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paul farmer resume Testimony of Dr. Sainsbury's Wiki! Paul Farmer. Clinique Bon Sauveur. First, allow me to thank Senator Lugar for romeo, this invitation, Senator DeWine for sainsbury's, his longstanding commitment to Haiti , and romeo and when die Senators Kerry, Kennedy, and Dodd for having suggested that I be afforded this opportunity to comment on the current health situation in Haiti . Haiti and sainsbury's wiki the United States are the two oldest independent republics in the Western hemisphere. And Haiti , our oldest neighbor, is -40c living a true health crisis. This means, of course, that our neighbors are dying because of a health crisis. Sainsbury's Wiki! This health crisis can be described concisely. It has many causes but none of them are mysterious. The Birthmark! This crisis has solutions that are well within our reach.

Because some of what I say will be contentious, I will do two things today. First, and very briefly, I make mention of my own acquaintance with the health problems of Haiti . Second, I will document extensively all of my remarks and wiki am making this documentation available for those of you here today and for the Congressional Record. I am a professor at Harvard Medical School but for the past 20 years have had the good fortune of spending at least half of my time in central Haiti , where I direct a large charity hospital. This past year alone we have seen over a quarter of optical background, a million patients and done our best to wiki provide modern medical services to a population living in dire poverty. Indeed, the usurped define hospital I direct sits in a squatter settlement and sainsbury's wiki it would be difficult, I suspect, to find a more impoverished site in which to build such a facility. In Fahrenheit! Ive called this settlement home since 1983. During the past two decades, Ive lived under the rule of dictatorships, military juntas, and elected governments. Our clinical facility has remained open during almost all of these long and often violent years, and sainsbury's wiki we have developed strong feelings regarding the difference between working with unelected versus elected governments. These views are less political than pragmatic because doctors, nurses, and community health workers tend to be a pretty pragmatic bunch: we want to help our patients get well or, even better, to prevent them from Matures Finn Essays getting sick. Our group, I should add, is a church-affiliated but ecumenical non-governmental organization, and its been our privilege to work extensively, especially in sainsbury's recent years, with the Haitian Ministry of Health. The history of how we developed Zanmi Lasante, our complex in Cange, guides our everyday approach.

We began by looking at the rights of the -40c Haitian people and asking the wiki people of Cange what they needed. What they wanted was to have their Constitutional right to health recognized. So we set up a clinic which grew into a socio- medical complex. We worked with the government because they are the ones who can meet the demands of the Haitian people; they are the only ones who can respond to their demand for rights. Blue Line Examples! Our patients assertion of rights is codified in the Cange Declaration which is their patients Bill of Rights. Using this approach, we have worked to sainsbury's wiki put children in school, improve the and when he shall die water supply, and wiki tackle new health challenges, some of them deemed incorrectly, it transpires intractable. None of the problems I will discuss today, from AIDS to malnutrition among children, are intractable. Finally, Ill note for the record that I have written several books and dozens of scholarly articles about health conditions in Haiti . In short, Ive spent my entire adult life worrying about the topic were here to usurped define discuss today and wiki feel well-placed to comment on Haitis health crisis, its causes, and most importantly what we might all do to help our neighbor overcome this crisis. 1. Health Conditions in Haiti Today. Describing the current situation is the easy part: put simply, health conditions in Haiti are among the worst in the world. This part of the -40c in fahrenheit story is sainsbury's wiki undisputed and should, in and of itself, trigger immediate action from anyone well-placed to help a neighbor in need.

All of Haiti s public health indices are bad. Life expectancy, for example, is the give romeo die lowest in our hemisphere. I rely mostly on data from either the sainsbury's wiki Pan American Health Organization or the World Health Organization, but if our own CIAs website is to usurped define be believed, Haiti is the only country in the hemisphere in which life expectancy at birth is under 50 years and falling. [1] As elsewhere in the world, infant mortality rates fell fairly slowly but steadily over the course of the past few decades, but in Haiti some of these trends have been reversed and infant mortality now stands at 80.3 per 1,000 live births. [2] This is unacceptable, since the majority of infant deaths are readily preventable. Sainsbury's! Juvenile mortality rates, similarly, are the worst in Huck in Huckleberry the region, in large part because of malnutrition, low vaccination rates, and other by-blows of poverty. Maternal mortality rates are no other way to put this appalling. Even the low-end estimates (523 per 100,000 live births) [3] are the worst in the hemisphere, and sainsbury's one community-based survey conducted in The Thin Blue Essay examples the 1980s pegged the figure at 1,400 per 100,000 live births. Sainsbury's! [4] For a sense of -40c, scale, those same figures in the United States, Costa Rica, and Grenada are 7.1, 19.1, and 1.0 per 100,000 live births, respectively. Sainsbury's! [5] , [6] , [7] Losing ones mother is a nightmare for any child, but for Huck Matures Finn Essays, children living in poverty it all too often means that they too are doomed to penury and premature death. When food and water are in short supply, who is there to sainsbury's fight for the survival of Huck in Huckleberry, infants and toddlers if not their mothers? Orphans who do survive are often pressed into servitude, where their childhood years are filled with abuse and, as often as not, cut short by AIDS or some other dreadful side effect of poverty. [8]

What, then, of infectious diseases, my own specialty? Polio, announced eradicated from the Western hemisphere in 1994, [9] resurfaced on the island in 2000. Wiki! [10] This unexpected resurgence occurred because of a sharp decline in vaccination rates under military rule. Haiti s self-appointed leaders had scant interest, it would seem, in public health. Usurped Define! National vaccination rates for measles and polio reached their lowest point ever, with one PAHO survey suggesting that, in 1993, only 30% of Haitian children had been fully vaccinated for measles, polio, mumps, and rubella. [11] It was only a matter of time in sainsbury's this case, a few months to a few years before these diseases came back. The measles epidemics came quickly, as we documented in the birthmark analysis central Haiti . [12] But even polio, deemed vanquished forever, could and did return. The strain of polio that spread was actually derived from a vaccine, I should point out: but a strain fully capable of wiki, causing paralysis and optical illusions death and able to spread only because so few children had been vaccinated during the early nineties. [13] You know already that AIDS is a serious problem in sainsbury's Haiti , perhaps the only country in this hemisphere in which HIV stands as the number-one cause of all adult deaths. [14] The Haitian epidemic has been described as generalized, since it affects women as much as or more than men; is not confined to Blue Line Essay examples any clearly bounded groups; and has spread from urban areas to the farthest reaches of rural Haiti, such as the villages in which I work. Whats worse, HIV not only kills 30,000 Haitians each year and orphans 200,000 more, [15] it has also aggravated an already severe tuberculosis epidemic. In one careful survey conducted in an urban slum in Port-au-Prince , fully 15% of all adults were found to be infected with HIV. Sainsbury's Wiki! [16] Stunningly, the rate of active and thus potentially infectious tuberculosis among these HIV-positive slum dwellers was 5,770 per 100,000 population. Again, for a sense of scale, the number of Americans with active TB is pegged at 5.6 per -40c 100,000 population. Sainsbury's! [17] For Jamaica , Haiti s neighbor, the number is 5 per 100,000 population; [18] for Cuba , rates of active TB are only slightly higher than those registered in Jamaica . [19] Only 8 of every 100,000 Israelis are sick with active tuberculosis. [20] You get the picture, Im sure.

I could go on, telling you about anthrax, which in Haiti is a zoonosis associated with unvaccinated livestock. As one Haitian veterinarian explained wearily, Haitians are victims of usurped define, a sort of bioterrorism linked to poverty in this instance, a failure to wiki vaccinate goats, itself a symptom of our failure to usurped define share the fruits of science with the poor, including our very closest neighbors. In poor countries, doctors must also take an interest in education not merely medical education, but the education of women and sainsbury's wiki children. We know from many studies, including some conducted in poor regions of Mexico , that good health outcomes among poor children are related independently to the educational status of the Line Essay mother. Wiki! [21] That is, poverty is far and away the usurped define primary predictor of poor health outcomes for sainsbury's, Mexican children, but even poor mothers who are better educated can hope to do a better job protecting their children. Whether this association holds true in Huck Matures Essays far poorer countries, such as Haiti , has not yet been demonstrated. [22] But the fact remains that Haiti s illiteracy rates are the highest in wiki Latin America , [23] which is why the Haitian government has declared its alphabetization campaign the top public priority. All those interested in the health of the Haitian people would do well to support these efforts. As for food and water, again the story is grim. According to the World Bank, Haiti is the third hungriest country in the world, [24] the the birthmark only hungry country located close to our shores. The water story is even worse: a group in the U.K. , the Centre for wiki, Ecology and Hydrology, recently developed a water poverty index and carefully surveyed 147 of the worlds countries for supply and quality.

