Implementation Science Meeting Updates

Jamie Lim is the executive assistant at Nyaya Health. 

Over the past few months, Nyaya Health has held the first and second of what will become regular, monthly “Implementation Science Meetings” with the Boston area-based research and advocacy team. The point of these meetings is to present and discuss the different projects and initiatives that the research and advocacy wings of Nyaya Health is undertaking, in order to foster a sense of cohesiveness and a broader perspective among the various team members, who range from attending and resident physicians to public health scholars, medical students and undergraduates.

The first meeting started off with Nyaya Health co-founder Duncan Maru introducing the idea of entropy as a reason for the constant need for effective research and implementation strategies. The task of our generation of activists, scientists, and managers, he said, is to deliver what we know works, to society’s most vulnerable and marginalized communities. This was the launching point into a discussion about certain cycles witnessed in global health delivery, and an overview of Nyaya Health’s Implementation Science agenda. The slides used in the meeting, which was more generally an introduction to the concept and goals of implementation science, can be found here.

The second meeting, held in early December, was centered on a more in-depth discussion of Nyaya Health’s current projects. The main topic here was health-post strengthening in Far-Western Nepal, which was split up into four components: mobile health, community health workers, social accountability, and quality improvement. Discussion revealed that the first two, mobile health and community health, would be better viewed as strategies to achieve the latter two; still, there was a need to more clearly define these categories for grant application purposes. The slides used during this discussion can be found here.

This meeting was concluded by a brief presentation by co-founder Jason Andrews on electricity-free typhoid diagnostics, something there is a serious need for in Nepal due to the growing number of patients receiving unnecessary antibiotics for unconfirmed illnesses. The diagnostic, based on using packs of a liquid with a melting temperature right around a necessary incubation temperature, was tested in Kathmandu, and primary data showed promising results supporting this as an accurate and cost-effective method for diagnosing typhoid. Next steps on this front include getting other hospitals and clinics involved in further studies, and finding out how to make it available for outpatients in Achham.

We hope that these meetings will continue to bring team members together, and bring to light some of our efforts in implementing the findings of our research to directly help patients in Nepal and elsewhere.

Have You Taken Two Minutes to Change the Future of Health Care Transparency in Nepal? Voting Ends November 22nd!

Voting for the Stars in Global Health competition ends on Thursday, November 22. While still in the running, we’re falling behind and need your help. Please take 2 minutes today to follow the steps below and ask 3 of your friends to do the same. Thank you!

Nyaya Health recently submitted an application to the Rising Stars in Global Health competition, a program of Grand Challenges Canada. This competition aims to tap into the creativity, knowledge and skills of early-career innovators to solve some of the most persistent health challenges in the developing world through scientific/technological, business, and social innovation. 

By voting for this video, you are helping Nyaya Health increase our chances at receiving $100,000 as part of the Grand Challenges Canada competition. If Nyaya Health advances to the next round with your support, we will have a 6 in 30 chance at winning $1 million for our innovations around transparency and accountability. Please spread the word by posting on Facebook, Twitter, and lists you belong to.

Follow the seven easy steps below to vote!

1. Click here to view the video on the Grand Challenges website.

2. Click the red “Login to like this application” button.

3. Click “Create a new account” and fill out the form with your name, email address, and password.

4. Check your email for a message from gcc_technicalsupport@treefrog.ca. Click the link in that email to confirm your account.

5. Log in using the email address and password you just created.

6. Click the “Like this video” button.

7. Scroll down to the bottom of your screen, and add a comment or critique of the video. Judges are specifically looking at comments in their evaluations. 

And you’re done! Please spread the word by sharing these seven easy steps on Facebook, Twitter, and other lists.

August 2012 Board Meeting Minutes Posted

Nyaya Health has published its Board meeting minutes in full from the August 2012 meeting. Those minutes are available for download here
 
The next Board of Directors meeting will take place on November 10th. 

“Be A Birthday Doctor Campaign” Launched!

Remember last year when we launched our first #nov4nyaya campaign? Because of your support, we transformed our hospital into a beautiful tiled facility. (See a photo of Dr. Paul Farmer touring our newly tiled surgical center here).

This year, we want to double that effort in November by getting our friends to donate their birthdays so that a Nyaya Health health assistant can attend medical school and return to be a long-term doctor in his community. 

Make sure to visit http://bit.ly/birthdaydoctor and share this post with your friends to help solve the doctor shortage we face in Nepal.
 

Meet Caroline King, New Nyaya Health Volunteer!

Caroline King is an undergraduate student at Brown University who is joining Nyaya Health’s research team this semester.

Birthday: 01/13/1991

Year/Major: Community Health concentrator, Class of 2013

Role at Nyaya Health: Research assistant working on Surgical Implementation Protocol Research

Future goal in global health: Reduce health inequity by working as a physician/researcher in underserved areas both in the United States and abroad.

What is one experience you don’t want to miss as a part of this internship?

