IMPACTwithBANGLADESH

Act ion today to prevent d isab i l i t y tomorrow

Bangladesh - densely populated andhome to 1 in 43 of the world’s people.Looking from the deck of IMPACT’sJibon Tari floating hospital, vast swathesof the landscape are covered in water.

Living conditions may be improving forsome but in poor areas, ‘People live onestep away from disaster. Illness,disability or natural disasters can throwthem into destitution’, describes one ofIMPACT’s medical volunteers.

The floating hospital is a lifeline forunderserved communities. The teamdispenses medical care, physiotherapyand surgery to reverse disablingconditions. Last year almost 6,000men, women and children had theirsight,hearing or movement restored, orcleft lip repaired. Thousands morereceived other treatments.

Local health workers are trained andhealth education is delivered to remotecommunities, leaving behind skills andknowledge once the boat moves on.

When treated, men and women canreturn to work to support their families.As one cataract patient told us, ‘Povertyis no longer my daily companion’.

With your help the Jibon Tari cancontinue making an impact. Forexample, funds are urgently needed topurchase new surgical equipment.

Village by village Health clinics in Chuadanga andMeherpur serve impoverished villages.Varied action reaches the poorestfamilies and includes home gardening tocombat malnutrition and Mothers’ Clubsto share key health messages.

Pioneering surgery IMPACT’s pioneering surgicalprogramme for children withhydrocephalus and spina bifida is thefirst of its kind in Bangladesh. It costsus £600 to restore the health andquality of life of another child.

News

A mother’s joy following her son’s cleft lip surgery

Health is Wealth

£40 restores sight,

hearing or

mobility

Dear Friend,Welcome to ‘News with IMPACT’. Children everywhere have the rightto health. But millions of childrendie needlessly each year frompreventable causes.

It doesn’t have to be this way. In the world IMPACT is striving for,children would have enoughnutritious food to eat and cleanwater to drink. Immunisationwould protect them from disease.Medical care and surgery to reversedisability would be available toeveryone.

See inside how you can help ustake simple and cost-effectiveaction to save lives and put us allon course for a brighter future. IMPACT is a positive force forchange. Please, show your supporttoday.

Judi Stagg, Chief Executive

The Jibon Tari floating hospital

SRI LANKA

UK

Our busy lives make processed foodsand snacking ‘on the go’ an easy option.But a diet high in fat, sugar and saltheightens the risk of diabetes, heartdisease and some cancers.

IMPACT’s vibrant UK programmereinforces the link between diet andhealth. In West Sussex, classes foradults promote nutrition and impartcooking skills; our ‘Tasty Team’ teachesschool children about healthy food; andour community garden enables families

to grow their own vegetables when theyhave no space at home.

A week-long course, held in partnershipwith the Princes’ Trust, gave 12unemployed youngsters the opportunity to learn cooking andbudgeting skills. Participants wereawarded a vocational certificate in foodhygiene to boost their CV. One youngperson told us, ‘I couldn’t cook at allbefore and I can now!’ - skills which willlast her a lifetime.

THE PHILIPPINES

Worldwide, malnutrition affects one inthree people and is a contributing factorin a third of child deaths in developingcountries. Poor nutrition during earlylife stunts growth and brain development.

IMPACT Philippines’ new campaignfocusses on the first 1,000 days of life;

from the start of a woman’s pregnancyto her child’s second birthday. Workingwith deprived communities, they areboosting the diets of pregnant women;promoting breastfeeding and goodpractice in infant feeding; and providing ante and post natal care.

INDIA

When it comes to healthcare, India is aland of contrasts. The wealthiest insociety enjoy state of the art facilities butfor the 800 million people living on lessthan $2 a day, accessing medical carecan be desperately challenging.

IMPACT India’s Lifeline Express hospitaltrain takes medical treatment, surgeryand hope to remote reaches of this vastland. Helping people like Mrs. Bai (70),

who became trapped in poverty onceher vision failed. Thanks to cataractsurgery on board the Lifeline Expressshe can see again and no longer feels aburden to her family.

