{{Short description|US-based nonprofit organization}} {{Use dmy dates|date=January 2022}} {{Cleanup|date=January 2020|reason=This article includes unreliable sources and needs restructuring}} {{Infobox organization | name = Possible | formation = 2005 | image = Possible main.jpg | type = Healthcare Research and Innovation Non Governmental Organization | registration_id = | founder = {{ubl|Bibhav Acharya|Bijay Acharya|Jason Andrews|Sanjay Basu|Duncan Maru}} | coordinates = <!-- {{Coord|LAT|LON|display=inline,title}} --> | origins = | region_served = Nepal | product = | focus = | method = | revenue = | endowment = | owner = | former_name = Nyaya Health, A Nonprofit Corporation | dissolved = | website = {{URL|https://possiblehealth.org/}} | footnotes = | status = 501(c)(3) }} '''Possible''' (also known as '''Possible Health''',<ref>{{cite web|title=Possible - FAQ|url=http://possiblehealth.org/who-we-are/faq/|access-date=23 April 2014}}</ref> and legally registered as '''Nyaya Health''', '''A Nonprofit Corporation''') is a nonprofit that works to provide access to healthcare. Possible roots its work in places like Achham, a remote district in the Far Western Province and Dolakha in Bagmati Province in Nepal.
==History== [[File:Mass-Community Health Teaching.JPG|thumb|Clinical and community health staff gather outside the Outpatient Department of Bayalpata Hospital for a meeting.]]
=== Nyaya Health === Nyaya Health was founded in 2005,<ref> {{Cite web|url=http://www.netsquared.org/blog/claire-sale/fact-featured-project-interview-ryan-sch|title=FACT Featured Project Interview: Ryan Schwarz From Nyaya Health|last=Sale|first=Claire|date=24 January 2011|publisher=NetSquared}}</ref><ref>{{cite web|url=http://wiki.nyayahealth.org/w/page/4682784/Timeline|title=Nyaya Health Timeline|publisher=Nyaya Health}}</ref><ref> {{Cite web | title = Conversation with Duncan Maru | date = 17 March 2011 | publisher = [[GiveWell]] | url = http://www.givewell.org/files/DWDA%202009/Nyaya/Conversation%20with%20Duncan%20Maru%202011%2003%2017.doc }}</ref><ref name="bringing-hope-to-nepal"> {{Citation|last=Subrahmanyam|first=Divya|title=Bringing hope to Nepal|date=1 February 2008|url=http://www.yaledailynews.com/news/2008/feb/01/bringing-hope-to-nepal/|newspaper=[[Yale Daily News]]|archive-url=https://web.archive.org/web/20120925010054/https://yaledailynews.com/news/2008/feb/01/bringing-hope-to-nepal/|archive-date=25 September 2012}}</ref><ref> {{Citation|last=Bernardo|first=Mary Lou|title=Nyaya Health: Improving Healthcare in Western Nepal|date=26 May 2008|url=http://www.medangel.org/nyaya/nyaya014.shtml|newspaper=Angels in Medicine}}</ref> and spent the following year doing epidemiological studies, negotiating with the Nepali local and central governments, establishing supply chains, and raising funds. A former grain shed in Sanfe Bagar, Achham District, was selected as the site for Nyaya Health's first clinic, The Sanfe Bagar Medical Clinic.<ref> {{Cite web|url=http://www.nyayahealth.org/Library/2007_Annual_Report.pdf|title=Nyaya Health 2007 Annual Report|publisher=Nyaya Health}}</ref>
In 2007, Nyaya Health was selected as one of three organizations around the world to be beneficiaries of an international design contest sponsored by [[Open Architecture Network]] and [[AMD]].<ref> {{Citation | last = Oppenheim | first = Leonora | title = AMD Open Architecture Asia Challenge: Nyaya Health, Nepal | url = http://www.treehugger.com/files/2007/10/amd-nyaya-health.php | publisher = [[TreeHugger]] | date = 12 October 2007 }}</ref><ref> {{Citation | last = Sinclair | first = Cameron | author-link = Cameron Sinclair | title = Visiting Nyaya Health in Sanfebagar, Nepal | url = http://www.cameronsinclair.com/index.php?q=node/7 | publisher = [[Cameron Sinclair]] | date = 15 January 2008 }}</ref> The design challenge was for a [[Telehealth|telemedicine]] center, and was won by Max Fordham LLP of London, UK.<ref> {{Cite web | title = AMD Open Architecture Challenge <nowiki>|</nowiki> Asia | date = 15 April 2024 | url = http://openarchitecturenetwork.org/competitions/challenge/2007/asia | publisher = [[Open Architecture Network]] }}</ref> However, the telemedicine center was never built due to lack of funding. On 6 April 2008, the Sanfe Bagar Medical Clinic was opened. Initial programs focused on maternal health, child malnutrition, and HIV and tuberculosis treatment.