Friendship caring for a better life 87, Suhrawardi Avenue, Block- K, Baridhara, Dhaka 1212 Telephone:+88 02 881 4823, +88 02 881 4824, Fax:+88 02 881 4851 Email: info@friendship-bd.org Programme Activities of Friendship PROJECTS/PROGRAMMES 1. HEALTH - Floating Hospital a) Lifebuoy Friendship Hospital MAIN ACTIVITIES (Total Beneficiaries: 982,804 up to August 2009) The Lifebuoy Friendship Hospital was initiated by Friendship in 2001 with an aim to provide essential, primary healthcare services to the Char and riverbank based populations of northern Bangladesh. The project was designed to reach Char based population clusters that are isolated from mainstream habitation and have minimal or no access to healthcare services due to lack of transport and communication facilities. Lifebuoy Friendship Hospital Services: A. General Treatment: General Treatment of communicable diseases and limited curative care Paediatric Care including immunization, ARI, diarrhea and limited curative care Reproductive Health Care Orthopedic Health Care Eye, ENT and Dental Health Care B. Pathology: Pathology and Lab Services including X-Ray, ECG, etc. C. Referral Services: Emergency Referral Services Till October 2009 more than 360,123 registered beneficiaries have received primary and secondary health care services. b) Emirates Friendship Hospital Following the success of the Lifebuoy Friendship Hospital, Friendship launched second floating hospital on November 22, 2008, the Emirates Friendship Floating Hospital (EFH). The new floating hospital will provide medical services similar to that of the Lifebuoy Friendship hospital and thus further strengthen Friendship’s health initiatives in hard to reach Char areas of Kurigram district. EFH, since its inauguration, has been providing health services near Dhaka but was recently moved to Tongipara, Gopalganj. In addition to doctor chambers, medicine dispensary and the presence of two full time doctors, EFH is equipped with the following: Two operating theatres, Two eight-bed wards, Paediatric and gynaecology units, A dental room, A pathological laboratory, an X-ray room and an PROJECTS/PROGRAMMES MAIN ACTIVITIES ophthalmic room In the near future, the Emirates Friendship Hospital will provide health services to 200+ Nomad Islands / Chars and remote areas in Kurigram and Northern Gaibandha district having a population of approximately 5,000,000 people. - Specialized Health Care Secondary Health Services c) There is an acute need of secondary healthcare services in these areas, but no facilities for providing such services. To address this need Friendship provides secondary healthcare services though the Lifebuoy Friendship Hospital and also through specialized health camps. These health camps are arranged regularly with specialist European doctors and provide different types secondary healthcare services including eye, dental and ENT clinic and surgery, pediatric, orthopedic, plasticreconstructive surgery, post operative care, specialist consultation, referral service etc with the support of Humanitera, BNHS & various private donors. Friendship Secondary Healthcare Services: Eye care and surgery through Eye Clinic and Eye Surgery Camp Dental care and surgery through Dental Clinic and Dental Surgery Camp Plastic-Reconstructive Surgery Camp Cleft-lip Surgery Camp Pediatric Surgery Camp Orthopedic Surgery Camp Physiotherapy Camp ENT Health Camp General Health and Surgery Camp Specialist Consultation Referral Service Till October 2009 a total of 118,189 patients have received advanced secondary health care services from on board secondary care and various health camps. d) Satellite Clinic Satellite Clinics (in different remote chars) Friendship operates 232 Satellite Clinics every month in 94 different Nomad Islands/chars of Gaibandha and Kurigram districts which reach the remotest and most inaccessible islands and provide basic services to the women, children and men. The Satellite Clinics’ services are as follows: Another 60 Satellite clinics are operating in Patuakhali, Barguna, Bagerhat and Pirojpur district. Friendship Satellite Clinic Services: A. General Treatment: General Treatment of communicable diseases and limited curative care PROJECTS/PROGRAMMES MAIN ACTIVITIES Paediatric Care including immunization, ARI, diarrhea and limited curative care Reproductive Health Care including ANC, PNC, family planning and STI/RTI B. Health Education/BCC: Group Meeting/Health Education session and Individual Personal Contact C. Referral Services: From Satellite Clinics to Lifebuoy Friendship Hospital, GOB facility or any available NGO/private clinic or hospital At present, each month 292 Satellite Clinics are providing healthcare support in most remote and inaccessible Chars and cyclone affected coastal areas of Bangladesh. Till October 2009, 675,010 beneficiaries have received satellite clinics health services. e) Nutrition Majority of the Char children are malnourished. This is not only due to their poverty, lack of awareness also plays a major role. The children takes far less calorie than what is required by their body for healthy growth. This creates long term effect in the health scenario of the Char population. In order to provide balanced, nutrient food to the Char children as well as to increase Char people’s (especially women’s) awareness on nutrient food and food value Friendship is implementing a Nutrition program in the Char areas. The program is aimed at children under 6 years as well as ANC/PNC mothers. The Nutrition Program of Friendship covers: Health education/counselling Demonstration of nutrient food cooking Feeding children under 6 years of age Growth monitoring Motivation to personal hygiene. Every month a total of 292 Satellite Clinics are arranged in Friendship working area and under each Satellite Clinic approximately 100-120 children received the benefits of nutrition programme per year. f) Child Immunization (EPI) In order to reduce women’s and young children’s mortality rates among Char and riverbank based populations, Friendship organizations child immunization sessions at regular intervals. Friendship’s Child Immunization (EPI) program aims at reaching the children as well as women living in remote and inaccessible Chars under immunization program. Friendship organizes EPI sessions both through organizations own funding and also in collaboration with the GOB. Under the immunization program children aged between 0 to 1 years and women aged between 15 to 49 years are given vaccine for prevention of life threatening diseases. This programme has been supported by Government of Bangladesh. PROJECTS/PROGRAMMES Family planning g) MAIN ACTIVITIES Due to a number of reasons including lack of family planning services and non-availability of family planning methods as well lack of awareness and illiteracy, birth rate is very high in the Chars and riverbank areas. Considering the importance of the issue Friendship is working on family planning among eligible couples in the Char areas. With an aim to increase adoption of family planning methods, with special focus on long term methods. Friendship’s Family Planning program includes: Motivation and counselling of eligible couples Contraseptive distribution (oral pills and condoms) NSV, Tubectomy, Injectables Inserting Norplant & IUD. Till October 2009, a total of 22,662 beneficiaries have received family planning services from Friendship with the support of GOB. h) Friendship Community Medics Friendship Community Medics In 2008, Friendship introduced yet another innovative way of delivering primary care to the char dwellers. The program selects women of the community and trains them with the purpose of creating a ‘self-sustaining, primary health service providing’ mechanism on the chars. FCMs undergo intensive training to address disease prevention, maternal and child health, nutrition and family planning issues. FCMs have proved to be an effective and efficient means of improving community health by serving as a vital link between communities and health care systems. Each FCM monitors the health status of 250 households. The program also empowers women with an income source and self confidence. Friendship Community Medic Services: A. Family Planning and Care of Pregnant Women: Identifying, registering and educating eligible couples for family planning Identifying, registering and educating pregnant women on safe pregnancy, safe delivery, nutrition, ANC and PNC Referring couples seeking long term family planning method and pregnant women to satellite clinics B. Health Education/BCC: Group meetings and health education session and individual personal contact to address issues such as nutrition, hygiene and primary prevention C. Child Health and Immunization: Identify all children<1 year and ensure immunization. Educate parents on new born and child care D. Referral Services: Refer complicated cases to satellite clinics and LFH/EFH Currently, Friendship has trained and deployed 222 FCMs in the north and south of Bangladesh. PROJECTS/PROGRAMMES i) MAIN ACTIVITIES River Ambulance River Ambulance Friendship has launched the First catamaran River Ambulance in Bangladesh for the service of the Lifebuoy Friendship Hospital and the upcoming Emirates Floating Hospital serving the population of the chars and riverbanks of the Jamuna. It is the way to answer the medical emergencies and disasters faced by the communities living in the area. The ambulances are linked by mobile phones to the Friendship Community Teams in health, education and income generation, in over 100 islands of the Jumna. The Ambulance has been conceived in order to be able to ferry at a time, two patients accompanied by two paramedics and members of their family. It is also able to ferry 15 medical staff at a time to a site in case of major accident or epidemic. The boat has specially been designed and visualized, by the world famous naval architect Mr. Marc Van Peteghem, to match the specific needs to Bangladesh. 