As an undergrad, most of my experience related to international health has been theoretical. I could not be more excited to have an opportunity to find connections between theory and practice, while working with other passionate members of Nyaya Health’s Boston-based team!   

What inspires you the most about Nyaya Health’s work?

Nyaya Health is a synergistic organization that runs off the passion, dedication, and vision of its founders and volunteers. To do so, the organization strives to be efficient, noting that a just health care delivery system in Nepal, rather than financial profit for volunteers, is the end goal. I love that Nyaya has been successful in pursuing this mission, finding and utilizing the strengths of like-minded students and young professionals in pursuit of creating a health care system that can meet the needs of Western Nepal. While the work is challenging at times, Nyaya Health’s founders and volunteers maintain their vision for a more just health care system and ultimately, reducing health inequality wherever possible.

Favorite food: Warm chocolate chip cookies and milk!

Holiday Partnership with Laughing Moon Chocolates

Here is a very generous (and delicious!) holiday gift opportunity from our partners at Laughing Moon Chocolates. Buy their exclusive handmade solid dark chocolate with ginger, cardamom, and Himalayan Pink Salt for family, friends, or the office this holiday season, and 50% of the purchase is invested in Nyaya Health. 

Interested? Write to probono@laughingmoonchocolates.com today to place your orders.




Nyaya Health Team Honored with Harvard Medical School’s Dean’s Community Service Award

This month, Nyaya Health’s Co-Founders Dr. Jason Andrews and Dr. Duncan Maru, along with Board member Dr. Ryan Schwarz, received Harvard Medical School’s Dean’s Community Service Award for their work in bringing health care to Nepal’s rural poor.


The Nyaya Health team with Dean Rick Mills receiving the award.


Dean Mills congratulating the Nyaya Health team.


All the 2012 honorees who received the Dean’s Community Service Award.


Data Highlight: Pediatrics Unit

Jackie Pierson is the director of data and evaluation for Nyaya Health.
 
The first month of data from the pediatrics ward in the Emergency Room at Bayalpata Hospital is now available. The data is important because it will advise us, as an organization, with the information needed to improve our services and the care that we are able to offer.  We will be using pre- and post-intervention data to measure the effectiveness of our project.  Future programs and services will be revised based upon the data we gather in this initial phase.
 
Pediatric patients are an especially vulnerable population. Here is an excerpt from the proposal that resulted in the grant to fund the pediatrics ward: 
 

“The district of Achham where Nyaya Health works, located in Far Western Nepal, suffers from some of the worst child health indicators in the world. The infant mortality rate in Achham is 98.8 per 1000 live births, which is double that of the Nepali national average and fifth highest in the world, ranking behind Somalia. The prevalence of global acute malnutrition (GAM) is 18%, with a severe acute malnutrition (SAM) prevalence of 3.6% among children under five. The World Health Organization considers a GAM prevalence rate of 15% an “emergency threshold,” and it is well documented that SAM increases the risk of childhood death by 9.4 times. It is this population of children at highest risk of death in their first five years of life that we seek to reach with this project. We expect the interventions in this proposal to reach a total of 11,872 children in the first year alone.”

Meet Bhinnata Piya, new Assistant to the Country Director!

Bhinnata joins the Nyaya Health team as the Assistant to the Country Director. In this role, she will facilitate management of all hospital operations and in-country programs. She will also directly liaise between US and Nepal-based executive teams via communication, logistical coordination and strategic development. 

Name: Bhinnata Piya

Role at Nyaya Health: Assistant to the Country Director

What is one experience that you do not want to miss during your time in Achham?

As a part of the Nepal team, I want to be able to connect with the patients on a personal level in a way that can be difficult to do because of language barriers. I want to hear their stories in their words, interpret them in their language, and present them to the world with their inherent meaning intact. Reaching the depths of their stories and communicating them as they stand will provide a great reminder of why we are here in Achham, when we could be doing anything else, anywhere else in the world. 


What inspires you the most about Nyaya Health?
It inspires me to see how Nyaya Health has been successfully collaborating with the government to deliver “quality” health care to rural Achham. In a place where we barely get to hear the words “transparency” and “government” together, Nyaya has made it possible by not only encouraging its staff but also the government to reject skepticism and adopt optimistic approaches to build a better public health system.


Favorite Food: Dal Bhaaaaat!


Nyaya Health needs your vote urgently before Wednesday to stay in the Top 10, and win $100,000 for Nepal!

Nyaya Health needs your vote urgently before Wednesday, 9/19 to stay in the Top 10, and win $100,000 for Nepal. 



A few votes will be the difference between $50,00 and $100,000. Nyaya Health is providing long-term health care and employment solutions where it’s needed most in Nepal. Let’s win this together and make progress possible. Please share this message with all of your networks and encourage them to vote asap within the next 48 hours.
 

A place for posts, pictures, and progress of all kinds related to Nyaya Health's work in the U.S. and Nepal. Please use the Facebook and Twitter buttons to spread these updates throughout the world.