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Women For Women by IPRAS:<br />
2nd Mission - Chilmari Bangladesh<br />
About the Region of Chilmari<br />
Bangladesh, a country of “a thousand rivers” with much<br />
of its geography embedded in water, is recognized as<br />
the most densely populated country in the world by the<br />
World Health Organization. With a surface area of only<br />
144,000 square kilometers and an escalating population<br />
of 160 million, diseases of poverty and overcrowding are<br />
rampant in the country. Living even below the poverty<br />
cutoff line <strong>for</strong> Bangladesh are the inhabitants of the<br />
northern riverbank of the Ganges-Brahmaputra delta.<br />
The people of this region are nomadic in nature and dwell<br />
on semi-permanent islands known in Bengali as “Chars”.<br />
(Figure 1) These islets, <strong>for</strong>med from the melting snows of<br />
the Himalayas, undergo constant <strong>for</strong>mation and erosion<br />
from its powerful currents, and typically have a lifespan<br />
of only months to a few years. Due to its vulnerable<br />
position at the northernmost tip of Bangladesh, Chilmari,<br />
in the district of Kurigram, is a frequent victim of natural<br />
disasters, such as flooding and cyclones. This was the<br />
location of the ninth mission <strong>for</strong> Women <strong>for</strong> Women by the<br />
<strong>International</strong> <strong>Confederation</strong> <strong>for</strong> <strong>Plastic</strong> Reconstructive &<br />
Aesthetic Surgery (IPRAS).<br />
About the bond between Women <strong>for</strong> Women<br />
and Friendship<br />
The inhabitants of the northern riverbank and char areas<br />
of Bangladesh are amongst some of the most vulnerable<br />
and marginalized people in the world. Recognizing<br />
the serious deficiencies in food supply, running water,<br />
electricity, basic sanitation and living infrastructure<br />
within the chars, Women <strong>for</strong> Women and Friendship<br />
teamed up <strong>for</strong> a second successful surgical mission<br />
between April 23rd to 30th. The local planning and on<br />
site organization in anticipation <strong>for</strong> our mission were<br />
coordinated by Friendship, a value-based Bangladeshi<br />
organization established in 1998 under the leadership<br />
of Mrs. Runa Khan. To fulfill its aim of providing<br />
essential basic services to the most inaccessible areas<br />
of the country, Friendship delivers both primary and<br />
secondary healthcare to the people living on the shifting<br />
islands through its floating hospital at the mouth of<br />
28 IPRAS Journal www.ipras.org Issue 5<br />
April 23-30, 2011<br />
In Collaboration with “Friendship”<br />
and the Emirates Floating Hospital<br />
Dr. Constance Neuhann-Lorenz, MD<br />
the Brahmaputra River. Through a generous startup<br />
donation and sustained funding from the Emirates<br />
Airlines, the Emirates Floating Hospital (EFH) has<br />
provided essential medical care to around 4 million<br />
people of the chars since November of 2008. (Figure 2)<br />
The ability of the EFH to be self-contained and mobile<br />
af<strong>for</strong>ds the hospital the unique ability to relocate every<br />
few months to serve a different char, in addition to<br />
surviving natural disasters, common to this region.<br />
The EFH is a suitably equipped hospital with one fulltime<br />
onsite medical doctor, one optometrist, 4 ward<br />
nurses, 2 OR nurses, 2 operating rooms, a pharmacy and<br />
a radiology department. (Figure 3) In addition, with the<br />
invitation of Friendship, there is a regular roster of <strong>for</strong>eign<br />
missionary teams that provide specialized medical and<br />
surgical care a few times a year, ranging from gynecology,<br />
orthopedics, cleft lip and palate and, finally, plastic and<br />
reconstructive surgery by Women For Women.<br />
About Mission Chilmari Bangladesh<br />
In Bangladesh and other developing countries of<br />
the world, it is not uncommon <strong>for</strong> women to suffer<br />
from disfiguring physical injuries as a result of ethnic,<br />
social, marital, and other domestic disputes. Further<br />
compounding the issue of inadequate prevention and<br />
Photo from the Emirates Floating Hospital