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Make a Difference Today Donate to Possible
Make a Difference Today Donate to Possible

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Possible provides high-quality, affordable healthcare in rural Nepal. In a country devastated by civil war and natural disasters, Possible is helping to rebuild healthcare infrastructure, in partnership with the government, through a model that combines the best of private, public, and philanthropic models.

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.

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Establishing patient-centric care at the facility-level

40 Dry Duffel Bag Kayak Litre Karana Ocean Travel Waterproof Blue Pack Day 40L Over 500,000 patients have been treated at the two Possible-managed hospitals, with capacity to treat over 150,000 patients annually.

Expanding the Community Healthcare Worker network to make care more efficient, cost-effective and accessible

Over 81,000 patients have been enrolled in Possible’s integrated health and longitudinal care model, including follow-up and referral services by CHWs. Possible has seen an increased institutional birth rate—an indicator of maternal mortality—in the 14 village clusters where it works, from 30% in 2012 to 95% in 2017.

Enabling cost-effective, quality rural healthcare delivery through systems building

Nepal’s Ministry of Health approved replication of a professionalized community healthworker program nationally. Bayalpata Hospital in Accham was certified as the only privately managed hospital for the national health insurance program, one of 10 pilot districts for rollout of the insurance scheme. Possible’s electronic health record has been adopted by three-fourths of government and Possible facility staff, indicating its ease and utility in low resource settings.

Possible provides free patient care at a donor price point of $36.01, including all overhead and operational costs. All costs for their U.S. operations are funded separately through special donors, so 100% of general donations go directly to Nepal.

High Impact

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Possible’s accountability and sustainability

Possible produces quarterly and annual impact reports that include data on clinical outcomes, community health and finances.

Possible’s healthcare system is financed by private foundations, the Nepal government, and individual donations. The organization overwhelmingly employs and trains local health care providers and staff. Within Nepal, the staff is 98 percent Nepali. Possible’s electronic medical record system further enhances the effectiveness, accountability and sustainability of their work.

Possible uses four key performance indicators (KPIs) to measure impact: Chronic Disease Control Rate, Contraceptive Prevalence Rate; Institutional Birth Rate, and Surgical Complication Rate.

As Vermont’s past Governor Howard Dean puts it, “It is a model with all the right pieces—it reaches the poorest, government resources are leveraged, and data and transparency are used to prove that results demand more investment.”

Frequently Asked Questions

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."

What will your impact be?

Find out using our Impact Calculator.

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