2015 Annual Impact Report
August 1, 2014–July 31, 2015
This has been the most challenging year our organization has ever faced.
But when it comes to solving for the patient, it has also been the most impactful.
This has been the most challenging year our organization has ever faced.
But when it comes to solving for the patient, it has also been the most impactful.
You can't improve what you can't measure.
It's our job to prove possibility with data. We use these six KPI's because they can be feasibly collected in rural impoverished areas and reflect the overall performance of the healthcare system. The Nepali government only pays us when we hit these indicated targets, showing we're improving population health outcomes.
Target: 95%
A full set of resources and people
to perform surgeries were available
every day.
Target: 1.0
Marginalized patients accessed our
healthcare system 60% more frequently
than non-marginalized patients.
Target: 95%
76% of women gave birth in a
healthcare facility with a trained
clinician in the past year.
Target: 90%
50% of our total chronic disease
patients had a follow-up interaction
with a provider.
Target: 1.3
On average, each person in our
catchment area visited one of our
healthcare facilities nearly 2 times.
Target: 75%
34% of reproductive aged women who
delivered in the past 2 years are using
contraceptive methods.
*We can only show quarterly progress for four of our six KPIs. The remaining two KPIs, Safe Birth and Family Planning, are measured annually in the January-March timeframe.
90% Outpatient care
7% Emergency care
3% Inpatient care (inpatients + HIV + deliveries)
This year there was a 49% increase in surgeries. We use this data to evaluate surgical usage and capacity, and to create a baseline for necessary follow up.
In our hospital alone there was a 25% increase in safe deliveries. We also completed 1,538 antenatal care visits for expecting mothers, critical for mapping institutional birth rate and evaluating new areas of intervention.
There was a 74% increase in digital x-rays this year, which has significantly improved patient care. Having specific technologies ensures operations function properly and we can meet patient demand.
More than 30,000 patients visited these clinics versus traveling far distances to our hospital hub.
Over 300 mothers had safe births at our clinics equipped with a skilled birth attendant.
We enrolled nearly 600 expecting mothers into our antenatal care program.
We increased our Community Health Worker Leaders to 20 and Community Health Workers to 164.
We visited and treated over 20,000 pregnant and chronic disease patients at their home.
We held 234 group antenatal care sessions for pregnant mothers.
In 234 sessions, we had over 500 pregnant mothers complete all four classes in the program.
This is the first integrated EHR system in Nepal, where we strive to enhance patient care by utilizing data.
Using smartphones, we collected data from over 7,500 homes to measure impact across the tiers of our work.
The board provides critical advice and feedback on the relevance and feasibility of our community programs.
This enables us to expand our Public-Private-Partnership and begin rebuilding 21 health clinics.
We began construction to turn our facility into the leading rural teaching hospital in Nepal.
We worked with partners after the earthquakes to move $20MM dollars to high-impact relief organizations.
Dr. Aaradhana's specialization meant we could take care of major trauma cases without the need to refer patients to urban hospitals.
We formalized a partnership to enroll MDGP residents at our rural teaching hospital.
On April 25th, in a single moment of tectonic unrest, all of our lives changed.
In response to the series of over 400 earthquakes that struck this spring, we expanded our work in Nepal and are rebuilding the healthcare system in one of the worst-hit districts. We chose Dolakha District, where 87% of its healthcare facilities were damaged or destroyed, and 40% of people now lack access to healthcare.
We signed a contract with the Government of Nepal and immediately began rebuilding 21 clinics, installing solar electricity, and ensuring supplies reach facilities via the supply chain.
More importantly, we began laying down the foundation for a long-term healthcare system in Dolakha that is resilient in the face of future natural disasters and can transform the lives of hundreds of thousands of people.
*This financial overview represents the combined unaudited financials for the U.S. 501c3 and Nepal-based NGO. Audited financials will be available for each entity on our website as soon as the audits are completed.
Our entire team is here for one purpose: to solve for the patient. This means making healthcare more accessible and tailored to a patient's specific needs, and delivering it in a dignified way.
Our Nepali team makes up 97% of our organization. We invest heavily in local leaders.
Dileep Agrawal
Amit Aryal, MPH
Saroj Dhital, MD
Kunda Dixit
Agya Mahat, BDS, MPH
Bhaskar Raj Pant
Subina Shrestha
Aruna Uprety
Suraj Vaidya
Our global team acts as the fuel to push forward remarkable results in Nepal.
Muna Bhanji
Gabrielle Haddad
Beth Kitzinger
Jeff Kaplan
Sandro Lazzarini
Duncan Maru, MD, PhD
Eswar Priyadarshan
JASON ANDREWS, MD, SM, DTM&H
BIBHAV ACHARYA, MD
SANJAY BASU, MD, PHD
BIRENDRA BAHADUR BASNET
JOSH BOWMAN, JD
ADAM BRAUN
John Cary
KUL CHANDRA GAUTAM
PAUL FARMER, MD, PHD
MICHELLE MUNOZ
PRATIVA PANDEY
RUMA RAJBHANDARI, MD, MPH
DAN SCHWARZ, MD, MPH
ERIC STOWE
JHAPAT THAPA, MBBS
JOHN WOOD
2
Degrees Food
A to Z Impact Fund
Alwaleed Bin Talal Foundations
America Nepal Medical
Foundation
Benevity Community Impact Fund
Boston Consulting Group
Bright Funds
Cordes Foundation
Deerfield Foundation
Elmo Foundation
Fidelity Charitable Fund
FireTree Asia Foundation
Fresh Leaf Charitable
Foundation
Gardner Grout Foundation
Goggio Family Foundation
Google.org
Goradia Charitable Foundation
GreaterGood.org
Green Farms Academy
International Foundation
International Reporting
Project
Jasmine Social Investments
Jewish Communal Fund
Kangu
Keeney Investments
Kettering Family Foundation
Latika & Rajiv Jain
Foundation
Merck Philanthropy
Morgan Stanley
Mulago Foundation
National Christian Foundation
National Philanthropic Trust
NEPAL MINISTRY OF HEALTH
AND POPULATION
Newman's
Own Foundation
Nick Simons Foundation
Open Road Alliance
PayPal.com
Peter Bennett Foundation
Pew Charitable Trust
Planet Wheeler Foundation
Plato Malozemoff Foundation
Pro Victimis Foundation
Radfall Charitable Trust
Robert Wood Johnson Foundation
Rotary Foundation
Salesforce Foundation
Sall Family Foundation
Schwab Charitable Fund
Silicon Valley Community
Foundation
SRS
Investment Management
SunFarmer
Temple Bar Bolzano
The Charitable Foundation
The Good Works Institute
The Shelley and Donald Rubin
Foundation
The Tides Foundation
TOMS
United Way
Vanguard Charitable Trust
Venmo
Walk for Nepal
WATSI
Weyerhaeuser Family Foundation
William H. Prusoff Foundation
Yale Philanthropy in Action
Abbot Laboratories
Amali NYC
Asana
BambooHR
Blue Bottle Coffee
Buddha Air
Cathay
Pacific Airways
Copilevitz & Canter, LLC
DHL
Dhulikhel Hospital
Dropbox.com
Google.org
Insource
Services
InterContinental Doha Hotel
Karma
K108 Hotel
QBC Diagnostics
Salesforce Foundation
Sherin
& Lodgen
Small Improvements
Sun Edison
SunBridge Solar
TechSoup
UpToDate
Brigham
and Women's Hospital
Children's Hospital Boston
HARVARD DIVISION OF GLOBAL HEALTH EQUITY
MERCK & CO.
PARTNERS HEALTHCARE
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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