Our Work: Our Model

Our model of change isn’t founded on magic bullet solutions, but instead on a deeply rooted commitment to these three principles.

Partner with the Government

We partner with Nepal’s government at all tiers of health infrastructure – hospitals, clinics, and community health workers — because the government provides what we call the “infrastructure for equity.” Only public systems are fundamentally designed to reach the poorest of the poor. Working within that infrastructure also creates a wedge for innovations and successful programs to achieve real scale quickly throughout the entire country via replication over shared systems.

Build Durability through Nepali Staff

To us, long-term durability is found in employing and training local health care providers and non-clinical staff. Our staff within Nepal is 98% Nepali, and over 80% of our team members come from within a 3-district radius of Achham District in Nepal’s neglected Far-Western region. This approach has made us one of the largest employers in the entire region outside the civil service sector.

Use Tools of Transparency

Our ultimate aim is to strengthen services and accountability mechanisms so rural Nepalis can receive high-quality and responsive care from their government systems. To achieve that level of accountability, we use powerful tools of transparency layered on top of government systems of management, accounting, and reporting. We publish all financial and budgetary information in line-by-line formats, open impact data, and all clinical and management protocols on our public organizational wiki at wiki.nyayahealth.org.