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BRAC Annual Report 2010 Health BRAC Annual Report 2010 9BRAC ProgrammesHealth Improving health and providing essential healthcare Our Health programme combines promotive, preventive, curative, rehabilitative health care. We focus on improving maternal, neonatal and child health, combating communicable diseases and common health problems. BRAC’s Health programme is the result of an integrated approach, including several interventions, to provide a health service that supports human development and works in partnership with our comprehensive approach to development.

The key areas of the programme are

essential health care;

tuberculosis and malaria control;

maternal, neonatal and child health;

health facilities and limb and brace centres.

Our Approach An awareness of the changing health needs, adaptation of technology, cost effectiveness, sustainability and delivery through Achievements

partnerships with communities and Government are key features in our approach to providing health care to poor people.

Essential Health Care We have adopted an epidemiology-experimentation-expansion 100 million people reached across 64 districts evaluation model in how we develop and deliver the programme. 1,650,673 patients treated by our Shebikas Lessons learned from our experiences in public health, like the 31,174 Ultra Poor patients given health care

bare-foot doctors of the 1970s, Oral Therapy Extension and Child subsidies

Survival programmes in 1980s,

Women’s Health, Reproductive Health and Disease Control programmes in 1990s,

\have enabled Maternal, Newborn and Child Health us to expand sustainable and accessible health care to more than 100 million people across Bangladesh.

We also collaborate on 5.7 million people served in urban areas national projects such as Vitamin-A supplementation and family

8,317 deliveries made in birthing huts planning initiatives.

426 delivery centres in urban areas By choosing health volunteers, or Shasthya Shebikas, from our 11 million population reached in rural parts Village Organisations (VOs),

we are making effective use of resource and are able to ensure sustainability unlike other programmes in the Tuberculosis Control health sector. Volunteers receive basic training and provide door-to-

89.5 million people reached door health education, treat basic illnesses, refer patients to health  cases diagnosed centres and provide essential health items and medicines; which 92% patients cured contribute towards an income for the volunteer.

Our Shasthya Shebikas are assessed and monitored by Shasthya Reading Glasses Kormis who are paid a monthly salary to supervise 10-12 Shebikas. 7.9 million people covered Kormis conduct monthly health forums and provide antenatal 36,739 people screened and postnatal care. Around 7,000 Kormis are supervised by 9,573 glasses sold Programme Organisers who are supervised by the Upazila and District Managers. Medical officers provide overall technical Vision Bangladesh supervision whilst Kormis are supported by a team of public health professionals. 612 cataract surgeries completed First spread Parul receives an ante-natal check-up from a BRAC health worker in Gazipur.