2. EDUCATION - Primary Education a) Friendship Education Programme In July 2005 Friendship commenced an education programme with an aim to provide essential education services to the poor children living in the chars. The key objective of the programme is to increase literacy among the children of the char dwellers as well as to increase literacy awareness among the char people. Ultimately, the project aims to develop an appropriate model of primary and vocational education for the poorest of the poor in hard to reach areas which is sustainable and replicable. Friendship Education Program Achievements: A. B. C. D. Student Enrolment and Retention Satisfactory student enrollment in all the schools 100% student retention with no cases of drop out Attendance Throughout the year student attendance has been very satisfactory. In the first year the total average attendance was found to be as high as 98% Learning Outcome At the end of the first year 89% students (267 out of 300 students) received grade A in all subjects in the final examination Only 3 students received grade F Additional Support Providing educational materials free of cost Warm clothes distribution during the winter session School plinth raising for flood protection Emergency school dismantling training to the School Management Committee Presently the 16 schools are providing formal primary education to 1361 students, (815 are girls and 546 are boys). PROJECTS/PROGRAMMES Satellite School Project b) MAIN ACTIVITIES Friendship has 16 satellite schools in remote chars. The organization has designed and developed the “Friendship Satellite School Project” which aims to bring the children of new Chars under its education program through an innovative model of cooperative managed satellite schools funded by both the community and the organization. The curriculum is simpler and easier. Target is to equip them for basic reading, writing, mathematical, environmental skills with strong emphasis on moral and ethical developments. As of August 2009, 480 children are learning in these satellite schools Non-formal Primary School c) Friendship has 25 schools in remote Chars. But these schools cannot provide education to children of other totally school less islands. There is a strong demand for schools in such islands. Every year this demand is increasing. There are more and more children and parents with such demands. With an aim to address the needs to the best of the organization’s responsibility and capacity, Friendship started running its community based schools through cooperatives in the char areas without any external funds. As of August 2009, 745 students are getting primary education in non-formal primary schools. Teach a Friend Project d) The “Teach a Friend” project involves the drop out and unaddressed children living in remote Chars of Gaibandha and Kurigram districts under the coverage of Friendship’s existing education programme through Friend’s Peer education. The model is an Innovation of Friendship. This is a Child to Child Education Programme with a strong framework of teacher intervention and motivation. The key aim of the project is to develop a system of non-formal education through which every student will share their daily learning from the school with a friend (who is to be registered at the school a “friend” at the beginning of the year). Every day, they will teach their friends what they have learned at the school. This way, through peer education in the Char, the school going children will disseminate their learning to their special friends who are deprived and have no access to education. This program already provided primary education to 200 children so far. - Adult and Adolescent Functional Literacy PROJECTS/PROGRAMMES e) Adult Education Project MAIN ACTIVITIES Majority of the char dwellers are illiterate and cannot read and write at a functional level. As a result these people cannot improve their incomes. They have little awareness of the importance of education and often find it difficult to understand many of the messages delivered to them. Friendship initiated the Adult Education Project in 20 schools in 20 islands. The aim of the project is to increase literacy among the adult char dwellers. The classes are held in the evenings so that the regular income generating activities of the beneficiaries are not hampered. After completion of their studies these students will be enrolled in the Vocational Training programme, The Adult Education Project will increase char people’s literacy awareness which will encourage them to send more children to schools. Moreover with vocational training they will be able to improve their income and reduce their poverty. This programme is running by Friendship’s own fund. At present a total of 620 adults and adolescents are getting functional literacy and social education, where 516 are female and 78 are male. 320 adults and adolescents already completed the functional literacy programme. f) Vocational Training School (age group: 12-18 years children) The Vocational Training Project focuses on increasing livelihood skills of the adolescents (aged between 12 to 18 years) through vocational training. In selected chars, adolescent boys and girls will be given training on different areas according to their capability and needs assessment. The project was scheduled to start from August 2007 as a pilot project but delayed due to the devastating floods. It has been re-scheduled to be launched during the post-flood rehabilitation of the char dwellers. As part of the project Friendship will provide vocational training in the following areas: Light Engineering and Mechanical Sewing/Tailoring Plumbing Electrical Livestock Fisheries Carpentry Painting This program provided social education to 400 adolescents PROJECTS/PROGRAMMES g) Accessing a Better Life MAIN ACTIVITIES This is the second phase of a previously introduced project, “Rural