1. The Nalta Rural HospitalBy
Jon Bagby
The American Nalta Foundation

2. Overview
History of the Nalta Hospital
Challenges
The Future...

3. A Very Brief History
Dr. George Bagby, working through Orthopedics Overseas meets Dr. Ruhal Haque.
Dr. Haque, the Administrator of the Government-run RIHD Hospital in Dhaka, Bangaladesh offers to donate land in Nalta if Dr. Bagby builds the hospital.

4. Nalta Factoids
Nalta District is located on the western frontier of Bangaladesh.
Comprised mainly of rural residents million strong.
Thirty miles from the Indian border.
Most Importantly: Lacking in a trauma center or M.D., level patient care.

6.
After the successful introduction of the Bagby and Kuestlic (BAK) bone basket (for spinal fusions) into the U.S. Market, Dr. Bagby gifts $250,000 to begin construction.
Construction is completed in January 2000.

7. Nalta Hospital

8. Current Facility 29 Bed facility including 4 cribs
24 Hour emergency services
Operating theatre
Outpatient clinic
Pharmacy, pathology, and radiology
Prosthetic Fabrication Center
Ambulance and Minibus

9. Current Staff 1 General Practitioner 1 Anesthesiologist 1 Cardiologist
2 Orthopedic Surgeons
1 OB/Gyn

10. Challenges
Oversite of construction from the opposite side of the planet.
Communication
Technical
Cultural
Community perception

11. Oversite:
Funds were dispersed monthly based on reports from Dr. Haque.
Changes in the building design (50 ft pilings) resulted in cost over runs.
This in turn resulted in a scaling back of the original floor plan to approximately 10,000 ft2.

12. Communication
Technical - lack of consistent communication via phone - remedied by the purchase of a satellite phone.
Cultural - Cultural differences as well as expectations continuously challenge both parties; remedied by patience and ongoing partnership.

13. Community Perception Ambivalence:
Bred in part by folk practitioners who felt threatened by the new facility.
Due to the hospital’s desire to collect fees for services where ever appropriate.
Due to a lack of stable medical staff during the early part stages of operation.

14. Long-term Goal
To provide all people in need regardless of their ability to pay.
Current Reality:
10% free service currently provided
90% of services rendered generate revenues for the hospital

16. Future
Hospital is currently running a monthly shortfall of between $1,000 and $3,000.
These shortfalls have historically been made up by Dr. Bagby personally.
The formation of a non-profit 501 (c) 3 corporation (American Nalta Foundation) seeks to bring in donations to fund future shortfalls (goal Sept 2002).

17. Major Needs Develop a fund raising program.
Medical and non-medical equipment.
Establish a communication system.
Housing for physicians and staff, as well as visiting medical teams.

19. American Nalta Foundation
Attention George Bagby
105 W. 8th Avenue, Suite 438
Spokane, WA