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Advocacy builds a path to care in Bangladesh

In Bangladesh, advocacy and humanitarian aid support are helping transform what it means to live with an inherited bleeding disorder. For Abeer Modak, a person with hemophilia, the journey began at age five, when bleeding symptoms led doctors to diagnose him with severe hemophilia A. His childhood was marked by pain, hospital visits, and missed opportunities. His mother, Ruba Modak, described years of fear and uncertainty, including moments when her son’s life was at serious risk. The pain and uncertainty only stopped when Abeer began receiving donated treatment product provided by the WFH Humanitarian Aid Program. Now he’s living a normal life, and stories like his are supporting advocacy efforts in his country.

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For many years, hemophilia care in Bangladesh was extremely limited. Treatment once depended mainly on fresh blood or fresh frozen plasma, with no factor products available. This meant that even small bleeds could become serious. The World Federation of Hemophilia (WFH) and the WFH Humanitarian Aid Program have played a major role in changing that reality. Through treatment donations, technical support, training, and advocacy, the WFH has helped strengthen care and expand access to newer therapies. “The WFH introduced the products, the knowledge, the technical know-how… they have training development and everything, so without the WFH, we cannot run. This is a paradigm shift for us,” said Najmul Alam, President of the Hemophilia Society of Bangladesh (HSB).

In addition to the support provided through the WFH Humanitarian Aid Program, the WFH is engaged in Bangladesh through several other initiatives. These include the WFH Path to Access to Care and Treatment (PACT) Program, which supports outreach, diagnosis, and sustainable access to care; the International External Quality Assessment Scheme (IEQAS), which helps strengthen and standardize laboratory diagnosis; and the World Bleeding Disorders Registry (WBDR), which enables healthcare professionals at hemophilia treatment centres in Bangladesh to collect, manage, and use patient data more effectively.

We have death and life in this world. I just want him to live his life the way he likes.

— Ruba Modak, mother of Abeer Modak

In 2021, non-factor replacement therapy was provided for the first time to 17 patients at one hemophilia treatment centre, providing new possibilities for people with hemophilia, including those with inhibitors. Abdul Wohab, MD, Professor of Pediatric Hematology and Oncology, at Bangladesh Shishu Hospital & Institute, said patients receiving the therapy are now able to take part in school and work. Success stories like these have provided the data that allow organizations like the HSB to effectively advocate greater government support. Effective advocacy means more support for more people, which means more impact—and even more convincing data.

For Abeer, the change has been life-altering. “After using the new therapy, I can go to my office. I complete my daily work. Last year, I got a promotion.” With care in the big cities getting, better, the HSB can now look to expand services across the country in more remote areas, so people with bleeding disorders can access care closer to home.

This is the second article in a limited series on the WFH in Bangladesh. To read “Treatment allows youth in Bangladesh to live an active life” and watch the video, click here.

The WFH Humanitarian Aid Program has donated nearly 79 million IUs of factor and 859,000 mg of non-factor replacement therapy to Bangladesh since 2015. Over 4.2 million IUs of factor, and 162,000 mg of non-factor replacement therapy were donated in 2025 alone. To find out more about the WFH Humanitarian Aid Program please click here.

About the WFH Humanitarian Aid Program

The WFH Humanitarian Aid Program improves the lack of access to care and treatment by providing much-needed support for people with inherited bleeding disorders in developing countries. By providing patients with a more predictable and sustainable flow of humanitarian aid donations, the WFH Humanitarian Aid Program makes it possible for patients to receive consistent and reliable access to treatment and care. None of this would be possible without the generous support of Sanofi and Sobi, our Founding Visionary Contributors; Bayer, CSL Behring and Roche, our Visionary Contributors; Grifols, our Leadership Contributor; and Takeda, our Contributor. To learn more about the WFH Humanitarian Aid Program, visit www.treatmentforall.org.

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Disclaimer

The information on the WFH website is provided for general information purposes only. The WFH does not engage in the practice of medicine and under no circumstances recommends particular treatment for specific individuals. For diagnosis or consultation on a specific medical problem, the WFH recommends that you contact your physician or local treatment centre. Before administering any products, the WFH urges patients to check dosages with a physician or hemophilia centre staff, and to consult the pharmaceutical company’s printed instructions.

While every effort has been made to ensure the accuracy of the information on this site, the WFH does not guarantee the information is accurate, and is not responsible in any way whatsoever for damages arising out of the use of this website or any of the information contained herein.

Messages posted to WFH discussion forums, Facebook, Twitter, and other social media platforms do not represent the opinions of the World Federation of Hemophilia, its staff, or Board of Directors. The author of a message is solely responsibility for its content. Information posted on WFH social networks and platforms should never be a substitute for individualized professional medical advice, even when the author has medical qualifications or is considered an authority. Information posted to a discussion group should not be used to diagnose or treat a specific health problem without consulting a qualified healthcare professional. The WFH recommends that you contact your physician or local treatment centre if you have any individual questions or concerns.

References and links to other websites or references to other organizations, products, services, or publications do not constitute endorsement or approval by the WFH. The WFH is not responsible and assumes no liability for the content of any linked websites.

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