IBR: In Sanfebagar, Achham, percent of birth in healthcare facility where healthcare professional present has increased from 76% to 96 % in between FY 2014/2015 to 2016/2017 surpassing Sustainable development goals, 2030 (90%) and Nepal Health Sector Strategy Target, 2020 (70%). This improvement can be attributed to monthly home visit of Community Health Worker during pregnancy of women in our program’s catchment area.
Sustainability & Government Adaptation
As we learn more, our model continues to develop and we continue to innovate. Our budget for Fiscal Year 2019 (which covers the period between August 2019 and July 2020) saw a reduction of 20% over the previous year – without a need to reduce the number of patients we can treat or affecting the quality of our services.
We received financial support from Federal, Provincial and Municipal governments for our work in both Achham and Dolakha. While this funding only covered 7% of our budget in 2019, Municipalities are now able and willing to take on an increasing percentage of the costs of our work in their constituencies. We are fully confident that the success of these Municipalities will inspire other Municipalities to adapt our model.
NHN is striving to support the insurance scheme put in place by the government in one of our districts. By March 2020 we had managed to increase to 10% the number of our patients who subscribed to the scheme. This means that the cost of all patients in the insurance scheme are covered by the insurance reimbursement so NHN can use donated funds to help patients not covered while continuing to encourage others to join the scheme. As the number of participants in the insurance scheme increases, we anticipate that our reliance on large scale funding will reduce. We see the insurance scheme as one of the key elements to support the financial sustainability of our healthcare delivery in the coming years.
We are proud that one of the 7 Provincial Governments has asked us to scale the Electronic Health Record (EHR) platform to all the hospitals in the Province. Additionally, many government hospitals are approaching us to implement the EHR in their facilities.
We believe we are on the right path to achieving our mission of healthcare for all.
In addition to the impact we have in the hospitals we manage and through our Community Health Workers, NHN has made significant contributions to the national health policy of Nepal. Furthermore, NHN has been and will remain a strong advocate for improving healthcare throughout the country. Some of our achievements to date have been:
Significantly contributing to developing the Public Private partnership (PPP) Guidelines of the Ministry of Health and Population (MOHP)
Advocated for and provided input in the formation of the National Health Insurance Act and Regulation
Advocated for and contributed to the development of Performance Based Incentive Procedure of the MOHP
Developed a template and signed Performance Based Grant Agreement with MOHP - the template was also used for similar arrangement with other hospitals.
As a priority we partner with the government of Nepal. We also have valued donors and supporters who help fund us and act as technical support and thought partners. In 2019 we provided 110,959 healthcare services at the facilities we manage directly and our Community Health Workers (CHW) conducted 143,388 household visits. Some of the impact we have made alongside the Government and thanks to our partners is: