Saving the lives of mothers and babies

1. Saving the lives of mothers and babies • and of many others

2. Bangladesh LAMB • Maternal and child health focusedmission • Access to healthcare for all A People Pushed to the Edge by Poverty and Floods Lacking Good Healthcare and education

3. Bangladesh Where is it?

5. BANGLADESH A very crowded country Population 164 million, 2½ x UK Population growth 2.6 million each year Landarea Same as England + Wales

6. BANGLADESH A very poor country Culture/ Language 98% Bengali Religion 89 % Muslim Adult Literacy 59% Population with no Electricity 40%

8. Why the Need for LAMB • InadequateGovernment 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

9. Access to Qualified Healthcare

10. 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

11. 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

12. LAMB in a Nutshell Community Clinics Community Programme Hospital Training Centre Nurse Training Institute Research School All parts work together and depend on each other

13. Community clinics Hospital Community health Research Training

14. LAMB’s Vision That the people of Bangladesh, transformed by the love of God, live in healthy and just communities

16. LAMB – its History • 1950s Vision • 1969-71 Land Purchased • First Community Work • Hospital Opened • Training Centre Opened • 2011 Nurse Training Institute The name LAMB derives from “ Lutheran Aid to Medicine in Bangladesh”

17. The LAMB Community based approach Three interlinking levels Village level: Volunteers & groups Union level: Committees & clinics Central Level: LAMB Hospital, Training, Research

18. Community Activities • Clinics providing • safe birth facilities • health teaching • TB control • female empowerment • support to development of local and government institutions • disaster risk reduction

19. 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

20. Local Clinics LAMB trained community health workers and midwives Primary health and antenatal care Safe delivery units Managed by the community

21. Village Health Volunteers Network of 450 Women Keep in contact with every household Prime route of health information flow both ways

22. Health Promotion Women Education Leaders (Committee & VHVs)

23. LAMB Hospital

24. 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

25. Hospital • 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

26. Hospital • Attractive to patients because • In-patient wards for • obstetrics/ gynaecology • paediatrics • general surgery • general medicine

27. Care in the hospital

28. Obstetric fistula patients

29. 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

31. Poor Fund • In 2012 • 3500 inpatients • average grant £20 • also outpatients • total cost £80,000 • The Poor Fund is a unique aspect of LAMB

32. 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

35. LAMB Health Care Foundation Supporting

36. 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

37. Health in the community

38. Care for any who are sick

39. Thank you for your support