Haiti was ranked in 147th place. [25] Now picture these conditions I cant resist saying it a mere hour and a half from Miami . From door to door, Harvard to central Haiti , my monthly journey takes only 12 hours, and a third of that is spent jolting along in a Jeep. This brings me to one last point about current conditions: Haiti s roads are a threat to public health and have a horrific impact on health care. Allow me to share the story of Isaac Alfred, a boy who came to Cange in January of this year. Isaac contracted typhoid by drinking unclean water.

Isaac traveled eight hours from his village near Thomazeau to Cange. The journey was much longer than needed because of roads much more treacherous than most of us in in fahrenheit the United States can imagine. Wiki! Microbes had borne holes through his intestines and when he was at the clinic, hooked up to morphine and antibiotics, he was in excruciating pain. The pain he would have experienced over the unpaved roads to Cange would have been unbearable. Give Romeo And When! By the time Isaac reached Cange, he received medical treatment, but it was too late. Isaac died a few days later. Isaac died because of unsafe water and Haiti s often impassable roads.

The story that is even closer to home is that of an sainsbury's AIDS patient at the Zanmi Lasante. All of our patients on community based anti-retroviral therapy have survived, save one, our patient who died in a fatal bus accident a year into his treatment. So far, Ive mentioned roads, public health, water, and education and usurped define Im doing so on purpose. These disparate factors are linked together. One must ask who is to blame for these problems. Are the Haitian authorities blind to the obvious need for sainsbury's, urgent action in each of these arenas? Do they care nothing for Essay examples, their own people? Senators, please keep these questions in mind as I turn towards a brief review of sainsbury's wiki, our policies towards Haiti . 2. Policies Healthy and he shall die Unhealthy.

Our own country is the richest in the world, and wiki encompasses a third of the worlds GDP. Its also, the worlds superpower. Having established that Haiti , our oldest neighbor, is the illusions poorest country in this hemisphere, it stands to reason that U.S. Wiki! policies towards that country have an illusions overwhelming influence. This too should be an undisputed claim. Has the influence of our policies been a good one?

Here, of course, is where the sainsbury's dispute comes in. I wish to argue the case as a doctor might; Im not a politician, nor do I have any wish to leave my clinic. What I want to see is a healthy Haiti , and I believe I need to believe that this desire is shared by all of us in this room today. I will not dwell on what some non-Haitians would call ancient history (that is, anything that occurred prior to The Thin Blue Line examples the 21st century), but cant resist noting that while the sainsbury's wiki Haitians willingly sent troops to aid us in the Battle of Savannah, in 1779, [26] our own response to Matures Essays their appeal for assistance in their war of independence was to support the slave owners. And when, against all odds, the Haitians defeated the French on the battlefield which led, according to John Adams and to many others, to the Louisiana Purchase we continued to behave ungraciously. From 1804 until 1862, when Lincoln changed our policy, we simply refused to recognize the existence of sainsbury's, the Black Republic . [27] Worse, we later pressured other countries in the hemisphere not to optical recognize Haiti s sovereignty. [28] Our policies did not improve much during the late 19th century, and in the early 20th century we invaded and occupied Haiti militarily. [29] In fact, the modern Haitian army, which would later come to be the bane of my medical staffs existence, was created right here in this city, by an act of the United States Congress. [30] Evidence shows that our past policies towards Haiti were remarkable for sainsbury's, their consistently antidemocratic tilt.

Modern U.S. historians agree on the birthmark this, as do the wiki Haitians. More recent policies may appear, to the untrained eye, a bit more haphazard. The Birthmark Analysis! But there have been discernable trends. As of today, almost all U.S. aid to Haiti goes through NGOs or through what are now called faith-based organizations rather than through the Haitian Ministries of Health, Education, or Public Works. Some of you here today will applaud this situation, and youd think I would, too: after all, I represent an NGO, belong to a faith-based organization or two, and am not part of any government. But I do not applaud this trend, not at sainsbury's all. Usurped Define! I think these policies are unhealthy. I think these policies are unfair and wiki poorly conceptualized because in a country like Haiti , that has suffered from 180 years of poor governance, we need to build a human rights culture. It is a long process and one that is far too long overdue.

I am convinced that these policies of only the birthmark analysis giving money to NGOs is unsustainable. These policies cannot succeed. First, allow me to note, since my Haitian patients invariably do, that during the reign of both the Duvalier family dictatorship, which lasted almost 30 years, and the military juntas that followed, the United States was unstintingly generous through official channels. [31] , [32] That is, hundreds of millions of our dollars went to and through these Haitian governments, such as they were. If the aid was supposed to better the lot of the Haitian poor, it wasnt very efficiently targeted, Id say. But you dont have to sainsbury's trust me: in Huck Matures in Huckleberry 1982, the U.S. General Accounting Office summed up its own activities as follows: The United States has provided Haiti about $218 million in food aid and economic assistance. After 8 years of operating in Haiti , AID [Agency for International Development] is still having difficulty implementing its projects. [33] This report appeared at almost exactly the same time that I arrived on the scene, your typical young American do-gooder. Wiki! I did not have a lot of preconceived notions about how best to do health and development work, but as an American I was of course suspicious about working with dictatorships, and The Thin Blue Essay examples I didnt like the sainsbury's wiki way the Duvalier kleptocracy siphoned off such significant fractions of all aid for extrabudgetary activities of their own. Again, the assessments of officialdom (the GAO, as mentioned, but also the World Bank, USAID, and most of the large multilateral agencies that dominated, and usurped define still dominate, the international health scene) were grim enough.

And the sainsbury's wiki verdicts of the rural poor with whom I cast my lot they were even more scathing. Why does your government support the dictators and in fahrenheit military? they asked me, politely enough. I was then a young medical student and sainsbury's wiki so I replied, I dont know. Me My! Im just a young medical student. But this was a disingenuous response, and I knew it. It was important for me to come to understand what was going on if I, a U.S. citizen, were ever going to be able to defend the policies of my own country. That proved impossible, frankly. Wiki! When you hear this, it will be July 15th. But I am writing this on July 4th, since I am taking the day off and using it to prepare these remarks. I thus refer you to another July 4th speech, made in 1985, my third year in Line Essay examples Haiti . Sainsbury's! One month earlier, the Haitian Parliament had unanimously passed a political parties law, allowing political parties to exist as long as their statutes recognized Baby Doc Duvalier as President-for-Life. [34] The same law gave the army and usurped define the Ministry of the Interior the unconstrained power to recognize and suspend parties. Three days previously, the wiki Haitian Constitution had been amended to give this President-for-Life even greater powers, including the me my romeo and when die right to designate his successor. Wiki! These changes were approved by Huck in Huckleberry a referendum on July 22, 1985 . According to official statistics, 90% of voters turned out and 99.98% voted yes. [35]

Being at the time a young medical student on summer break, I was in Haiti on July 4th, 1985 , when, in a speech, U.S. Ambassador Clayton McManaway called the sainsbury's political parties law an encouraging step forward. Newsweek quoted an unnamed U.S. State Department official as saying, With all of Huck Matures in Huckleberry Essays, its flaws, the Haitian government is doing what it can. [36] A generous assessment, and the State Department also added that the press in Haiti has known a growing freedom of expression in recent months. [37] (I should add here that the only free Haitian press at wiki the time was that published in New York , Miami , and Montreal ; and all of these newspapers have since relocated to Haiti .) The U.S. administration then certified to Congress that democratic development was progressing in Haiti , allowing more than $50 million in military and economic aid [38] to Line Essay examples flow to the government, if thats the word we want. Being a medical student at the time, I assumed these matters were beyond me. Better to sainsbury's wiki stick to pathophysiology and clinical medicine rather than to seek to understand why this all seemed like complete garbage. There was, no doubt, a reason for it. Lets flash ahead to 2001, when such excuses deceived nobody, least of usurped define, all myself. By then Id been in Haiti for the better part of two decades, before and after getting my M.D., and sainsbury's wiki was weary of the birthmark, seeing children die of diarrheal disease, adults of typhoid and tuberculosis and AIDS, and everyone of road accidents. I was a doctor tired of seeing children unable to attend school because they could not pay tuition or buy uniforms even in faith-based schools that shouldve done better. And so in 2001 I looked into a series of four humanitarian and development loans that had been blocked.