Mrs. Bai is just one of the 5,592 men,women and children who haveundergone surgery to restore their sight,hearing or movement, or repair cleft lipduring recent projects.

Learning to cook as a family

Early intervention saves lives

Skills to last a lifetime

A land of contrasts

It costs IMPACT 20p per dayto protect a mother and baby

1,000 days: a critical window

Each month, up to 2,000 patients travelto seek advice from doctors at IMPACT’sWeerawila Clinic. Most are treated ‘onthe spot’.

So when Mrs Perera (36) attended withminor symptoms, she had no idea herlife was to take a tragic turn. She wasdiagnosed with thyroid cancer but herfamily could not afford treatment to saveher life. IMPACT Sri Lanka intervenedand arranged for radiation therapy and

surgery at the nearest hospital. She isnow recovering well, at home with herchildren.

For the first time, clinics are being heldin the Northern Province (screening foreye and ear disease and fittingprosthetic limbs); Primary Health Care is reaching orphans in Paranthan; and ENT specialists are monitoring children at the Kaithady Deaf and Blind school.

A busy day at the clinic

Help the Lifeline Expresscontinue its journey

TANZANIA

Three years ago Halima would neverhave believed this happy photographpossible. After a long and difficultlabour she had delivered a stillbornchild. Injuries she sustained during thebirth left her incontinent, in constantpain and ashamed. Surgeons at the

Fistula unit IMPACT established inArusha have repaired the damage andshe is now the proud mother of ahealthy baby.

Fistula need not be for life. Please helpus give hope to more women like Halima.

KENYA

Overcoming environmental challengesFor most of us, UK water shortages area minor inconvenience but in Kenyalack of rainfall can mean life or death.

In 2011, East Africasuffered the

worst droughtfor 60 years.This causeda severefood crisis(which isstill on-

going);increasing

malnutrition

rates and pushing even more peopleinto poverty.

IMPACT’s Clinical Officer, describes thesituation: ‘Poverty and famine has beena big challenge. Malnutrition hasincreased and the majority of pupils goto school hungry.’

IMPACT empowers people to takepractical action, despite environmentalchallenges.

Schools are the heartbeat of ruralcommunities in Kibwezi and Embudistricts, so we are drilling deepboreholes in their grounds. Pupils and

surrounding villagers draw water fordrinking, cleaning, growing vegetablesand watering livestock. ‘Leaky tins’(water containers hung near latrines) areused to wash hands and control thespread of infection.

Prevailing drought conditions meanthere is an urgent need for more wells.Will you help us provide them?

See for yourself… Supporter Rob West travelled to Africa tofilm IMPACT’s projects. You can viewhis footage on our website.

ZANZIBAR

What a year it has been! IMPACT’sMobile Eye and Ear Clinic has travelledthroughout Zanzibar, reaching people inmore than 100 villages. Early signs ofdisability are identified and treated,including diseases like Trachoma (aleading cause of blindness).

Specialist medical and surgical campstreat those with advanced conditions.And a School Health Monitoringprogramme ensures that pupils are

regularly screened for ill-health andreceive care as needed.

IMPACT UK’s Programme Manager,Lucinda Meagher, saw action for herselfduring a recent visit. ‘Despite limitedresources, IMPACT Zanzibar isHerculean in its efforts to combatneedless disability. Everyone I spoke tothanked UK supporters for making somuch possible.’

A picture of health

Strength to strength

Halima with her baby

Seeing clearly for the firsttime in years

£25 establishes a

vegetable

garden

Please help us to help othersI would like to support IMPACT’s work with a gift of

£

I enclose a cheque or postal order payable to IMPACT FoundationOr please charge my Master/Visa/CAF card

You can also call us with your credit card details on 01444 457080

16-digit Card Number:

Issue Date: Expiry Date:

Security Code: Tel No:

Signature:

Name: (Mr./Mrs./Miss/Ms.)

Address:

Postcode:

Email:

Thank you. Your gift today willprevent disability tomorrow.

