Possible is an innovative healthcare delivery organization in Nepal that partners directly with local governments to identify challenges to integrated primary healthcare systems, design and implement solutions to address gaps, and evaluate and iterate on solutions for quality and efficiency in the country’s new municipal health system environment. Over the last five years, Possible has developed NepalEHR (nepalehr.org) as a leading public sector, home-to-facility health information system. Together with Digital Square’s support, we have integrated this electronic health record (EHR)—built on the OpenMRS platform—with OpenIMIS. The goal of this project is to adapt, test, and evaluate the potential for NepalEHR to increase financial protection at scale in a newly decentralized health system. Given our more than a decade-long experience in implementing and testing innovative digital and service delivery solutions in Nepal, we are well positioned to leverage this opportunity for broader health systems strengthening and impact.
Possible’s inter-disciplinary team focuses on real-world evaluation and implementation research that utilizes qualitative and quantitative data to produce meaningful insights about how and why programs work, don’t work, and are potentially scalable within the constraints of government resources and systems. Below we describe the key personnel involved in the evaluation:
Sabitri Sapkota, MPH, PHD is Director of Implementation Research and Site-PI, and brings over twenty years of experience in healthcare systems research and evaluation. She oversees the evaluation of the NepalEHR platform and is responsible for coordination with government and other stakeholders to map our advocacy efforts to national needs for designing integrated digital systems.
Aradhana Thapa, MPH is Director of Healthcare Design, and leads strategy and design of the organization’s municipal healthcare delivery product, including Possible’s networks of CHWs.
Sarita Sharma, MPH is Monitoring & Evaluation Manager, and oversees the design, integrity, and execution of Possible’s approach to monitoring and evaluation, including high quality data feedback loops for continuous programmatic improvement and research alike.
Rekha Khatri, MSW is Qualitative Research Analyst, and oversees the application of rigorous qualitative methods in understanding understanding the context and mechanisms of impact surrounding our work.
As a systems strengthening organization, Possible operates in a rich ecosystem of partners and stakeholders, including partnering directly with the municipal, state, and national governments. Possible has also partnered with the German Development Cooperation (GIZ) to roll out NepalEHR in a district hospital in Nuwakot, and to iterate on and evaluate the NepalEHR <> IMIS integration module. Our team is also in regular contact with the broader OpenMRS community, the Bahmni coalition, and AeHIN for updates and learning from other countries. We recognize the inherent value in collaborating with others to tackle pressing healthcare systems design issues, and are keenly aware of the need to collaborate broadly with other organizations and stakeholder within and outside of Nepal on this project.