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Training on Screening, Treatment & Management for Prevention of Cervical Cancer

Training on Screening, Treatment & Management for Prevention of Cervical Cancer

Date: 11th February to 23rd February 2023

Venue: Dhaka Medical College Hospital

Class Taken by Dr Lutfa Begum Lipi of Dept.of Gynae & Obs.
Class taken by Dr SM Shahida, Associate Prof DMCH, Gynae oncology

A Non-residential Training on Screening, Treatment & Management for Prevention of Cervical Cancer was held on 11th February to 23rd February 2023 at Dhaka Medical College Hospital (DMCH), organized by DMCH and supported by HAEFA.

The session was held with the resource persons from DMCH, Professor Dr. Nazma Hoque, Professor and Departmental Head of Obstetrics and Gynae, DMCH, along with Professor Dr. Fatema Rahman, Professor Dr. Khodeza Begum, Assistant Professor Dr. Lutfa Begum Lipi, Associate Professor Dr. S M Shahida, Junior Consultant Dr. Samina Sultana, RS DMCH Dr. Mahbubur Rahman Rajib, 3 Junior Consultant, and 4 SSN were present and coordinated by Dr. Sharmin Sultana Urmi, National Clinical Coordinator, HAEFA Bangladesh.

The training was framed with Consultant from DH, Ulipur, Bhaurungamari UHC of KURIGRAM district and SRHR Officer of Gazipur & Netrokona, 2 Junior Consultant from DMCH, and National Coordinator GBV from DGHS were participated in the training program.

The first 6 days of the training were about Basic VIA Training which included Anatomy, Physiology of Female Reproductive Organ, Etiology, and Pathogenesis of Cervical Cancer with Single Visit “See and Treat” approach of cervical precancers lesions. Also, enlightening the trainees about the Principles of Cervical Cancer Screening- Target age, Frequency of Screening, and practicing VIA & CBE Examination at the outdoor of DMCH.

Practical Session at VIA Room DMCH
Practical Session at VIA Room DMCH

The next 6 days of Training sessions included Basic Colposcopy Training with Advance Management. Principles of Colposcopy with indication, normal finding and Colposcopy diagnosis, Thermocoagulation through Mobile ODT, and also Conventional Methods were included in this part.

After every day’s Theoretical and Practical session’s Participants had a session on Data entry on ‘DHIS2 –National Cervical and Breast Cancer Surveillance System’ for proper Tracking and referral system, this session was supervised by Dr. Mohammad Adnan, From MIS, DGHS.

From HAEFA’s part, I thanked the Director of DMCH and Respected consultants of DMCH for giving us this opportunity and gave a short brief about HAEFA’S work extension and project details with our role in screening, treatment and referral procedure with tertiary management of the cancer patients.

Practical Session at VIA Room DMCH
Session taken By Dr Sharmin Sultana Urmi, National Clinical Coordinator, HAEFA

The Training ended by a Certificate Giving Ceremony where the Director of DMCH, Brigadier General Md Nazmul Haque, and All the consultants of the Obstetrics and Gynae department of DMCH were present.

On the closing speech Director of DMCH thanked the participants and both UNFPA & HAEFA for playing a significant role in Preventing Cervical Cancer in Our Country.

In the Certificate Giving Ceremony with Prof Dr Nazma Haque
Practical Session at Colposcopy Room DMCH
Certificate Giving Ceremony
Certificate Giving Ceremony

HAEFA NEWSLETTER – January 2023

The HAEFA Team wishes you a very Happy New Year 2023

HAEFA’s Healthcare Services in Bangladesh: a year end summary

  • 60,337 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Kurigram from Nov. 2019 – Dec. 2022
  • 38,016 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – December 2022
  • 254,310 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district) received free medical care in Cox’s Bazar from October 2017 to December 2022
  • 39,968 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020
  • More than 3290 Bangladeshi nationals in Ukhiya received free medical services from the Mobile Medical Clinics of HAEFA in 2022.
  • A total of 9075 Diagnostic Lab Tests have been performed at HAEFA’s NCD-based Path Lab in camp 09 since January 2022.
  • More than 6,000 Healthcare providers were trained under the TOT program for Mental Health Support and Resilience Training in collaboration with Project HOPE
  • More than 3,000 physicians received the Advanced COVID-19 Clinical Management Certification online at the DGHS, MoHFW website. This course collaborates with DGHS, Brown University CHRHS, Project HOPE, HAEFA, USAID, and SCiB.
  • More than 40 students from classes six to twelve at  (Bhawal Mirzapur Hazi Jamir Uddin School And College) received annual merit scholarships from 2019 till to date. This is a collaboration between HAEFA and M A Malek Education Scholarship Foundation.        
  • COVID-19 Relief Effort for Underprivileged people : HAEFA Provided a two-week supply of food packages for more than 1,500 families (5 members/family) in 5 districts of Bangladesh in 2021-2022.

Activities for Development by HAEFA Members

  • A monthly coordination meeting with CHCP was held in Nageshwari UHC on December 8th to discuss the ongoing Cervical Cancer Screening and Treatment approach
  • HAEFA-UNFPA Meeting held on December 18th to discuss the Cervical Cancer Screening and Treatment.
  • HAEFA members attend the 1st meeting of the National Cervical Cancer Strategy Revision process at DGHS, Mohakhali on 29th December 2022. The meeting titled “Revision & Update National Strategy of Cervical Cancer Prevention and Control” was attended by ADG, Line Director MNCH (on charge), Program Manager Maternal & Child Health, Consultant DMCH, all consultants from BSMMU related to Cervical Cancer, OGSB consultant, WHO, HIPS Bangladesh’s specialist, DPM MNCH and Program Analyst UNFPA, Maternal health, Program Analyst Nutrition, Program Analyst FP.
  • Thermocoagulator Training held at DMCH on 27th December 2022.

Accessible Healthcare for the Rohingya FDMNs/Refugees

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In December 2022, more than 5,860 individuals received free medical care and diagnostic services from HAEFA.

