2019 Annual Report (5)

POSSIBLE HEALTH | possiblehealth.org
Schooner Grants to date: $300,000 (100K per year for 3 years)
SF Funding Recommendation: $200,000 per year for 3 years for Maternal Health and Obstetrics Grant
"The Hospital on the Hill, a Hub of Innovation and Center of Excellence"
ABOUT POSSIBLE Possible mobilizes global best practices to improve healthcare for underserved communities in Nepal.
Currently, Possible works in two districts: Achham in the Far-West and Dolakha, which was devastated by the 2015
earthquakes. In each of these two provinces, Possible operates a government referral hospital and a network of
professionalized community health workers (CHW). With a staff over 380, Possible provides integrated care from home to
hospital to over 200,000 community members, provides over 150,000 hospital visits, and conducts over 8,000 surgical
procedures annually. They leverage their work as integrated care providers to build, design, test, and scale solutions that
improve population health in Nepal and beyond.
We visited Possible Health?s Bayalpata Hospital and participated in Community Health Worker visits to two homes in the
nearby community. Travel conditions to Achham (road and air) were extremely challenging given the hospital?s remote
location. Travel took a day each way with long flight delays due to weather conditions and a 10-hour drive by jeep on the
return to Kathmandu. This gave us an enormous appreciation for the logistics involved in running a state of the art
hospital, and attracting both the leadership and staff willing to relocate to Achham or travel frequently back and forth.
Possible Health has a clear vision and mission that drives their programming, and their work is deeply rooted in the
community it serves. With its comprehensive multi-year strategic plan that supports and operationalizes the mission, the
Possible model is both scalable and replicable, with the goal of being sustainable. The organization has a strong history
with key milestones in its development. It also has strong and strategic global partnerships, ensuring that it stays abreast
of the latest thinking in the field.
PROGRAMS AND USE OF CURRENT SF FUNDS
Possible built Nepal?s first integrated electronic health record, NepalEHR, which is one of the world?s first successful
integrations of OpenMRS (facility-based data capture), DHIS2 (data aggregation and visualization), and CommCare
(home-based data capture). Together, these components allow care providers to deliver timely, integrated, coordinated,
continuous and comprehensive care based on the needs of the population. This care is in areas of pregnancy, child
health, chronic diseases, mental health, and orthopedics. The NepalEHR is unprecedented, and serves as an exemplar
for other programs and countries.
Possible Health?s community health workers cover and regularly surveil a population of 200,000 across eight
municipalities, to whom they provide proactive home-based care and monitoring, referrals to facilities for treatment,
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