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/2012/01/31/21stcenturyngo/ http://blog.nyayahealth.org/2012/01/31/21stcenturyngo/#comments Tue, 31 Jan 2012 15:00:40 +0000 Nyaya Health http://blog.nyayahealth.org/?p=4228 http://blog.nyayahealth.org/2012/01/31/21stcenturyngo/feed/ 0 Posted by Ryan Schwarz Nyaya Health was started by a group of Yale students 6 years ago.  It began when one of our founders, Jason Andrews, traveled to the Achham region and learned about the dearth of healthcare in the region, and the injustices faced daily by Achhami citizens.  Over the last six years our [...] 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/2012/01/07/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 [...] 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/2011/12/28/picofwk32/ http://blog.nyayahealth.org/2011/12/28/picofwk32/#comments Wed, 28 Dec 2011 04:00:26 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3941 http://blog.nyayahealth.org/2011/12/28/picofwk32/feed/ 1 Posted by Jesse Brady   ————-  Jesse Brady is the Blog Editor of Nyaya Health and is currently pursuing her MS in International Medicine at Montana State University. Tweet This Post 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/2011/12/24/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 [...]