Regular Giving Form - please return to IMPACT

1) I would like to make a lasting difference to IMPACT’s work withregular gifts. Please instruct my Bank Manager at:

Bank:

Branch Address:

Postcode:

Sort Code:

Account Number:

2) To pay IMPACT Foundation (Sort Code: 20-49-76, Account No. 60171913)

£ each Month / Quarter / Year (please circle one)

Or (if you already make regular gifts to IMPACT direct from yourbank account) to increase my gift to

£ each Month / Quarter / Year (please circle one)

3) I wish my gifts to begin on (Date) and continue until further notice

4) Signed:

5) Name: (Mr./Mrs./Miss/Ms.)

Address:

Postcode:

If you would also like IMPACT to reclaim Gift Aid on these gifts, pleasecomplete your name and address and tick the Gift Aid it box on the formopposite and send both forms to: Mrs. Judi Stagg, IMPACT Foundation, 151 Western Road, Haywards Heath, West Sussex, RH16 3LH, UK

IMPACT is a Registered Charity, Number 290992

PLEASE RETURN TO IMPACT

Thank You

CAF

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax foreach tax year (6 April to 5 April) that is at least equal to the amount of tax that all the

charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on mygifts for that tax year. I understand that other taxes such as VAT and Council Tax do notqualify. I understand IMPACT Foundation will reclaim 28p of tax on every £1 that I gave up to5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

Please notify us if you: • Want to cancel this declaration • Change your name or home address • No longer pay sufficient tax on your

income and/or capital gains.

If you pay Income Tax at the higher oradditional rate and want to receive the additional tax relief due to you, you must include allyour Gift Aid donations on your Self Assessment tax return or ask HM Revenue andCustoms to adjust your tax code.

Please return this form to:

Mrs. Judi Stagg, IMPACT Foundation,151 Western Road, Haywards Heath,West Sussex, RH16 3LH, UK

There are so many ways to supportIMPACT. Please join our fight againstneedless disability.

Stuck for agift?Artist Jilly Suttonhas produced a teatowel inspired byher visit toIMPACT’s projectsin Bangladesh:£5.00 includingp&p, whilst stocks last.

Tweet all about it!First Facebook, now Twitter(@IMPACT_UK_). Join usevery Friday for ‘photo of the week’.Social media is a cost-effective way forus to keep you updated.

Is it a bird, is it a plane…?No, it’s anIMPACTfundraiser!Friends and ateam fromRaynerIntraocularLenses, dustedoff their capesfor theBrightonHeroes Run toraise moneyfor our projects.

Why not set yourself a challenge?virginmoneygiving.com is the hassle-free way to collect sponsorship money.

An enduring giftTake the opportunity to shapetomorrow’s world; leave a gift toIMPACT in your will today.

Calling all UK TaxpayersDon’t forget to ‘Gift Aid’ your donation tomake it go even further.

How will you make your IMPACT?

INDIA - Pune

Three-year-old Priya lives in the vastIndian state of Maharashtra (home to112 million people and 50% biggerthan Great Britain). Her mother andfather strive to give her the best possiblestart in life; but poverty has stacked theodds against them.

Yet Priya is fortunate. Staff at the statenursery school she attends are amongthe 14,557 workers whom our partnerthe KEM Hospital trained last year toscreen children for signs of disability.So it was quickly noticed that Priya hadimpaired hearing, which had delayedher speech and isolated her fromfriends. They referred her to the KEMHospital’s ENT specialists and thanks toa free operation, she can now hearclearly and will have the sameopportunities in life as other children her age.

CAMBODIA – The Lake Clinic

Before the Lake Clinic we support waslaunched, few people living on the vastTonlé Sap Lake had ever seen a doctor.

Julie, a Clinic volunteer, describes whatlife is like; ‘You see floating houses,markets and even petrol stations!Villages are far from hospitals. Peopleare poor, isolated and underserved. Aregular visit from the Clinic really does change lives’.

The medical team has cared for 12,000men, women and children over the pastyear. And Sreymom and Sary, the

crew’s midwives, have accompanied298 women safely through theirpregnancies.

A health education programme focusseson nutrition, clean water, sanitation andfamily health; and people needingsurgery or specialist treatment arereferred to a partner hospital.

We have launched a new clinic on thenearby Stung Sen River. As resourcesbecome available we hope to reachmore areas.

