To build a high-quality, low-cost healthcare system in remote districts in Nepal that integrates government hospitals, clinics, and community health workers.
Achham and Dolakha, two rural districts of Nepal, lack high-quality affordable health services. A significant portion of both districts’ populations lack access to any healthcare.
Possible manages government health infrastructure in the districts, implementing a hub and spoke model that provides integrated hospital, clinic, and community healthcare.
Possible works in two rural districts in Nepal
69,505 patients visits (2015)
Founded in 2006.
Possible delivered high-quality health care services to 296,485 patients since 2008, improving health outcomes, for example through safe birth, and improving health equity. Possible reaches patients at a marginal cost of $36.01 per patient (FY 2016 Q1).
Possible improves health outcomes among people who otherwise lack high quality care, and improves health care access and health outcomes for the marginalized.
This conclusion based on the quality of, and evidence-base behind, Possible’s health care, and the lack of alternative high-quality health care in the area.
Outcomes and cost
The evidence for Possible’s impact can substantiated Possible’s impact through the following logic: (A) Possible delivers health care services at high quality given the context, (B) many of those services have been shown, through a broad base of rigorous counterfactual evidence, to reduce patient morbidity and mortality when delivered at similar quality, and (C) others would not have provided similar care if Possible did not exist. Based on review of internal and external data, protocols, and other sources, all three steps in the logic chain are strongly supported, substantiating Possible’s impact.
Possible delivered high-quality health care services to 296,485 patients since 2008 and is a learning organization and a transparent organization.
This conclusion from Possible’s internal monitoring data, monitoring systems, and quality assurance protocols, which are credible and strong.
Activities and outputs: Quantity
The evidence for quantity is based on internal processed data.
- Since 2008: 296,485 patients
- FY 2015: 69,505 patients
- FY 2015: 5,528 surgeries
- FY 2015: 597 babies delivered
Activities and outputs: Quality
The evidence for quality is based on internal protocols and program/ monitoring documents.
- Internal monitoring staff: Yes
- Routine staff training: Yes
- Management control: Yes
- Strong partner supervision: Yes
- Responsive to data: Yes
- Quality improvement: Yes
This is based on the current quasi-randomized step-wedge study, and interviews with senior management.
This is based on the breadth and depth of Possible’s published reports, activity data, and organization data.