The Rajpur Model

an effort to ensure dignified health care for all

Karma Health is a non-profit institution that is committed to building systems to save lives.

Currently, we are building a prototype of the public-sector primary health system in rural Nepal that we believe can be a model for dignified health care for all.

Karma Health’s Model

The basic structure of the health system is a unique community- driven integrated system comprising comprehensive clinical care and proactive community-based care.

Besides adequate quality health care from facilities, an additional level of services will be provided by effective outreach clinics and a cadre of Community Health Workers who will coordinate care at people’s homes.

Illustrated model of Karma’s Municipal Health System Model comprising of major municipal health facility and community health setup integrated by a responsive Health Information System.

How will we build such a healthcare model?

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We use a unique community-driven development approach to ensure alignment to the real needs of the community.

We will build the model incrementally by implementing one component at a time and stacking them over time. In the first phase, we are starting with the strengthening of clinical care and community-based outreach on selected non-communicable diseases and maternal-child health at Rajpur Rural Municipality in South-Western Nepal.

The local government provides necessary infrastructure support and in addition covers some of the total budget of Karma Health’s Healthcare Model.

What next?

If we see promising evidence, we will advocate for the useful components of the interventions for scale up and replication.

We are determined to transform health care delivery via the government regulated public health system to ensure that it is stable and sustainable.