Life on the water

NEPAL

Villagers in Rana Gaun used to spendhours each day carrying water overmountainous terrain. Dirty water oftenmade them sick and families wereleaving in search of a better life.

But now IMPACT Nepal has installed asystem to pump water from a cleansource to a reservoir. Gravity then feedsit to village tap stands.

The community made vital contributionsand the village committee tasked with

overseeing maintenance includeswomen and those from the‘untouchable’ caste: voices which sooften go unheard.

IMPACT Nepal also stage surgicalcamps to restore hearing and mobility; take ear care to remote places; help families establish homegardens; and fit mobility aids andprostheses to put people back on their feet.

Across all IMPACT

projects last year:

69,935 women andchildren were immunisedagainst disease

1,912,010 peoplereceived medical treatment

Health education reached639,202 people

20,062 school healthmonitors were trained tospot health problems early

The Lake Clinic servesremote villages

Clean water in the pipeline

The whole community pitchedin to lay the pipelines

The power of prevention

Desert Island castawayIMPACT’s late founder, Sir JohnWilson CBE, DL, was once a guest onRadio 4’s Desert Island Discs. Listenagain to his inspiring interview:

www.bbc.co.uk/radio4/features/desert-island-discs/castaway/e1c408f2

CAMBODIA

IMPACT Cambodia prevents and treatsneedless disability in Kandal Province,close to the capital Phnom Penh.

Most local people eek a living fromfarming but with 90% of familiesowning less than one hectare of land,feeding a family is challenging. Diseaseis rife due to malnutrition, unsanitaryconditions and lack of healthcare.

Poverty forces parents to make heart-wrenching decisions. IMPACT’s mobilehealth clinic recently examined two verysick children. Their mother explainedthat to take them to the nearestgovernment health centre would have

cost $1.50 in transport alone; theequivalent of feeding her family for two days.

IMPACT’s mission is to ensure that noone misses out on healthcare due tolack of money. Thanks to supporterslike you, both little girls are now on theroad to recovery.

Working at the heart of rural villages,IMPACT Cambodia is also installingwells and toilets to avert the spread ofdisease; promoting immunisation toprotect children; establishing homegardens and distributing nutritionalsupplements to malnourished families.

IMPACT Foundation

151 Western Road, Haywards Heath, West Sussex, RH16 3LH, UK Tel: 01444 457080 Fax: 01444 457877 Email: impact@impact.org.uk Website: www.impact.org.ukRegistered charity number 290992

The cost of producing this newsletter has been met by a specific gift.

£100 trains a

Traditional Birth

Attendant

A heart-wrenching choice

INDIA - Bhavnagar

More Indian women die in childbirtheach year than in any other country.

In Bhavnagar, our partner the PNRSociety trains village midwives, whoselack of medical knowledge puts womenand babies at risk.

70 Traditional Birth Attendants took partin recent training, writing afterwards:‘You have given us new direction withthe help of the glowing lamp ofknowledge. We will use the informationback in our villages to save the lives ofwomen and children.’

In other projects we fund, a driveagainst rubella (which can harm unborn

babies) is gaining momentum. 12,000young women were immunised last yearto protect their future children.

‘The glowing lamp of knowledge’

PAKISTAN

Last year marked the worst outbreak ofdengue fever in Pakistan’s history.Conditions of poverty are an idealbreeding ground for infected mosquitoesand the disease is a major cause ofillness and death among children indeveloping countries.

There is no treatment or vaccine, sopreventative measures (such as mosquitonets and keeping water containerscovered) are key to protecting lives.

Community Health Volunteers, based at IMPACT’s 16 ‘Mamta’ (mother and

baby) clinics, have received specialtraining on the causes and prevention ofthe disease. They are now spreadingthe message amongst the remotecommunities they serve, as well asproviding ante natal services andgeneral healthcare.

Eliminating dengue fever

Village clinics keep childrenhealthy

FACT Probability of a woman dying frommaternal causes throughout thecourse of her lifetimeUK: 1 in 47,000

India: 1 in 140

A Birth Attendant cares for anew mother