HOW TO BUILD A NATIONAL HEALTH SERVICE AROUND PARA-HEALTH NETWORKERS THAT COST 100$ PER PERSON TO TRAIN
When in 1970s the average life expectancy in the world's poorest rural (90% without electricity nation) was in the 30s, and there weren't enough doctors to serve rich citizens, if you loved your nation's people as much as Sir Fazle Abed dis, have to start somewhere. By training up last-mile health servants around 10 most basic diseases BRAC built a health service that raised life expectancy to the 60s. Moreover the para healthworkers had their own village franchises to serve making their livelihoods self-sustaining
Of course, many supporting community sustaining solutions now contribute to the increase in life expectancy. Food security was gained by innovations in rice science and improving vegetable seeds. Every mother was taught how to save infant lives with oral rehydration. It was the ability of BRAC to deliver this nationwide program - with the consewuemce that quarter of infants lives were saved that put BRAC in the development world map. In fact James Grant then head of UNICEF was so happy with sponsorship of thois program that he took rehydration salts with him wherever he had giest dinners with heads of state. If BRAC could train every illiterate vilage mother, he could train every head of state. When much later BRAC coulad afford to open a uninversity in 199, pride of place is the James Grant School of public health.
By being a grassroots up networking organisation, BRAC maximised how everyone in the community trained and supported each other.
BRAC revolutioniased aid not just by being bottom up but by treplacing charieties by social bsuienss wherever possible, and when it did invote goiving - innovationg conditiopnal cash transer wherever possible. This menas the gifting was assigned to seeing individuals achieve specified results - such as brac's seciondary girls schoilarship program without which most village girls would have had no access to access to schools after age 11.
Today many more pieces have been added to the health servovice. For ecxamp,le BRAC's response tlo Tubeculosis is a world class servoce in terms of efficiency and effectiveness.
And BRAC has become teh wporld's largest ngo partnership; the one that offers becmkarks to ending extremepe povert across s asia; the one that has since may 2018 started partnership with many youth's fanorite technologust Jack Ma.
And yet if ever there is living proof of the microeconomic principle that health societies generate strong economies not vice versa BRAC is IT.
WHY SIR FAZLE COLLEGE OF ACTION MATTERS
Both in rich and developing nations, university certificates are not the future youth of sustainabilty generation need. My fathers 1984 book first suggested assuming by 2024 only half billion jobs would be competitive like manufacturing lifeless things-
3 billion new jobs of under 30s would collaboratively need to come from one billion would renew every community flourishing, one billion would change climate innovating renewable economies, one billion would use tech to leapfrog and create imagination networking of solutions franchises app'd in mainly open source ways
My father.a teenager navigating airplanes over modernday bangladesh in world war 2 , was well aware of the alternative orwellian scenario that people never reclaim peace and climate or wars end most of our species. This is why his exponential timelines while not exact were likely to have been irreversible before i parted from this planet
so father's last project sent youth journalists out to bangladesh and china - and after the bypass of muhammad yunus, mostofa and I found brac was much deeper benchmark ; around 2008 I first started watching videos of jack ma as even crazier than the most futuristic version my father had debated since 1968 (the imminent moon landing was what caused my father to believe 1000 times nore mobile connectivity 2016 versus 1946 would be the most exciting innovation time ever
these are the most exciting times to be alive
for 8 years now since i was first lucky enough to meet sir fazle he has said his key future plan is an experiential college -empowered by some tech wizards (big data small platforms as the new way to redesign value chains bootom up), most of its students do real work in communities that connects livelihood networks and future public servants can see this is also what the country needs in vital value chains like health, food security, personal safety as well as tech for the poorest-thats actually the bigger think jack ma is building than even all of ecommerce
thanks to a combination of guides like amy from the village and tsingua graduates, I found that tsinghua already has about 20 practice groups operating like you sabina and matching what i thought sir fazle descrobed; i have been discussing this with dr islam who sir fazle nominated to connect all findings' I so hope we can get connections going that are real on health the most miraculous of sir fazles networks in eyes of early fans like james grant jim kim george soros, paul farmer and many other markets that are joyful only if communities take back their development
- jack ma has promised a huge expo on this in parallel to each olympics from 2020
tokyo has special flavors as his biggest investors are there, and japan has like nordica an advanced economy of societies that love nature, art etc
beijing winter olympics has all of public servants tsinghua, supertech and business working on it
paris can also reunite climate
brac needs to be everywhere in middle of waht ma calls loveq
if poorest girls are to make sure these communities flourish
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all the best chris macrae washington dc and text usa /whats app 240 316 8157
and thanks for amazing work
brac.tv - a guide to collaboration's best for the world organisations
EconomistDiary.com thanks AmyChina QuarterBillionGirls
2025now- The Economist 1984 : 2025 = last year sustainability