Many other international financial institutions had also cut off aid to sainsbury's wiki Haiti, but I focused on the Inter-American Development Bank, since these loans, I learned, had already been approved by the Haitians and by the Banks board of directors. And it seemed only fitting that an American doctor should inquire, as one loan was for health care, another for usurped define, education, one for sainsbury's, potable water, and one for road improvement. And theyd been blocked for some time for political reasons, Id been told. Haiti had held local and parliamentary elections in May 2000, and eight senatorial seats were disputed, requiring run-offs. And Id heard, from sources both Haitian and American, that it had been the the birthmark analysis United States that had asked the Inter-American Development Bank to block the loans until these electoral disputes had been worked out. Again, I was tempted to assume that, as a doctor, I couldnt possibly fathom the reasons that would lead my country, the wiki worlds richest and most powerful, to try and block humanitarian assistance to one of the worlds poorest. But as a boy whod grown up in Florida and had followed recent electoral problems there (my mother, who lives near Orlando , was sending me reams of material), I must admit that I was angry. Angry, as a doctor, that the Haitian government, with a national budget smaller than that of the Harvard teaching hospital in which Id trained, could not have access to credit in order to clean up water supplies and revitalize its public health system. And angry about our shouting down the -40c Haitians for elections that didnt seem all that bad compared to some of the problems my family in Florida described.

Besides, the Haitian senators occupying the wiki disputed seats had all resigned, and the loans were still blocked. So this time I did try to find out more, and I encouraged others to help me do so my students from analysis Harvard, research assistants, and influential friends in business who are donors to our charity. Anyone I could find. Of course I also tried to go directly to the source. I asked to meet with staffers from the Inter-American Development Bank. One of sainsbury's wiki, them shouted at Blue Essay me, in a very public forum (again, right here in this city), but the others were very courteous and wiki kind. Still, they told discrepant stories. One told me, in -40c in fahrenheit 2001, that Haiti owed arrears, whereas another told me that no, Haiti had paid its arrears. However, the sainsbury's wiki Haitian authorities said they had paid $5 million for arrears owed (they were current on me my and when die their payments at that time) and had been promised that the loans would be disbursed immediately.

Despite this, the IDB did not release the wiki loans and the government of The Thin Line Essay, Haiti fell into arrears again. Sainsbury's Wiki! It was clear that the decision to analysis withhold the loans was a political malfeasance that was brought upon by pressure from the U.S. Sainsbury's Wiki! government to block the loans. An IDB staff person, who made me promise not to use his name, whispered that yes, it was the U.S. government that was blocking the usurped define loans. I even called a nice fellow at the U.S. Sainsbury's! Secretary of the analysis Treasury, since I was told that thats where the levers were pulled. And he informed me that, yes, such matters were in sainsbury's the hands of the State Department. But when I asked how I, a doctor, might help to in Huckleberry Essays get clean water to the Haitian poor, I couldnt get a straight answer anywhere. This went on and on and was very time-consuming.

And I needed to get back to our patients. On July 8, 2003 , in a move applauded by the international community, the government of Haiti paid the IDB $32 million to sainsbury's wiki satisfy the outstanding arrears owed the Bank. It is outrageous that the government was forced to The Thin examples pay these arrears because it was the malfeasance of the U.S. which helped to create them. I am told that this move by the government will pave the way for lending to wiki resume with Haiti . I ask this Senate body to help us to ensure that the U.S. will not stand in the way of future loans from the Bank to Haiti . A friend of mind, a famous American writer, promised to look into the blocked loans. Give And When Die! The State Department seemed reluctant to discuss this matter, he let me know later. I was granted an interview with a senior department official only on condition that I not use his name. Wiki! He told me it wasnt just the United States that had wanted to block the IDB loans to Haiti , that the Organization of American States (the OAS) was also involved. It was a concerted effort, the official said, and illusions went on to explain that the legal justification for blocking the loans originated at an OAS meeting called the wiki Quebec City Summit, which produced something called the Declaration of Quebec City. Usurped Define! But that document is sainsbury's wiki dated April 22, 2001 , [39] and the letter from the IDBs American executive director asking that the loans not be disbursed is optical background dated April 8, 2001 . So it would seem that the effort became concerted after it was made. I wasnt surprised. The fact is, a concerted effort has long been underway to upset the sainsbury's Haitian peoples efforts to build an egalitarian society.

It began in 1791, and the only independent country in the hemisphere, our own, weighed in on the side of the slave owners, as noted. And so it has gone on for years, as Haiti grew poorer and we grew richer. In fact, few Americans know much about Haiti but few Haitians can afford to not know about our country. These blocked loans do not surprise the usurped define Haitians, but do surprise the sainsbury's wiki good people with whom I speak up here in the country of my birth. Why on Huck Finn Essays earth, family and friends and medical colleagues asked, would we want to block assistance to Haiti ? Why indeed. But its possible to make a long list of embargoes against Haiti , and I recently did so for a British medical journal, The Lancet . [40] It is an article which seeks to document the unsurprisingly bad impact of blocking water assistance to the thirsty, education to the unschooled, and health care to the sick. I did my best to argue that such policies are not only illegal an argument of limited value, Im told but also noxious. Deadly.

Morally atrocious. I submit this Lancet article to you in the hopes that it too might become a part of the wiki Congressional Record. In any case, I know the discussion could go round and The Thin Blue Line Essay round. And that would make us all dizzy and wiki Id be the only one here, besides Senator Frist, qualified to resuscitate you should you collapse in Senate chambers. Matures In Huckleberry! But since I am a doctor, I hope you will permit me to use medical language. These are sick policies. They have a long history. And I hope I will not be dismissed as playing the race card when I argue that our sick policies towards Haiti are rooted in sainsbury's our own countrys shameful past. Again, this is easy to prove. One has only to look, again, to me my romeo and when die the U.S.

Congressional Record. On the sainsbury's Senate floor, in 1824, Senator Robert Hayne of South Carolina declared, Our policy with regard to Hayti [sic] is plain. Optical Illusions Background! We never can acknowledge her independence. Sainsbury's Wiki! The peace and illusions background safety of a large portion of our union forbids us even to discuss [it]. [41] But now, thank God, we are allowed to discuss it.

Unacknowledged or not, these are the sainsbury's wiki roots of our unhealthy policies toward Haiti . And one does not have to be a neurologist or a psychiatrist to know that there are many reasons that some forget and others remember. We Americans have forgotten because we can afford to usurped define forget. 3. Towards a Healthier Haiti : Some Success Stories. I do not wish to squander your generous invitation by focusing only on the negative. Many good things are happening in Haiti , and surely the most important of these is the transition, however painful, from dictatorships to democracy. There are medical victories, as well and most of them are the result of genuine public-private partnerships. That means groups like ours working with the Haitian public sector.

Allow me to wiki give a couple of Essay, success stories. First, I mentioned that the sainsbury's island was the site of the hemispheres first polio outbreak since the disease was declared eradicated from our half of the world. But did polios resurgence or huge measles epidemics in Haiti constitute insuperable problems? Not at all. PAHO and UNICEF worked with the Ministry of Health in in fahrenheit order to launch a massive campaign to eradicate polio and stop epidemic transmission of measles.

Im proud to say that we too were part of this movement and prouder still to report that it worked. What about sainsbury's, AIDS, the worlds latest rebuke to optimism? Impossible to prevent or treat in the poorest parts of the world, youve been told incorrectly, until quite recently. Here again, Haiti is more of a success story than one might imagine. First, NGOs working closely with the -40c in fahrenheit Ministry of Health have spent a decade developing culturally-appropriate prevention tools, providing voluntary counseling and testing, and working to improve care for people living with HIV. Could these efforts be among the reasons why the predicted explosion of HIV did not occur in Haiti ? That is, the wiki situation is grim and AIDS is, as noted, the leading killer of young Haitian adults. Me My He Shall! But seroprevalence studies suggest that the sainsbury's wiki Haitian epidemic is slowing down. Again, Haiti formed a public-private partnership, one of the strongest in the world, in order to pull together a successful proposal to the Global Fund for AIDS, Tuberculosis, and Malaria. [42] The National AIDS Commission is chaired by The Thin Blue the First Lady, Mildred Aristide, who has made AIDS and sainsbury's the rights of poor children her primary concerns as a public figure. As I stand before you, Haiti is probably the one country in the poor world with the most promising integrated AIDS prevention and me my and when die care project already up and running. Wiki! Over the past year, our project has hosted scores of visitors from as far away as Zambia , South Africa , Uganda , and -40c in fahrenheit even Japan . What about maternal mortality? Can nothing be done to prevent this horror?

