Possible, a US-based non-profit, and Nyaya Health Nepal, a Nepal-based NGO, have partnered over the last decade to provide quality, accessible care to underserved communities in Nepal.

Currently, we work in two districts in Nepal: Achham in the Far-West and Dolakha, which was devastated by the 2015 earthquakes.

Our more than 350 staff provide integrated care from home to hospital to over 200,000 community members, provide over 150,000 hospital visits, and conduct over 8,000 surgical procedures annually.

Our approach to integrated healthcare includes three key components:

(1) improving quality of care at government-owned facilities; These facilities serve as our teaching and innovation centers.

(2) home-based, longitudinal care delivered by professionalized community health workers; and

(3) an integrated electronic health record to optimize care between the facility and the home.

We use our data, research, and experience as a healthcare provider to inform local, national, and global healthcare policy and practice.

The goals of this model are to improve health outcomes for an entire population.


Integrated healthcare puts patients at the center of its design.

Over the past 10 years, we have learned that even the most innovative pubic hospitals, alone, don’t work for patients in remote areas, because transportation cost to a hospital is an added burden that prevents adequate and timely preventive care and follow-up.

And Community Healthcare models, alone, don’t work, because Community Health Workers do not have the training or equipment to diagnose or treat acute conditions.

An integrated healthcare delivery system puts the patients’ well-being first, without incentivizing profit. It recognizes that improving health outcomes for a community cannot happen as isolated patient visits–but must happen through a commitment to data collection, analysis, learning, innovation, and coordination at every level of the care delivery, both in facilities and in the field.

Our model leverages the scale, infrastructure, and accountability of the government healthcare system. And it accesses philanthropic resources towards innovation and global health best practices.

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