Rampal DB

We propose creation of 200,000 population-targeting public health oncology “laboratory” in rural Bangladesh—The Amader Gram Rampal Project. The target population is within a geographic sub-district of Bangladesh, the Rampal Upazila, in the southern part of the Khulna division, which has 138 villages in 11 unions (Figure 1). In a case-finding study of 8 randomly-selected of these villages, half of the average 5-person households reported having less than $3 to spend per day; 93% had less than $5 for the entire household (7). The majority of inhabitants are engaged in agriculture or fishing work. There are no major employers. Unlike for many other countries in the Asian region, there is limited rural-urban migration from this region.