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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

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