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Nyaya Health

Moving Forward
  Bijay Acharya, MD
       NHN/NHI
Staff Physician
                                Medical director
                                                   Health Assistants
                                                     CMA/AHWs
                   BAYALPATA
                   HOSPITAL
                                                         LABS
                                                     PHARMACY
                                   Nursing In-     XRAY/DIAGNOST
                                    charge               ICS


     NHN
                                                     Staff Nurses
Country Director
                   KTM OFFICE                           ANMs
                                Administrative
                                  support             Nurses Aid

                                                   Accounts/Financ
                                                         e
                                                        Store
                   COMMUNITY
                     HEALTH      CHWs/FCHVs              Data
                    SERVICES                          Other Staff
NHI              NHN
       TEAM             BOD


MOHP                          HOC
             Country
             Director
Staff




Govern   Country    NHN
 ment    Director   BOD




           NHI
           ED
Salary         Procurement


            Issues

                 Complaint
Hierarchy
                 Channels
Housing       Transportation


          Issues

               Disciplinary
 Food
                   Action
Transparency   Guidelines

          Issues
                   Investment
 Community
                       In
Involvement
                     Staff
Salary
• Baseline Raises

• Bonus

• Allowances

• Better financial clarity

• Comparison with other hospitals
Insurance
• Health

• Malpractice

• Disability

• Death
Leave
• Look into other hospital’s policies

• Cross Coverage

• Calls switch

• Sick leave policies

• Extended leaves
Procurement
• Transparency is the key

• HIMC restructuring

• Purchasing Abilities
  – Minimum
  – Moderate
  – Large Scale purchases
Hierarchy
• Clear guidelines being formulated

• MOU with MOHP will be amended

• Supervisors will be responsible

• No overstepping of boundaries
Complaint Channels
• NHI Staff Liaison

• Richa Pokhrel

• Restructured HIMC

• Clear complain guidelines
Housing
• Old staffs

• As per Contract

• Rented apartment complex

• Future investment
Transportation
• Will be provided in the evenings esp. winter

• Distance will be defined
Food
• Will be revised

• Will publish the 2 weekly expenses of grocery
  publicly

• Free food vs partial payment

• Do not throw food 
Disciplinary Action
• Complaint channels

• Restructured HIMC

• Legal team (in works)

• Anonymous complains
Transparency
• Procurement

• Pharmacy
  – BH formulary
  – Procurement Committee


• Tenders/Contract Process
Guidelines
• MOU with MOHP

• BH operating guideline

• Financial guidelines

• Operating Manual
Community Involvement
• HOC

• Community health programs

• School based intervention

• Community Events

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