2019 Annual Report (5)

doctors and those who assist them to care for women during pregnancy, labor and delivery. HMS uses the latest clinical
standards and evidence coupled with proven learning strategies to build capacity of providers to deliver high quality
services.
? Helping Babies Breathe (HBB) teaches the initial steps of neonatal resuscitation to be accomplished within The
Golden Minute to save lives and give a much better start to many babies who struggle to breathe at birth. HBB neonatal
resuscitation techniques that have been shown to reduce neonatal mortality by up to 47% and fresh stillbirths by 24%.
Training plan for Master trainers: Each Master Trainer certification training will last 7 days and include both HMS and
HBB training modules.
Mentoring program for Rural SBAs: Intend to roll out the combined HMS-HBB training package via a coaching and
mentoring program for rural skilled birth attendants (SBA) in Nepal. Mentorship, particularly in these remote environments,
can reduce the feeling of isolation and provide health providers with support in their personal and professional growth.
Estimated project timeline and expected outcomes: Implemented over the course of 3 years, 3 US-based Master
Trainers (Dr. Audrey Sheridan, Ms. Angela Stevens and Ms. Jennifer Baxter) will provide specialized training to a cohort
Nepali trainees to become Master Trainers themselves. Every year, we will aim to train 8-12 new master trainers (4 per
district). With full funding, our aim is to reach 9 districts over the three years period. For year one, we will target the
districts of Ramechhap, Sankhuwasabha, and Udayapur (districts for year 2 and 3 will be subsequently determined in
collaboration with our Nepali government partners). In the first year, the program will directly benefit the 12 new Master
Trainers, but will also indirectly benefit 33 SBAs from Ramechhap, 48 SBAs from Udayapur, and 46 SBAs from
Sankhuwasabha, not to mention countless pregnant mothers and their families. At full scale, this program can be
extended to each of the 276 SBAs OHW has trained thus far, as well as the SBAs we will continue to train as part of our
scale up to 17 more districts by 2030.
Possible Health | Nepal
Current Grant Commitment: $200 per year for 3 years, 2019-2021, $600,000 total
Total Granted to Date: $500,000 SF Grantee Since: 2015
Annual Budget: $4,086,725 Founding Year: 2005
Leaders: Duncan Maru, MD, PHD (CEO, Co-founder),
Relationship: Vin, Stephanie
Bibhav Acharya, MD, (Co-founder), SP Kalaunee (Executive Director)
Possible Health is a global partnership that improves healthcare for underserved communities. Possible includes Nyaya
Health Nepal (a Nepal-based NGO), a US based non-profit, and technical advisors. They leverage their work as integrated
care providers to build, design, test, and scale solutions that improve population health in Nepal and beyond. Co-Founder
Dr. Duncan Maru is a Hiatt Global Health Equity Residency alum. Stephanie, Julia and Jenny Baxter conducted a site visit
in April 2019 and co-developed this grant focused on women?s health with Possible.
The key components of their integrated care delivery model include: primary care at facilities that cut across conditions,
including chronic disease, mental health, and surgical care; home-based, longitudinal care delivered by paid
professionalized community health workers; and an integrated electronic health record to optimize care between the
facility and home. They use their data, research, and experience as healthcare providers to inform local, national, and
global healthcare policy and practice.
The SF grant for Possible Health provides support in enhancing quality and comprehensive women?s health services at
Bayalpata Hospital in Achham, Nepal, creating a task force at Bayalpata Hospital that is empowered to create greater
representation for women in leadership and decision-making roles, and institutionalizing enhanced quality of care for
women and girls within municipal health systems. In doing so they ensure appropriate physical space and resources to
enable the delivery of efficient as well as dignified care for mothers and newborns during childbirth, and carry out an
evaluation and improvement as needed of care provision and protocols in pain relief and anesthesia in the peripartum
period, addressing postpartum depression, rights based contraceptives counseling and review of maternal and neonatal
deaths. Moreover, the task force will ensure care for women that responds to their needs and preferences in
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