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2008
Beginning the Journey
A group of Nepali and American physicians, together with the people of Achham, united to address severe disparities in access to quality healthcare in one of Nepal’s most underserved regions. A primary health center was established in Sanfebagar, Achham, marking the start of a new model for rural healthcare delivery. The organization was formally registered as Nyaya Health Nepal, initiating a mission focused on strengthening care where it is most needed.
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2009
Partnership and Program Implementation
NHN signed its first Memorandum of Understanding (MoU) with the Ministry of Health and Population to manage Bayalpata Health Post, laying the foundation for a long-term government and nonprofit partnership as PPP model.
Later, NHN launched its Community Health Worker (CHW) Program in Sanfebagar Municipality, linking households with Bayalpata Hospital through home-based counseling, maternal and child health follow-up, chronic disease tracking, and referral support. This integrated model, connecting hospital-based services with community outreach was later expanded to five additional municipalities across Achham: Kamalbazar, Mellekh, Chaurpati, Bannigadhi Jayagadh, and Ramaroshan.
As the program grew, it demonstrated significant improvements in maternal and child health outcomes, reduction in care delays, and increased healthcare-seeking behavior. This early initiative also laid the groundwork for NHN’s later contributions to evidence-based community health systems, digital integration with Electronic Health Record system (HER), and Government-aligned public health strategies, responding to the evolving needs of Nepal’s health system and global priorities for primary healthcare strengthening.
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2015
Nepal’s First Integrated Electronic Health Record System Implemented
NHN introduced Nepal’s first fully integrated Electronic Health Record system at Bayalpata Hospital, establishing a foundation of its integrated care model. This innovation transformed clinical workflows, improved data accuracy, and strengthened continuity of care, setting a national model for digital health in rural settings.
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2016
Pashupati Chaulagain Hopsptial, Charikot Hospital Management and Community Health Program Expansion in Dolakha.
Following the 2015 earthquake, Nyaya Health Nepal partnered with the Ministry of Health and Population to manage Pashupati Chaulagain Hospital in Charikot, Dolakha. NHN integrated the facility into its digital health ecosystem and strengthened it with a community-based health program, enhanced service quality and rebuild reliable healthcare for the affected population.
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2017
Expanding EHR System
NHN expanded its digital health innovations by implementing the Electronic Health Record (EHR) system at Trishuli Hospital in Nuwakot, extending the reach of integrated, data-driven healthcare to more underserved communities.
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2018
Launch of Achham’s First Integrated Municipal Healthcare Model in Achham
NHN signed MoU to manage Chaurmandu Primary Health Center, implementing a fully integrated municipal healthcare model. The initiative combined NHN’s Electronic Health Record system with the community health program, creating a continuous link between facility-based care and community outreach to improve health outcomes across the municipality.
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2018
Empowering Rural Health Workers in Trauma Care
NHN managed Bayalpata Hospital in Achham hosted Nepal’s first rural orthopedic trauma care workshop in collaboration with the Nepal Orthopedic Association and SIGN Fracture Care International. The workshop trained 40 frontline health workers in essential trauma management, strengthening emergency care capacity in rural Nepal.
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2019-2022
Responding Nepal’s COVID-19 Response
During the COVID-19 pandemic, Bayalpata Hospital provided care to over 500 suspected cases, including 118 admissions and 7 referrals. With funding support from multiple national and international donors, NHN trained health workers, developed patient care protocols based on national and international guidelines, and utilized real-time digital reporting for effective case tracking. The COVID-19 Response Team managed 20 high-dependency and 15 isolation beds, while community health workers provided home-based counseling and support, ensuring continued care for patients in the community.
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2020
Building Sustainable Healthcare Through Government Handover
After Pashupati Chaulagain Hospital was upgraded to 50-bed facility, NHN successfully transitioned its management including the Electronic Health Record system to Bhimeshwor Municipality, while the community health program was transferred to Dhulikhel Hospital, Kathmandu University, ensuring sustainable, locally led healthcare services.
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2021
Advancing Digital Health Solutions in Karnali Province and Beyond
In partnership with the Ministry of Social Development of Karnali Province, Nyaya Health Nepal led the implementation of its Electronic Health Record (EHR) system across eight district hospitals: Mugu, Humla, Kalikot, Dailekh, Dolpa, Rukum West, Salyan, and Mehelkuna Hospital in Surkhet. Building on this success through support from USAID and Abt Associates. NHN further expanded the EHR system to Anboo Khaireni Hospital in 2022 and Wongchu Sherpa Memorial Hospital in 2023, strengthening digital health integration and enabling data-driven healthcare delivery across rural Nepal.
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2023-2024
Post disaster response - Karnali Earthquake 2023 and Flood in Roshi, Kavre 2024
- 2nd Rural Orthopedics and Trauma Care Conference: From May 9–11, 2024, NHN hosted the 2nd Rural Orthopedics and Trauma Care Conference at Bayalpata Hospital. In collaboration with Brown University, the Nepal Orthopedic Association, SIGN Fracture Care, Nepal Med, and the Sudurpaschim Province Branch, the conference provided a platform for national and international experts to share knowledge and advance orthopedic and trauma care in rural Nepal.
- Post-Disaster Response in Karnali and Kavre: In 2023-24 Nyaya Health Nepal responded rapidly to natural disasters with support from Myriad Australia and ANMF Nepal. Following November 2023 earthquake in Karnali, NHN organized a three-day orthopedic and medical camp at Jajarkot Hospital, serving 486 patients and performing 18 surgeries, supplied essential medicines to Jajarkot and Rukum Paschim hospitals, and conducted Basic Life Support training for first responders in Rukum Paschim. In September 2024, after floods in Roshi, Kavre, NHN trained Female Community Health Volunteers in mental health counseling to provide critical support to affected communities.
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2025
Achham Program – Handover of Bayalpata Hospital to Sudurpaschhim Provincial Government
After nearly two decades of partnership and health system transformation in Achham, Nyaya Health Nepal formally handed over the management of Bayalpata Hospital and Chaurpati Primary Health Center to the Sudurpashchim Ministry of Social Development effective from 17 August, 2025 marking a milestone in sustainable, locally led healthcare.
Focusing on the underserved populations of Achham and Dolakha, Nyaya Health Nepal has transformed healthcare delivery by providing high-quality, free services in a low- and middle-income country context. Through strong collaboration with federal, provincial, and local governments, NHN has significantly strengthened integrated healthcare services, contributing to the development of a resilient and sustainable healthcare infrastructure for Nepal’s most vulnerable communities.
