The document discusses the work of the Arsenic Mitigation and Research Foundation in Bangladesh. It seeks to expand its work to new areas and communities affected by arsenic poisoning in water. It aims to build the capacity of community-based organizations and develop a primary healthcare system to address issues related to arsenic poisoning, including nutrition, hygiene and reproductive health services. The organization has implemented safe drinking water and public health activities in over forty communities affected by arsenic and provides medical care for patients suffering from arsenic poisoning.
The document discusses the work of the Arsenic Mitigation and Research Foundation in Bangladesh. It seeks to expand its work to new areas and communities affected by arsenic poisoning in water. It aims to build the capacity of community-based organizations and develop a primary healthcare system to address issues related to arsenic poisoning, including nutrition, hygiene and reproductive health services. The organization has implemented safe drinking water and public health activities in over forty communities affected by arsenic and provides medical care for patients suffering from arsenic poisoning.
Our partners have included Delft University of Technology, United Churches Netherlands, the Prince Bernhard Cultural Foundation and several individual donators. Our present partners include the Embassy of Japan in Bangladesh, WaterAid Bangladesh, Manusher Jonno Foundation, AITAM Welfare Hospital and the University of New South Wales. -,,./&0 1,) 1+)$2*) #+((,)$ Expanding to new working areas: We wish to expand our work to other districts with varying geo- morphological and social conditions. This will help us develop a more generalisable approach. We are particularly interested in working with coastal communities, which would bring up a range of specific concerns related to drinking water (such as salinity). We also intend to work with char-dwellers (people living on sedimentary river islands) on their very specific socio- economic conditions. Beyond our water and health focus, activities may need to emphasise livelihood, literacy or other local priorities. Strengthening the peoples organisations: We aim to build the capacity of existing CBOs by animating and facilitating their pursuit of public services. Depending on their priorities, these services could include agriculture extension, social safety, primary education, primary health care, access to justice or access to information. Building a health care system: We hope to further develop our strategies for primary health services and promote health seeking behaviours in response to arsenic poisoning. This health care model will incorporate nutrition, hygiene and reproductive health services and facilities at different levels (from households to hospital) that will be adapted to peoples socioeconomic realities. 32, 4* ")* The Arsenic Mitigation and Research Foundation was established in 2001 in the Netherlands with a Country Office in Bangladesh in 2003. It is a joint effort between academic researchers, medical doctors, development practitioners and marginalised communities. 5,&$"6$ # # [email protected] # www.peopleandwater.org # facebook.com/peopleandwater # twitter.com/peopleandwater # youtube.com/user/peopleandwater !"#$%&' )&*&+,*&-% . /$#$,"'0 1-2%3,*&-% Working towards effective and equitable arsenic mitigation and social mobilisation Wenslauerstraat 72-1h 1053 BB Amsterdam The Netherlands Ph. +31-624621771 Village - Shologhar, P.S. Srinagar (Bikrampur) Munshiganj, Bangladesh Ph. +880-1711391521 7,/&0 8*9,&' :+/6. ;<*# Our approach is based on the simple idea that the delivery of a service (safe water and health care) is not an end, but a means. It may be instrumental in creating favourable conditions for the participation of social groups that are normally marginalised from decision-making processes. They decide on the technology, the site for its installation and the selection of CBO members. The CBO then becomes a platform to address other dimensions of the arsenic problem and other social injustices related to food, sanitation, education, rights, livelihoods and so on. In the words of one CBO member: the water supply is a means for our development. 5,&$"=/&"$/,& ,1 0),+&'4"$*)# 4/$2 ")#*&/6 (,#*# " =">,) 2*"?$2 )/#. "),+&' $2* 4,)?'@ 8+$ /$ /# /& A"&0?"'*#2 $2"$ $2* 4,)#$ ="## (,/#,&/&0 /& 2/#$,)9 /# $"./&0 (?"6*B C2* (),8?*= "$ " 0?"&6* Millions of rural poor are drinking water containing high levels of arsenic. Prolonged exposure can lead to a range of diseases with likely fatal outcomes. The efforts of public health programmes to address the problem have often been short- lived and unevenly distributed. The crisis represents a failure of governance and a structural injustice of global dimensions. D&/E"? "6EF/E*# We have implemented safe drinking water and public health activities in more than forty severely arsenic-affected communities in three different districts. The installation of safe drinking water supplies brings people together and provides a justification for establishing community-based organisations (CBOs) to look after their operation and maintenance. However, switching to arsenic-free water is often not sufficient to detoxify the blood and organs affected by years of slow poisoning. Our doctors and paramedics therefore provide diagnosis and medical care for patients suffering from arsenic poisoning. In all activities, emphasis is given to improve the position and control of marginalised people. G+) 0+/'/&0 ()/&6/(?*# The challenge is one of implementation. It is necessary to put forward viable long-term strategies and discourage damaging development programmes and policies. The urgency and complexity of the arsenic problem requires an approach linking implementation with research in a manner that reflects the priorities of affected communities.