Kutupalong (Camp 1W):

  • More than 3,400 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 128 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 1,980 patients visited Camp 09 in Balukhali and received healthcare services.
  • 191 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

FDMN Rohingya Camp at Bhashan Char:

  • More than 1,740 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.

HAEFA Cervical Cancer Screening and Treatment

Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using a one-stop mobile (digital) colposcopy and thermocoagulation.

  • In Kurigram District, HAEFA provided over 1900 women with cervical cancer screenings conducted in Upazila Health Complexes (UHCs). 28 patients were found VIA positive through the initial screening test and referred for further investigation and treatment. One cervical cancer patient received 3 cycle brachytherapie in November, 2022.
  • More than 1,480 women were screened in 6 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC) and 6 VIA camps in the respective Upazilas of Cox’s Bazar, including one hard-to-reach Upazila, Moheshkhali, in November. 28 patients were found VIA positive, through the initial VIA screening test and referred for further investigation. 9 colposcopies were performed at Cox’s Bazar Sadar Hospital. 
  • Cases that tested positive through the initial VIA screening were referred for further investigation. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka for further treatment.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and communicable diseases (CD) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been receiving treatment at HAEFA Health Clinics. 

Free services provided to patients include screening and treatment for Non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), communicable diseases, and Family Planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community.

  • In December, the HAEFA Health Clinic service for the host community was provided on the 15th of the month to more than 60 patients, at AKNC High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively.

HAEFA believes this new chapter of providing healthcare services to the surrounding host community will improve the quality of life and bring bright smiles and hope to the faces of disadvantaged and vulnerable people.

 

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

For more regular updates on the Rohingya refugees and other activities related to our organization, be sure to give us a like on Facebook and follow us on Twitter and Instagram. 

HAEFA Logo

HAEFA Newsletter Editorial Board

Nairita Ahsan Faruqui
Editor
Nairita.jpg

Raihana Mehreen
Associate Editor

Mehreen

Dr. Kaniz Ferdouse Mou
Associate Editor

mou

Copyright © 2023 Health and Education for All (HAEFA), All rights reserved.

Cervical Cancer Screening Training and Research Center opens at DMCH

Cervical cancer is one of the most pressing health issues in Bangladesh, with an alarming 12,000 new cases and 6,000 deaths reported every year. In fact, cervical cancer is the second most common cancer among women in Bangladesh, representing approximately 15% of all female cancer cases, as reported by the World Health Organization.

This dire situation has led to the creation of the Cervical Cancer Screening Training and Research Center of Dhaka Medical College Hospital (DMCH), which officially opened its doors to the healthcare workers on February 20th, 2023. The center aims to become the regional training hub for cervical cancer in Bangladesh, providing training to service providers from various districts and upazillas of the country.

The opening ceremony was a momentous occasion, graced by esteemed guests, including the Director General of Health Services (DGHS), Professor Dr. Abul Basar Mohammad Khurshid Alam (DG), and Additional Director General (Administration), Professor Dr. Ahmedul Kabir (ADG), who joined in the ribbon cutting ceremony to officially launch the center. The event was also attended by Dr. Nazmul Haque, Director of Dhaka Medical College Hospital (DMCH), Professor Dr. Shafiqul Alam Chowdhury, Principle of Dhaka Medical College Hospital (DMCH), Head of Department of Gynae & Obs. Gynae Oncology, Professor Dr. Nazma Haque, and Professor Dr. Fatema Rahman, along with other professors and departmental students.

Additionally, Engr. ATM Zafrul Hassan, Country Director & CEO of Health and Education for All (HAEFA), Dr. Sharmin Sultana Urmi, National Clinical Coordinator of Health and Education for All (HAEFA), Md Shamsuzzaman, Program Analyst, Sexual Reproductive Health of United Nations Populations Fund (UNFPA), and Dr Fatema Shahjahan, Project Coordinator of United Nations Populations Fund (UNFPA) were also present at the event, highlighting the importance of this new facility.

The center has also received support from Brown University Global Health Initiative, Health and Education for All (HAEFA), and United Nations Population Fund (UNFPA)’s technical facilitators, who are providing their expertise to ensure the success of the center. In addition, these organizations are also involved in capacity building and strengthening public healthcare facilities of cervical cancer in nine upazilas of Kurigram District and six upazilas of Cox’s Bazar District.

The center’s primary focus is on capacity building and training of service providers to improve the quality of cervical cancer screening and treatment in Bangladesh. By providing a centralized location for training, the center will be able to offer accessible and effective services to those in need.

With the establishment of this new facility, the DMCH has set a new standard in the fight against cervical cancer.

 

HAEFA NEWSLETTER – December 2022

HAEFA’s Healthcare Services in Bangladesh: a year end summary

  • 59,004 women (30-60 years) were screened for the detection of early-stage cervical cancer in 9 Upazilas of Kurigram from Nov. 2019 – Nov. 2022
  • 36,176 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – November 2022
  • 248,444 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district)  received free medical care in Cox’s Bazar from October 2017 to November 2022
  • 39,968 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020
  • More than 2950 Bangladeshi nationals in Ukhiya received free medical services from the Mobile Medical Clinics of HAEFA in 2022.
  • A total of 8786 Diagnostic Lab Tests have been performed at HAEFA’s NCD-based Path Lab in camp 09 since January 2022.
  • More than 6,000 Healthcare providers were trained under the TOT program for Mental Health Support and Resilience Training in collaboration with Project HOPE
  • More than 3,000 physicians received the Advanced COVID-19 Clinical Management Certification online at the DGHS, MoHFW website. This course collaborates with DGHS, Brown University CHRHS, Project HOPE, HAEFA, USAID, and SCiB.
  • More than  40 students from classes six to twelve at  (Bhawal Mirzapur Hazi Jamir Uddin School And College) received annual merit scholarships from 2019 till to date. This is a collaboration between HAEFA and M A Malek Education Scholarship Foundation.
  • COVID-19 Relief Effort for Underprivileged people :
    HAEFA Provided a two-week supply of food packages for more than 1,500 families (5 members/family) in 5 districts of Bangladesh in 2021-2022.

