In 2009, CDRS successfully managed 82,822 patient contacts. These include 57,706 patients managed at CDRS managed Rural Health Centers and Basic Health Units in remote areas of District Muzaffarabad and Poonch, 29,922 patients from our 3 month emergency response to the Swat IDP Crisis, emergency medical camps treating acute victims of water borne disease outbreaks, emergency response to coastal Sindh to provide medical services to Monsoon Victims, Eye Camps, Dental Camps, School Health Programs (in Muzaffarabad and with Developments In Literacy (DIL) in rural areas around Rawalpindi) and deployment of mobile medical teams to very remote and underserved villages. 75% of our patients were females and children.
(Please refer to the two attached supporting documents for further details of patient contact and diagnosis statistics)
In 4 years of CDRS operations since the end of the emergency phase of operations for the October 8, 2005 earthquake, CDRS has successfully managed 350,151 patient contacts at a cost of $630,779.09, or $1.80 per patient contact. We have kept costs down because we live amongst the people, buy most of our supplies and food locally and rent local jeeps to go where we need to go. This provides economic benefit to the communities we serve, in addition to the healthcare benefit, therefore we have become an important and trusted part of the community. We don't spend the funds you generously donate on expensive vehicles and fancy offices, CDRS is a no frills charitable oganization that concentrates on being effective at providing competent and compassionate primary and emergency healthcare services to our beneficiaries in rural, remote and moutainous villages in Pakistan. We are loved and respected and wanted by the communities we serve, so we have no need to spend a dime of your money on security.
The next update will focus on the successful start of our new CDRS Community Based Self Sustainable Healthcare Project. This project is a social health insurance mechanism which partners the local community with the local government health ministry at the facility level to internally raise the funding needed to build and sustain an effective health facility for decades to come. The idea is to make CDRS irrelevant to the provision of primary healthcare in these areas as soon as possible. We want to create an effective system that can sustain itself even if CDRS must leave due to lack of funding available due the recent downturn in the world economy or need to respond to other disasters. Our implementation of this project is beginning to see very positive results. The data trends are both heartening and energizing, and will be included with the next report. Until then, Thanks for supporting our efforts!
God Bless You and Yours,
CDRS / SHINE PAKISTAN (Comprehensive Disaster Response Services AND Sustainable Healthcare Intiatives Now Empowering Pakistan)
The vigorous pursuit of our Community Based Self Sustainable Healthcare Project in Chikar & Sulmia Union Councils has been slowed by our need to respond to the IDP emergency in NWFP. As soon the situation stabilizes, CDRS staff in Chikar will again direct its full energies toward the success of the Community Based Self Sustainable Healthcare Project. CDRS Health Facilities in AJK continue to run smoothly in spite of the lesser number of staff due to the Swat emergency, as remaining staff are working double shifts to meet the commnity's needs.
Photo Update (Dental Health, Mental Health, Special Patient Junaid's first day of school, Community Health Project Meetings, Animal Welfare Programs:
CDRS in NY Times (Article & Video): http://www.nytimes.com/2009/06/25/world/asia/25kashmir.html?_r=1
CDRS in Dawn.com (Clumn by Ethan Casey, author of "Alive And Well In Pakistan":
New CDRS Video - A Report To The CDRS Family Of Supporters (15:33) Full Version
(Contains extra footage, extended interviews, more on CDRS history, current operations and future goals)
Caution: This version contains a few scenes of grave injury from the emergency relief and rescue phase of The October 2005 South Asia Earthquake in order provide viewers with a brief but stark visual to show the level of devastation that responders rushed to in order to give aid and comfort to those most harmed. http://www.mefeedia.com/entry/cdrs-comprehensive-disaster-relief-services-pakistan/14724653
New CDRS Video - A Report To The CDRS Family Of Supporters (6:20) Abbreviated Version
(Same script edited for time-sensitive presentations at fundraisers and speaking events)
Note: Scenes of graphic injury and devastation have been left out
It's been quite a busy and eventful beginning to 2009 for CDRS. In 2008, the five CDRS managed health facilities operating in Pakistan Administered Kashmir's District Muzaffarabad (and one in District Poonch) successfully managed 97,728 patient contacts, and CDRS launched a new program designed to gradually build an effective, internally funded and self-sustainable healthcare system for the poor and rural communities we serve.