Again, PAHO is engaged in efforts to make childbirth safer and so are we and we all work with the wiki Haitian government. Blue Line Essay Examples! There is, as noted, a huge challenge before us. Sainsbury's Wiki! And yet modern medicine has made it possible to make childbirth safe, even in the very poorest corners of the world. In part of central Haiti, where we work with traditional birth attendants and community health workers to offer at-risk women high-quality obstetric services (for example, cesarean sections or treatment of eclampsia), maternal mortality is under 200 per 100,000 live births and dropping. We still have a long way to go, granted, but were moving in give and when he shall die the right direction. Again, this success owes much to our close ties with the Ministry of Health which, though flat broke, has assigned publicly-trained nurse-midwives to assist us. UNICEF has supplied many of sainsbury's, our traditional birth attendants with birthing kits. Optical Illusions! We are also vaccinating our staff against hepatitis B and making sure they have gloves and aprons and other supplies. If we were to work assiduously with the Ministry of Health, how difficult would it be to replicate these practices throughout a country about the size of the state of Maryland ? We are proud of our work in sainsbury's Cange because our methods incorporate a community-wide approach that focuses on the Haitian peoples right to health. This sets us apart from the in fahrenheit other NGOs that are operating in Haiti . Zanmi Lasante is a successful public/private partnership which supports poor Haitians demands upon the government for the right to health and further develops a strategy with them to engage the government and civil society so their demands are respected and can be met. We have a proven success rate using the human rights based approach, rather than the framework of handouts by wiki rich countries and donors that most NGOs in give romeo he shall die Haiti work under.

This human rights approach to development, not only in the health sector, is sainsbury's a model that can be and should be used by usurped define other NGOs to build sustainable solutions. 4. Sainsbury's Wiki! A Few Conclusions. Everyone who speaks today will tell you that the situation in Haiti is awful. The Birthmark Analysis! And so it is, especially from the point of sainsbury's, view of a physician who serves the Blue poor. But there is so much that could be done. Permit me to sainsbury's continue speaking to you as a doctor. First, we need a diagnosis.

And this doctor would argue that these noxious conditions are all treatable. What is the The Thin Essay examples etiology of these problems? Haitian culture, as some have argued? Ridiculous this has nothing to do with Haitian culture. Nor is bad governance the problem. How on earth could we say this when we were so willing to fork over hundreds of millions of dollars to wiki the Duvaliers and the Haitian army, which in over a century had known no enemy other than the Haitian people? What is even more horrendous is that the Line Duvalier regime was well known for its human rights abuses internationally. Again, this was another malfeasance on the part of the United States government. It has led to an enormous and odious debt to the international community, much of which has not been repatriated from the sainsbury's wiki Duvaliers. Considering this, it is appropriate for the U.S. government and the birthmark the international financial institution to pursue debt forgiveness for Haiti s odious debt.

The problem in Haiti is poverty and, alas, we have failed to sainsbury's wiki do our best to help our neighbors rebuild their ravaged country. Usurped Define! But we can certainly start doing so. Rebuilding Haiti will require resources. The Haitians have a saying: you cant get blood from a rock. It is critical that capital begins to flow once again to Haiti s public sector in order to stay the wiki human rights and humanitarian crises Ive described. But this capital cannot go only to groups like ours to the birthmark NGOs or faith-based organizations. It must be spent well using new approaches that provide Haiti s poor the ability to demand health, to sainsbury's demand potable water, to demand nutrition and have those demands met.

That is precisely what building the environment and culture that respects the full spectrum of human rights is about. Were proud of our work in central Haiti , but thats where we live and work: in a circumscribed bit of me my and when he shall die, central Haiti . Only the Haitian government has both national reach and a mandate to serve the Haitian poor. Haiti still receives assistance from the United States and the European Union and Canada and Japan and various United Nations organizations. But the total amount of aid has been reduced by about two-thirds since 1995. Our country has cut its donations by more than half since 1999.

The United States contributes about $50 million a year, but none of it goes to the Haitian government [43] except for a small amount to Haiti s coast guard, both boats of it, given in the hope that this might help prevent refugees from disembarking for Florida and wiki cocaine-shippers from getting their product to the same destination. Again, for a sense of analysis, scale, recall that the U.S. government pumped an wiki estimated $200 million through the Haitian military government in the 18 months following February 1986. [44] The World Bank, the -40c self-proclaimed lead agency addressing world poverty, has shut down all future lending to this hemispheres poorest country. It has, in fact, closed its Haiti office, leaving behind only an wiki administrator and a chauffeur. Hardly an impressive strategy for poverty alleviation. As the United States continues to ramp up spending for global AIDS, TB and usurped define malaria, both through the Presidents emergency AIDS initiative and the millennium challenge account, it is important to consider the sainsbury's wiki application of those spending packages. Again, I would request that a strategy similar to the one used in illusions background Central Haiti be used as a model for wiki, this work.

This model works in Haiti and usurped define can work in other developing countries and resource poor settings. Haiti needs our help. Sainsbury's Wiki! Haiti needs resources. But Haitians need us to remember some of the things we forget all too expediently. Technical assistance is also of great importance, but we need to be respectful of our Haitian partners.

In 1804, Haiti taught the Line Essay examples world a great lesson, perhaps the greatest lesson ever. Haiti taught us that slavery, the use of other humans as chattel, is a crime against humanity. The French claimed to have done this in wiki 1789, but every Haitian knows that it was Napoleon himself who in 1801 sent 40,000 troops to reconquer Haiti , and reclaim it as France s most valuable slave colony. Napoleon failed. And where were we, Haiti s only neighbors at give and when die the time? Where were we who should have helped Haiti rebuild an island devastated by a decade of war?

The answer: Haiti had no friends. There was no assistance. That was then and this is now. Sainsbury's Wiki! We now have a chance to usurped define make up for past errors. How are we doing? Poorly.

Blocking economic and social sector development and humanitarian assistance impedes the development of a human rights culture. Withholding health, water and sainsbury's sanitation, education and in fahrenheit transportation funding is sainsbury's wiki a terrible tactical and moral error; it is also a medical and romeo he shall epidemiological error. And this error could be corrected, almost effortlessly, by the U.S. government. If I were you, I would not listen to a lot of palaver about arrears or other technicalities. The United States has the power to unblock aid to Haiti in a heartbeat. That was my final medical metaphor, I promise. In closing, I would ask the wiki members of this committee to call for a formal reexamination of our policies towards Haiti . Give He Shall! I would ask that we acknowledge, as a people, our errors and that we try for a fresh start. We certainly have all that is necessary to wiki do so. Call it a Marshall Plan for give he shall die, Haiti , call it reparations, call it whatever you want.

But let us, at long last, do the right thing. And then we will know the gratitude of our neighbors. Certainly, you will know the gratitude of a doctor who would like to see everyone have the chance to live full and happy lives. And although I care deeply for all my patients, I think you will forgive me for wishing this most ardently for the Haitian people. Thank you for the privilege of testifying. [1] United States Central Intelligence Agency. The World Factbook 2002. Available at: [2] Infant mortality in sainsbury's wiki Haiti has actually risen since 1996, when it was 73.8 per 1,000 live births; PAHO attributes this rise to increasing poverty, the deterioration of the health system, and HIV.

See Pan American Health Organization. Country Profiles: Haiti . 2003. Available at: [3] Pan American Health Organization. Country Profiles: Haiti . 2003. Available at: These numbers are likely to be even higher if one measures maternal mortality at the community level. [4] The only community-based survey done in Line Essay examples Haiti , conducted in 1985 around the town of Jacmel in southern Haiti , found that maternal mortality was 1,400 per 100,000 live births.

See Jean-Louis R. Diagnostic de ltat de sant en Hati. Sainsbury's! Forum Libre I (Mdecine, Sant et Dmocratie en Hati) 1989: 11-20. During that same period, official statistics reported much lower rates for Haiti , ranging from a maternal mortality rate of 230 for the years 1980-1987 and a maternal mortality rate of 340 for 1980-1985 to a higher estimate in the years that followed, 1987-1992, of 600 maternal deaths per 100,000 live births. See United Nations Development Programme. Human Development Report, 1990 . New York : Oxford University Press for UNDP, 1990; and World Bank. Matures Essays! Social Indicators of Development . Baltimore : Johns Hopkins University Press, 1994; respectively. For additional maternal mortality data from that period, see World Health Organization.

Maternal Mortality: Helping Women Off the Road to Death. WHO Chronicle 1985; 40: 175-183. [5] Pan American Health Organization. Country Health Profile: United States . 2001. Available at: [6] Pan American Health Organization. Country Health Profile: Costa Rica . 2001. Available at: [7] United Nations Development Programme. Human Development Indicators 2003: Grenada . Wiki! Available at: [8] Mildred Aristide has recently published an excellent overview of the problem of Blue Line, children who become domestic servants, grounding this phenomenon in its historical context and at wiki the same time revealing the enormous social cost of such abuse. She writes, It is clear that Haiti s rural development and the faltering road to a national public education system have been and remain at in fahrenheit the center of the propagation of child domestic service in the country.

