Friday, March 26, 2021

h1 greatest grants made -vaccination and oral rehydration networking - h2 simplest last mile health microfrachise

 h1 oral rehydration a humid village nation

vaccine a nation

in the late 1970s and early 1980s three force multipliers came together to celebrate the futures of asian village women and their infants health

brac of fazle abed

grant of unicef

barefoot chinese medics


=============how it started unicef had declared a year of the child

fazle abed saw up to a third of bangladesh infants dying of diarrhea- the east pakistan cholera lab had found a solution but it involved education - specifically village mothers neded to know how to mix water sugar and salt in the right amounts

fazle had back in 1972 built a test community of 16000 village homes ; it took 3 tries at finding a way to communicate through one to one coaching to illiterate village mothers they could apply oral rehydration (first go the trainers didnt believe; 2nd go it was found that the husbands need to celebrate this new role for the mother not to block it)

once brac had found the training method it sought a grant from unicef to extend the training to all villages across the nation; the success was the most dramatic grant unicef had ever given; two consequences grant spent th rest of his life telling every nation leaed of humid places about this miracle; he asked abed could he do one thing to help brac villagers who had shown how to network this; abed asked grant to recommend to bangladesh prime ministed a nayion wide vaccine - grant fixed that so brad did half, the government did half, the government took all the credit for nation wide vaccination

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 h2 = para health network of brac - doordash 10 mostbasin non-prescription medicines to 300 homes weekly as microfranchise village business- how abed did this - having shown brac could serve not just the home community of 1600 homes but a solution to all rural homes - abed wanted the first solution to be one that built last mile health service

he had heard that china's barefoot doctors were dping this acrooss the border in south china

the chinese were delighted to swap any ideas as they wanted to know how to do oral rehydration - see harvard's chen and chen

while china had much more medical capability abed could not adopt the full barefoot medic model- but he worked out one vilage woan could manage to supply 300 families needs door to door with the 10 basic medicines; brac organised the supply chain and how each parahealth worker could make enough profit as door to door retaler

the para health networkers became trusted mentors to the mothers on paralle infant -eg nutrition first 1000 days to stop stunting - and maternal needs  -and when specials like nation wide vaccination came up the para-health workers would arrange the diaries matching mass vaccination locally; over 40 years-1980-2019 para health networking was one of the backbones of brac integration of last mile health nutrition finance livelihood education and women play as productuive role in nation building as men

from 1980 many many times - partly analagous solutions were shared by bangladesh and chinese village wome empowerment networks - when developmemt workers claim billion asian people ended extreme poverty between 1979 and 2019 the core networking models involved sino-bangla women empowerment

as abed used to say at the extreme levels of rural poverty the microfranchise vilage busiesses wome need to be celbrated for developing acieve the ame goals - in healths case the priority is minimise infant and marernal mortality - do this and an exra geneation of productivity is created as seen as bangladesh raised average life expectancy from low 40s to mid 60s

until life expectancy is raised to 60s on average it is impossible to change rural cultures around the world that valued boys more than girls because in a world with no access to engines -phuscal strendgth is king




....something wonderful happens when a nation is built on mother/psrents rral-time actions of life-saving infant health in primary schools its the mission of all stakeholers teachers, parents, kids,community to grow kids consciousness of wellbeing and health before adolescence

the west could learn from this most baic idea of end extreme poverty - for uve a decade now the lancet has argued a missing curriculum in western schooling is peer to peer health service pre-adolescence

when it comes to technology - the economist arhed n 1984 that ai health would determine which nation fall or rise during industrial revolution 4- this is becuase more and more goverment systems once operated by bureaucrat can be designed as real time ai service latforms but this all depends on the data- 10 times more affordable last mile health needs publicacy not privacy of data; publicacy can be blockchained where all data is fed in to humanising ai but no individual middle man can hack the power of deciding who or where gets eg vaccinated first.......

if you look back at the western history of health services 2 terrible mistakes were made after world 2 - in britain very household got a letter in 1946 saying every hosehold now has a right to demand free health- what if it said every parent has a right to demand health becomes a curriculum in schools- back in 1946 britain basic health knowhow was more distributed than it had ever been; first aid had become the number 1 oddupation of those living in cities being bombed; there was a florence nightingale spirit in every city; 
conversely while usa was lucky never to have had its own cities bombed , its people wee never united around serving health to each other; and so this most basic challenge never got designed into civil rights movements; and the market of insurance was rigged around red lining property in big citties

being honest about critical momets in health service history of anation will be all or nothing as places get tested on humans ai of health

1 comment:

  1. lifelong action learning not hierarch exams - smith gandi francis freire montessori stanford csik flow- not sequential botstein
    4 idea times plus 1 pre-schhol
    primary
    teen
    college
    lifelong
    opportunity 2025 report blend
    why one charity rather than transition of edu budget
    how adapatible learning - most valuabe stuff s new
    no livelihood uniacted by ai for all ages

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