74% of CDRS patients last year were Females (38%) and children 14 and under (36%). Please see 2008 Diagnosis and Patient Contact Statistical Reports, downloadable in this update
To read about The CDRS Community Based Self Sustainability Healthcare Project, go to:
Road Blockages due to landslides and snow have been even more of a problem this winter than last. The weather conditions have presented many difficulties in transporting patients and delivering medicines to the health facilities we serve in the very mountainous and remote areas. Even though CDRS pre-positions as many supplies and medicines as possible, shortages occur when the roads are blocked for extended periods. Electricity is normally out for 15-20 hours a day during the winter, and completely out during weather events. We have generators and backup fuel but couldn't use our generators for several days in January when fuel stores were exhausted and the combination of landslides and a district-wide fuel shortage stopped fuel deliveries for two weeks. Communications became difficult to impossible when phone lines, dial-up internet and cell phone towers were out of service for days at a time. In spite of these difficulties, our medical staff continued to treat patients and most essential medicines were available in our pharmacy.
One Of The Many CDRS Success Stories:
One young patient by the name of Junaid has responded miraculously to our interventions. In October of last year, Junaid's Father came to me asking for help, saying his 11 year old son had been paralyzed after being buried in the rubble of his home during the October 2005 earthquake. I brought Dr. Rizwan Shabir with me to Junaid's home to examine him. Though he had sustained a head injury and endured bacterial meningitis, Dr. Shabir determined that Junaid was not paralyzed but desperately needed an extensive program of physical therapy. After more than three months of intensive physical therapy, home schooling (CDRS pays for a teacher to visit Junaid 6 days a week, three hours per day) and special leg braces, I am happy to report that Junaid is now able to walk with support, has become much more limber and mobile in his joints, is able to go to the bathroom instead of wearing a diaper. Junaid has also made significant progress with his schoolwork and we hope to send him to school as soon as he's ready. CDRS purchased new clothes for Junaid, as well as toys, books, school supplies and learning games for him and his 4 brothers and sisters. I wish that Junaid's Father had brought him to me sooner, but the bottom line is that a beautiful child who was living as a prisoner in his own body, emotionally withdrawn, immobile and in pain has really come back to life and is on his way to fulfilling his potential to be a happy and productive member of his community.
Other January/February 2009 News Of Note:
CDRS received a plaque of honor from The Muzaffarabad Citizens Forum, The Pakistan Red Crescent and Rise, commemorating three years of services to the people of District Muzaffarabad. The award, the fourth that CDRS has received for its work in the earthquake affected areas, was presented by Ms. Anne Aarnes, Mission Director for USAID Pakistan.
Weather conditions have slowed the implementation of The CDRS Community Based Self Sustainability Healthcare Project, however, we still managed to create 40 village health committees while also concentrating efforts on educating the people of Chikar Union Council about the importance of the plan to the community's future.
CDRS presented another in a series of Health Fairs for children at our main facility in Chikar. The health fairs involve staff and children performing entertaining skits that educate children and families on important health and hygiene practices. CDRS Staff pulled off another great event with an awesome example of the teamwork that has made CDRS such a treasured and trusted part of the community. Thankfully, the weather was beautiful on the day of the event, which was attended by about three hundred people. Adam B. Ellick, a reporter from the New York Times, also attended and filmed the event. A New York Times news article and short documentary film about CDRS will be coming out March.
My staff and I hope you will continue to support CDRS and its efforts to use our long term response to the earthquake as an opportunity to build an effective healthcare system to serve the people of Pakistan. Brand new hospital buildings don't help anyone unless the system inside those buildings is working properly- at this point, I prefer to have a shack with a good doctor, staff, working ambulance, supplies, medicines and operational budget that have a beautiful, empty, ineffective and insulting brand new hospital building funded by a compassionate and well meaning but ultimately shortchanged donor.
Please feel free to send your comments and feedback about this report.
Please see attached 4 page report of CDRS 2007 programs and activities and 2008 plans
Also, check out the CDRS 2007 video and please send the link to your contacts who may be interested in learning abou CDRS!
CDRS Spent 152,891.49 US Dollars in 2007 and successfully managed 104,659 patients. That's an average cost of $1.43 per patient contact!
CDRS treated an average of 610 emergency patients per month in 2007.
72% of all CDRS patients in 2007 were Females 15 and older and Children 14 and younger.
CDRS is performing Primary and Emergency healthcare services at 8 facilities and implementing programs for Winter Support of remote villages at the Line Of Control, Cholera Outbreak Response, Mental Health, Dental Health, School Health and Deployment of Volunteers in the moutainous and remote areas of Pakistan Administered Kashmir.
Please help CDRS expand its successful mission in 2008! Your donations and your compassion are delivered directly to the most needy villages.
The families CDRS serves are very grateful to Americans for providing them and their children with the healthcare they need and deserve. Remember, a nation can't prosper and reach its full potential if its children aren't healthy. Support CDRS today!!!
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