Presentation Title: “Sailing Through The Transition: A Lesson from A Rural Primary Hospital in Achham, Nepal”

Purpose and Content: To share firsthand lessons from navigating an unplanned NGO-to-government hospital transition at Bayalpata Hospital, Nepal, illustrating how adaptive leadership, clinical innovation, and community trust can sustain care delivery in a remote, resource-limited setting. Educational

Objectives: At the conclusion of this activity, the participant should be able to:

1. Describe the clinical and systemic consequences of an unplanned NGO-to-government hospital transition in a remote, resource-limited setting.

2. Apply lessons from global mission hospital transitions to advocate for evidence-based handover planning in underserved health systems.

3. Identify adaptive leadership strategies including task-shifting, community engagement, and point-of-care technology to sustain essential healthcare during institutional crises