Amader Gram Apps

We propose creation of 200,000population-targeting public health oncology “laboratory” in ruralBangladesh—The Amader Gram Rampal Project. The target population iswithin a geographic sub-district of Bangladesh, the Rampal Upazila,in the southern part of the Khulna division, which has 138 villagesin 11 unions (Figure 1). In a case-finding study of 8randomly-selected of these villages, half of the average 5-personhouseholds reported having less than $3 to spend per day; 93% hadless than $5 for the entire household (7). The majority ofinhabitants are engaged in agriculture or fishing work. There areno major employers. Unlike for many other countries in the Asianregion, there is limited rural-urban migration from thisregion.