This section describes the ongoing programs through which LAMB seeks integral transformation for the poorest of Bangladesh, especially women and children. Sometimes ‘integral’ or ‘wholistic health’ is described as physical, social, emotional, and spiritual well-being.
LAMB seeks to improve health through integrated community and hospital interventions focusing on the poorest patients in these specific groups:
- Women and children
- Communicable (infectious) diseases especially TB
- Non-communicable diseases (diabetes, high blood pressure, heart and lung disease, cancer).
Improving Government and NGO Health Policies and Systems
LAMB collaborates with and seeks to appropriately influence government and NGO health systems to achieve this aim:
Health Policies: Women-friendly, pro-poor, appropriate health policies and systems are implemented by the Government of Bangladesh and other health care providers.
Community Leadership Development
In the past the leadership development was primarily focused around sustainability of LAMB community clinics. Committees composed usually of about 2/3 male, 1/3 female representatives, received ongoing management, fund raising, and decision-making training.
Currently efforts have expanded to include facilitating the reactivation of government-organized community oversight committees. These groups often exist on paper, but have been dormant prior to LAMB engagement. They are associated with ward level community clinics (1 for every 6-7000 population) and with Union (30,000 population) Health and Family Welfare Centers (UHFWC) which is the first level where skilled birth attendants are deployed.
Community Grassroots Mobilisation
LAMB capacity building efforts are primarily focused on 2 groups: informal leadership committees and grassroots neighborhood groups. Both are trained to engage with local communities as well as elected officials and government health and social service representatives in a rights-based participatory approach to overcoming barriers from social determinants of health.
Spiritual Health Development
Bangladesh is a deeply religious country, and LAMB seeks to link its health and development work with our Creator God’s will for His world. We seek to consistently demonstrate our dependence on God’s provision and wisdom with regular prayer and Bible reading in our programs.
Through funding allocated from Christian donors (individuals and organizations), LAMB works with local churches to reach out to neighbors with initiatives to develop disaster resilience (in the case of floods or times of food insecurity).
Working Approaches (see additional descriptions under ‘Organization’ web pages)
Clinical Health Care
LAMB is most recognized for its provision of clinical services, in particular in Women and Child Health. Clinical services are provided at
- LAMB Hospital
- Community Clinics and Safe Delivery Units
LAMB maintains a high quality and locally-appropriate standard of care. This means not all of the latest technological machines, but only those which can be locally maintained and used for low-cost care for the poor. Each level of service is included in a ‘continuum of care’ which means household to clinic to hospital, with easy referrals between levels which are staffed by those with appropriate training and understanding of the system. LAMB also involves informal practitioners through training on referral practices.
Since its inception, LAMB has trained local community residents and leaders, clinical health workers, trainers, field facilitators, and managers. The reputation of the program is currently strongest in skill birth attendant training, with demand for these slots extremely high. Recently an idea emerged about establishing ‘Rural Obstetric Training Centers’ away from the hospital center. This would allow increased trainee opportunity at the rural community clinics overseen by LAMB.
LAMB’s research program is increasingly busy with collaborative international projects, national linkages for surveillance and original research, as well as local small-scale projects done by MPH students.
- Overview of Programs
- Improved Health Outcomes
- -Women and Children’s Health
- -Disability Support
- -TB Program
- -Non-Communicable Disease
- Government Service Strengthening
- Community Leadership Development
- Community Mobilization
- Spiritual Health Development
- Clinical Services
- -Clinical Maternity
- -Clinical Surgery
- -Clinical Medicine, Pediatrics
- -Vision Centre
- School Education