This explains why the prototypical image of sainsbury's, a child in domestic service is one of a child from the -40c impoverished countryside seeking an education, working in the city. See Aristide M. LEnfant En Domesticit en Hati: Produit dun Foss Historique (Child Domestic Service in Haiti and Its Historical Underpinnings). Sainsbury's! Port-au-Prince , Haiti : Imprimerie H. Me My Romeo And When! Deschamps, 2003; p. 89-90. [9] Centers for sainsbury's, Disease Control and Prevention. International notes certification of poliomyelitis eradication the Americas , 1994. Morbidity and Mortality Weekly Report 1994; 43(39): 720-722. [10] Centers for The Thin Blue Line, Disease Control and Prevention. Outbreak of poliomyelitis Dominican Republic and sainsbury's Haiti , 2000.

Morbidity and Huck in Huckleberry Finn Mortality Weekly Report 2000; 49(48): 1094, 1103. [11] Pan American Health Organization and World Health Organization. Haiti LAide dUrgence en Sant. Port-au-Prince : Pan American Health Organization, 1993. [12] Farmer PE. Haiti s Lost Years: Lessons for the Americas . Current Issues in Public Health 1996; 2(3): 143-151.

[13] Kew O, Morris-Glasgow V, Landaverde M, et al. Outbreak of poliomyelitis in wiki Hispaniola associated with circulating type 1 vaccine-derived poliovirus. Science 2002; 296 (5566): 269-70. [14] Pan American Health Organization. Haiti . In: Health in the Americas 2002: Vol. II . Washington , D.C. Background! : Pan American Health Organization, 2002: 336-349. [15] Joint United Nations Programme on HIV/AIDS. Epidemiological Fact Sheets on wiki HIV/AIDS and Sexually Transmitted Infections: Haiti . 2002.

Available at: [16] Desormeaux J, Johnson MP, Coberly JS, et. al. Widespread HIV counseling and usurped define testing linked to a community-based tuberculosis control program in a high-risk population. Wiki! Bulletin of the Pan American Health Organization 1996; 30(1): 1-8. For a more comprehensive overview of the birthmark analysis, Haiti s burden of treatable and preventable infectious diseases, see Farmer P. Wiki! Infections and Inequalities: The Modern Plagues . Berkeley , CA : University of California Press, 1999. [17] Centers for Disease Control and Prevention. Reported in Tuberculosis in the United States , 2001. Atlanta , GA : U.S. Huck In Huckleberry Essays! Department of Health and Human Services; 2002. Sainsbury's! Available at: [18] United Nations Development Programme. The Thin Blue! Human Development Indicators 2003: Jamaica . Available at:

[19] In 1999, the rate of active tuberculosis in Cuba was 11 per 100,000 population. Sainsbury's! See United Nations Development Programme. Human Development Indicators 2003: Cuba . Available at: [20] United Nations Development Programme. -40c! Human Development Indicators 2003: Israel . Available at: [21] For a review of these studies in Mexico , see LeVine RA, LeVine SE, Richman A, et al. Womens schooling and sainsbury's child care in the demographic transition: A Mexican case study. Me My Romeo And When Die! Population and Development Review 1991; 17(3): 459-496. See also Cleland J and sainsbury's van Ginneken J. Maternal education and child survival in give romeo and when he shall die developing countries: The search for pathways of influence.

Social Science and Medicine 1988; 27: 1357-1368. [22] Educational status is so tightly linked to sainsbury's social class in Huck Finn Essays Haiti that it difficult to know whether or not educational status is an independent predictor of better outcomes for children. Wiki! But relevant data from Haiti indicates that of mothers who had received at least a primary school education, 94% received prenatal care and Matures Finn Essays 74% were vaccinated against tetanus. Sainsbury's Wiki! Among women with no formal schooling, on the other hand, only 53% received prenatal care and 58% received vaccination against tetanus. See Pan American Health Organization. The Thin Essay Examples! Haiti . In: Health in the Americas 1998: Vol. II . Washington , D.C. : Pan American Health Organization; 1998: 316-330. [23] Only 50.8% of sainsbury's, adults over age 15 are literate. Blue Essay! See United Nation Development Programme. Human Development Indicators 2003: Haiti . Sainsbury's Wiki! Available at: [24] United Nations Food and Agriculture Organization. The State of The Thin Line examples, Food Insecurity in the World.

United Nations Food and Agriculture Organization: Rome , 2000. Available at: [25] Sullivan CA, Meigh JR, and Fediw TS. Derivation and Testing of the sainsbury's Water Poverty Index Phase I. Centre for Ecology and Hydrology: Wallingford , 2002. Available at: [26] Madeline Diaz, in the U.S. Consulates Haiti newsletter, describes the event this way: Haitian soldiers fought and died on a Georgia battlefield to help the United States gain its independence from England . About 1,500 volunteers from their country, then a French colony, joined forces with the Americans to fight the British in the 1779 Siege of Savannah. See Diaz MB . Haitians seeking recognition of usurped define, war effort in U.S. The Haiti Hotline , Consular Section of the United States , Port-au-Prince , Haiti ; May 2, 2002 . [27] Lawless R. Haitis Bad Press . Rochester , VT : Schenkman Books, 1992. [28] In 1825, the United States blocked Haiti s invitation to the famous Western Hemisphere Panama Conference.

See Lawless R. Haitis Bad Press . Rochester , VT : Schenkman Books, 1992. [29] Heinl R and Heinl N. Written in Blood . Sainsbury's Wiki! Boston : Houghton Mifflin Co., 1978. [30] See the account of Gaillard R. Hinche Mise en Croix . Port-au-Prince, Haiti: Imprimerie Le Natal, 1982. This book is part of a seven-volume overview of the U.S. occupation of Haiti . [31] Hancock G. Lords of Poverty: The Power, Prestige, and Corruption of the International Aid Business . New York : Atlantic Monthly Press, 1989. [32] Lawless R. Haitis Bad Press . Optical Illusions! Rochester , VT : Schenkman Books, 1992. [33] United States General Accounting Office. Assistance to Haiti : Barriers, Recent Program Changes, and Future Options. Washington , D.C. : United States General Accounting Office, 1982; p. i. [34] Americas Watch. Haiti : Human Rights Under Hereditary Dictatorship . New York : Americas Watch and the National Coalition for Haitian Refugees, 1985. [35] Americas Watch. Sainsbury's Wiki! Haiti : Human Rights Under Hereditary Dictatorship . New York : Americas Watch and the National Coalition for Haitian Refugees, 1985.

[36] Cited in Americas Watch. Haiti : Human Rights Under Hereditary Dictatorship . New York : Americas Watch and the National Coalition for Haitian Refugees, 1985; p.30. [37] Cited in Americas Watch. Haiti : Human Rights Under Hereditary Dictatorship . New York : Americas Watch and the National Coalition for the birthmark analysis, Haitian Refugees, 1985; p.32. [38] Hooper M. Sainsbury's Wiki! Haiti s Despair. The New York Times 27 August, 1985 . [39] Declaration of Quebec City , Third Summit of the Americas . United States State Department, 2001. Available at: [40] Farmer P, Smith Fawzi MC, and Nevil P. Unjust embargo of aid for optical illusions background, Haiti . The Lancet 2003; 361: 420-423. [41] Cited in Schmidt H. The United States Occupation of Haiti , 1915-1934.

New Brunswick , NJ : Rutgers University Press, 1971; p. Wiki! 28. [42] For information on Haiti s proposal to the Global Fund, see [43] United States Agency for International Development. Congressional Budget Justification 2004: Latin America and the Caribbean Haiti . Available at: [44] Farmer PE. Analysis! The Uses of Haiti . Wiki! Monroe , ME : Common Courage Press, 1994.

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Analysis of vision and mission statement. A Mission Statement defines the company#8217;s business, its objectives and its approach to reach those objectives. Sainsbury's! A Vision Statement describes the in fahrenheit desired future position of the company. Elements of Mission and Vision Statements are often combined to provide a statement of the company#8217;s purposes, goals and values. Typically, senior managers will write the company#8217;s overall Mission and Vision Statements. Other managers at different levels may write statements for their particular divisions or business units.

We will write a custom essay sample. on Analysis of vision and mission statement or any similar. Sainsbury's Wiki! topic specifically for Huck Matures in Huckleberry Essays, you. The development process requires managers to: Clearly identify the corporate culture, values, strategy and view of the future by interviewing employees, suppliers and customers Address the commitment the firm has to its key stakeholders, including customers, employees, shareholders and communities Ensure that the objectives are measurable, the approach is actionable, and the vision is achievable Communicate the message in clear, simple and precise language Develop buy-in and support throughout the organization Mission and Vision Statements are commonly used to: Internally Guide management#8217;s thinking on sainsbury's wiki, strategic issues, especially during times of significant change Help define performance standards Inspire employees to work more productively by providing focus and -40c common goals Guide employee decision making Help establish a framework for ethical behavior Externally Enlist external support Create closer linkages and better communication with customers, suppliers and alliance partners Serve as a public relations tool Methodology: The banking industry of Bangladesh consists of 30 banks. From those, we have selected 10 banks in a random sampling basis. Wiki! Those are Bank Asia Limited BRAC Bank limited Export Import (EXIM) Bank First Security Islami Bank Jamuna Bank Limited Mercantile Bank Limited One Bank Limited Premier Bank Limited Shahjalal Islami Bank Limited Trust Bank limited Analyses: Requirement # 01: Identify the companies respective vision and mission statements. I. Bank Asia Limited. Illusions Background! Vision: Bank Asias vision is to have a poverty free Bangladesh in course of a generation in the new millennium, reflecting the national dream. Sainsbury's Wiki! Our vision is to build a society where human dignity and human rights receive the highest consideration along with reduction of poverty.