  1. 6.  11Programme Components Manoshi: Maternal, Newborn and Child Health Initiative (Urban) launched in 2007 in Dhaka and provides communityEssential Health Care (EHC) forms the core of our health based maternal and child health care services in urban slums, withprogramme, combining preventive, promotive, basic curative the support of slum volunteers, skilled community workers andand referral care, aimed at improving the health of poor people, Programme Organisers based in nearby hospitals for emergencyespecially women and children. EHC has seven components: cases. Birthing huts provide clean and private birthing places forhealth and nutrition education; water and sanitation; family slum women who usually live in small shacks, with large numbers ofplanning; immunisation; prenatal care; basic curative services and family members, which offer unhygienic conditions for giving birth.tuberculosis control. In 2002, EHC was adapted to fit the needs Each of our huts have two birth attendants, covering around 2,000of the Ultra-Poor, our poorest members, by offering basic health households (approx 10,000 people), whilst community midwivescare and health awareness services as well as financial assistance are on hand to provide skilled care during deliveries.towards clinical care. Shushasthya (Health Centres) provide accessible and quality outpatient and inpatient services, general laboratory investigationsMalaria Control Programme operates in 13 districts across and essential life-saving drugs to the local community. We haveBangladesh including the Chittagong Hill Tracts (CHT). Our also upgraded nine centres to offer emergency caesareanShasthya Shebikas receive a 3-day training course on malaria section or newborn care and advanced diagnostics such astreatment and prevention to help achieve early diagnosis and electrocardiograms and ultra sonograms.prompt treatment of cases. Limb and Brace Fitting Centres provide low cost, accessible,Tuberculosis Control Programme using a community based quality artificial limbs and braces. We provide physiotherapyapproach, our Shasthya Shebikas are trained to provide DOTS services and education and counselling to patients and their familytreatment (Directly Observed Treatment Short-Course), diagnose members. Our work aims to improve the livelihood capabilities ofcases, distribute information on TB and refer suspected cases the physically challenged and help their integration into mainstreamto nearby outreach smearing centres. Medical Officers initiate society. We currently have centres in Dhaka and Mymensingh.treatment, whilst the Shebikas conduct the DOTS treatment of TBpatients, either at their own home or during home visits. Our TB-HIVcollaborative project also offers HIV screening tests for TB patients. Reading Glasses for Improved Livelihoods working with Vision Spring, covering 15 districts, specially trained Shasthya ShebikasImproving Maternal, Newborn and Child Survival Project use simple charts to identify near-vision deficiency. They sell ready-to-use spectacles at a nominal price, educate people on eye Shomola Khatun, a Shasthya Shebika from the village of Chankanda in(Rural) has been successfully scaled up to ten rural districts across Jamalpur explains how to use contraceptives to the women in her community.Bangladesh since its launch in 2005; working with the Government problems and are trained to refer complicated cases to medicaland UNICEF. This project aims to provide quality maternal, newborn professionals.and child health care using a community based approach to reachthe rural poor. Major interventions include capacity development Vision Bangladesh is a partnership programme between BRAC Challengesof community health resources, empowerment of women and Sightsavers aiming to eliminate preventable blindness in Sylhet New Initiativesthrough support groups, provision of maternity and child health by 2014. To date, 1,300 poor people have undergone cataract There is an emerging need to tackle the increase in non-related services and referrals to nearby health facilities. Shasthya operations and 7,000 people have been successfully screened. communicable diseases, alongside the ongoing burden of We have developed a Mobile Health Project, in partnership withShebikas, Shasthya Kormis, newborn health workers and skilled communicable diseases, coupled with a lack of accessible and Click Diagnostics Inc, where Shasthya Kormis can use mobilebirth attendants all work together to deliver these services to the Alive and Thrive is an initiative to reduce malnutrition in children quality health care and medical facilities in Bangladesh. Lack of phones to share real-time information about their patients, mainlycommunity. Preventive and curative practices are promoted through under the age of two by promoting exclusive breastfeeding coverage, skilled workers and accessibility to remote parts of pregnant women and newborns, helping to improve the processtargeted household visits. Our approach has significantly improved and healthy feeding practices. This includes community level the country continue to present major challenges in how we can of diagnosis and treatment.pregnancy identification and antenatal care as well as ensuring safe counselling, coaching and demonstrations. Following a successful provide health care to poor people. Developing effective referraland clean deliveries in rural communities. year long pilot this initiative has been expanded to 50 rural Upazilas. facilities with adequate human resources and logistics will prove Working in partnership with GE Healthcare, we plan to introduce essential in reducing maternal and newborn mortality. a portable oxygen support device, at community level, in an Micro-Health Insurance is a sustainable community health effort to fight birth asphyxia in newborns. The pilot will launch in financing model, to empower and improve the well being of poor January 2011. Future Plans women and their families, giving poor people access to affordable and quality health care. Our approach in developing community based interventions recognises that workplaces and urban slums are becoming new settings for delivering effective health interventions. Our approach with EHC, continuing as our core health programme, will be adapted to accommodate the emerging needs of non- communicable diseases, elderly health care, climate change and nutritional initiatives. In our shared effort to build a more ‘Digital Bangladesh’ we have identified the mobile phone as a key medium for exchanging information. Using ICT will enhance our ability to provide efficient and effective health care, whilst opening up new channels of communication for a lower cost higher reach service.

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Fazle Hasan Abed

Fazle Hasan Abed

Founder and Chairperson
BRAC (Bangladesh Rural Advancement Committee)

Fazle Hasan Abed claims he is no miracle worker, but most of his colleagues would dispute that. Almost single-handedly, he has helped one of the world's poorest countries — Bangladesh — provide better health care for all its citizens. As founder and chairperson of BRAC (formerly known as the Bangladesh Rural Advancement Committee), Abed has garnered international attention for creating what many experts deem the most effective non-governmental organization [NGO] in the world.

