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Bangladesh
A People Pushed to the Edge by Poverty and Floods
Lacking Good Healthcare and education
LAMB Maternal and child health focused
mission Access to healthcare for all
BANGLADESH
Population 164 million, 2½ x UK
Population growth 2.6 million each year
Land area Same as England + Wales
A very crowded country
BANGLADESH
Culture/ Language 98% Bengali
Religion 89 % Muslim
Adult Literacy 59%
Population with no Electricity 40%
A very poor country
•Inadequate Government healthcare facilities and not enough staff•Government treatment should be free, but in practice is not•Trained medical staff are scarce in rural areas - doctors, midwives•Transport can be difficult and costly so local clinics are more accessible
Why the Need for LAMB
Pregnant mothers are at risk
• poverty means girls and women are often underweight for pregnancy• early marriage (illegally as low as 12) leads to girls bodies not ready for babies• high quality care at clinics and hospital• the poorest can receive care at LAMB
Why the Need for LAMB
Mothers and children at risk
• there is a need for community education on basic health issues• there is a severe shortage of women trained to give birth assistance• there is a shortage of nurses across the country• the disabled receive little help
Why the Need for LAMB
Community Clinics
Community Programme
Hospital
Training Centre
Nurse Training Institute
Research
School
All parts work together and depend on each other
LAMB in a Nutshell
13
Integrated Rural Health and Development
Hospital Community clinics
Training
Research
Community health
LAMB’s VisionThat the people of Bangladesh,transformed by the love of God,
live in healthy and just communities
LAMB – its History
1950s Vision1969-71 Land Purchased1978 First Community Work1983 Hospital Opened2000 Training Centre Opened2011 Nurse Training Institute
The name LAMB derives from“ Lutheran Aid to Medicine in
Bangladesh”
Three interlinking levels
Village level: Volunteers & groupsUnion level: Committees & clinics
Central Level:LAMB Hospital, Training, Research
The LAMB Community based approach
Clinics providing
• safe birth facilities
• health teaching
• TB control
• female empowerment
• support to development of local and government institutions
• disaster risk reduction
Community Activities
LAMB Statistics - Community
600 community staff + 450 Village Health Volunteers
67,000 patients seen at clinics 2,500 babies born in the Clinics/ Safe
Delivery Units 225,000 health teaching sessions Over 1million population covered
LAMB trained community health workers and midwives
Primary health and antenatal care
Safe delivery units
Managed by the community
Local Clinics
Network of 450 Women
Keep in contact with every household
Prime route of health information flow both ways
Village Health Volunteers
LAMB Statistics
Each year there are 60,000 Hospital out-patients 10,250 Hospital in-patients 3,700 Hospital deliveries
200 Hospital staff 150 Training, Research,
School and other staff
Attractive to patients because
• typically 20+ doctors, always on call
• team of national and foreign doctors
• good diagnostic facilities
• well stocked reliable pharmacy
• potential support to pay for bills
Hospital
Attractive to patients because
In-patient wards for
• obstetrics/ gynaecology
• paediatrics
• general surgery
• general medicine
Hospital
Poor Fund in Practice
Seeking out those in need Patients treated equally Treat first, pay second Compassionate and caring Experiencing the love of Christ
Helping people like the next patient
Poor Fund
In 2012 ◦ 3500 inpatients ◦ average grant £20◦ also outpatients◦ total cost £80,000
The Poor Fund is a unique aspect of LAMB
Chaplains
LAMB’s aim is that ‘people will experience the love of Christ,
and be offered help to understand what they experienced’
staff have their part in showing God’s love hospital and community based chaplains
The story so far…
Nine years in action Providing most of the money for
the Poor Fund Income to date £1,350k Grants to LAMB £1,334k Poor Fund needs £80k in 2013 Our concern above all is for the
poor to be helped at LAMB