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Minister of Health, Gagan Thapa (center) speaks while visiting our hospital hub in Charikot.

“The first year of our partnership with Possible has been remarkable! More than 58,000 people in Dolakha received high quality free healthcare. In the coming years, we will make great strides in ensuring a conducive environment for Public Private Partnership models to flourish.”
Minister for Health, Gagan Thapa

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Following the massive earthquake on 12 May, 2015, the healthcare system of Dolakha district was devastated. Nine thousand people lost their lives, 2.5 million people became homeless and 85% of the healthcare facilities were damaged or destroyed.

Our Public Private Partnership began on 24 January, 2016. We are proud to now celebrate one year of services together. Here is our impact so far:

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Patient volume & services in Charikot Hospital prior to PPP management and after.

While Nepal has successfully utilized Public Private Partnership (PPP) model in multiple sectors, there is limited experience with PPP in healthcare. Its Constitution of 2015 guarantees the right to healthcare for all Nepali citizens, however public sector healthcare systems have been insufficiently resourced to provide for this right. …


Meet Bimala & her two daughters

I was 13 years old when I gave birth to Priya. My husband and I had gone to Kathmandu for the delivery. The doctors had then counselled that pregnancy at my age and with a hole in my heart could be fatal. Six years later, I got pregnant again.

It was my fourth antenatal checkup in the health clinic. The nurse in the health clinic told me, “You need to go to a higher center for an ultrasound test. We don’t have the machine here.” …


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.

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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.

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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. …


In Sanfe, a village nestled in the valley below Possible’s Bayalpata hospital, Tuli doubled over in pain. Her contractions were growing stronger, and she had nobody but her 4-year-old daughter to help her. A Female Community Healthcare Volunteer (FCHV) was working in the area when she noticed Tuli in pain.

As she approached her to help, she realized that there was more to Tuli that met the eye — she was mute.

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Tightening the strap across her forehead, Harina adjusted the doko full of grass on her back and walked up the rugged hill. The climb to the top became more challenging as her belly began to grow.

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Twice a month a Community Health Worker (CHW) from Possible visits Harina and other expectant mothers in their households to counsel them on antenatal care. The CHWs discuss potential complications with the pregnant mothers and their immediate family and design individual birth plans for them.

Sonu, one of our Community Health Program Associates, manages four such CHWs at Possible. Today, she takes a three-hour jeep ride to Payal — a village nestled high in the mountains— to supervise a group antenatal care session in the health clinic. Ensuring that no woman falls through the cracks of healthcare systems, every quarter, a group of women in the same stage of pregnancy are brought together to receive comprehensive care. …


A case of uterine rupture from the rugged hills of Bajura.

Sitting on a patch of grass outside our inpatient ward, Jogeni looked frail and pale. The intense surgery meant it would take another week to heal. Picking blades of grass, she worried about her future. “Is it that I cannot have a baby again? I want a son, because I have one daughter already,” she thought.

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Three-weeks ago, Jogeni had felt differently. Making tea in the cold winter morning, she first felt the familiar pangs of labor. Pouring tea into the steel cups, she wondered if this time it would be a boy or a girl. …


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At Possible, we hold ourselves accountable. Everyday we are striving to do better for our patients, working tirelessly to improve our outcomes and deliver on our Key Performance Indicators (KPIs).

We are transparent until it hurts.

The United Nations has echoed similar sentiments, and is calling for humankind to be held accountable for one another. In September of 2015, 193 world leaders agreed to 17 Sustainable Development Goals (SDGs); a framework for all countries and stakeholders to act upon collaboratively, with the common aim of ending extreme poverty, inequality and climate change by 2030.

Of the 17 SDGs, the most pertinent for Possible is Goal #3: Good Health and Wellbeing. …


Sachit Pandey, MS, Mobile Systems Engineer & David Citrin, PhD, MPH, Director of Impact

Improving child mortality rates is imperative to building robust maternal and child healthcare delivery systems globally. Indeed, there is perhaps no clearer measure of the inability to deliver on equitable and accessible healthcare than children dying from preventable deaths.

Globally, the mandate to do better for children around the world is clear. As the global health and international development communities transition from the United Nations 2015 Millennium Development Goals to the Sustainable Development Goals, ensuring healthy lives and wellbeing for women and children remain central to the new framework. However, in settings where births and deaths are not recorded with regularity, the measurement of child mortality is still a key challenge. …


Seven years ago today, Possible began its operations at Bayalpata Hospital through a public-private partnership with the government of Nepal. For two years before that, we’d been running a health clinic that served a population of about 300,000 people — with the district’s first and only doctor.

Since then, we’ve seen exponential growth in patient care.

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The decision to bring free, quality healthcare to one of the most rural parts of Nepal was spurred by an obligation towards justice in health and the dignity of life. Here, Possible’s COO Dr. …

About

Possible

Making quality healthcare possible for all.

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