Social Education”, undertaken by Friendship to provide civil rights based awareness and uplifting their capacities by addressing certain key issues to improve their livelihood status. Issues addressed by Rural Social Education were: Awareness Building Program on different issues to get the services from existing facilities of Government and NGOs Health and Family Planning Education Water and Sanitation Agriculture, Fisheries and Livestock Govt. Legal Support Program Women and Children Affairs, and Social Welfare In this new phase, the char communities will form long term strategies through the char development committee (CDC), members of which are selected exclusively from their respective chars, to influence the basic services provided to them. Strategies will be developed based on knowledge and awareness of their human and civil rights. Training will be provided to the CDC to better equip them to demand and evaluate the fulfilment of their basic needs from government and non government sources. Finally, this program aims to promote greater economic viability of the marginalized community through skill development activities. 3. a) RELIEF, RECONSTRUCTION AND REHABILITATION - Flood and Cyclone Relief, Reconstruction and Rehabilitation Flooding During the devastating flood in 2004 and 2007, Friendship initiated a massive flood relief programme. In the first phase of this programme Friendship has delivered emergency relief by providing 1,100,000 rations of food and essentials over 125 Chars in 7 districts in northern Bangladesh. In the second phase of the relief programme Friendship is in the process of delivering another 1,800,000 man days of food relief Agriculture support is also being given. This consists of distributing 8 - 10 kg of seeds/farmer for Boro and other cash and food crops. Fertilisers are being based on need and availability. Direct agricultural assistance is being made to the lives of 120,000 people (i.e.20, 000 farmers and their 6 member families). In total Friendship has already distributed/in the process of distributing a total of 3,020,000 rations of food relief and cultivation support for the flood victims in 2007. PROJECTS/PROGRAMMES MAIN ACTIVITIES Moreover, Friendship has also started providing houses, water and sanitation to 1300 families over 7 districts on the River Jamuna and Brahmaputra. 35-40 community shelters are also in the process of being constructed. Previously, during the flood 0f 2004 Friendship, delivered emergency relief by providing 600,000 rations of food and essentials over 125 Chars in the remote and inaccessible chars of northern Bangladesh. During that time Friendship provided 600 houses for the poorest of the poor char dwellers. b) Cyclone SIDR On Nov 16, 2007, a category four cyclone ‘SIDR’ hit the coastal regions of southern Bangladesh. The cyclone caused massive destruction in these areas – thousands of lives were lost and unaccountable damages to the property, infrastructure and communication have been reported. Immediately after the catastrophe Friendship initiated a relief and rehabilitation programme for the SIDR victims. 5 assessment teams were sent to survey the damages and the needs of the cyclone victims. This programme consists of the following components: Phase 1: Delivering emergency food relief and medical support: Food relief distribution started almost immediately. Up to now a total of 900,000 man days of food (25,000 food relief packets containing 6 days of food for a family of 6) has been distributed in 5 most affected districts. In many areas Friendship’s food packages have been acknowledged as being the first to reach the people. On the 3rd day of the cyclone, Friendship sent 5 medical teams from Lifebuoy Friendship Hospital to the affected areas. A team of 6 foreign doctors and nurses were also flown in as volunteers from France. They have provided emergency medical support to the victims for one month. Phase 2: Reconstruction of houses/shelters, water & sanitation: Reconstruction of houses for the most affected poorest of the poor cyclone victims has been initiated. Construction of a total of 2,000 houses has been targeted in 3 upazillas. A household survey has been already completed for identification and selection of the beneficiaries. Not only that Friendship also reconstructed one rd orphanage and 40 shops which were demolished at the time of cyclone Sidr. One boat Jetty (Ghat) also reconstructed by Friendship. Phase 3: Rehabilitation through income generation: Friendship has started post cyclone rehabilitation to help the victims to get back to their normal life. Friendship Livelihood project, which includes boats, solar panels, beef fattening, agriculture (seeds and fertilizer), fisheries and poultry, etc., has been introduced to the victims. The present status of this project is Friendship has already distributed seed (winter crops), Fertilizer. power tillers, fuel, deep tube-wells, solar panels, boats, nets for fishing, fish fauna, Duck & PROJECTS/PROGRAMMES MAIN ACTIVITIES Chicken, Milking cow, irrigation pumps through cooperatives among selected beneficiaries of 3 severely affected districts named Bagerhat, Barguna and Patuakhali. For strengthening this programme Friendship also conducted different training programme for the beneficiaries at