1. Nyaya Health
Moving Forward
Bijay Acharya, MD
NHN/NHI

2. 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

3. NHI NHN
TEAM BOD
MOHP HOC
Country
Director

4. Staff
Govern Country NHN
ment Director BOD
NHI
ED

6. Salary Procurement
Issues
Complaint
Hierarchy
Channels

7. Housing Transportation
Issues
Disciplinary
Food
Action

8. Transparency Guidelines
Issues
Investment
Community
In
Involvement
Staff

9. Salary
• Baseline Raises
• Bonus
• Allowances
• Better financial clarity
• Comparison with other hospitals

10. Insurance
• Health
• Malpractice
• Disability
• Death

11. Leave
• Look into other hospital’s policies
• Cross Coverage
• Calls switch
• Sick leave policies
• Extended leaves

12. Procurement
• Transparency is the key
• HIMC restructuring
• Purchasing Abilities
– Minimum
– Moderate
– Large Scale purchases

13. Hierarchy
• Clear guidelines being formulated
• MOU with MOHP will be amended
• Supervisors will be responsible
• No overstepping of boundaries

14. Complaint Channels
• NHI Staff Liaison
• Richa Pokhrel
• Restructured HIMC
• Clear complain guidelines

15. Housing
• Old staffs
• As per Contract
• Rented apartment complex
• Future investment

16. Transportation
• Will be provided in the evenings esp. winter
• Distance will be defined

17. Food
• Will be revised
• Will publish the 2 weekly expenses of grocery
publicly
• Free food vs partial payment
• Do not throw food 

18. Disciplinary Action
• Complaint channels
• Restructured HIMC
• Legal team (in works)
• Anonymous complains

19. Transparency
• Procurement
• Pharmacy
– BH formulary
– Procurement Committee
• Tenders/Contract Process

20. Guidelines
• MOU with MOHP
• BH operating guideline
• Financial guidelines
• Operating Manual

21. Community Involvement
• HOC
• Community health programs
• School based intervention
• Community Events