Abed began his pioneering work in 1972, following Bangladesh's war of independence from Pakistan. "We were determined to bring about changes in the lives of poor people," he says. "We felt that whatever we do, we should try and replicate it throughout the nation if we can." Since then, BRAC has fought against poverty, disease, child mortality, and illiteracy by empowering poor rural women through bringing health care and education to their communities.

Scientists working in Bangladesh in the early 1970s had learned that a measured combination of sugar, salt, and water could prevent deaths from dehydration. Since our bodies are 70 percent water, it is dehydration that makes diarrhea the cause of 18 percent of child deaths worldwide. Abed's first major goal for BRAC was to teach mothers to make the lifesaving oral-rehydration solutions. "That involved going to every household in rural Bangladesh — 13 million households," Abed recalls. "And it took 10 years to do it." As a result, BRAC's oral-rehydration program reduced infant and child mortality from 258 deaths per 1,000 to 75 deaths per 1,000.

The majority of Bangladeshis are Muslim, and Abed realized that within each community, women would be most effective in teaching other women, many of whom were not permitted to leave their courtyards. But first, he realized, he had to win over their husbands and the male village chiefs, who would have to give their consent for any such community-wide activity. Achieving good health meant enlisting the political will of those in power. In the two decades since, women have made some gains in gender power in Bangladesh, and BRAC has helped to educate many men on the need for women to be educated and involved in health care and economic activities.

Today, BRAC is active in more than 68,000 villages and has 4.8 million group members. Abed introduced programs and initiatives that have enabled 3.8 million women, who are still the backbone of BRAC's organization, to establish village microfinance organizations that have to this point disbursed more than $1 billion in loans. These loans have allowed women to create small businesses poultry farming, cow rearing, and dairy farming; in addition the production of iodized salt, which helps prevent goiter, is now also possible. Such BRAC enterprises provide 80 percent of the organization's operating costs, with the rest coming from external donors. BRAC also works to control tuberculosis, with a major grant from the Global Fund for Tuberculosis, Malaria and AIDS. Over the years, one of BRAC's most critical contributions has been keeping poor rural children in school, and the organization now runs 31,000 one-room, one-teacher schools.

Abed's adept and tireless leadership of BRAC has brought him international renown and numerous awards. In 2004, he was honored with the Gates Award for Global Health and the United National Development Program's Mahbub ul Huq Award for Outstanding Contribution in Human Development. As evidence of his success, there are now BRAC branches in Afghanistan and Sri Lanka. Abed's strategy has always been ambitious: "We thought nationally, worked locally, and looked for inspiration globally."

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KERRY GLASGOWIS HUMANITY'S LAST BEST CHANCE - Join search for Sustainaabilty's Curricula

101ways-generation.docx 101 ways education can save the world WHAT IF WE DESIGNED LIFELONG LIVELIHOOD LOEARNING SO THAT so that teachers & students, parent & communities were empowered to be ahead of 100 times more tech rather than the remnants of a system that puts macihnes and their exhausts ahead of human life and nature's renewal 2016 is arguably the first time thet educatirs became front and centre to the question that Von neummn asked journalist to mediate back in 1951- what goods will peoples do with 100 times more tech per decade? It appears that while multilaterals like the Un got used in soundbite and twittering ages to claim they valued rifghts & inclusion, pubblic goods & safety, they fotgot theirUN tech twin in Genva has been practising global connectivity since 1865, that dellow Goats of V neumnn has chiared Intellectual Cooperation in the 1920s which pervesrely became the quasi trade union Unesco- it took Abedian inspired educations in 2016 ro reunite ed and tecah as well as health and trade ; 7 decades of the UN not valuing Numenn's question at its core is quite late, but if we dare graviate UN2 aeound this digital coperation question now we give the younger half if the world a chnace especially as a billion poorest women have been synchronised to deep community human development since 1970