<ref name="bringing-hope-to-nepal" /> Soon after the opening of the Sanfe Bagar Medical Clinic, the community requested that Nyaya Health take over administration of the nearby Bayalpata Hospital.<ref>{{Cite web|url=https://www.nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health/|title=This is how to upgrade Nepal's rural health|last=Bhattarai|first=Sewa|date=28 August 2019 |language=en-US|access-date=2020-02-13}}</ref> The hospital was built in 1976, but had never been staffed and had fallen into disrepair. Nyaya Health joined a formal contractual partnership with the Nepal Ministry of Health and Population to jointly renovate and scale up services at the facility over a period of five years. The hospital opened 21 June 2009.<ref> {{Citation|last=Schwarz|first=Dan|title=Developing a health system: The case of Nyaya Health in rural Nepal|date=4 March 2010|url=http://www.hhrjournal.org/index.php/hhr/article/view/327/526|journal=Health and Human Rights}}</ref><ref> {{Citation | last = Tewari | first = Kanupriya | title = PIH-supported project in Nepal celebrates hospital's first anniversary | url = http://www.pih.org/blog/entry/celebrating-bayalpatas-first-birthday/ | publisher = [[Partners in Health]] | date = 2 August 2010 }}</ref>
In August 2009, the first ultrasound machine in Achham was installed at Bayalpata Hospital.<ref> {{Citation|last1=Maru|first1=Duncan|title=Turning a blind eye: the mobilization of radiology services in resource-poor regions|date=14 October 2010|journal=Globalization and Health|volume=6|pages=18|doi=10.1186/1744-8603-6-18|pmc=2964530|pmid=20946643|last2=Schwarz|first2=Ryan|last3=Andrews|first3=Jason|last4=Basu|first4=Sanjay|last5=Sharma|first5=Aditya|last6=Moore|first6=Christopher |doi-access=free }}</ref><ref> {{Citation | last = Mathema | first = Paavan | title = Resurrection Achham | publication = [[Nepali Times]] | url = http://www.nepalitimes.com/issue/2010/11/19/Nation/17650 | issue = 528 | date = 19 November 2010 }}</ref> In September 2009, Nyaya Health instituted a new Mortality Review Program.<ref> {{Citation | last = Kanupriya | first = Tewari | title = PIH-supported project in Nepal celebrates hospital's first anniversary | url = http://www.pih.org/blog/entry/celebrating-bayalpatas-first-birthday/ | publisher = [[Partners in Health]] | date = 2 August 2010 }}</ref> Each death occurring at the Bayalpata hospital is reviewed by both the Nepali and international teams for systems-level changes to prevent future deaths.<ref> {{Citation|last=Maru|first=Duncan|title=Nyaya Health's Mortality Review Program|date=29 October 2009|url=http://blog.nyayahealth.org/2009/10/29/mortalityreview/|publisher=Nyaya Health}}</ref> The de-identified reports are then published for review by the Web community.<ref> {{Citation|title=Mortality Data|url=http://wiki.nyayahealth.org/MortalityData|journal=Nyaya Health Wiki}}</ref>
In 2010, the hospital revamped and expanded its Community Health Worker program by integrating it with the Nepali government's Female Health Care Volunteer program. To do this, an agreement was negotiated whereby Nyaya Health would pay the women volunteers for performing certain tasks, thus raising the status of the women and establishing accountability.<ref> {{Citation|last=Duncan|first=Maru|title=Following up: Update on Nyaya Health's Community Health Worker Program|date=10 April 2011|url=http://blog.nyayahealth.org/2011/04/10/chwfollowup/|publisher=Nyaya Health}}</ref>
In November 2011, US-based charity evaluator [[GiveWell]] listed Nyaya Health as a top charity.<ref name="givewell-toprated"> {{Cite web|title=Top Rated Charities|url=http://www.givewell.org/charities/top-charities|publisher=[[GiveWell]]}}</ref> In the same month, GiveWell published a detailed review of Nyaya Health.<ref>{{cite web|url=http://givewell.org/international/charities/Nyaya-Health|title=Nyaya Health (GiveWell review)|date=2011-11-28|publisher=GiveWell}}</ref> In August 2012, [[Good Ventures]] announced a US$50,000 donation to Nyaya Health because of GiveWell's recommendation.<ref name="good-ventures-aug-2012-grant-announcement">{{cite web|url=http://www.facebook.com/notes/good-ventures/grants-to-standout-charities/479852822043615|title=Grants to "standout" charities|date=2012-08-06|publisher=Good Ventures}}</ref>
