Nyaya Health 2011

RECOMMENDATIONS FOR CAPACITY BUILDING IN NEPAL:

PERSPECTIVES BASED ON OPERATING A RURAL HEALTHCARE ORGANIZATION IN NEPAL

Bibhav Acharya, Executive Vice-President

bibhav@nyayahealth.org

April 10, 2011

Nyaya Health 2011

West is in the middle

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Achham

Kathmandu

•Decentralize: auditing, approvals, renewals •Nepal = Kathmandu?

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Transparency and Accountability

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Ask around, find a lawyer, find an inside contact, maybe bribe an official, locate the required forms in a filing cabinet, submit

uncertainty and abuse

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Transparency and Accountability

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Simplify registration:-Open-access to paperwork and instructions-Online submission-Democracy promotion and accountability

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Brain Drain vs. Brain Gain

• Lets go beyond the dichotomy

• Digital technology•Video conferencing•Provide support by email or phone

calls

• Short-trips for capacity building (“Brain circulation”)

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Donate/Invest•Strengthen services like transportation, health and education

•Moral reason

•Financial reason to support:•Potential consumers•Retention of skilled labor

Help Nepal

Santi School

Youth for Nepal

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many others…

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Next Steps

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DecentralizeTransparency and Accountability

Thank you!

Technical Assistance from abroadDonate/Invest to strengthen basic services