Refresher on Mobile Colposcopy and Hand-held Thermocoagulation and Colposcopy Camp

A refresher workshop on Mobile Colposcopy and hand-held thermocoagulation was held on 14th-15th November 2022 at the Dhaka Medical College Hospital (DMCH). Organized by the support of UNFPA to the 4th HPNSP through DGHS, the session was held for single visit screening and treatment, to prevent cervical cancer. Brown University trainers Prof. Dr. Susan Cu-Uvin and Prof. Dr. Ruhul Abid had personally visited and joined the session. HAEFA’s expert trainers and physicians moderated the training session. Professor Dr. Najma Hoque, Professor and Head of Department, Obstetrics and Gynae, Dhaka Medical College and Hospital along with Professor. Dr. Fatema Rahman, Professor. Dr. Khodeja Begum, Assistant Professor Dr. Lutfa Begum Lipi, Associate Professor Dr. S M Shahida, Dr. Samina Sultana, Consultant, Dr. Mahbubur Rahman Rajib, R/S DMCH, and 4 Junior Consultants and 4 SSNs were present at the session.

After two days of successful training sessions at the DMCH National Training (TOT) Center for Cervical Cancer, Prof. Dr. Susan Cu-Uvin, Director, Brown Global Health, and Prof. Dr. Ruhul Abid, President, HAEFA, along with the HAEFA medical team visited Kurigram. A second refresher training of physicians, SSN and midwives for cervical cancer one-stop see-and-treat digital screening and treatment program was held in Kurigram on 16th November, 2022; organized by the Civil Surgeon Office Kurigram and HAEFA, with the support of UNFPA and Brown University, and implemented by the DGHS.

HAEFA has been developing the One-stop See-and-Treat CC screening and treatment program here in 9 Upazilas (sub-districts) in collaboration with the DGHS since 2019. More than 56,000 women (30-60 years) received this unique digital healthcare service. HAEFA Bangladesh is the pioneer of this program in Bangladesh, for which it has been the recipient of the Stars in Global Health Award from the Grand Challenges Canada in 2018. Thirty-one women with ore-cancerous lesions (early signs) of cervical cancer from 3 different Upazilas received treatment by the medical team of HAEFA under the supervision of Professor Dr. Susan Cu-Uvin of Brown University Global Health Initiative. Patients were elated  after receiving their life-saving and humane treatment, conveying gratitude through hugs to the HAEFA and Brown medical team members.

Prof. Dr. Ruhul Abid delivers speech on Career Planning

The President of HAEFA, Prof. Dr. Ruhul Abid delivered a lecture on Career Planning: Road to USA on 21st November 2022 at Dhaka Medical College.

HAEFA supported Cox’s Bazar District Hospital wins award for VIA Screening, Follow-up, Treatment and Support

HAEFA, with the support of UNFPA, with the funding from The World Bank Health and Gender Support Project and under the leadership of DGHS, implemented Cervical Cancer Screening projects in seven VIA centers in Cox’s Bazar. For VIA Screening, Follow-up, Treatment and Support, the Cox’s Bazar District Hospital has been selected as the Best VIA center based on the total number of VIA, the total number of data entries, and positive patient follow-up. VIA in-charge, Masuda Akter, has been selected as one of the best service providers.

The ceremony was held on November 2, 2022, at BSMMU in Dhaka, and the honorable Health and Family Welfare Minister, Zahid Malik, handed over the certificate in the presence of the Civil Surgeon, Cox’s Bazar, and the superintendent of Cox’s Bazar District Hospital.

Accessible Healthcare for the Rohingya FDMNs/Refugees

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In November 2022, more than 5,440 individuals received free medical care and diagnostic services from HAEFA.

Kutupalong (Camp 1W):

  • More than 3,100 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 114 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 2,330 patients visited Camp 09 in Balukhali and received healthcare services.
  • 139 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory          

FDMN Rohingya Camp at Bhashan Char:

  • More than 1,740 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.

HAEFA Cervical Cancer Screening and Treatment

  • Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using a one-stop mobile (digital) colposcopy and thermocoagulation.
     

    • In Kurigram District, HAEFA provided over 1900 women with cervical cancer screenings conducted in Upazila Health Complexes (UHCs). 28 patients were found VIA positive through the initial screening test and referred for further investigation and treatment. One cervical cancer patient received 3 cycle brachytherapie in November, 2022.
    • More than 1,480 women were screened in 6 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC) and 6 VIA camps in the respective Upazilas of Cox’s Bazar, including one hard-to-reach Upazila, Moheshkhali, in November. 28 patients were found VIA positive, through the initial VIA screening test and referred for further investigation. 9 colposcopies were performed at Cox’s Bazar Sadar Hospital.
    • Cases that tested positive through the initial VIA screening were referred for further investigation. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka for further treatment.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and communicable diseases (CD) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been coming to HAEFA Health Clinics to receive treatment.

Free services provided to patients include screening and treatment for Non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), communicable diseases, and Family Planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community.

  • In November, the HAEFA Health Clinic services for the host community were provided on the 10th and 17th of the month to more than 130 patients, at two different locations, including the Shonarpara Model High School and AKNC High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively.

HAEFA believes this new chapter of providing healthcare services to the surrounding host community will improve the quality of life and bring bright smiles and hope to the faces of disadvantaged and vulnerable people.

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

For more regular updates on the Rohingya refugees and other activities related to our organization, be sure to give us a like on Facebook and follow us on Twitter and Instagram. 