Dear Robert - you kindly asked for a short email so that you could see if there is a CGTN anchor in east coast who might confidentially share views with my expectation of how only Asian young women cultural movements (parenting and community depth but amplified by transparent tech in life shaping markets eg health, food, nature..) can return sustainability to all of us
three of my father's main surveys in The Economist 1962-1977 explain imo where future history will take us (and so why younger half of world need friendship/sustainable adaptation with Chinese youth -both on mainland and diaspora)
 1962 consider japan approved by JF Kennedy: argued good news - 2 new economic models were emerging through japan korea south and taiwan relevant to all Asia Rising (nrxt to link the whole trading/supply chains of the far east coast down through hong kong and cross-seas at singapore)
1 rural keynsianism ie 100% productivity in village first of all food security- borlaug alumni ending starvation
2 supercity costal trade models which designed hi-tech borderless sme value chains- to build a 20 million person capital or an 8 million person superport you needed the same advances in engineering - partly why this second economic model was win-win for first time since engines begun Glasgow 1760 ; potentially able to leverage tech giant leaps 100 times ahead; the big opportunity von neumann had gifted us - knowhow action networking multiply value application unlike consuming up things
1976 entrepreneurial revolution -translated into italian by prodi - argued that future globalisation big politics big corporate would need to be triangularised by community scaled sme networks- this was both how innovation advancing human lot begins and also the only way to end poverty in the sense of 21st C being such that next girl born can thrive because every community taps in diversity/safety/ valuing child and health as conditions out of which intergenerational economic growth can spring
in 1977 fathers survey of china - argued that there was now great hope that china had found the system designs that would empower a billion people to escape from extreme poverty but ultimately education of the one child generation (its tech for human capabilities) would be pivotal ( parallel 1977 survey looked at the futures of half the world's people ie east of iran)
best chris macrae + 1 240 316 8157 washington DC
IN MORE DETAIL TECH HUMAN EXPONENTIALS LAST CHANCE DECADE? 
 - we are in midst of unprecedented exponential change (dad from 1960s called death of distance) the  tech legacy of von neumann (dad was his biographer due to luckily meeting him in his final years including neumann's scoping of brain science (ie ai and human i) research which he asked yale to continue in his last lecture series). Exponential risks of extinction track to  mainly western top-down errors at crossroads of tech  over last 60 years (as well as non transparent geonomic mapping of how to reconcile what mainly 10 white empires had monopoly done with machines 1760-1945 and embedded in finance - see eg keynes last chapter of general theory of money); so our 2020s destiny is conditioned by quite simple local time-stamped details but ones that have compounded so that root cause and consequence need exact opposite of academic silos- so I hope there are some simple mapping points we can agree sustainability and chinese anchors in particular are now urgently in the middle of
Both my father www.normanmacrae.net at the economist and I (eg co-authoring 1984 book 2025 report, retranslated to 1993 sweden's new vikings) have argued sustainability in early 21st c will depend mostly on how asians as 65% of humans advance and how von neumann (or moores law) 100 times more tech every decade from 1960s is valued by society and business.
My father (awarded Japan's Order of Rising Sun and one time scriptwriter for Prince Charles trips to Japan) had served as teen allied bomber command burma campaign - he therefore had google maps in his head 50 years ahead of most media people, and also believed the world needed peace (dad was only journalist at messina birth of EU ) ; from 1960 his Asian inclusion arguments were almost coincidental to Ezra Vogel who knew much more about Japan=China last 2000 years ( additionally  cultural consciousness of silk road's eastern dynamics not golden rule of Western Whites) and peter drucker's view of organisational systems
(none of the 10 people at the economist my father had mentored continued his work past 1993- 2 key friends died early; then the web turned against education-journalism when west coast ventures got taken over by advertising/commerce instead of permitting 2 webs - one hi-trust educational; the other blah blah. sell sell .sex sell. viral trivial and hate politicking)
although i had worked mainly in the far east eg with unilever because of family responsibilities I never got to china until i started bumping into chinese female graduates at un launch of sdgs in 2015- I got in 8 visits to beijing -guided by them around tsinghua, china centre of globalisation, a chinese elder Ying Lowrey who had worked on smes in usa for 25 years but was not jack ma's biographer in 2015 just as his fintech models (taobao not alibaba) were empowering villagers integration into supply chains; there was a fantastic global edutech conference dec 2016 in Tsinghua region (also 3 briefings by Romano Prodi to students) that I attended connected with  great womens education hero bangladesh's fazle abed;  Abed spent much of hs last decade hosting events with chinese and other asian ambassadors; unite university graduates around sdg projects the world needed in every community but which had first been massively demonstrated in asia - if you like a version of schwarzman scholars but inclusive of places linking all deepest sustainability goals challenges 
and i personally feel learnt a lot from 3 people broadcasting from cgtn you and the 2 ladies liu xin and  tian wei (they always seemed to do balanced interviews even in the middle of trump's hatred campaigns), through them I also became a fan of father and daughter Jin at AIIB ; i attended korea's annual general meet 2017 of aiib; it was fascinating watching bankers for 60 countries each coming up with excuses as to why they would not lead on infrastructure investments (even though the supercity economic model depends on that)
Being a diaspora scot and a mathematician borders (managers who maximise externalisation of risks) scare me; especially rise of nationalist ones ;   it is pretty clear historically that london trapped most of asia in colomisdation ; then bankrupted by world war 2 rushed to independence without the un or anyone helping redesign top-down systems ; this all crashed into bangladesh the first bottom up collaboration women lab ; ironically on health, food security, education bangladesh and chinese village women empowerment depended on sharing almost every village microfranchise between 1972 and 2000 especially on last mile health networking
in dads editing of 2025 from 1984 he had called for massive human awareness by 2001 of mans biggest risk being discrepancies in incomes and expectations of rich and poor nations; he suggested that eg public broadcast media could host a reality tv end poverty entrepreneur competition just as digital media was scaling to be as impactful as mass media
that didnt happen and pretty much every mess - reactions to 9/11, failure to do ai of epidemics as priority from 2005 instead of autonomous cars, failure to end long-term carbon investments, subprime has been rooted in the west not having either government nor big corporate systems necessary to collaboratively value Asian SDG innovations especially with 5g
I am not smart enough to understand how to thread all the politics now going on but in the event that any cgtn journalist wants to chat especially in dc where we could meet I do not see humans preventing extinction without maximising chinese youth (particularly womens dreams); due to covid we lost plans japan had to relaunch value of female athletes - so this and other ways japan and china and korea might have regained joint consciousness look as if they are being lost- in other words both cultural and education networks (not correctly valued by gdp news headlines) may still be our best chance at asian women empowerment saving us all from extinction but that needs off the record brainstorming as I have no idea what a cgtn journalist is free to cover now that trump has turned 75% of americans into seeing china as the enemy instead of looking at what asian policies of usa hurt humans (eg afghanistan is surely a human wrong caused mostly by usa); a; being a diaspora scot i have this naive idea that we need to celebrate happiness of all peoples an stop using media to spiral hatred across nations but I expect that isnt something an anchor can host generally but for example if an anchor really loves ending covid everywhere then at least in that market she needs to want to help united peoples, transparency of deep data etc

