2016: A Year Made Possible By You

In the wake of the devastating earthquakes that wreaked havoc across Nepal in 2015, Possible was faced with it’s most challenging year to date. Despite the hurdles in our path, 2016 was the most impactful year in Possible’s history.

A historic moment in Dolakha

One of the worst hit districts, Dolakha had more than 85% of its healthcare facilities damaged or destroyed in the earthquake. On 19th January 2016, Possible signed a 10 year agreement with its partners in the Government to manage the major hospital hub in Dolakha: Charikot Hospital.

In less than a year, we served more than 48,000 patients in our hospital hub in Charikot.

The first contract of its kind, we successfully implemented a unique public-private partnership with the Ministry Of Health where the Government is the co-funder and regulator while Possible is the overseer of management.

Operations Manager Asmita Dhital (left) and Director of Governance & Partnerships SP Kalaunee (right) with the Secretary for Ministry of Health Shanta Bahadur Shrestha in Charikot Hospital, Dolakha.

As part of the contract, we also agreed to rebuild 21 health clinics with earthquake-resistant design, so we can manage the entire healthcare system across hospitals, clinics, and community health workers. In 2016, we completed 7 health clinics and 8 more are steadily nearing completion.

One of the newly reconstructed health clinic in Namdu, Dolakha.

Strengthening Direct Delivery in Achham

As we strive to become a leading teaching hospital in rural Nepal, the expansion of our facilities at Bayalpata made significant strides, reaching 50% completion of our four year development. With the newly built 51 bed In-Patient Ward, dormitory and staff housings, we are now better equipped to accommodate our growing patient demands and training for clinicians.

Complementing the landscape of the hill in Bayalpata, our dormitory is built to maximize direct sunlight.

The dancing roofs of our staff housings are designed to harvest rainwater in the low resource setting of Achham.

Bird-eye view of the Administration building (left), the solar panels on the roofs of our 51 bed In-Patient Ward (center) and Staff Housings (right).

Ensuring none fall through cracks

In 2016, our Community Health Workers visited over 400,000 patients in their homes. We expanded our services to include Group Pediatric Care sessions, and introduced our Community Health Program in Kamalbazar — an area south of Bayalpata Hospital — and initiated its roll out in our Dolakha hub too.

Our Community Health Worker Radhika Shah playing a game in the Group Pediatric Session.

Healing the Mind

In a culture where mental health is heavily stigmatized yet increasingly prevalent, Possible set forth an adaptive collaborative care model to deliver mental health services in rural Nepal. With three Psychosocial Counselors and a consultant Psychiatrist, we solved for not just the absence of diseases — but also the promotion and adoption of a healthy lifestyle.

Bharat Kadayat, our Psychosocial Counselor In-Charge with a patient.

Driving Innovations in Healthcare Systems

We continued our commitment to driving innovations in healthcare — launching and expanding several technologies that allow us to better track patient care, electronically manage our supply chain and adapt the financial enterprise design with our scaling complexities.

Our Community Health Workers — Tulachha & Pabitra search patient data in their CommCare application while Nirmala — our Community Health Program Associate looks on.

Our Healthcare Systems Engineer, Anant Raut, enrolling patients in the Electronic Health Record at Charikot Hospital.

As always, we solved for the patient.

This was all for our patients. This year, we treated more than ever before, and surpassed 400,000 patients treated across our two sites.

A mother and her daughter receive care at Bayalpata Hospital.

An elderly patient receiving care for COPD.