HAEFA Logo

HAEFA Newsletter Editorial Board

Nairita Ahsan Faruqui
Editor
Nairita.jpg

Raihana Mehreen
Associate Editor

Mehreen

Dr. Kaniz Ferdouse Mou
Associate Editor

mou

Contributors for the December Newsletter:
Afifa Fabiha and Sajia Haque

Copyright © 2022 Health and Education for All (HAEFA), All rights reserved.

HAEFA NEWSLETTER – November 2022

At a glimpse: HAEFA’s Healthcare Services in Bangladesh

  • 57,098 women (30-60 years) were screened for the detection of early-stage cervical cancer in 9 Upazilas of Kurigram from Nov. 2019 – Oct. 2022
  • 34,639 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – October 2022
  • 242,867 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district) received free medical care in Cox’s Bazar from October 2017 to October 2022
  • 38,225 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020
  • More than 2820 Bangladeshi nationals in Ukhiya received free medical services from the Mobile Medical Clinics of HAEFA in 2022. 
  • A total of 3345 Diagnostic Lab Tests have been performed at HAEFA’s NCD-based Path Lab in camp 09 since January 2022. 

‘See-and-Treat Approach’ Cervical Cancer Screening

A newly renovated See-and-Treat, One-Stop, Cervical cancer screening, and treatment room has been established in Ulipur Health Complex, Kurigram, by HAEFA, with the help and support of DGHS and UNFPA and technical guidance from Brown University.

In-service training is ongoing in the three Government facilities where UNFPA-HAEFA Teams focus on service providers’ skills, counseling capacity, IPC management, and DHIS2 data entry with proper consent according to the Bangladesh Government’s National Strategy for the prevention of cervical cancer.

Accessible Healthcare for the Rohingya FDMNs/Refugees 

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In October 2022, more than 6,850 individuals received free medical care, including medication and diagnostic services, from HAEFA. In addition to primary healthcare, the major diseases covered are hypertension, diabetes, asthma, malnutrition, pregnancy with complications, tuberculosis, Dengue, etc. 

Kutupalong (Camp 1W):

  • More than 2,510 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 130 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 1,960 patients visited Camp 09 in Balukhali and received healthcare services.
  • 150 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

FDMN Rohingya Camp at Bhashan Char:

  • More than 1,850 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.

Activities and Training Attended by HAEFA Personnel 

  • HAEFA members participate in the introduction, exchange of views, and coordination meeting led by Mr. Sheikh Muhammad Moniruzzaman, the newly appointed Director General of the NGO Affairs Bureau of Bangladesh.
  • Dr. Sharmin Sultana Urmi and Dr. Chitralekha Kar Tonny have completed the 12-day-long training from 24th September to 6th October 2022 on Screening, Treatment & Management for the Prevention of Cervical Cancer at DMCH. 
  • HAEFA has completed the extension work at the Health Post of Camp 1W. A Deep Tube well with an Overhead Water Tank has been installed for continuous water supply, along with two additional toilets constructed with all modern facilities. Among two toilets, one is especially for transgender and disabled persons. 
  • A member of the HAEFA team, Mr. Jahidul Islam, has attended and completed the 1st Batch of Residential 4-day training titled, ‘Training on WHO Bangladesh Package of Essential Noncommunicable Diseases (PEN) Interventions’ from 17th till 20th October 2022 at Hotel Sea palace, Cox Bazar, Bangladesh. Dr. Asaduzzaman and Dr. Mst Rokeya attended the following batch from the 24th to the 27th of October.

HAEFA Cervical Cancer Screening and Treatment

  • Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using a one-stop mobile (digital) colposcopy and thermocoagulation.

    • In Kurigram District, HAEFA provided over 1520 women with cervical cancer screenings conducted in Upazila Health Complexes (UHCs). Twenty-two patients were found VIA positive through the initial screening test, and six were referred for further investigation and treatment.
    • More than 1010 women were screened in 6 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC) and 5 VIA camps in the respective Upazilas of Cox’s Bazar, including hard-to-reach areas, in October.
    • Sixteen patients were found VIA positive, including seven suspected cancer patients, through the initial VIA screening test and referred for further investigation. Cases that tested positive through the initial VIA screening were referred for further analysis. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka, for further treatment.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and infectious diseases (ID) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been coming to HAEFA Health Clinics to receive treatment.

Free services provided to patients include screening and treatment for non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), infectious diseases, and family planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community. 

HAEFA believes this new chapter of providing healthcare services to the surrounding host community will improve the quality of life and bring bright smiles and hope to the faces of disadvantaged and vulnerable people.

  • In October, the HAEFA Health Clinic services for the host community were provided on the 13th and 20th of the month to more than 130 patients, at two locations, including the Phalong Adorsho High School and Moriccha High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively. HAEFA has also provided primary medical treatment and medical services for non-communicable diseases (NCD) and infectious diseases (ID) to these patients and provided family planning counseling, including low-barrier methods, to 373 people.

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

For more regular updates on the Rohingya refugees and other activities related to our organization, be sure to give us a like on Facebook and follow us on Twitter and Instagram. 

HAEFA Logo

HAEFA Newsletter Editorial Board

Nairita Ahsan Faruqui
Editor
Nairita.jpg

Raihana Mehreen
Associate Editor

Mehreen

Dr. Kaniz Ferdouse Mou
Associate Editor

mou

Contributors for the November Newsletter:
Somayea Sultana Mim and Sajia Haque

Copyright © 2022 Health and Education for All (HAEFA), All rights reserved.

HAEFA NEWSLETTER – October 2022

Healthcare Services Provided by HAEFA in Bangladesh

  • 55,576 women (30-60 years) were screened for the detection of early-stage cervical cancer in 9 Upazilas of Kurigram from Nov. 2019 – Sep. 2022
  • 33,623 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – September 2022
  • 237,875 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district)  received free medical care in Cox’s Bazar from October 2017 to September 2022
  • 34,507 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020
  • More than 2360 Bangladeshi nationals in Ukhiya received free medical services from the Mobile Medical Clinics of HAEFA in 2022.
  • Total 3055 Diagnostic Lab Tests were performed at HAEFA’s NCD-based Path Lab in camp 09 since January 2022.
  • COVID-19 Relief Effort for Underprivileged people : HAEFA Provided a two-week supply of food packages for more than 1,500 families (5 members/family) in 5 districts of Bangladesh in 2021-2022.