2021 afore ye go to glasgow cop26-

please map how and why - more than 3 in 4 scots earn their livelihoods worldwide not in our homeland- that requires hi-trust as well as hi-tech to try to love all cultures and nature's diversity- until mcdonalds you could use MAC OR MC TO identify our community engaging networks THAT SCALED ROUND STARTING UP THE AGE OF HUMANS AND MACHINES OF GKASGOW UNI 1760 1 2 3 - and the microfranchises they aimed to sustain  locally around each next child born - these days scots hall of fame started in 1760s around   adam smith and james watt and 195 years later glasgow engineering BA fazle abed - we hope biden unites his irish community building though cop26 -ditto we hope kamalA values gandhi- public service - but understand if he or she is too busy iN DC 2021 with covid or finding which democrats or republicans or american people speak bottom-up sustainable goals teachers and enrrepreneurs -zoom with chris.macrae@yahoo.co.uk if you are curious - fanily foundation of the economist's norman macrae- explorer of whether 100 times more tehc every decade since 1945 would end poverty or prove orwell's-big brother trumps -fears correct 2025report.com est1984 or the economist's entreprenerialrevolutionstarted up 1976 with italy/franciscan romano prodi

help assemble worldrecordjobs.com card pack 1in time for games at cop26 glasgow nov 2021 - 260th year of machines and humans started up by smith and watt- chris.macrae@yahoo.co.uk- co-author 2025report.com, networker foundation of The Economist's Norman Macrae - 60s curricula telecommuting andjapan's capitalist belt roaders; 70s curricula entreprenurial revolution and poverty-ending rural keynesianism - library of 40 annual surveys loving win-wins between nations youth biographer john von neumann


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101%20ways%20that%20lifelong%20education%20can%20prevent%20your%20kids%20being%20the%20extinction%20generation.docx

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