The Path to Healthcare for All
Our Community Healthcare team allows us to bring care closer to the home, especially for patients who are a five day’s walk from our hospital.
“Mother, child, pregnant, or sick, our job is to help them.”
Our hospital acts as an “innovation” hub, but our durable healthcare model strengthened by primary healthcare centers and community health workers. Our CHW’s live and work in the surrounding villages providing primary care and managing follow-up healthcare— acting as a critical liaison between communities, government-operated health posts, and hospitals.
See the path yourself. In the video, our patient Taruna has had a high fever for three days. After close care from our community health worker Debu Devi Suna, she takes Taruna and her family to our hospital—a three hour walk over mountainous terrain.
When a Hospital Isn’t Enough
Why mothers need more than a hospital to bring their babies safely into the world.
“It wasn’t like this when I was born – I was born at home. But there are many difficulties with home births.”
+ Rupa, a new mother
In rural Nepal, pregnancy is referred to as a “gamble with death.”
There was a pregnant woman named Rupa who nearly lost that gamble. She, like so many other women, wanted to give birth in a safe healthcare facility near her home. She herself was born in her home, and her mother warned her of the dangers of home births.
Because of that, when she went into labor, she immediately journeyed to the nearest clinic. Yet, there was only one midwife there, and part way through her delivery, the nurse realized she didn’t feel comfortable proceeding alone because she suspected a complication with the delivery.
Because of that, Rupa called for an ambulance, and Possible’s ambulance driver came to pick up Rupa and bring her to the hospital. This 3-minute video shows what happened next.
Rupa’s story has a happy ending. And for many mothers who are fortunate enough be close to a hospital, that is the case. At Possible’s hospital hub in rural Nepal, the number of births taking place within the facility has grown 197% from 2010 to 2013.
But a hospital isn’t enough. What pregnant women really need, in a region with one of the highest maternal mortality rates in the world, is access to safe birthing centers closer to their homes and support throughout their pregnancies.
That’s why we are pioneering a new approach to put safe births at the center of our integrated healthcare model.
It’s also why the percentage of women delivering in health facilities is one of our six Key Performance Indicators.
We solve for the problems of pregnant mothers like Rupa by having female community health workers provide training and referral support in villages, working with local community governments to transform clinics into safe birthing centers, and linking clinics to a central hospital with ambulances for emergency deliveries.
This model is supported financially through a partnership with the Nepali government’s Safe Motherhood Program, where both pregnant mothers and Possible receive payments for attending prenatal care visits and delivering in a health facility.
It’s a model of safe births that works fully for pregnant women, not partially.
Meet Our Medical Director, Dr. Binod Dangal
Dr. Binod joined our team in 2015 shortly after we expanded our work in Dolakha District when the earthquakes struck Nepal. Hear his inspiring story.
Dr. Binod’s journey is a unique one. At a young age, a British teacher volunteering in his rural village recognized his potential, and sent him to study in Kathmandu. He quickly immersed himself into city life, living with classmates who “didn’t like when someone studied more than they should.”
Having never spoken English until moving to Kathmandu, Binod barely passed his first exams. But he pushed forward with grit, and graduated high school with impressive scores, especially in science. He went to China to complete his Bachelors in Medicine, where he finished top of his class.
He conducted his higher-level MD studies in Nepal, and then moved to Dolakha, a three hour jeep ride on bumpy roads from the rural village where he grew up. He jokes that by now he’s probably treated every person here. When he visits his home, patients approach him with their back problems, headaches, and fevers, and he draws out the stethoscope from his coat pocket without hesitation.
When the earthquake struck Nepal, many rural villages in and surrounding Dolakha District were destroyed. His own home turned to rubble, and many of his family members and neighbors passed away. After spending countless, extended shifts to respond to the immediate needs of earthquake victims, he joined our team.
After his journey to Kathmandu and abroad, Dr. Binod now leads Possible’s medical strategy in one of the worst-hit districts in Nepal, while also coming back close to home to deliver dignified care.
Meet Our Director of Medical Education, Dr. Bikash
Meet Dr. Bikash, our Direct of Medical Education who has keen insight and an inspiring vision for how to strengthen our durable healthcare model.
“We keep adding additional services, like digital x-rays, dental work, and an electronic medical record. We keep improving. We are never the same. ”
You probably recognize this man above, who’s been involved with our team since 2010.
Dr. Bikash first heard about our work in 2008 while he was in medical school. Now he’s our Director of Medical Education— and has keen insight and an inspiring vision for how we will take our teaching hospital to remarkable heights for our patients.
Bikash rejoined our team in 2014 as Medical Director at Bayalpata Hospital after receiving his doctorate in General Practice and Emergency Medicine so he could advance his skillset and treat more complex cases at our hospital. We recently asked him how it felt to be back with the team and to hear more about the expansion.
So, how does it feel to be back?
It’s such a great feeling to be back at Possible! This is a place where I get so much job satisfaction. I love to be with each and every team member who is eager and enthusiastic to provide better and better services for our patients.
We used to be a very small team when I first joined in 2010. Now, we have a huge number of members (nearing 300) who all share the same dedication. We keep adding additional services, like digital x-rays, dental work, and an electronic medical record. We keep improving. We are never the same.
What is a typical day like for you?
My day is always busy. I start by attending the morning update meeting. Right after we conduct Continual Medical Education classes. Then, I do rounds starting from our Emergency to Inpatient Department. Afterwards I see our patients in our Outpatient Department. Often, I perform surgeries, like caesarian sections, hernia repairs, and appendicectomies.
What has been the most challenging moment for you at Possible? What about the most rewarding?
I think it would be the day when we performed an emergency hysterectomy. It was the most challenging moment, but later it became the most rewarding. She was dying on operation table, and we saved her life.
What excites you most about our hospital expansion?
I’m excited about leading our hospital expansion for so many reasons. Right now, we’re a fifteen bed hospital, and have to treat more patients by making beds on the floor and pushing benches together. That’s the challenging reality. But soon, we’ll not only be able to meet our current needs, but also the additional needs we foresee in the future—providing care to over 260,000 people in Achham District. Our unique Community Health team powers that reach too by treating patients at their home and at nearby clinics.
Why are you a Possibilist?
“I’m a Possibilist” because I am providing quality health services beyond the imagination of many healthcare policy makers.
With your support as a Possibilist, we are making quality health services imaginable for both our team members like Dr. Bikash, and the hundreds of patients we serve each day.