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August 20, 2006

Clear Path International's First Study Trip to Laos

Posted by: Imbert Matthee

Ever since James, Martha, Kristen and I started Clear Path International nearly six years ago, I have wanted to go to Laos. Now I finally had a chance to do so, as we sandwiched three days in between our project visits to Vietnam, Cambodia and the Thai-Burma border.

It was our work in central Vietnam that inspired me to go to Laos. Along Vietnam's coast -- to the north and south of the former Demilaterized Zone at the 17th parallel -- we support what we call "landmine accident survivors" who are really UXO victims. That stands for "unexploded ordnance" and it includes a whole range of explosives, such as cluster bombs, mortars, rockets, phospherous grenades and so on.

During the Indochina War, the same explosives were used in Vietnam and Laos. All along the Lao border with Vietnam ran the Ho Chi Minh trail and it was bombed by U.S. forces for years, making Laos the most bombarded country in the world. And although Laos' population is only a fraction of Vietnam's, the UXO problem there continues to claim new casualties at a disturbing rate.

Accurate figures are hard to come by, but rough estimates put the number of UXO survivors in Laos at about 2,500, with 140 new accident survivors joining their ranks each year.

Needless to say we learned a lot from our three days in Vientiane, the Lao capital, thanks almost exclusively to Mike Boddington of COPE, the Cooperative Orthotic & Prosthetic Enterprise, who hosted us and put us in touch with key players in the area of survivor assistance.

COPE brings together brings together organizations that work in the field of mobility disability in Laos. These include the National Rehabilitation Center of the Ministry of Health, World Vision, Association for Aid & Relief Japan and the Leprosy Mission International of Singapore.

We toured the National Rehabilitation Center on our second day in Laos. It was a Friday and things were a bit slow, but that was just as well because it gave us plenty of time to look at all of its departments without having to disturb many patients.

The NRC assists all persons with disabilities, a number of them are landmine/UXO survivors. More importantly, the NRC and COPE run four other prosthetics and orthotics centers in the provinces of Luang Brabang, Xiang Khuang, Savannakhet and Pakse.

All these provinces have a high concentration of UXO survivors that benefit from the centers' services. In 2004 and 2005, COPE provides physical mobility services to 1,487 and 1,268 patients throughout Laos respectively.

A number of NGOs, such as World Vision, World Education and Handicap International also provide additional community-based rehabilitation services ranging from emergency medical care to vocational training -- much the same as Clear Path does in central Vietnam.

But these NGOs assist all persons with disabilities and only cover certain provinces, leaving gaps in aid to UXO survivors elsewhere.

At this time, it's not our intention to start up services in another country. We have our hands full in Vietnam, Cambodia and along the Thai-Burma border. But meeting with Mike and the NGOs inspired us to look for small ways to be helpful and to return in the not-too-distant future to visit the provinces, particularly the heavily bombed ones up against the border with Vietnam.

So we told Mike we would arrange for a shipment of medical equipment and supplies to better outfit and provision the National Rehabilitation Center in Vientiane, which is otherwise well organized and productive. It needs beds and it can use plaster casting strips, just to name a few items. In the coming weeks, CPI hopes to get a wish list from the NRC to start setting items aside for it.

Meanwhile, we intend to stay in touch with the folks we met in Laos to make sure that whatever we decide to do fits in with the needs of landmine survivors and complements the work already done by other NGOs there.

On this first trip to Laos, we succeeded in collecting initial impressions and ideas. But I am already looking forward to going again next year and exploring this laid-back but ruggedly beautiful country more.

Posted by Imbert Matthee at August 20, 2006 12:35 PM
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