Cervical Cancer Prevention Training 

A Residential Training on Screening, Treatment & Management for Prevention of Cervical Cancer was held from 24th September to 6th October 2022 at Dhaka Medical College Hospital (DMCH). Organised by DMCH and with the support of UNFPA to the 4th HPNSP through DGHS, the training session was held in the presence of Professor Dr. Nazma Hoque, Professor and Head of Department, Obstetrics and Gynae, DMCH, along with Professor Dr. Fatema Rahman, Professor Dr. Khodeza Begum, Assistant Professor Dr. Lutfa Begum Lipi, Associate Professor Dr. S M Shahida, Consultant OGSB Dr. Samina Sultana, RS DMCH Dr. Mahbubur Rahman Rajib, 3 Junior Consultants, and 4 Senior Staff Nurses. HAEFA members participated in the training session.

PwC Team Visits Bangladesh

PricewaterhouseCoopers Services Limited (PwC Services Ltd) has been a great partner and support for HAEFA in all its humanitarian, emergency efforts as well as infrastructure needs in the FDMN camp settings since 2018. The team visited the HAEFA camps 1W and 09 on 11th September 2022 to see the quality of maintenance of the infrastructure of the health clinics and path lab, and also the operational condition of the path lab equipments, as well as need for further improvement and extension of infrastructure and HAEFA services.

Accessible Healthcare for the Rohingya FDMNs/Refugees

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In September 2022, more than 5,100 individuals received free medical care including medicines and diagnostic services from HAEFA. In addition to primary healthcare, the major diseases covered are hypertension, diabetes, asthma, malnutrition, pregnancy with complications, tuberculosis, Dengue, etc.

Kutupalong (Camp 1W):

  • More than 2,670 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 130 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 1,950 patients visited Camp 09 in Balukhali and received healthcare services.
  • 170 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

FDMN Rohingya Camp at Bhashan Char:

  • More than 2,340 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.

Activities and Training Attended by HAEFA Personnel

  • Mr. Zafrul Hassan, HAEFA Bangladesh’s Country Director & CEO, visited the Ahsania Mission Cancer General Hospital to visit cancer patients referred by HAEFA and explore opportunities for collaboration to reduce treatment expenses for the underprivileged cervical cancer patients.
  • Construction work is now underway at Kutupalong Camp 1W’s HAEFA Health Post campus  to extend the Patient Triage Area, Flu Corner, Breast Feeding Corner, and Gender-Based and Disability toilets.
  • Dr. Fairuz Homayara Fariha (Medical Officer, HAEFA, FDMN CXB) attended mhGAP Refresher Training on 27th & 28th September at Cox’s Bazar, arranged by the World Health Organization (WHO).
  • Shamim Akhtar (Lab Technologist, HAEFA, camp 09) attended the training on ‘Quality Management and Standard Operating Procedure (SOP) Preparation for the Laboratory’ on 4th September 2022 at Cox’s Bazar, organized by WHO.

Member Spotlight:
Meet Dr. Asha Akter,  Coordinator of “Mental Health and Resiliency Program – Training of the Trainers,” HAEFA!

Since childhood, Dr. Asha Akter has wanted to help those suffering from disease and disability. She realized that people enduring physical and mental illnesses especially needed help to address and solve their mental health issues. Therefore, she is completing her MD in Psychiatry and further plans to make meaningful contributions in the field as well as emphasize child/adolescent and geriatric mental health.

Dr. Akter joined HAEFA as a volunteer in August 2021 and served as the Chief Master Trainer of the Mental Health and Resiliency – Training of the Trainer program, aimed to teach people about stress management and raise awareness about common mental health issues that could arise during the pandemic. She also helped with editing and contextualizing training modules, translated them into Bangla, and coordinated the group activities. She found groups of people suffering from depression and anxiety during the pandemic. Common causes include financial difficulties, the death of loved ones, disruption of the normal rhythm of life, and addiction, among other things. Social barriers, including stigma, made it difficult for people to reach out for help. From Dr. Akter’s perspective, mental health is an inseparable part of physical health. We must take good care of both physical and psychological health to ensure our overall well-being and maximize productivity. Dr. Akter aims to raise awareness through community engagement, and this is what we need to enhance to improve our mental health and well-being.

Member Spotlight:
Meet Nairita Ahsan Faruqui, the Editor of the HAEFA Monthly Newsletter!

Nairita Ahsan Faruqui grew up in Dhaka, and graduated this year from the Biotechnology Program of the Department of Mathematics and Natural Sciences at BRAC University. She is currently working at the Virology Laboratory of the International Center of Diarrhoeal Disease Research, Bangladesh (icddr,b) and volunteering with HAEFA since June 2021. She has been serving as the Editor of HAEFA’s Newsletter since August 2022.

The most challenging part of her role, she relays, is upholding every intricate detail in representing the newsletter. Fortunately, our newsletter team has identified an ideal way of connecting with all the camp coordinators and HAEFA members to stay up-to-date about even the most minor changes and updates. Throughout the work day, Nairita remains alert about anything related to HAEFA that needs to be addressed. “An accomplishment for me would be my personal growth. From being the person still figuring out how she could help, to finally being the person who fully understood that even the smallest effort meant something – I had an entire paradigm shift,” Nairita conveys. In terms of plans, she hopes to pursue postgraduate studies and advance in infectious diseases and virology. HAEFA has always worked towards causes that she appreciates and wants to contribute to. Alongside pursuing her career in infectious diseases, Nairita hopes to stay dedicated and committed to her role as the Editor of the HAEFA Newsletter and help expand our reach even further.