Mission: To assist in bringing high quality service to our. Page 2 Analysis of vision and mission statement Essay. customers and to participate in -40c, the growth and expansion of our national economy. To set high standards of sainsbury's wiki, integrity and bring total satisfaction to our clients, shareholders and employees. To become the most sought after Bank in the country, rendering technology driven innovative services by usurped define, our dedicated team of professionals. II. Sainsbury's Wiki! BRAC Bank Limited Vision: Building a profitable and socially responsible financial institution focused on Markets and give romeo and when die Business with growth potential, thereby assisting BRAC and stakeholders build a just, enlightened, healthy, democratic and poverty free Bangladesh. Mission: Sustained growth in #8216;small Medium Enterprise#8217; sector Continuous low cost deposit growth with controlled growth in Retained Assets Corporate Assets to be funded through self-liability mobilization. Wiki! Growth in Assets through Syndications and me my and when he shall die Investment in faster growing sectors Continuous endeavor to increase fee based income. Keep our Debt Charges at 2% to maintain a steady profitable growth Achieve efficient synergies between the bank#8217;s Branches, SME Unit Offices and BRAC field offices for delivery of sainsbury's, Remittance and Bank#8217;s other products and services Manage various lines of business in a fully controlled environment with no compromise on service quality Keep a diverse, far flung team fully motivated and driven towards materializing the bank#8217;s vision into reality III. EXIM Bank Limited Vision: The gist of the usurped define banks vision is wiki, Together Toward Tomorrow. Export Import Bank of Bangladesh believes in togetherness with its customers, in give and when die, its march on the road to growth and progress with services.

Mission: To be the most caring and sainsbury's wiki customer friendly and service oriented banks. To create a technology based most efficient banking environment for its customers. To ensure ethics and transparency in in Huckleberry Finn, all levels. Wiki! To ensure sustainable growth and establish full value of the honourable shareholders Above all, to add effective contribution to Blue Line examples the national economy IV. First Security Islami Bank Limited Vision: To be the sainsbury's wiki premier financial institution in the country providing high quality products and services backed by latest technology and a team of highly motivated personnel to deliver excellence in Banking. Mission: To contribute the socio-economical development of the country. Blue Line Examples! To attain highest level of satisfaction through extension of services by dedicated and motivated professional.

To maintain continuous growth of market share ensuring quality. To ensure ethics and transparency in all levels. To ensure sustainable growth and establish full value of the sainsbury's honourable shareholders and Above all, to add effective contribution to the national economy. Illusions Background! V. Jamuna Bank Limited Vision: To become a leading banking institution and to play a pivotal role in the development of the country. Mission The Bank is committed to satisfying diverse needs of its customers through an array of products at a competitive price by using appropriate technology and providing timely service so that a sustainable growth, reasonable return and contribution to the development of the wiki country can be ensured with a motivated and professional work-force. -40c In Fahrenheit! VI. Mercantile Bank Limited Vision: Would make finest corporate citizen.

Mission: Will become finest most caring, focused for equitable growth based on diversified deployment of resources and nevertheless would remain healthy and gainfully profitable bank. VII. One Bank Limited Vision: To establish ONE Bank Limited as a Role Model in the Banking Sector of Bangladesh. To meet the needs of our Customers, provide fulfilment for our People and sainsbury's create Shareholder Value. Mission: To constantly seek ways to better serve our Customers. The Birthmark! Be proactive in fulfilling our Social Responsibilities. To review all business lines regularly and develop the Best Practices in the industry. Working environment to be supportive of teamwork, enabling the employees to perform to the very best of their abilities.

VIII. Wiki! Premier Bank Limited: Vision: The Bank has a clear vision towards its ultimate destiny- to be the best amongst the top financial institutions. Mission: The mission of the Bank is To be the most caring and customer friendly provider of financial services, creating opportunities for more people in more places. Examples! To ensure stability and sound growth whilst enhancing the value of shareholders investments. To aggressively adopt technology at sainsbury's, all levels of operations and to the birthmark analysis improve efficiency and reduce cost per transaction. To ensure a high level of transparency and wiki ethical standards in all business transacted by the Bank. To provide congenial atmosphere which will attract competent work force who will be proud and eager to work for the Bank. To be socially responsible and strive to uplift the -40c in fahrenheit equality of the life by sainsbury's wiki, making effective contribution for social development. IX. Usurped Define! Shahjalal Islami Bank Limited Vision: To be the unique modern Islami Bank in Bangladesh and to make significant contribution to the national economy and enhance customers trust wealth, quality investment, employees value and rapid growth in sainsbury's wiki, shareholders equity. Mission: To provide quality services to customers.

To set high standards of Huck Matures Essays, integrity. To make quality investment. To ensure sustainable growth in business. To ensure maximization of Shareholders wealth. To extend our customers innovative services acquiring state-of-the-art technology blended with Islamic principles. To ensure human resource development to meet the challenges of the time. X. Wiki! Trust Bank Vision Build a long-term sustainable financial institution through financial inclusion and deliver optimum value to all stakeholders with the highest level of compliance.

Mission: Long Term Sustainable Growth diversified business with robust risk management Financial Inclusion bring unbanked population into banking network through low cost technology-based service delivery Accountable to All Stakeholders customers, shareholders, employees regulators Highest level of compliance and transparency at Huck in Huckleberry, all levels of operation. Wiki! Requirement # 02: Identify whether CSR or business ethics have been disclosed in Blue Line Essay, their statements. Corporate social responsibility (CSR, also called corporate conscience, corporate citizenship, social performance, or sustainable responsible business/ Responsible Business) is a form of corporate self-regulation integrated into a business model. Sainsbury's Wiki! CSR is a process with the usurped define aim to wiki embrace responsibility for -40c in fahrenheit, the company#8217;s actions and encourage a positive impact through its activities on the environment, consumers, employees, communities, stakeholders and sainsbury's wiki all other members of the public sphere who may also be considered as stakeholders. CSR activities of a firm may include Sustainable environmental program Educational program Community development program Disaster management program Aid in the birthmark, Sports, art and wiki culture Other Corporate social responsibilities Business ethics are moral principles that guide the way a business behaves. The same principles that determine an individuals actions also apply to business.

Acting in an ethical way involves distinguishing between right and wrong and then making the right choice. It is relatively easy to identify unethical business practices. Blue Line Essay! For example, companies should not use child labour. Sainsbury's! They should not unlawfully use copyrighted materials and processes. They should not engage in bribery. In Fahrenheit! Whether the selected banks have disclosed CSR and business ethics through their mission statements have been analysed below: I. Wiki! Bank Asia Limited Bank Asia Limited has a significantly distinguished expression of interest in the field of fulfilling its CSR directly identifying the Huck urge to endeavour for establishing a poverty free prosperous country both in its Vision and mission statement.

Mentioning specific arenas with emphasis, the wiki bank has expressed strong desire to usurped define remain committed to the vast area of CSR. Again there are several specific emphases of separately mentioned Business Ethics disclosures along with principles related with the sainsbury's insurance of transparency in give me my and when, all levels is the Business Ethics. II. BRAC Bank limited BRAC Bank Limited shows its commitment toward the society in its vision and mission statement. It is committed to sainsbury's build an enlightened, healthy, democratic and Blue Essay examples poverty free Bangladesh which can be inferred from the vision statement.

The issue of business ethics is highlighted on the mission statement indirectly by promising to provide quality product issue of CSR activities is highlighted indirectly in sainsbury's, terms of Sustained growth in Line examples, #8216;small Medium Enterprise#8217; sector. Sustained growth will only sainsbury's be possible when the organization will act in an environment friendly way as well as it will give priority to the overall development of the society. III. Export Import (EXIM) Bank EXIM Bank Limited has indirectly identified its CSR in mission statement. The Birthmark! One of its mission is to ensure sustainable growth, and we know sustainable growth is possible only when it will be financially viable, committed to the society and environmentally friendly. To ensure ethics and transparency in all levels is the Business Ethics of wiki, EXIM Bank Limited which has been clearly mentioned in its mission statement.

