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/2012/01/20/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/2012/01/16/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/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/2011/12/28/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/2011/12/23/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/2011/12/12/livingthriving/ http://blog.nyayahealth.org/2011/12/12/livingthriving/#comments Mon, 12 Dec 2011 04:00:07 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3945 http://blog.nyayahealth.org/2011/12/12/livingthriving/feed/ 0 Posted by Tess Panizales Within the bosom of Nepal’s southwestern mountains, lies another life, challenged by its topography. A culture of its own, surviving, and living life the way it has existed and cherished, the way it has evolved and learned.   Trodding through the rugged path, coddling the sick over one’s arms, or a [...] http://blog.nyayahealth.org/2011/12/05/with-gratitude-to-dhulikhel-hospital/ http://blog.nyayahealth.org/2011/12/05/with-gratitude-to-dhulikhel-hospital/#comments Mon, 05 Dec 2011 04:00:39 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3916 http://blog.nyayahealth.org/2011/12/05/with-gratitude-to-dhulikhel-hospital/feed/ 0 Posted by Duncan Maru Our Country Director and I had the honor of visiting Dhulikhel Hospital this week to meet with staff members and Administrative Director, Dr. Rajendra Koju.  Dhulikhel is a not-for-profit, non-governmental hospital that offers affordable prices to its patients and manifests a singular vision of high quality and equitable care in rural Nepal, representing much of [...] http://blog.nyayahealth.org/2011/11/06/chwupdate/ http://blog.nyayahealth.org/2011/11/06/chwupdate/#comments Sun, 06 Nov 2011 04:00:27 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3744 http://blog.nyayahealth.org/2011/11/06/chwupdate/feed/ 0 Posted by Agya Poudyal   [Below is  the Community Health Worker (CHW) update from Bayalpata Hospital for the month of Bhadra, as well as a story relating the experiences of CHWs in the field.]   1. Community Health Worker (CHW) Data for the Month of Bhadra: Three new categories have been introduced in this month’s table: [...] http://blog.nyayahealth.org/2011/10/30/rumapih/ http://blog.nyayahealth.org/2011/10/30/rumapih/#comments Sun, 30 Oct 2011 04:00:27 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3760 http://blog.nyayahealth.org/2011/10/30/rumapih/feed/ 0 Posted by Ruma Rajbhandari   [Ruma Rajbhandari, of Nyaya Health, the Nick Simons Institute, and Partners In Health, recently presented at the 18th Annual Thomas J. White Symposium, held on September 24th, 2011 by Partners In Health.  The theme of this year’s symposium was “From Innovation to Transformation: Partnerships in Action,” and Ruma shared her [...] http://blog.nyayahealth.org/2011/10/30/csphtalk/ http://blog.nyayahealth.org/2011/10/30/csphtalk/#comments Sun, 30 Oct 2011 04:00:18 +0000 Nyaya Health http://blog.nyayahealth.org/?p=3737 http://blog.nyayahealth.org/2011/10/30/csphtalk/feed/ 0 Posted by Duncan Maru Our wonderful collaborator, Selwyn Rogers at the Center for Surgery and Public Health, and I presented our surgical implementation science protocol at Brigham and Women’s Hospital and Harvard Medical School recently.  The slides for the talk are available here:  We received some excellent and insightful feedback from a room full of about 25 [...]