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.
A full set of resources and people to perform surgeries were available every day.
Marginalized patients accessed our healthcare system 60% more frequently than non-marginalized patients.
76% of women gave birth in a healthcare facility with a trained clinician in the past year.
50% of our total chronic disease patients had a follow-up interaction with a provider.
On average, each person in our catchment area visited one of our healthcare facilities nearly 2 times.
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.
We broke ground on Nepal's leading rural teaching hospital—using a design approach that strives to become a national model for safe healthcare facilities.
Having dignified, comfortable housing at the hospital hub ensures we can better serve our patients and attract top Nepali healthcare leaders.
The benefit of using stabilized rammed earth technique for construction is its high thermal mass, which reduces the need for air conditioning and heating and saves energy.
We are about to break ground on a brand new inpatient and outpatient department, meaning we can significantly increase our number of services, patient treatments, and academic spaces.
©2015 SHARON DAVIS DESIGN. ALL RIGHTS RESERVED.
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.
Hills are often a patient's path to healthcare. Strengthening clinics makes this path faster and safer.
Group antenatal care meetings provide expecting mothers with the valuable information and care they need to have a safe pregnancy with a trained clinician.
Our partnership with Sunfarmer enables clinics to be powered fully by solar energy. We have generated enough electricity to power 5,256,000 hours of light, or enough electricity to power 1,539 C-sections.
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.
19-year-old Nabina broke her right leg when she fell returning home from school. She went to a traditional district hospital, was given a cast, but showed no signs of improvement a month later. One of our community health workers from her village referred her to our hospital. A digital x-ray revealed a fracture that hadn’t healed. Our team had recently received tools and instruments from SIGN Fracture Care International for nail placement surgeries. This is the first time our hospital performed a nail surgery, which allowed Nabina to use her right leg within three months.
Our Community Health team met Padma during her first group antenatal care (ANC) visit. We discovered she had a prolapsed uterus and began closely monitoring her health at ANC visits and at her home. Padma ended up going into early labor. A Community Health Worker alerted Dr. Bishal, along with our nurse, Sonu, and they drove straight to Padma's house, where she was bleeding and in great pain. Our medical team immediately went to work and brought her to our hospital, where Padma delivered a baby boy.
Imagine This Scenario:
A mother walks for two days to bring her 5-year-old son, who has a broken arm, to our hospital hub. The boy’s x-ray is taken and the image is saved electronically. Our orthopedic surgeon examines the x-ray on her computer through the boy’s patient ID and recommends a treatment.
Ever since our team procured a digital x-ray, this scenario has become a reality. Every day, our x-ray department takes up to 50 images for fractures, chronic obstructive pulmonary diseases (COPD), tuberculosis, and various pulmonary infections prevalent in HIV-positive patients.
As our surgical and orthopedic services expand, it’s essential we have specific technologies to ensure operations function well and we can meet our patient demand.
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.
Amit Aryal, MPH
Saroj Dhital, MD
Agya Mahat, BDS, MPH
Bhaskar Raj Pant
Our global team acts as the fuel to push forward remarkable results in Nepal.
Duncan Maru, MD, PhD
JASON ANDREWS, MD, SM, DTM&H
BIBHAV ACHARYA, MD
SANJAY BASU, MD, PHD
BIRENDRA BAHADUR BASNET
JOSH BOWMAN, JD
KUL CHANDRA GAUTAM
PAUL FARMER, MD, PHD
RUMA RAJBHANDARI, MD, MPH
DAN SCHWARZ, MD, MPH
JHAPAT THAPA, MBBS
A to Z Impact Fund
Alwaleed Bin Talal Foundations America Nepal Medical Foundation
Benevity Community Impact Fund Boston Consulting Group
Fidelity Charitable Fund FireTree Asia Foundation
Fresh Leaf Charitable Foundation
Gardner Grout Foundation
Goggio Family Foundation
Goradia Charitable Foundation
Green Farms Academy International Foundation International Reporting Project
Jasmine Social Investments Jewish Communal Fund
Kettering Family Foundation
Latika & Rajiv Jain Foundation
National Christian Foundation
National Philanthropic Trust
NEPAL MINISTRY OF HEALTH
Newman's Own Foundation
Nick Simons Foundation
Open Road Alliance
Peter Bennett Foundation
Pew Charitable Trust
Planet Wheeler Foundation
Plato Malozemoff Foundation
Pro Victimis Foundation
Radfall Charitable Trust
Robert Wood Johnson Foundation
Sall Family Foundation
Schwab Charitable Fund
Silicon Valley Community Foundation
Temple Bar Bolzano
The Charitable Foundation
The Good Works Institute
The Shelley and Donald Rubin Foundation
The Tides Foundation
Vanguard Charitable Trust Venmo
Walk for Nepal
Weyerhaeuser Family Foundation
William H. Prusoff Foundation
Yale Philanthropy in Action
Blue Bottle Coffee
Copilevitz & Canter, LLC
Dhulikhel Hospital Dropbox.com
InterContinental Doha Hotel
and Women's Hospital
Children's Hospital Boston
HARVARD DIVISION OF GLOBAL HEALTH EQUITY
MERCK & CO.
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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