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

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

3. Bangladesh Where is it?

5. BANGLADESH Population 164 million, 2½ x UK Population growth2.6 million each year Land area Same as England + Wales A very crowded country

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

8. 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

9. Access to Qualified Healthcare Access to Qualified Healthcare

10. 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

11. 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

12. 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. 13 Hospital Community clinics Training Research Community health

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 1950sVision 1969-71Land Purchased 1978 First Community Work 1983 Hospital Opened 2000 Training Centre Opened 2011Nurse Training Institute The name LAMB derives from “ Lutheran Aid to Medicine in Bangladesh”

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

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

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

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

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

23. LAMB Hospital

24. LAMB Statistics  Each year there are  60,000Hospital out-patients  10,250 Hospital in-patients  3,700 Hospital deliveries  200 Hospital staff  150 Training, Research, School and other staff

25. 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

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

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 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