COPE is a local not-for-profit organisation that works in partnership with the Centre of Medical Rehabilitation (CMR) and provincial rehabilitation centres to provide access to both orthotic/prosthetic devices and rehabilitation services, including physiotherapy, occupational therapy and paediatric services to people with disabilities. COPE was created in response to the need to provide UXO survivors with the care and support they required, namely by way of orthotic and prosthetic devices.
COPE has four major roles:
- To act as a portal for skills development and training, upgrading clinical skills in physiotherapy, occupational therapy and P&O within the government rehabilitation services. This is extended to management and administrative skills to ensure that the capacity for COPE to run as a local organisation is sustainable.
- To support expenses of patients who are unable to pay for treatment and associated costs as well as upgrading facilities at the five centres currently supported by COPE.
- To act as an interface between the donor community and the Lao Government. International donors require a recognised standard of auditing and financial accountability for proposals to be successfully accepted and managed.
- To facilitate referral between the network of clinical services to provide comprehensive treatment of people living with mobility impairments, ensuring people with disabilities in Lao PDR will have access to the rehabilitation services that can improve their ability to participate in their communities.
The long-term vision of COPE is to become a locally-staffed organisation that covers the cost of mobility devices and rehabilitation for people in Lao PDR who cannot afford it.
Not only did the centre give me the opportunity to learn about the work they do but also have me an insight to the extent of the bombing that occurred during and after the Vietnam war. The facts speak for themselves and are scary:
Lao PDR is the most heavily bombed country, per capita, in history
Approximately 25% of villages in Laos are contaminated with Unexploded Ordnance (UXO)
More than 580,000 bombing missions were conducted over Laos
Over 2 million tons of ordnance were dropped on Laos between 1964 and 1973
Cluster submunitions or ‘Bombies’ (as they are known locally) are the most common form of UXO remaining
More than 270 million bombies were dropped onto Laos
Up to 30% failed to detonate
Approximately 80 million unexploded bombies remained in Laos after the war
All 17 provinces of Laos suffer from UXO contamination
41 out of the 46 poorest districts in Laos have UXO contamination
Over 50,000 people have been killed or injured as a result of UXO accidents in the period 1964 to 2008
Over 20,000 people have been killed or injured as a result of UXO accidents post-war period, 1974 to 2008
UXO Lao works in the nine most heavily UXO contaminated provinces in the country.
UXO Lao needs on an average, US$6.5 million, for operations. It employs over 1,000 people.
Very scary and sad statistics. Fortunately only of late Lao is starting to get international help to healp deal with many of the issues caused by the UXO.
Sobered by my visit, I walk and walk to clear my head, walking to the Lao version of L'Arc de Triomphe, the
From there I carried on to the "mall" and discovered yet another section. This mall is a collection of very dated shops sellign all sorts of thigs. It covers a hige area of land and is sectioned into different areas all selling the same sort if things. Electrical, fabrics, hair stuff, stationery etc. Each time I visit I find something else to explore.
From there I walked to Simueng Deli, not a deli in our sense but a shop selling food that is not readily available elsewhere. Mainly western style imported food and sadly not of the greatest quality. I had intended buying some frozen chicken but I would not cook that at home, so I don't intend to cook it here. Still there is a great rotisserie chicken place down the road and I don't have to see where the chicken came from or what condition it was in before cooking. I still managed to buy some lovely fresh crusty bread and some cheeses, both of which were tucked into as soon as I got home. Yumm.
Michael bought some pho (or pheu) home for dinner, a little different to what I was having in Vietnam but nevertheless very tasty and just what I needed. The night came to an end after watching a bit of telly and catching up on this blog.
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