the sidr affected areas. Friendship already completed agricultural training for the farmers. Training for the school teacher, FCM training also been conducted by Friendship. Friendship implemented the whole relief, reconstruction and rehabilitation programme in close coordination with local government bodies such as UNO, DC, Bangladesh Army, Navy and other local NGOs in the affected areas. Cyclone Aila c) On Nov 25, 2009, another cyclone ‘AILA’ hit the coastal regions of southern Bangladesh resulting in widespread destruction in these areas and killing many. Although, not as devastating as Sidr, Aila’s huge tidal waves salinated fresh water causing a severe shortage of drinking water. Friendship responded on the response of cyclone Aila affected victims’ assistance by providing some emergency like – Emergency Food Relief Pond Clearing Health and Medicine Support School Repair Friendship’s Emergency Food Relief packets have distributed among families from the three southern costal districts of Bagerhat, Borguna and Potuakhali, ensuring total 7 days food security for each 6 member family. d) Rehabilitation for Victims of Garments Tragedy Rehabilitation Programme for Garments Workers (Victims of the Spectrum Tragedy) The “Garments Rehabilitation Project” was initiated by Friendship to provide support for sustainable rehabilitation of the victims of Spectrum garments tragedy at Savar. The project consisted of the following steps: Identification of the actual victims and their families Assessing the current situations and the needs of the victims and their families Exploring the opportunities of establishing income generation project for the victims and their families Disbursement of cheques to the victims and their families for establishing the income generation project Providing medical support to injured, ailing victims and their families Monitoring and follow up the rehabilitation project Support was given for the following type of income generating activities: Land mortgage Land purchase Milk Cow PROJECTS/PROGRAMMES MAIN ACTIVITIES Small business/trade (grocery shop, tailoring) Farming (poultry, fisheries) Training was provided on the following topics: Sewing/dress making Poultry Fisheries Dairy Agriculture Computer applications As part of the programme 116 victims (including dead victims’ families and injured victims) have been successfully rehabilitated through integration into mainstream income generation activities. e) Climate and Environment Disaster management Friendship’s greatest challenge is the environment. All of Friendships activities are designed to work with the natural environment and also to prepare the communities it serves to remain resilient in the face of a natural calamity. Regular natural disasters such as floods and river erosion pose a serious obstacle to the char dwellers for in development. Because of the floods and heavy river erosion the char people suffer heavily, lose all their assets and live a migratory life moving from one char to another. Disaster management is an integrated part of Friendships development activities. To reduce the effect of natural disasters Friendship is implementing different kinds of activities for disaster management and preparedness which includes: Community Medic Training (to serve in the absence of formal care givers) Refer to 1 (f) Plinth raising Orientation on disaster management Training of FCDC members Boat building training Medical camps Local resource management. Relief Rehabilitation program management Networking f) WATSAN The char people are largely unaware of the importance of safe water and sanitation. Hence, they regularly suffer from carious water borne disease. Since 2004 Friendship has been working to increase the awareness on safe water and sanitation as well as to provide better Watsan facilities such as sanitary latrines and tube wells. The activities are as follows: Motivation to use safe water Motivation to use sanitary latrine Motivation to personal hygiene Behavior change communication Setting up tube well Setting up latrine PROJECTS/PROGRAMMES MAIN ACTIVITIES Health education Water, Sanitation, Hygiene promotion and irrigation support program. g) In June 2009, Friendship has started its new program targeting to provide water and sanitation support to different hard to reach areas where Watsan situation is worst then other areas in Bangladesh. In addition, Friendship will provide agricultural pump to the beneficiaries for upgrading their cultivation system. The project is currently in progress in two Chars in Haluaghat, Mymensingha and one in Kurigam where sanitary latrines, tube wells for drinking water and deep tube wells for irrigation will be provided. National organizations like BADC declared Huluaghat a dark zone and were not willing to erect a deep tube well over there. However, Friendship had undertaken the challenge to install the pump with an optimistic view and found sufficient ground water Bio gas for cooking and bio fertilizers for farming will also be introduced from the sanitary latrines. 