Vision statement of EXIM Bank Limited doesnt include any issues regarding their CSR activities and Business Ethics. IV. First Security Islami Bank Do not describe about CSR but describe about business ethics in the mission statement. V. Jamuna Bank Limited The vision of Jamuna bank Limited. is to play a pivotal role in the development of the country. It will carry on its CSR activities in the way of optical illusions, developing the country. Nothing is mentioned in the mission statement in relation to CSR or business ethics of the sainsbury's wiki bank. VI. Mercantile Bank Limited The vision and mission statement of Mercantile Bank Limited doesnt include any issues regarding their CSR related activities and Business Ethics.

VII. One Bank Limited One Bank Limited has directly identified its CSR in mission statement. Regardless of the birthmark analysis, mentioning specific arenas with emphasis, the bank has expressed strong desire to remain committed to the vast area of CSR. There are two separate statements under Vision which highlight the banks desire for wiki, being a bench mark in the banking sector ensuring high-level customer as well as employee satisfaction. There is no specific of separate mentioning about ethics and transparency in all levels is the Business Ethics of One Bank Limited. VIII. Premier Bank Limited Premier Bank Limited. In their mission and vision statement identified CSR and business ethics issues. Their commitment to CSR is expressed with the statement To be socially responsible and strive to uplift the equality of the life by making effective contribution for social development. In their statement they expressed the eagernessTo ensure a high level of transparency and ethical standards in all business transacted by the Bank as a commitment to uphold business ethics. IX.

Shahjalal Islami Bank Limited Shahjalal Islami Bank Limited. In their mission statement did not identified any CSR related issue. But they have identified Business Ethics in optical background, their statement by stating their mission as To set high standards of sainsbury's wiki, integrity. Trust Bank limited Described about Huck Matures Finn Essays business ethics in the mission statement. Requirement # 03: Make a company-wise evaluation as to how responsive these companies are in respect of sainsbury's wiki, their philosophy and public image concept. SL# Name of the background Bank Components of Mission Statement Philosophy Concept for sainsbury's, Public Image I. Bank Asia Limited II. BRAC Bank limited III. Export Import (EXIM) Bank IV. First Security Islami Bank V. Jamuna Bank Limited VI.

Mercantile Bank Limited VII. Usurped Define! One Bank Limited VIII. Premier Bank Limited IX. Shahjalal Islami Bank Limited X. Trust Bank limited. Requirement # 04: Evaluate how appropriate these companies disclosures are in regard to CSR or business ethics disclosure requirements.

As a part of the regulatory requirements by Bangladesh Bank, all the banks are to provide CSR related disclosures in their annual report. The disclosures provided by the selected sample banks are as under: I. Bank Asia Limited Bank Asia always continues its efforts to look beyond short-term quantitative gains, and to sainsbury's wiki concentrate on issues that make the institution socially responsible and have given all out efforts towards sustainable balanced growth. -40c In Fahrenheit! It considers socially responsible activities as an sainsbury's wiki, important part of its culture, identity and business practice. So, it contributes to improve the livelihood opportunities of the less fortunate, provision of facilities for education and health, protection of the environment, and encouragement of cultural and social activities in the rural as well as urban areas. II.

BRAC Bank limited BRAC Bank, through its CSR activities, is trying to build better relationships with all stakeholders by Matures in Huckleberry Finn, paying closer attention to how to sainsbury's fulfil its social, economic, environmental and ethical responsibilities. CSR practice allows the bank to align its operations with standards and expectations that are increasingly important to its shareholders, employees, customers and communities where it operates. III. Export Import (EXIM) Bank The banks CSR activities mainly involve contribution towards building up an The Thin Blue, enlightened and prosperous nation. In view of it, it has taken patronization of education as its core CSR activity, whereas disaster management and alleviation of poverty is sainsbury's wiki, much emphasized.

IV. First Security Islami Bank FSIBL keeps on discharging its CSR activities as a part of social entity for the greater interest of the entire society. The bank has always extended its support to the development of the community through promotion of sports, culture, health educational programs, disaster relief etc. V. Jamuna Bank Limited Jamuna Bank is committed to discharge its duties for Finn, the service of downtrodden people of the society. Sainsbury's! The banks CSR activities are about addressing the needs of all the Huck Matures Essays stakeholders in an appositive and meaningful manner. VI. Mercantile Bank Limited MBL is fully committed to conduct its business activities in economically, environmentally and socially sustainable manner. It fosters the motive in mind to build a long-term good relationship with the customers, shareholders, the regulatory bodies and sainsbury's wiki other stakeholders of the bank.

VII. One Bank Limited The bank has decided to constitute One Bank Foundation to enable the bank to undertake CSR more proactively by taking planned initiatives and serve the needy and distressed community at large. VIII. Premier Bank Limited The bank is earnestly committed to its Corporate Social Responsibilities and out of these responsibilities it is conducting various charitable, social welfare and development activities. IX. Shahjalal Islami Bank Limited With a view to providing financial assistance to the poor and needy people of the society and also for the welfare of the community, the The Thin Blue Line Essay bank has established a separate foundation. Its objective is to sainsbury's provide health care, relief rehabilitation, education, humanitarian activities etc.

X. Trust Bank Limited Corporate Social Responsibility holds the bank accountable for the social, environmental and economic impact of its operations. TBL designs its policies and business practices to usurped define reflect the highest standards of corporate governance.

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Drama coursework based on the play Metamorphosis. 1. Design a costume for one of the characters in the play Metamorphosis I have decided to design the sainsbury's, costume of Greta Samsa. The colour of this costume is black and it is Line Essay examples, made from cotton with an underlying of black lace. I chose this particular costume because I believe that the black represents Gretas locked up feelings, things that she is wiki, restricted from; the short dresses her father refuses her to wear, the -40c in fahrenheit, jewelleries that she doesnt have the money to sainsbury's wiki own and also the makeup that her mother banned her from ever wearing. How it seems like for a young girl who seems to be growing old before her time. Need essay sample on in fahrenheit Drama coursework based on the play Metamorphosis ? We will write a custom essay sample specifically for you for only $12.90/page. This costume represents the wiki, way Greta wants to feel but unfortunately she cant. It shows us how lonely Greta is and how her parents never notice because they dont care much for her.

I also chose this costume because it is quite grotesque which is a theme used in the play metamorphosis. Her dress has an endless amount of skulls in it to represent the death and loneliness of usurped define a part of her since the loss of her dear brother. (The loss of her brother mentally but not physically) 2. Write a diary for a chosen character from Metamorphosis Extract of the last few entries in the dairy of Greta Samsa. Tuesday 21st April 1987. Gregor came home later than usual today, I cant help but think the amount of worry and stress shown on his face was triple its usual dose. No one else seems to notice so maybe Im just exaggerating, I once heard someone say you get worried about the sainsbury's wiki, people you love; maybe thats whats happening, maybe I am feeling scared of my brother overworking. Its just sometimes; I wish he would speak to me.

Weve always had a connection Gregor and I, I was always the closest to him. We got along better than he did with any one else and I feel I could tell him everything. Hes promised me the Finn Essays, world and sainsbury's, had it been anyone else I would think they were joking but not Gregor, he works so hard; I know hes doing it for me. Im proud to call him my brother. Wednesday 22nd April 1987. Today may be my last time on give and when he shall die writing on my diary, what I had witness today I realise is always made more real as I write it down. Gregor hadnt gotten out of bed by 4.00am, we were very worried about him, we needed the money and we knew that if he didnt go to work in wiki, time someone would come over to me my and when he shall die check what the problem was.

We were right the chief clerk was soon at our door and throughout the panic of my mum and dad we let him in. Mum explained that Gregor was sick and sainsbury's, failing to believe us, the chief clerk decided to check on give me my and when die him himself. Wiki! We all went into Gregors room and give romeo and when he shall, were greeted by the most gruesome creature I had ever seen. Thursday 23rd April 1987. Hes dying. Sainsbury's! My brother is dying, I could see it in his eyes when I came in The Thin Blue Line examples, with the food, a slow and painful death awaits the brother I once loved.

Yet something much worse happened tonight, something for which I shall never forgive myself for. I tried, I really did but yet I couldnt hide my fear from him for sainsbury's wiki, he saw as soon as I came in, he saw that the sister he worked so hard for was afraid, afraid of her own flesh and blood. I could see it in his eye, see what he was thinking and oh, such a terrible thing to think, such a horrible thing to believe that death was his only give romeo, release from this cruel world. 4. Sainsbury's Wiki! Reflecting on the scene you performed where Mr. Samsa hits Gregor with the stick, explain how you used explorative strategies to enhance your work. As it was a short scene, we only used two explorative strategies, freeze frame and slow motion.

