dialog with data

A Dialog WIth Data: Pediatric ER Visits to Nyaya Health

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Earlier this month, Nyaya Health published a data brief that ranked the most frequent diagnosis in the Pediatric ER. For the third month in a row, Fall/Injury/Other Trauma was listed as the number one diagnosis for patients under 5 in the ER.

These statistics highlight the dire orthopedic need that exists in Achham. The people of Achham regularly navigate dangerous roads, mountainous terrain, and tall trees in the search for fire wood, all of which leaves them vulnerable to falls and broken bones. During Dr. Paul Farmers visit to Bayalpata he recounted a local doctor referring to Achham as the “the ortho capital of the world without the orthopedists.”

Bayalpata Hospital is equipped with an X-Ray machine, which is vital in accurately diagnosing fractures. Most clinics and hospitals in developing countries are not as lucky. According to Nyaya Health’s report published in Globalization and Health, nearly 70% of the X-Rays in developing country settings do not work.

In fact, securing X-Ray services for the people of Achham was a very difficult process of Nyaya Health. Nyaya faced challenges in acquiring the X-Ray machine every step of the way, from procurement and transportation, to maintenance and power supply. The challenges were overcome and for over two years the patients at Bayalpata are able to access radiology services that are essential in their treatment.

If you would like to read more about the X-Ray program , you can take a look at Nyaya Health’s Wiki page on the subject. http://wiki.nyayahealth.org/w/page/4682814/X-ray

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A Dialog with Data

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From January 2012 to June 2012, 54% of the patients seen in Bayalplata Hospital came from village development communities (VDCs) within the Community Health Program’s “catchment area.” The graph below depicts the frequency of ER cases based on VDC. Note that the VDCs in red are ones that are not part of the current catchment area.

Data can tell a story. It can tell you about people’s lives, about your own life. It can tell you about a country, or a community or a business. It can tell you a great deal about how to best serve a population, and about the factors that impact a person’s health. At Globemed at Tufts, we believe that data has the power to make a difference, you just need to step back and take a look.

This post is the first part in a series called “Dialogue with Data” on what the data that Nyaya Health collects is telling us. The series is written by the Globemed at Tufts data team which has the privilege to review some of the data that Nyaya collects in order to find any patterns or trends that might exist. Each week another post will be published that will attempt to tell a story about Nyaya and their patients.

We’ve learned something from looking at this data, we hope you will too.