4. INCOME GENERATION a) Risk Sharing, Micro-Insurance and Saving Sustainable Income Generating Project (Developing a mechanism of sustainable income generation through Friendship’s Risk Sharing Micro-Insurance and Savings Scheme) An integrated system for the people living in Chars and riverine areas of Brahmaputra and Jamuna, for stabilizing their livelihood, is an essential component of their rehabilitation and poverty reduction. Friendship has identified and successfully piloted an integrated system for rehabilitating of the Char dwellers (Nomad Islanders) through a sustainable livelihood/income generation programme so as to help them to partially meet the hazards of recurring floods and improve their overall poverty situation. The program activities are as follows: Formation of Friendship Char Development Committee Capacity building through training Awareness building through communication Building up the savings and understanding its importance Building up the unity to work together and monitor Providing livelihood support to the community such asa. Boat b. Mobile Phone c. Shallow machine d. Power Tiller/Plough e. Solar panel f. Agricultural aid g. Livestock h. Fisheries At present this project is being implemented in 40 chars, located in the districts of Gaibandha and Kurigram, through 20 managed cooperatives. A total of 20,000 beneficiaries including women and the most vulnerable people of the project area will be directly benefited from the immediate outcome of the program through their engagement in sustainable income generation activities. After completion the PROJECTS/PROGRAMMES MAIN ACTIVITIES project is expected to indirectly benefit approximately 52,500 people. Target being to raise their income by 100% in 4 years and leave them with a savings so that they have an option of decision for taking loans. b) Vocational Training for Women Weaving, Dyeing and Printing A training and production centre has been established in remote char areas of Gaibandha districts where different development activities of Friendship are going on. More than 300 hundred women and adolescents have been targeted in the beginning. This group of vulnerable women are be given by weaving, dyeing & printing training. These groups will have employment and self-employment opportunity. Group of women, adolescents and their family members will be directly benefited by this project. Currently this program providing training support to 50 vulnerable women and adolescent. 5. CULTURAL PRESERVATION a) Cultural Project (Preservation of the Ancient Boat Heritage of Bengal) Traditional boat building technology and its crafts of Bengal is the oldest cultural living heritage. Friendship is establishing a Living Boat Museum in which the memory of these crafts will remain for the next generations. Building boat models/replica to preserve the technology of ancient boats heritage of Bangladesh Establishing a Traditional Boat Museum of Bangladesh Creating awareness among the people regarding the instinct of ancient and traditional boat building of Bangladesh At present models of 48 different types of boats have been identified and rebuilt and an exhibition of these models have been displayed in the Marine Museum in Paris from Dec 2007. b) Travelling Exhibition Friendship promotes its work of cultural preservation throughout the world by the creation of a travelling exposition. This exhibition focuses on the built model boats, but also contains materials traditionally transported by the life scale boats. Jute, rope, bamboo and tea boxes give a feeling of the daily life on the boats. Films and descriptive panels complete the visual material. Since now, the exhibition has been held in: Bengal Gallery in Dhaka, 2004, Dhaka National Museum, 2005 National Museum of the Marine in Paris, 2008 Museum of the Marine in Brest, 2008 PROJECTS/PROGRAMMES MAIN ACTIVITIES c) Model Boats “Salon Nautique” at Porte de Versailles in Paris, 2008 Bangladesh’s thousands of years old boatbuilding technologies have always been transmitted orally. Hence they will be lost with the demise of their last masters. In order to prevent their loss Friendship tries to record the ancient technologies by employing them to build miniature wooden sailing boats, with the same craftsmanship as they built the live scale vessels. This way, more than 100 different models have been manufactured over the last years and the thousands of years old traditions have been preserved. d) Living Museum The ‘Living Museum’, which already exists in an embryonic state, constitutes of wooden life scale boats. They are being restored and reconstructed on site, by craftsman, such as carpenters, blacksmiths, rope makers, sail makers, located by Friendship. The Living Museum will be expanded and include an open air display of boatbuilding technology, the traditional lifestyle of the boat builders and the restored and reconstructed live scale boats. e) Research and Development In addition to Friendship’s work on cultural preservation, we also created a ‘Research and Development Section’, which will be addressing innovations in the naval sector, as for example the construction of fibre glass boats. New methods and skills will be taught to the traditional craftsman, so that they can face the future and have a secure and stable income. 