Possible Health

Possible Health (also known as Possible,[1] and legally registered as Nyaya Health) is a nonprofit that improves healthcare for underserved communities. Nyaya Health Nepal has operations in Achham, a district in the Far Western region of Nepal[2] and Dolakha, an earthquake-affected area in the eastern part. Since 2008, Nyaya Health Nepal has treated over 800,000 patients in rural Nepal[3] through an integrated healthcare system of government hospitals, primary health centers, and community health worker networks.[4]


Clinical and community health staff gather outside the Outpatient Department of Bayalpata Hospital for a meeting.

Nyaya Health

Nyaya Health was founded in 2005,[5][6][7][8][9] 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.[10]

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.[11][12] The design challenge was for a telemedicine center, and was won by Max Fordham LLP of London, UK.[13] However, the telemedicine center was never built due to lack of funding. On April 6, 2008, the Sanfe Bagar Medical Clinic was opened. Initial programs focused on maternal health, child malnutrition, and HIV and tuberculosis treatment.[8] Soon after the opening of the Sanfe Bagar Medical Clinic, the community requested that Nyaya Health take over administration of the nearby Bayalpata Hospital.[14] 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 June 21, 2009.[15][16]

In August 2009, the first ultrasound machine in Achham was installed at Bayalpata Hospital.[17][18] In September 2009, Nyaya Health instituted a new Mortality Review Program.[19] Each death occurring at the Bayalpata hospital is reviewed by both the Nepali and international teams for systems-level changes to prevent future deaths.[20] The de-identified reports are then published for review by the Web community.[21]

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.[22]

In November 2011, US-based charity evaluator GiveWell listed Nyaya Health as a top charity.[23] In the same month, GiveWell published a detailed review of Nyaya Health.[24] In August 2012, Good Ventures announced a $50,000 (USD) donation to Nyaya Health because of GiveWell's recommendation.[25]

In 2013, Possible won Sappi's Ideas That Matter design competition,[26] which enabled the organization to launch its Crowdfund Health campaign on 2 December 2013.[26][27]


On 18 March 2014, the U.S. based nonprofit changed its name from Nyaya Health to Possible.[28] In December 2014, Duncan Maru was awarded an Early Independence Award from the National Institutes of Health (NIH).[29] 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.[30]

In February 2015, the team implemented Nepal's first integrated Electronic Health Record (EHR) system.[31] In 2015, Possible's CEO Mark Arnoldy and Co-Founder Maru were named Schwab Foundation Social Entrepreneurs of the year.[citation needed]

In 2020, Gita Pillai became CEO of Possible replacing Maru, who had served as interim CEO since 2018.[32]

Organizational structure

Possible is organized as a global partnership between the U.S. based 501c3 and the Nepal-based NGO (Nyaya Health Nepal). Nyaya Health Nepal implements health care in partnership with the Nepali Ministry of Health and Population. The 501c3 provides technical expertise, design and fundraising for the Nepal NGO.[33]


  1. ^ "Possible - FAQ". Retrieved 23 April 2014.
  2. ^ Maru, Duncan. "The Most Important Signature of 2013". Retrieved 23 April 2014.
  3. ^ "Possible - "Our Impact"". Retrieved 23 April 2014.
  4. ^ "Possible - "Our Model"". Retrieved 23 April 2014.
  5. ^ Sale, Claire (24 January 2011). "FACT Featured Project Interview: Ryan Schwarz From Nyaya Health". NetSquared.
  6. ^ "Nyaya Health Timeline". Nyaya Health.
  7. ^ "Conversation with Duncan Maru". GiveWell. 17 March 2011.
  8. ^ a b Subrahmanyam, Divya (1 February 2008), "Bringing hope to Nepal", Yale Daily News, archived from the original on 25 September 2012
  9. ^ Bernardo, Mary Lou (26 May 2008), "Nyaya Health: Improving Healthcare in Western Nepal", Angels in Medicine
  10. ^ "Nyaya Health 2007 Annual Report" (PDF). Nyaya Health.
  11. ^ Oppenheim, Leonora (12 October 2007), AMD Open Architecture Asia Challenge: Nyaya Health, Nepal, TreeHugger
  12. ^ Sinclair, Cameron (15 January 2008), Visiting Nyaya Health in Sanfebagar, Nepal, Cameron Sinclair
  13. ^ "AMD Open Architecture Challenge | Asia". Open Architecture Network.
  14. ^ Bhattarai, Sewa. "This is how to upgrade Nepal's rural health". Retrieved 13 February 2020.
  15. ^ Schwarz, Dan (4 March 2010), "Developing a health system: The case of Nyaya Health in rural Nepal", Health and Human Rights
  16. ^ Tewari, Kanupriya (2 August 2010), PIH-supported project in Nepal celebrates hospital's first anniversary, Partners in Health
  17. ^ Maru, Duncan; Schwarz, Ryan; Andrews, Jason; Basu, Sanjay; Sharma, Aditya; Moore, Christopher (14 October 2010), "Turning a blind eye: the mobilization of radiology services in resource-poor regions", Globalization and Health, 6: 18, doi:10.1186/1744-8603-6-18, PMC 2964530, PMID 20946643
  18. ^ Mathema, Paavan (19 November 2010), "Resurrection Achham", Nepali Times (528)
  19. ^ Kanupriya, Tewari (2 August 2010), PIH-supported project in Nepal celebrates hospital's first anniversary, Partners in Health
  20. ^ Maru, Duncan (29 October 2009), Nyaya Health's Mortality Review Program, Nyaya Health
  21. ^ "Mortality Data", Nyaya Health Wiki
  22. ^ Duncan, Maru (10 April 2011), Following up: Update on Nyaya Health's Community Health Worker Program, Nyaya Health
  23. ^ "Top Rated Charities". GiveWell.
  24. ^ "Nyaya Health (GiveWell review)". GiveWell. 28 November 2011.
  25. ^ "Grants to "standout" charities". Good Ventures. 6 August 2012.
  26. ^ a b "Sappi Fine Paper Announces Grant Recipients for the 14th Annual Ideas that Matter Program". Retrieved 23 April 2014.
  27. ^ "Crowd-sourcing Nepal's rural healthcare". IRIN. 20 December 2013. Retrieved 23 April 2014.
  28. ^ Lucci-Canapari, Jeanna. "Possible, founded by Yale students, helps Nepal rebuild its health care system". Yale School of Medicine. Retrieved 24 January 2020.
  29. ^ "NIH Director's Early Independence Award Program - 2014 Award Recipients | NIH Common Fund". commonfund.nih.gov. Retrieved 13 February 2020.
  30. ^ "NIH Director's Early Independence Award Program - 2014 Award Recipients | NIH Common Fund". commonfund.nih.gov. Retrieved 9 March 2020.
  31. ^ "Digitizing Healthcare In Rural Nepal". Medium Corporation.
  32. ^ "DR. GITA PILLAI NAMED NEW CEO OF POSSIBLE". Possible. 13 January 2020. Retrieved 9 March 2020.
  33. ^ Thapa, Saurav J. (18 March 2011), "Diaspora - How young Nepalis abroad are serving their country", MyRepublica