Sir Fazle Abed -top 70 alumni networks & 5 scots curious about hi-trust hi-tech
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.
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."