HAEFA Cervical Cancer Screening and Treatment

Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using a one-stop mobile (digital) colposcopy and thermocoagulation.

  • In Kurigram District, HAEFA provided over 730 women with cervical cancer screenings conducted in Upazila Health Complexes (UHCs). 9 patients were found VIA positive through the initial screening test and referred for further investigation and treatment.
  • More than 830 women were screened in 6 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC) and 2 VIA camps in the respective Upazilas of Cox’s Bazar, including one hard-to-reach Upazila, Moheshkhali, in September.
  • Twenty patients were found VIA positive, including seven suspected cancer patients, through the initial VIA screening test and referred for further investigation. Cases that tested positive through the initial VIA screening were referred for further analysis. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka, for further treatment.

VIA Counseling Training for the Health and Gender Support Project (HGSP) Staff

HAEFA, with the support of UNFPA, the funding from World Bank HGSP, and under the leadership of DGHS and DGFP, organized five batches of training on VIA Counseling for the Community Health Workers (CHWs) of Partners in Health and Development (PHD), Midwives from Hope Foundation and RTM-I, and the Case Workers from BRAC in Ramu, Moheshkhali, Kutubdia, Pekua, and Chakaria.

The purpose of the training was to guide the Health and Gender Support Project (HGSP) field staff, elucidating the misconception of VIA tests among the community people. A total of one hundred and ninety-eight partner staff were oriented.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and infectious diseases (ID) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been coming to HAEFA Health Clinics to receive treatment.

Free services provided to patients include screening and treatment for non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), infectious diseases, and family planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community. 

  • In September, the HAEFA Health Clinic services for the host community were provided on the 5th, 15th, and 22nd of the month to more than 190 patients, at three different locations, including the Palong Model High School, AKNC High School, and Sonarpara High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively. HAEFA has also provided primary medical treatment and medical services for non-communicable diseases (NCD) and infectious diseases (ID) to these patients and provided family planning counseling, including low-barrier methods, to 404 people.

AMEZ supports HAEFA since 2018

The Managing Director & CEO of Abdul Monem Economic Zone (AMEZ), Mr. Mainuddin Monem, MBA, Harvard Business School, is giving a check to HAEFA’s Country Director, Mr. Hassan. AMEZ aims to become a catalyst for the economic and social development of Bangladesh. AMEZ has been supporting  HAEFA for its humanitarian work and efforts since 2018.

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

For more regular updates on the Rohingya refugees and other activities related to our organization, be sure to give us a like on Facebook and follow us on Twitter and Instagram. 

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HAEFA Newsletter Editorial Board

Nairita Ahsan Faruqui
Editor
Nairita.jpg

Raihana Mehreen
Associate Editor

Mehreen

Dr. Kaniz Ferdouse Mou
Associate Editor

mou

Contributors for the October Newsletter:
Somayea Sultana Mim and Sajia Haque

Copyright © 2022 Health and Education for All (HAEFA), All rights reserved.

HAEFA Commitment to Support Mental Health and Reduce Stigma

HAEFA Commitment to Support Mental Health and Reduce Stigma

HAEFA, in collaboration with Project HOPE and partners at the National Institute of Mental Health, and BSMMU, Dhaka, has been implementing “HERO-BANGLADESH,” an online Mental Health and Resiliency Training of the Trainers (TOT) for frontline healthcare workers including physicians, nurses, paramedics of Bangladesh since November 2021.

This Mental Health TOT was inaugurated by the Honorable Minister Dr. Dipu Moni, MP, Ministry of Education on November 25, 2021. Other dignitaries present at the occasion were Prof. Dr. Robed Amin, Line Director, NCD, DGHS, as well as national mental health specialists Prof. Dr. Mohit Kamal, Dr. Mekhala Sarkar, and other mental health experts and enthusiasts from the USA and Bangladesh. The session was moderated by Prof. Dr. Ruhul Abid and other volunteer physicians, trainers, and management staff of HAEFA. This online, live, interactive training course has two modules: 

Module 1: Overview of Stress; and Module 2: Management of Stress and Building Resilience.

It is a Free of Cost two-day course with two-hour per day, led by the mental health experts of BSMMU, NIMH, and volunteer physicians and enthusiasts of Bangladesh and the USA.

After completing both modules, trainers get a “Training Completion Certificate” and other training materials. Participants of the TOT will then conduct cascading trainings to share mental health resources within their networks. HERO-BANGLADESH is aiming to train 3,000 healthcare workers by April 2022.

The primary goal is to ensure this information is disseminated as widely as possible throughout Bangladesh.

As of April 2022, HAEFA and partners have trained 434 health care providers, public health and humanitarian workers, and other professionals as trainers for the HERO-Bangladesh Mental Health and Resilience curriculum in collaboration with project HOPE.

Through the ToT model, over 5,295 individuals have received cascading training. Thank you to the many partners (NIMH, BSMMU, DGHS, DMCH) who made this program a success!

Training of Trainers on Mobile Colposcopy and Hand-held Thermocoagulation

A Training of Trainers workshop on Mobile Colposcopy and hand-held thermocoagulation was held on 16th and 17th August, 2022 at the Dhaka Medical College Hospital (DMCH). Organized by the support of UNFPA to the 4th HPNSP through DGHS, the session was held for single visit screening and treatment, to prevent cervical cancer. Brown University trainers Prof. Drs. Susan Cu-Uvin and Ruhul Abid joined the session online. HAEFA’s expert trainers and physicians moderated the training session. Professor Dr. Najma Hoque, Professor and Head of Department, Obstetrics and Gynae, Dhaka Medical College and Hospital along with Professor. Dr. Fatema Rahman, Professor. Dr. Khodeja Begum, Assistant Professor Dr. Lutfa Begum Lipi, Associate Professor Dr. S M Shahida, Dr. Samina Sultana, Consultant, Dr. Mahbubur Rahman Rajib, R/S DMCH, and 4 Junior Consultants and 4 SSNs were present at the session.

