nepal Mon, 06 Feb 2012 04:00:38 +0000 en hourly 1 http://wordpress.org/?v=3.3 http://blog.nyayahealth.org/2012/02/06/follow_up_follow_through/ http://blog.nyayahealth.org/2012/02/06/follow_up_follow_through/#comments Mon, 06 Feb 2012 04:00:38 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4157 http://blog.nyayahealth.org/2012/02/06/follow_up_follow_through/feed/ 0 Posted by Duncan Maru I interact with our patients briefly, in the context of a consultation by one of our clinical team members. For most of the patients with whom I consult, I will never know whether we had the right diagnosis or the right treatment.  Without a clear mechanism for following up with our patients, I [...] http://blog.nyayahealth.org/2012/02/05/cancer_call_for_action/ http://blog.nyayahealth.org/2012/02/05/cancer_call_for_action/#comments Sun, 05 Feb 2012 04:00:40 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4151 http://blog.nyayahealth.org/2012/02/05/cancer_call_for_action/feed/ 0 Posted by Duncan Maru A middle-aged woman presented with abdominal pain, bloating, and vaginal bleeding.  A few years ago, she had had some gynecologic surgery in India where her son was working.  They had no records of the procedure, nor did they know of what precisely the surgery had entailed.  She had suffered no fever or weight loss.  Our [...] http://blog.nyayahealth.org/2012/02/01/picofwk37/ http://blog.nyayahealth.org/2012/02/01/picofwk37/#comments Wed, 01 Feb 2012 04:00:44 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4138 http://blog.nyayahealth.org/2012/02/01/picofwk37/feed/ 0 Posted by Richa Pokhrel  ————————– Richa was born in Nepal but grew up in Iowa.  She is currently the Director of Evaluation and Research at Nyaya Health.  Richa has a Master’s in International Development from the University of Pittsburgh. Tweet This Post 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/2012/01/25/picofwk36/ http://blog.nyayahealth.org/2012/01/25/picofwk36/#comments Wed, 25 Jan 2012 04:00:39 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4133 http://blog.nyayahealth.org/2012/01/25/picofwk36/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/2012/01/23/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/2012/01/18/picofwk35/ http://blog.nyayahealth.org/2012/01/18/picofwk35/#comments Wed, 18 Jan 2012 04:00:56 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4129 http://blog.nyayahealth.org/2012/01/18/picofwk35/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/2012/01/16/transforming_energy_systems/ http://blog.nyayahealth.org/2012/01/16/transforming_energy_systems/#comments Mon, 16 Jan 2012 04:00:07 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4021 http://blog.nyayahealth.org/2012/01/16/transforming_energy_systems/feed/ 0 Posted by Duncan Maru As I wrote in a recent tumblr post, since the early days of the Sanfe Clinic, energy has been a central challenge here in Achham.  Back in July, with assistance from both the Nepal Government and from the Monsanto Electronic Materials Company (MEMC) Foundation, our partners at Gham Power installed a [...] 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/2012/01/09/saconferenceoffamilydoc/ http://blog.nyayahealth.org/2012/01/09/saconferenceoffamilydoc/#comments Mon, 09 Jan 2012 04:00:45 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4165 http://blog.nyayahealth.org/2012/01/09/saconferenceoffamilydoc/feed/ 0 Posted by Bikash Gauchan I recently presented at the World Organization of Family Doctors’ South Asia Conference. This conference was hosted by the Federation of Family Physicians’ Associations of India (FFPAI), and was held in Mumbai from December 16-18, 2011. I was the only presenter from Nepal to give a free oral presentation on my research, and had [...] 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/2012/01/04/picofwk33/ http://blog.nyayahealth.org/2012/01/04/picofwk33/#comments Wed, 04 Jan 2012 04:00:21 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4117 http://blog.nyayahealth.org/2012/01/04/picofwk33/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/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/2011/12/30/chestxrayreading/ http://blog.nyayahealth.org/2011/12/30/chestxrayreading/#comments Fri, 30 Dec 2011 04:00:04 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4001 http://blog.nyayahealth.org/2011/12/30/chestxrayreading/feed/ 0  Posted by Duncan Maru Our patients often walk or are carried several hours to receive care, and in evaluating such patients, our providers often order an x-ray.  Our providers are highly skilled in x-ray diagnosis, but, unlike most doctors in the United States and other resource-rich areas, they do not have the benefit of having [...]