20th century intelligence - ending poverty of half world without electricity -although Keynes 1936 (last capter general theiry money inetrest emplymen) asked Economists to take hipocrati oath as the profession that ended extreme poverty, most economists did the opposite. Whats not understandable is how educatirs failed to catalogue the lessons of the handful who bottom-up empowered vilages to collaboratively end poverty. There are mainly 2 inteligences to understand- Borlaug on food; fazle abed on everything that raised life expectancy in tropical viage asia from low 40s to 60s (about 7 below norm of living with electricity and telecomes). Between 1972 and 2001, Abed's lessons catalogued in this mooc had largelu built the nation of Bangladesh and been replicated with help of Unicef's James Grant acroo most tropical asian areas. What's exciting is the valley's mr ad mrs steve jobs invted Fazle Abed to share inteligences 2001 at his 65th birthday party. The Jobs and frineds promised to integrate abed's inteligence into neighborhod university stanfrd which in any event wanted Jobs next great leap the iphone. The Valley told abed to start a university so that women graduates from poor and rich nations could blend inteligence as Abed's bottom of the pyramid vilage began their journey of leapfrog modles now that gridd infarstructures were ni longer needed for sdiar and mobile. Abed could also help redesign the millennium goals which were being greenwashed into a shared worldwide system coding frame by 2016. There re at Abed's 80th birtday party , the easy bitwas checking this mooc was uptodate. The hard bit - what did Abed mean by his wish to headhunt a taiwanese american to head the university's 3rd decade starting 2020?

Monday, July 5, 2021

3.1 3.2 3.3 last mile health services - billion asian women empower 25 year rise in life expectancy 2021-1970

core documents : download 14 pages on why Brac received Gates Global Health Award 2004 

FAZLE ABED WAS DESPERATELY DISAPPOINTED IN 1972- he had built 15000 village homes with his life savings and a matching grant from oxfam rated as best they'd seen when he observed 5 or more young women dying a week typically of famine and 10 or more infants dying  from dehydration

so instead of building any more metavillages he searched for community solutions- where possible sustainable village business he could microfranchise to village mothers

fortunately rice practice alumni of borlaug explained how up to 5 times more local rice production making 2.1 rice business microfranchising an obvious business

3.2 para-health franchise Shasthya Shebika (in 2008 forbes reported 68000 brac para health workers reached 80 million villagers - in effect brac is the lowest cost wholesaler  and through its Shebika retailer of the health products it offers)

abed was introduced to barefoot chinese doctors who in turn wanted to know about 3,1 oral rehydration- bangladesh didn't have china's history of medical studies so instead abed invented a doordash of non prescription medicines - the  para-health franchise owner was assigned 30 village homes to visit weekly- the merchandise brac chose for her

over time the prahealth worker became the most trusted person in each group of 300 families on health and Q&A while her microfranchise delivered positive income ie a sustainable livelihood 


best abed health-alumni interventions  since abed's death 20 dec 2019

30 years on ; this story from brac 2009 annual report illustrates how simple (back in 1996, 20 years of brac's experience has distilled initial training into 15 days) brac can make it for a women villager with a mission to become a village para-health servant

Mazeda Akhter was finding it hard
to make ends meet after 12 years
of marriage and two children.
Then one day in 1996, she decided
to be trained as a community health
volunteer (shasthya shebika) on the
advice of a local BRAC programme
organiser. After a 15-day initial
training, she began to work in her
Gazipur village, providing basic
treatments and health education.
She also started selling medicines
and medical supplies to earn some
money and improve her family’s
economic condition. Now, Mazeda
earns about 1,000-1,200 takas
a month. She also deposits 100
takas in a monthly savings scheme –
her savings now amount to 14,000
takas. Her son is studying in college
and her daughter is in school.
Mazeda says she wants to continue
serving the people and bring up
her children to be good citizens.
Fazle Hasan Abed on Poverty Alleviation in Bangladesh ...

three "miraculously human exchanges" empowered health of billion bangladesh and chinese to rise- more generally its hard to see how asia's two thirds of humans lives rose since 1945 without these leaps forward for sustaining families/communities - see also 

3 from 1980 unicef james grant maximised rural network exchanges of bangladesh, china and any tropical nation whose leaders would listen to miracles of vaccination and oral rehydration - further verification check with unicef current ceo henrietta fore

2 chinese americans at east pakistans cholera lab discover oral rehydration - life saver for over third of infants in any rural tropical place; faze abed is asked to work out howw to train every village mother

1 from a non-chinese person's viewpoint Chairman Mao's cultural revolution did extraordinary things - some cruel/bad? but at least 1 brilliantly good- without the idea of barefoot chinese doctors its hard to see how fazle abed would have helped build bangladesh rural health services connecting 90% of the new nations population

if you have difficulty with this lesson read harvard martha chen's book a quiet revolution - she was employee number 3 at brac and her book is a deep dive into how brac built foundations of its forst 10 years until sir fazle's first wive ayesha died 

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