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Possible (also known as Possible Health, and legally registered as Nyaya Health, A Nonprofit Corporation) is a nonprofit that works to achieve the vision of everyone everywhere having access to high-quality healthcare. In pursuit of this vision and building on its legacy of collaborative research, Possible focuses on building the evidence-base needed to address implementation and policy gaps in the equity, quality, and accessibility of healthcare in Nepal. Possible leverages research and evidence to inform innovative solutions to healthcare challenges in context and from stated or established needs. Possible roots its work in places like Achham, a remote district in the Far Western Province and Dolakha in Bagmati Province in Nepal, where there they have a long history and where there is both great need and interest in engaging in research.


History


Nyaya Health

Nyaya Health was founded in 2005, and spent the following year doing epidemiological studies, negotiating with the Nepali local and central governments, establishing supply chains, and raising funds. A former grain shed in Sanfe Bagar, Achham District, was selected as the site for Nyaya Health's first clinic, The Sanfe Bagar Medical Clinic. In 2007, Nyaya Health was selected as one of three organizations around the world to be beneficiaries of an international design contest sponsored by
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and
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. The design challenge was for a telemedicine center, and was won by Max Fordham LLP of London, UK. However, the telemedicine center was never built due to lack of funding. On 6 April 2008, the Sanfe Bagar Medical Clinic was opened. Initial programs focused on maternal health, child malnutrition, and HIV and tuberculosis treatment. Soon after the opening of the Sanfe Bagar Medical Clinic, the community requested that Nyaya Health take over administration of the nearby Bayalpata Hospital. The hospital was built in 1976, but had never been staffed and had fallen into disrepair. Nyaya Health joined a formal contractual partnership with the Nepal Ministry of Health and Population to jointly renovate and scale up services at the facility over a period of five years. The hospital opened 21 June 2009. In August 2009, the first ultrasound machine in Achham was installed at Bayalpata Hospital. In September 2009, Nyaya Health instituted a new Mortality Review Program. Each death occurring at the Bayalpata hospital is reviewed by both the Nepali and international teams for systems-level changes to prevent future deaths. The de-identified reports are then published for review by the Web community. In 2010, the hospital revamped and expanded its Community Health Worker program by integrating it with the Nepali government's Female Health Care Volunteer program. To do this, an agreement was negotiated whereby Nyaya Health would pay the women volunteers for performing certain tasks, thus raising the status of the women and establishing accountability. In November 2011, US-based charity evaluator GiveWell listed Nyaya Health as a top charity. In the same month, GiveWell published a detailed review of Nyaya Health. In August 2012,
Good Ventures Good Ventures is a private foundation and philanthropic organization in San Francisco, and the fifth largest foundation in Silicon Valley. It was co-founded by Cari Tuna, a former ''Wall Street Journal'' reporter, and her husband Dustin Moskov ...
announced a $50,000 (USD) donation to Nyaya Health because of GiveWell's recommendation. In 2013, Possible won
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's Ideas That Matter design competition, which enabled the organization to launch its Crowdfund Health campaign on 2 December 2013.


Possible

On 18 March 2014, the U.S. based nonprofit changed its name from Nyaya Health to Possible. In December 2014, Duncan Maru was awarded an Early Independence Award from the National Institutes of Health (NIH). In 2014, Maru was awarded an Early Independence Award from the National Institutes of Health (NIH) to scientifically assess certain aspects of our rural healthcare delivery model. In February 2015, the team implemented Nepal's first integrated Electronic Health Record (EHR) system. In 2015, Possible's CEO Mark Arnoldy and co-founder Maru were named Schwab Foundation Social Entrepreneurs of the year. In 2020, Gita Pillai became CEO of Possible replacing Maru, who had served as interim CEO since 2018. Over the last decade Possible (US-based 501c3 entity) has been working with Nyaya Health Nepal (NHN) in two provinces in Nepal; Achham, a remote district in the Far Western Province and Dolakha in Bagmati Province. As Possible marked its 11th anniversary, they have reached an important juncture where NHN is leading the healthcare delivery efforts in close collaboration with the government of Nepal. Possible, building on its legacy of collaborative research, Possible focuses on building the evidence-base needed to address implementation and policy gaps in the equity, quality, and accessibility of healthcare in Nepal. Possible leverages research and evidence to inform innovative solutions to healthcare challenges in context and from stated or established needs. Possible roots its work in places like Achham, a remote district in the Far Western Province and Dolakha in Bagmati Province in Nepal, where there they have a long history and where there is both great need and interest in engaging in research.


Organizational structure

Possible is organized as a partnership between the U.S. based
501(c)(3) A 501(c)(3) organization is a United States corporation, trust, unincorporated association or other type of organization exempt from federal income tax under section 501(c)(3) of Title 26 of the United States Code. It is one of the 29 types of 50 ...
and the Nepal-based NGO. They are two entities who operate independently, with a mutually interdependent partnership and a common goal of supporting health innovation in Nepal.


References

{{Reflist Foreign charities operating in Nepal Health charities in the United States Charities based in New York City Medical and health organizations based in New York (state)