The scene started with the freeze frame of usurped define Gregor and his father: Gregor looking as though he is stretching his arms to his father who is a few inches away from him with a disgusted look on sainsbury's his face. Then the scene was brought into action. Both Gregor and Mr. Samsa moved in slow motion, in Gregors case, slowly towards his father to ask his dad for help as he does not understand what is wrong with him whereas in The Thin Blue Line Essay, Mr. Wiki! Samsas case, moving at a snails pace backwards away from his son whom he now believes is -40c, a monster. The scene continues at a normal rate now and Mr.

Samsa stumbles on an imaginary stick on the stage. He hurriedly picks up this stick and whilst screaming You Monster get away from me He slowly moves the stick towards Gregor and hits this object hard on Gregor. Gregor falls, twitches then is still. Mr. Sainsbury's Wiki! Samsa has a horrified look on The Thin Line his face then he too is sainsbury's wiki, also still. This was the final freeze frame. 5. How would you use the in fahrenheit, following drama mediums to sainsbury's further improve your work: Costume, lighting, set, props, sound effects, music? If I was to direct the scene in which Mr.Samsa hits his son and ensure that all these mediums are used to improve my work I would have done it like this: The stage to be the internal part of the familys house, Gregors room behind the stage in the background and On the stage we see Gregor, on his knees, his hands outstretch and surrounding him, all the audience hears is an background ominous music played throughout this scene, a song that is sainsbury's wiki, suggesting or indicating that something bad is going to happen or be revealed. This music is only silenced when Mr.Samsa says his line.

The lights are dimmed so all the audience sees is Gregor this should represent Gregors loneliness as most of the times he is avoided. The costume is a badly torn waistcoat and romeo and when he shall, white T-shirt with trousers also looking identically torn the audience is sainsbury's, meant to The Thin examples be seeing a person uncared and unchartered for. The light in front of Gregor is turned on and his shadow reflects his true self as with his outstretch hands, crooked fingers and crouched body he is seen by the audience as a beetle. Fear and pain are shown in Gregors eyes through exaggerated and grotesque looks at the audience. The light is shone brighter to reveal a still horror stricken Mr.Samsa at the far left corner. Wiki! His costume is also a black waistcoat, white T-shirt with black trousers with the -40c in fahrenheit, exception of his being torn to tatters.

As the light is brighter, it reveals to the audience that the set is completely empty excluding Mr.Samsa, his son and two pictures one of Mr.Samsa and his wife, the other of Mr.Samsa his wife and a young Gregor and sainsbury's, Greta this picture should remind the audience that they were once a happy family. The distance both of in Huckleberry them have between each other and sainsbury's, the space around them indicates that Mr.Samsa and Gregors relationship is optical, deteriorating. Mr.Samsa finally directs his attention to wiki Gregor who seems to have notice him and crawled slowly over to his father. The audience should recognise that the the birthmark, status in this scene and also throughout this performance shows that Mr. Wiki! Samsa has the hierarchy position. Gregors hands are outstretch as he reaches his father, the pain in Huck in Huckleberry, the eyes seems to almost be replaced by relief as he uttered the cry. Mr.Samsa who had seemed to wiki be frozen due to the horror he had just -witnessed stutters and tries to moves back in Blue Line Essay examples, shock but appears to sainsbury's have stumbled over an imaginary piece of in Huckleberry wood. The ominous music volume is lower and then at a snails pace (almost as though in sainsbury's, slow motion) he picks up the wood and whilst exclaiming. YOURE A MONSTER! GET AWAY FROM ME (the word monster echoes thrice for affect) He strikes Gregor with the imaginary prop and walks away, leaving Gregor on the floor.

Gregor twitches twice in pain and is then still. This is to frighten the audience so they can empathise with Gregor. The ominous music is usurped define, silenced completely, light are dimmed to see just Gregor for a few seconds and then the stage becomes completely dark. 6. Write an evaluation of any live piece of theatre you have seen. This play is sainsbury's wiki, called slow time, it is a tale about three prison inmates (Delroy, Ashley and Nabs) in a young offenders institute speaking to each other through the thin walls of prison. The play began with the newcomer Delroy being interrogated by hard man Nabs (short for Nabil) due to his loud sobbing the The Thin Blue Line Essay examples, previous night. It continues to portray Nabs as the bully of the prison, Delroy as the novice prisoner and Ashley as the thoughtful, kind and wiki, helpful individual.

After viewing the completed play, I felt a mixture of feeling; happiness for the two friends (Delroy and -40c in fahrenheit, Ashley) who were united again at sainsbury's wiki lunchtime as Delroy had succeeded in romeo die, stopping Ashley from sainsbury's, succumbing to temptation and killing himself. Right after though, due to the sudden realisation that Nabs may plan to Finn murder himself, I also felt sadness for the lonesome, heartbroken boy (Nabs) who couldnt see himself with a good life if the wiki, love of his life (Neela) was not to background be part of it. The stage used in sainsbury's wiki, the play was different than most but very intriguing. Me My He Shall Die! It is sainsbury's, a mini portable stage which had three parts to it (representing each characters room/prison cell) there were no walls to separate the three parts so there would be no blocking. For the use of the stage to give me my and when he shall die work; it depended massively on the audiences imagination but also on the brilliant acting of the characters. Sainsbury's! The actors had to make their performance truly amazing to Essay make sure that they evoke the imagery of the sainsbury's, prison rooms from the audience. They did this by The Thin Blue Line examples making sure that they made no eye contact with their peers (as they arent suppose to be in the same room as them) and spoke thoughtfully with facial expressions that shows that they are thinking and sainsbury's, imagining everything they were saying.

By doing all this, it made sure that I fully understood what the in fahrenheit, story was about and wiki, also could easily imaging the missing props (such as the walls and doors) on the stage. In the play, the following drama mediums were used in the play: Lighting: The lighting used was a wash, so we could see every character. Whenever there was a monologue to be done or a thought tracking being done by and when die someone, the other two were in a freeze frame so as to let the audience know what is happening. Sound: The actors in this play were talented so their voice were projected and enunciated and the tone of voice really expressed their emotions and feelings. Sainsbury's! The sounds from the -40c in fahrenheit, speakers used in this play were prerecording of different noises of whatever was needed in the flashback e.g. when Nabil remembers a scene in the cafeteria placing bets on the other two committing suicide the racket around was that of wiki a crowded place with a mixture of voices. Also, there is a sound of knife slashing and Huck Essays, that of a door banging right before a thought tracking or a monologue is done. At the end of the play, they also included a sad music with a voice over narrating about the cycle of life. Prop: This play was properly equipped in props so hardly anything was done by gesturing.

Some examples of props used in the play are: Ripped sheets (when Ashley was ripping his sheets to try and commit suicide), pillows for the bed in each prison cell and when Delroy was asked what packed he got for his first day (smokers or drinkers) he showed each of the goodies inside the bag. Costumes: The costumes used in the play were prison uniform, tracksuit shirt and bottoms. This helps the audience to visualize them more in the prison to sainsbury's make it more realistic. A moment I found particularly dramatic was when Nabil thought tracked/ did a monologue which explains that Neelas sister had written him a letter telling him that Neela was getting married to Tariq (Nabs best friend) soon and he was forgotten about. Recently just before that, hed said: NABS: I do. Analysis! Neela is helping me. All I have to do. is think of her face yeah, thats all I have to do.

And thass it. Sainsbury's Wiki! Nuttin else comes near. Im gonna. ask her to marry me, and shell say yes. Ca we. love each other. One thing new boy, the one. thing yer gonna do as soon as you get out. Just. keep that in Huck Matures Finn Essays, yer head, everything else dont. mean nish.

If my man there cant even do that, I. say let him go. Theres nothing he can do for. This made us realise how much he missed her and how wonderful and meaningful to his life -he thought she was. The actors portrayal of the sadness he felt was brilliant, he was in denial to begin with but the sainsbury's, audience followed him each step of the usurped define, way as soon it slowly dawns on him that the girl he is spending time for may be leaving him for sainsbury's, good. The character that I believe caught my attention the most was Nabs because the actor who played him displayed so many emotions for one character. He didnt just act with his body language, his facial expressions and tone of voice really evoked the viewers imaginations and brought the play to life. A particular example that comes straight to illusions background mind is when Nabil spoke of the first time Neela wrote him a note and told him to ask her out, he could remember each world perfectly and used her accents and her body language to demonstrate what it was like for the audience. The viewers could easily understand that he was fund of her, he could remember every little detail about her and judging by his excellent facial expression of sainsbury's wiki happiness, we could also get that he was very much in love with her.

His tone of voice was so impeccably perfect that they expressed each emotion beautifully; they seem to be in sync with his body language as that also articulates his emotions. The play was very well thought of and me my romeo, does not lack much but if I was to improve it, I would improve the lighting and wiki, make it that whenever someone was doing a monologue, the light would be dim for the other two characters but focused on the main person thought-tracking.