HAEFA NEWSLETTER – September 2022

HAEFA’s Healthcare Services in Bangladesh: A Summary

  • 54,832 women (30-60 years) were screened for the detection of early-stage cervical cancer in 9 Upazilas of Kurigram from Nov. 2019 – Aug. 2022

  • 32,792 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – August 31, 2022

  • More than 40,000 RMG workers have received free health screening and treatment for Chronic Diseases (Hypertension, Diabetes, Gestational HTN and DM, Malnutrition, Tuberculosis) since 2013.

  • 232,677 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district)  received free medical care in Cox’s Bazar from October 2017 to August 2022

  • 32,163 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020

  • More than 6,000 Healthcare providers were trained under the TOT program for Mental Health Support and Resilience Training in collaboration with Project HOPE

  • More than 3,000 physicians received the Advanced COVID-19 Clinical Management Certification online at the DGHS, MoHFW website. This course collaborates with DGHS, Brown University CHRHS, Project HOPE, HAEFA, USAID, and SCiB.

  • More than  40 students from classes six to twelve at  (Bhawal Mirzapur Hazi Jamir Uddin School And College) received annual merit scholarships from 2019 till to date. This is a collaboration between HAEFA and M A Malek Education Scholarship Foundation.

Accessible Healthcare for the Rohingya FDMNs/Refugees

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In August 2022, more than 5,200 individuals received free medical care and diagnostic services from HAEFA. 

Kutupalong (Camp 1W):

  • More than 2,650 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 119 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 1,880 patients visited Camp 09 in Balukhali and received healthcare services.
  • 221 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

FDMN Rohingya Camp at Bhashan Char:

  • More than 2,190 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.


COVID-19 Relief Effort for Underprivileged people :

  • HAEFA Provided a two-weeks supply of food packages for more than 1,500 families (5 members/family) in 5 districts of Bangladesh in 2021-2022.

Member Spotlight:
Meet Dr. Md. Asaduzzaman, Medical Officer at Kutupalong (FDMN Camp 1W), HAEFA!

Dr. Mohammad Asaduzzaman joined HAEFA’s health center in Kutupalong as a Medical Officer in November 2021. Having been inspired by many of his mentors who endorsed similar aspirations, his goal was to serve Forcibly Displaced Myanmar Nationals (FDMN). Daily, Dr. Asaduzzaman and his medical team, comprised of medical assistants, midwives, and health workers, treat about 100-150 patients. Apart from clinical duties, he also manages outdoor services, handles necessary paperwork and documentation, completes referrals for patients, and counsels them regularly.

Dr. Asaduzzaman relays with pride and hope, “The number of patients seeking our services is rising everyday. Sadly, we are seeing a trend of younger FDMNs suffering from diabetes and hypertension these days but at least they are being diagnosed very early, given proper treatment right away and monitored regularly at HAEFA Health Clinics.” In the near future, he plans on acquiring a postgraduate degree and hopes that this does not entail the end of his rewarding journey with HAEFA. Dr. Asaduzzaman endeavors to continue his work with and cultivate his contributions at HAEFA while pursuing his studies. He is grateful for the support he receives from senior physicians and management at HAEFA for his postgraduate studies. Interestingly, he had not planned on becoming a doctor and only enrolled in medical school because his parents wanted him to. After having spent almost one year at HAEFA, Dr. Asaduzzaman believes that he was always meant to be a doctor.

Member Spotlight:
Meet Md. Mamunur Rashid, Project Coordinator, Cervical Cancer Screening and Treatment Project, HAEFA, Cox’s Bazar!

Md. Mamunur Rashid joined HAEFA in June 2021 as a Project Coordinator for HAEFA’s See-and-Treat Cervical Cancer Screening and Treatment Project in Cox’s Bazar. When he had been recruited, his main task was to build a new team with field staff for the cervical cancer screening and treatment project in Cox’s Bazar. He collaborated with the Cervical Cancer Team of HAEFA in Kurigram, which started its program in July 2019. 

Today, his team  physicians, IT professionals, and Community Health Workers/Facilitators. It is one of the largest Cervical Cancer program projects at HAEFA and operates in six Upazilas (Sadar, Ramu, Maheshkhali, Chakaria, Pekua, and Kutubdia) in Cox’s Bazar. The project has established rooms dedicated to VIA screenings at seven hospitals and 11 VIA camps in Cox’s Bazar. Since the inception of this project, 32,000 VIA tests have been done, and about 430 VIA-positive women have been referred to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH) in Mohakhali, Dhaka for further treatment. CXB medical team collaborates with Brown University via HAEFA for advanced and refresher training for early detection of precancerous lesions and thermocoagulation. Rashid’s demanding responsibilities require him to constantly communicate with colleagues and local government officials to ensure the project is running smoothly on a daily basis, and he makes sure to foster a safe work environment for everyone working with him and collaborate with project coordinators of other HGSP partners including Ph.D., RTM International, HOPE Foundation and BRAC. Rashid maintains a healthy and cordial professional relationship with his medical team members, always makes time for his colleagues and even remembers their birthdays. “We celebrate our birthdays in the office and treat each other like family,” he relays. “I intend to continue working for HAEFA for as long as possible and make a difference.”

Training of Trainers on Mobile Colposcopy and Hand-held Thermocoagulation

A Training of Trainers workshop on Mobile Colposcopy and hand-held thermocoagulation was held on 16th and 17th August, 2022 at the Dhaka Medical College Hospital (DMCH). Organized by the support of UNFPA to the 4th HPNSP through DGHS, the session was held for single visit screening and treatment, to prevent cervical cancer. Brown University trainers Prof. Drs. Susan Cu-Uvin and Ruhul Abid joined the session online. HAEFA’s expert trainers and physicians moderated the training session. Professor Dr. Najma Hoque, Professor and Head of Department, Obstetrics and Gynae, Dhaka Medical College and Hospital along with Professor. Dr. Fatema Rahman, Professor. Dr. Khodeja Begum, Assistant Professor Dr. Lutfa Begum Lipi, Associate Professor Dr. S M Shahida, Dr. Samina Sultana, Consultant, Dr. Mahbubur Rahman Rajib, R/S DMCH, and 4 Junior Consultants and 4 SSNs were present at the session.

