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Improving transparency in heath care through technology
Ryan Schwarz, Director of Operations, Nyaya Health

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Research has shown a significant lack of transparency in the global health field. Such poor transparency leads to two important issues facing global health today: Firstly, it reduces accountability between organizations and their stakeholders; and secondly, it misses critical opportunities for collaboration within the field. A fundamental problem remaining for practitioners is to determine which models most effectively deliver high-quality care in resource-poor settings; unfortunately, there is a dearth of quality data and operations research addressing such questions. Project description: Nyaya Health is a non-profit organization working in partnership with the Ministry of Health and Population of Nepal to develop healthcare capacity. Nyaya has developed an operations model using low-cost, open-source, online technologies to work towards full organizational transparency, thereby enhancing accountability to our stakeholders, and driving operations research and collaboration with peer organizations. Nyaya uses a “wiki” – a rapidly editable, open-source, public webpage – as a collaborative platform to share all organizational protocols, guidelines and data. Through this platform, Nyaya has also developed a financial accountability mechanism that makes line-item budgetary data publicly available. Results: This transparent model has offered Nyaya results in three key domains: 1) critical feedback from peer organizations on Nyaya’s work; 2) the opportunity to share lessons-learned with organizations working in similar settings; and 3) enhanced accountability to Nyaya stakeholders, including partners and donors. Conclusion: This low-cost, online model to enhance transparency can be scaled across the global health field to address the key challenges of accountability and health care delivery.

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