Mission: 

Possible believes in proving it's possible to deliver high-quality, low-cost healthcare to the world's poor.


Possible provides free and cost-effective health services to Nepal’s rural poor in partnership with government medical programmes and has been able to scale its services. In doing so, Possible is helping to rebuild health care infrastructure in a country devastated by civil war and natural disasters. Under its durable health care model, Possible is compensated by the Nepali government based


Founded: 2005

www.possiblehealth.org

Impact Area: Healthcare

Where?

Asia: Nepal


Action 

Possible delivers high-quality, low-cost healthcare to the world's poor. 

Integrated health care system

Possible integrates Nepal's government hospitals, clinics, and community health workers in its health care model. Its approach is: 

Comprehensive: health care is delivered in a system from hospital to home

Disease-Driven: healthcare investments are proportionally targeted at the biggest drivers of morbidity and mortality.

Adaptive: the healthcare system can evolve to meet new needs and unanticipated calamities, from earthquakes to epidemics.

Impact

Possible aims to spend under $25 per person and improve four key health outcomes for an entire population. It optimizes its health care system around quality and cost. 

Possible uses the following performance indicators to measure quality of care for individuals and for the community as a whole. 

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(i) Surgical complications

% of complications reported prior to discharge after surgical services are provided at Possible's healthcare facilities

 

(ii) Chronic Disease Control

% of total chronic disease patients under Possible's care who have their disease under control

 

(iii) Institutional Birth

% of women giving birth in a healthcare facility with a trained clinician

 

(iv) Contraceptive Prevalence

% of reproductive-aged women who delivered in the past two years using modern contraceptive methods

 

Durable healthcare model

Possible's unique model of durable healthcare aims to assist the poorest patients. It’s a public-private partnership that enables a nonprofit healthcare company to be paid by the government to deliver healthcare within the government’s infrastructure. 

The Nepali government finances and provides infrastructure. Possible brings management acumen and only get paid if they deliver outcomes. As a nonprofit healthcare company, Possible only needs to achieve cost recovery, not profitability. 

It brings together the quality of the private sector, access of the public sector, and innovation enabled by philanthropy. 


Why recommended? 

Possible is recommended by The Life You Can Save. 

Scalability of health care services

Possible can scale its services because it operates in partnership with sectors of Nepal’s existing public health care system. Under its durable health care model, Possible is compensated by the Nepali government on a results-basis. As a not-for-profit organisation, Possible then reinvests this money into health care programmes that improve the lives of some of the country’s poorest people. This performance-based system has led to a 14-fold increase in government funding while guarding against the failures of traditional health care financing models.

Wide-reaching impact

Since it started delivering health care in 2008, Possible has treated over 131,000 patients, attracted over $1m in cash and in-kind investment from Nepal's government through public-private partnerships, and employed 260 local Nepali staff. In 2015 alone, the organisation treated 69,505 patients – up from 56,000 in 2014. Possible also established six new primary clinics, added 164 community health care workers, crowdfunded 188 referral patients, and agreed on a new $1m five-year matching agreement with the Nepali government. After the April 2015 earthquake, Possible expanded to include another district to provide quality care to victims and their families.

Pioneering healthcare approach

Possible provides medical services to Nepal’s rural poor by combining public and private health care models. Further, Possible has launched the first electronic medical record-keeping system of its kind in Nepal, complete with integration of government reporting systems.

Cost-effective & high-quality healthcare

In 2014, Possible treated over 56,000 patients at an average cost of only $36, well below their already-low target of maximum $50 per patient. Possible works to maximize six key performance indicators, including surgery availability, chronic disease case follow-up, contraceptive use and safe births. These practical metrics were chosen to reflect overall improvements in the community.

Possible’s small US operations office is funded by special donors, so 100% of general donations go directly to programmes and clinics in Nepal.