In 2013, Possible won [[Sappi]]'s Ideas That Matter design competition,<ref name="na.sappi.com">{{cite web|title=Sappi Fine Paper Announces Grant Recipients for the 14th Annual Ideas that Matter Program|url=http://www.na.sappi.com/aboutus/news/2013-september-05|access-date=23 April 2014}}</ref> which enabled the organization to launch its Crowdfund Health campaign on 2 December 2013.<ref name="na.sappi.com" /><ref>{{cite news|date=20 December 2013|title=Crowd-sourcing Nepal's rural healthcare|newspaper=IRIN|url=http://www.irinnews.org/report/99366/crowd-sourcing-nepal-s-rural-healthcare|access-date=23 April 2014}}</ref>
=== Possible === On 18 March 2014, the U.S. based nonprofit changed its name from Nyaya Health to Possible.<ref>{{Cite web|url=https://medicine.yale.edu/news/yale-medicine-magazine/possible-founded-by-yale-students-helps-nepal-rebuild/|title=Possible, founded by Yale students, helps Nepal rebuild its health care system|last=Lucci-Canapari|first=Jeanna|website=Yale School of Medicine|language=en|access-date=2020-01-24}}</ref> In December 2014, Duncan Maru was awarded an Early Independence Award from the [[National Institutes of Health]] (NIH).<ref>{{Cite web|url=https://commonfund.nih.gov/earlyindependence/awardrecipients14|archive-url=https://web.archive.org/web/20200213141540/https://commonfund.nih.gov/earlyindependence/awardrecipients14|url-status=dead|archive-date=13 February 2020|title=NIH Director's Early Independence Award Program - 2014 Award Recipients {{!}} NIH Common Fund|website=commonfund.nih.gov|date=18 September 2018 |access-date=2020-02-13}}</ref> In 2014, Maru was awarded an Early Independence Award from the National Institutes of Health (NIH) to scientifically assess certain aspects of our rural healthcare delivery model.<ref>{{Cite web|title=NIH Director's Early Independence Award Program - 2014 Award Recipients {{!}} NIH Common Fund|url=https://commonfund.nih.gov/earlyindependence/awardrecipients14|archive-url=https://web.archive.org/web/20200213141540/https://commonfund.nih.gov/earlyindependence/awardrecipients14|url-status=dead|archive-date=13 February 2020|access-date=2020-03-09|website=commonfund.nih.gov|date=18 September 2018 }}</ref>
In February 2015, the team implemented Nepal's first integrated [[Electronic health record|Electronic Health Record]] (EHR) system.<ref>{{cite web|url=https://medium.com/@possible/digitizing-healthcare-in-rural-nepal-8931dda9cb81#.l6j9bty9f|title=Digitizing Healthcare in Rural Nepal|website=Medium Corporation|date=10 March 2015 }}</ref> In 2015, Possible's CEO Mark Arnoldy and co-founder Maru were named Schwab Foundation Social Entrepreneurs of the year.{{citation needed|date=December 2020}}
In 2020, Gita Pillai became CEO of Possible replacing Maru, who had served as interim CEO since 2018.<ref>{{Cite web|date=2020-01-13|title=DR. GITA PILLAI NAMED NEW CEO OF POSSIBLE|url=https://possiblehealth.org/blog/announcing-possibles-next-ceo/|access-date=2020-03-09|website=Possible|language=en}}</ref>
Over the last decade Possible has been working with Nyaya Health Nepal (NHN) in two provinces in Nepal; Achham, a remote district in the Far Western Province and Dolakha in Bagmati Province.<ref>{{Cite web|date=2020-05-28|title=How Possible Supports Healthcare Delivery in Nepal Going Forward|url=https://possiblehealth.org/blog/how-possible-supports-healthcare-delivery-in-nepal-going-forward/|access-date=2021-11-23|website=Possible|language=en}}</ref>
==Organizational structure== Possible is organized as a partnership between the U.S. based [[501(c)(3) organization|501(c)(3)]] and the Nepal-based NGO. They are two entities who operate independently, with a mutually interdependent partnership and a common goal of supporting health innovation in Nepal.
==References== {{Reflist}}
[[Category:Foreign charities operating in Nepal]] [[Category:Health charities in the United States]] [[Category:Charities based in New York City]] [[Category:Medical and health organizations based in New York (state)]]