BAYALPATA HOSPITAL बयलपा�टा� अस्पता�लHospital Operations Committee (HOC) MeetingMangalsen, 18 Magh, 2067

Bayalpata Hospital HOC RepresentativesDr. Bikash Gauchan, Medical DirectorMr. Nandram Gahatraj, Hospital AdministratorMr. Dan Schwarz, Executive Director

Bayalpata Hospital HOC Meeting Outline, 18 Magh 2067

1. Introductions

2. Orientation of Bayalpata Hospital Programs (Dr. Gauchan)

3. Orientation of Bayalpata Hospital Finances (Mr. Gahatraj)

4. Orientation of Nyaya Health International financing (Mr. Schwarz)

5. HOC Meeting Agenda Items (All parties)

6. Tea Break

7. Discussion and decisions

Nyaya Health Nepal: Who We Are

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Social justice-oriented mission:

1)To expand healthcare capacity in the Achham District

2)To collaborate with the public sector to develop model healthcare delivery for remote Nepal

Founded in 2063 in Nepal along with partner organization Nyaya Health International (NHI) in the USA

Opened Sanfe Bagar Medical Clinic in 2065 Public-private partnership with Nepali

Ministry of Health & Population in 2066 Opened the Bayalpata Hospital in Jestha

2066 Managed by a volunteer Board of Directors

and 27 full-time employed Nepali staff

Bayalpata Hospital: Mission and operations

Goal: Infrastructure development, capacity building, not only care provision

Goal: To collaborate with the government in the development of pro-poor, rural health care development

Government partnership contract for 5 years signed Jestha 2066 – Jestha 2071

Current Services: Bayalpata Hospital All health care services free of charge:

Inpatient & Outpatient services 24-hour emergency room Safe Motherhood program, CAC

services Laboratory & Pharmacy Radiology: X-Ray & Ultrasound HIV, TB treatment programs Malnutrition treatment (CMAM) Ambulance services Community Health Worker (CHWs)

services

2067-2068 Expansion Plans: Comprehensive surgical suite Solar energy Expanded CHW/FCHV

network Teaching hospital status

Bayalpata Hospital: Clinical programs review 2066 - 2067

* X-ray services were commenced in Mangsir 2067, thus only five weeks of data is represented here.**ART services were commenced in Shrawan 2067, thus only five months of data is represented here.

Item Total for 2066 - 2067Laboratory tests 14,168

X-Rays 106*Ultrasounds 612

Deliveries 125CACs performed 288

Patients enrolled on ART 80**Ambulance transfers 360

Patients Total for 2066 - 2067

Outpatient Dept. patients (OPD) 19,514

Emergency room patients (ER) 1,897

Admitted in-patients (IPD) 772

Inpatient days 1,541

Total number of patients in all departments 21,797

Bayalpata Hospital: Safe Motherhood Program

Bayalpata Hospital HIV/AIDS Treatment Program

Bayalpata Hospital Community Health

• Innovative program to strengthen the MOHP FCHV program

• Partnership between Bayalpata Hospital and local FCHVs

> Surveillance of VDC> Clinical follow-up from Hospital visits> Enhanced FCHV training> Financial incentives weekly

• Currently in three VDCs> Mastamandu> Siddheshwor> Ridikot

– Plans to scale-up to three additional VDCs by end of 2067

– Further scale-up in 2068

Nyaya Health Nepal Financing – Income & Expenditures

All line-item financial statements available at http://wiki.nyayahealth.org for full organizational

transparency and accountability

Projected Budget FY 2066-67 vs. FY 2067-68

Over 99% of all NHN funds used in Nepal

Bayalpata Hospital MOHP Allocation (30 lakhs)

Expenditure Category Allocation

Capital Costs 1,000,000 NRs

Equipment and instruments 750,000 NRs

Staff Compensation 450,000 NRs

Office Expenses 200,000 NRs

Communications 200,000 NRs

Maintenance 150,000 NRs

Fuel 150,000 NRs

Miscellaneous 70,000 NRs

Electricity 30,000 NRs

Total 3,000,000 NRs

HOC Meeting Agenda – 18 Magh, 2067

Bayalpata Hospital Agenda Items:

1. Release of MOHP allocation (30 lakhs) to Bayalpata Hospital

2. Discussion of Safe Motherhood Program reimbursements

3. Discussion of MOHP and DHO related clinical and logistical trainings

4. Discussion of supply of proper supplies and medicines from DHO (LMIS)

5. Discussion of additional financial support and advocacy for facilities improvement> Landscaping and grounds improvement> NTC telephone landlines> NEC dedicated power supply> AEPC application for solar subsidy

District and Community Representative Agenda Items:

Final thoughts

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info@nyayahealth.org http://www.nyayahealth.org http://wiki.nyayahealth.org

http://blog.nyayahealth.org

Bayalpata Hospital, Ridikot VDCAchham, Nepal

Phone: 977-94-690-404 (Achham)Phone: 977-9845-236-035(KTM)