6. NEW PROJECTS a) Friendship Summit energy project (FSEP) FSEP has been launched in November 2009 as a pilot project for providing solar energy for electrification to the ultra poor, Nomadic Islands i.e. the char dwellers in Gaibandha and Kurigram district. Most of the population in this area live on subsistence farming or daily labouring and do not currently have and will not receive access to reliable electricity in the next 10-15 years. FSEP project provides services through Solar Home System (SHS) to the targeted char households, schools, library, PROJECTS/PROGRAMMES MAIN ACTIVITIES community centre, shops/markets etc. b) Integrated Development Project Friendship has started an integrated development programme for 6 islands of Kurigram district where all development activities of Friendship will be done to create model Islands. This project will be integrated with healthcare education and livelihood programme. Combined intervention of healthcare, education and livelihood programs will enhance beneficiaries’ capacity, savings and opportunity; reduce their continuous sufferings. This project will ensure food security of the target people within 2 to 3 years and financial sustainability will come up within 3 to 4 years. The project would include all of Friendships programs: Health (FCM training and satellite clinics) Refer to 1(c) – 1 (f) Education (primary, adolescent training and Adult education) Refer to 2 (a) – 2 (d) Income generation (training, risk sharing, micro savings) Refer to 4 (a) – 4 (b) c) Friendship Taratari Research and Development Centre The Friendship Taratari Research and Development Centre (2007- 2008) is being established for training ship and boat builders in new and different technologies for safe boats. It is involved in research and development addressing economically sustainable innovations in the naval sector such as the inclusion of jute fibre in the materials used to build boats. New methods and skills will be taught to the traditional craftsmen for a more secure and stable income. Currently, Taratari is building fiber glass boats for a project called “Boats for tomorrow” which is building 200 boats for 200 fishermen as part of the rehabilitation program for Sidr. These boats will be included in the income generation scheme for the fisherman who lost their boats during Sidr. 7. FRIENDSHIP INTERNATIONAL - Pakistan a) Mobile Dispensary for the Earthquake Victims in Pakistan Friendship International, sister organization of Friendship, is registered in Luxembourg. t started a fixed dispensary and a fully equipped mobile health clinic in the earthquake hit areas of Azad Jammu Kashmir in 2006. As part of the program 1 covered van have been converted in to Mobile Clinic which operates in remote and hard to reach PROJECTS/PROGRAMMES MAIN ACTIVITIES parts of earthquake struck areas. This Mobile Clinic provides emergency healthcare services to the most marginalized communities. The Friendship Clinic in Muzaffarabad also services the people of the area who are otherwise at a distance from the main hospital. Clinic and ambulance services in Abbottabad, NWFP of Pakistan: This project provides health care services through clinic and also ensures ambulance services to the vulnerable people in remotest region. 8. PROPOSED PROJECTS a) Floating Clinic “Floating eye-hospital delivering affordable, quality, eye care to the poor and remote peoples” This project targets cataract patients in haor areas of Kishorgonj, Sunamgonj and Brahmondbaria district, features are: A fully equipped eye-hospital housed in an innovative glass-fibre boat able to reach difficult locations Primary health care and eye surgery services for vulnerable groups Senior surgical staffs are on a retainer or volunteer basis Self-sustaining hospital within three years Follows the successful model of the Friendship floating hospitals and is able to visit remote sites Friendship will achieve a monthly throughput of 200 patients regaining their sight and earning capacity and also 1000 people for primary health b) Nadi Foundation – Agricultural product sales – Cattle Sales – Sweater Project – Tailoring Projects - c) MUSHTI For income generation for the organisation with stake holders as share holders. Friendship is presently working actively in 75 islands, the population covering approx 40,000 families. Friendship has identified a potential area of intervention by introducing training on traditional and mechanized sewing techniques for the poor and vulnerable women and adolescent girls which can be a source of substantial earning for them. A micro-finance organization will provide micro-savings, microinsurance and risk sharing interest free loan services to the poorest of the poor char dwellers. PROJECTS/PROGRAMMES d) Telemedicine MAIN ACTIVITIES Telemedicine is the delivery of health care and sharing of medical knowledge over a distance using telecommunication means. Telemedicine at Friendship would enable medical information exchange through a mobile phone at a distance with the ultimate goal of facilitating the health services in the communities. It will also be for reaching dependable quality care which is economically sustainable for the communities when the NGOs and donors are not there for subsidizing the heath care costs. Telemedicine and mobile based software, which can be used by FCMs to collect and send data, has already been proved as an effective and efficient tool for delivering health services to widely dispersed and medically underserved populations such as those in the Chars.