The Problem Broken healthcare. Traditional models of healthcare often ignore the world’s neediest people, who do not have the financial resources to afford private health care services, or can be driven into poverty by using their few dollars to pay for care. In Nepal, nearly 12 million are without care, impacting livelihoods and the country’s GDP. Possible began operations in rural Nepal because public healthcare infrastructure, compounded by the 2015 earthquake, was ill-equipped to address the need, including preventable deaths. Possible works in Achham, one of Nepal’s least developed districts and an epicenter of both the HIV epidemic and the Maoist civil conflict; and in Dolakha, a remote district whose infrastructure was ravaged by the 2015 earthquake.
The Solution Possible piloted integrated healthcare, combining public and private models. Patients are at the center of its design, which operates across all points of care from home to hospital. Their model relies on these key components: 1) integrated solutions across the spectrum of delivery 2) digitization, e.g. Electronic Health Records including diagnosis and treatment 3) task-sharing, away from strictly physician-delivered care to key use of community health workers (CHWs) 4) public-private partnerships that close the financing gap in rural healthcare and mitigate the weaknesses of strictly government-provided care
How Possible is different from other charities Possible is committed to data as a driver to build, monitor and adapt services in order to have the deepest impact against morbidity and mortality. They suport direct delivery from hospital to home in rural Nepal. Possible pursues systems change, and engagement of the Nepal government as a partner. In October 2017, the National Insurance Act passed in Nepal, in part due to Possible’s advocacy for universal healthcare. Possible is committed to a diverse financing model of both government and philanthropic support that sustains its core work and presents a path to scale.
What types of programs does Possible run? Possible delivers health care at Bayalpata Hospital, through networks of community-based clinics, and via community health workers. For patients requiring complex care outside this unit, they crowdfund the care cost, then refer these individuals to urban partner hospitals.
What portion of donations actually goes to Nepal? Possible’s US-operations are funded by special donors, so 100 percent of general donations go directly to programs and clinics in Nepal. Why does The Life You Can Save recommend Possible? Possible has been one of our recommended charities since before our current charity selection process was adopted in November 2016. We recommend Possible because their work earned a “Standout” charity rating from GiveWell in 2011 (at the time, Possible was called Nyaya Health).
Would my donation be tax-deductible? Yes, in the United States where it has 501(c)(3) status. The donation receipt may say "Nyaya Health, doing business as Possible."