HAEFA Cervical Cancer Screening and Treatment: September 2022 Update

Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using a one-stop mobile (digital) colposcopy and thermocoagulation.

  • In Kurigram District, HAEFA provided over 480 women with cervical cancer screenings conducted in Upazila Health Complexes (UHCs). 7 patients were found VIA positive through the initial screening test and referred for further investigation and treatment.

  • More than 2,330 women were screened in 6 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC) and 7 VIA camps in the respective Upazilas of Cox’s Bazar, including one hard-to-reach Upazila, Moheshkhali, in August. 20 patients were found VIA positive, including two suspected cancer patients, through the initial VIA screening test and referred for further investigation. 

  • Cases that tested positive through the initial VIA screening were referred for further investigation. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka for further treatment.

VIA Counseling Training for the Health and Gender Support Project (HGSP) Staff

HAEFA, with the support of UNFPA and with funding received from World Bank HGSP and under the leadership of DGHS, organized two batches of Training on VIA Counseling for the Community Health Workers (CHWs) of PHD, Midwives from Hope Foundation, and RTM-I and the Case Workers from BRAC in Sadar Upazila and Chakaria.

Five more batches of training will be conducted in September in Ramu, Pekua, Moheshkhali, Kutubdia, and Chakaria. The exercise aimed to orient the Health and Gender Support Project (HGSP) field staff, minimizing the miss-concept of the VIA test in community people.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and communicable diseases (CD) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been coming to HAEFA Health Clinics to receive treatment.

Free services provided to patients include screening and treatment for Non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), communicable diseases, and Family Planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community.

  • In August, the HAEFA Health Clinic services for the host community were provided on the 2nd, 6th, 10th, and 23rd of the month to more than 290 patients, at four different locations, including the Shonarpara Model High School, Ukhiya Degree College, Moriccha Model High School, and AKNC High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively.

HAEFA believes this new chapter of providing healthcare services to the surrounding host community will improve the quality of life and bring bright smiles and hope to the faces of disadvantaged and vulnerable people.

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

 

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

HAEFA NEWSLETTER – August 2022

HAEFA Continues to Provide Quality Healthcare Services in Bangladesh 

  • 54,347 women (30-60 years) were screened for the detection of early-stage cervical cancer in 9 Upazilas of Kurigram from Nov. 2019 – July 30, 2022
  • 30,429 women (30-60 years) were screened for the detection of early-stage cervical cancer in 6 Upazilas of Cox’s Bazar from July 2021 – July 31, 2022
  • 227,180 Rohingya refugees/FDMN in Ukhiya and Bangladeshi nationals living in the surrounding Ukhiya Upazila (sub-district)  received free medical care in Cox’s Bazar from October 2017 to July 2022
  • 29,966 Rohingya refugees/FDMN in Bhashan Char and Bangladeshi nationals living on the island have received free medical care in Bhashan Char, Noakhali, since November 2020

Medical Aid and Support for the Rohingya FDMNs/Refugees

HAEFA healthcare workers have provided free medical care and medicine to the Rohingya FDMNs since its establishment in October 2017. In July 2022, more than 4,600 individuals received free medical care and diagnostic services from HAEFA. 

Kutupalong (Camp 1W):

  • More than 2,430 patients visited Camp 1W in Kutupalong and received healthcare services.
  • 270 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

Balukhali (Camp 09):

  • More than 1,670 patients visited Camp 09 in Balukhali and received healthcare services.
  • 345 laboratory tests were conducted at HAEFA’s semi-automated NCD Pathological Laboratory

FDMN Rohingya Camp at Bhashan Char:

  • More than 1,670 patients visited the HAEFA Medical Check-Up and Treatment for FDMN Rohingya Camp at Bhashan Char and received healthcare services.

Member Spotlight:
Meet Ms. Parul Rani, Clinical Manager of See-and-Treat Cervical Cancer Screening and Treatment Project, Kurigram, HAEFA

Parul Rani was born and raised in Lalmonirhat and earned her Diploma in Midwifery from Rangpur Nursing College. At the beginning of her career, she worked with the Obstetrical and Gynecological Society of Bangladesh (OGSB). She also spent time in Bandarban and Noakhali, assisting physicians in managing emergency obstetric patients. Ms. Rani joined HAEFA in June 2021 as the Clinical Manager of the See-and-Treat Cervical Cancer Screening and Treatment Project in Kurigram. She serves as a manager, enabling her to supervise the community organizers and a clinical midwife, and is also certified in VIA and colposcopy screening. 

Parul has received hands-on training from Prof. Dr. Susan Cu-Uvin of Brown University and BSMMU. She visits the Upazila health complexes and performs quality monitoring of VIA procedures implemented by nurses. Other duties involve maintaining the registry of the logistics provided by the HAEFA office for VIA, ensuring proper functioning of mobile ODT, and arranging for 10 to 15 VIA camping each month in remote areas of the villages of Kurigram. Another vital role she plays is compiling patient documentation and reporting the data to project coordinators. Ms. Rani enjoys her work and hopes to continue to work with HAEFA for underserved women and represent a role model of midwifery for years to come.

Member Spotlight:
Meet Mr. Jahidul Islam, Camp Coordinator of HAEFA FDMN, Ukhiya, Cox’s Bazar

Born and brought up in the village of Nalpur, Noakhali, Mr. Jahidul Islam, after graduation, wished to fulfill his lifelong dream to work for the neglected and underserved population. Consequently, he joined HAEFA in February 2018 as a Medical Assistant and has been serving as the Camp Coordinator of HAEFA FDMN, Cox’s Bazar, since 2021. Through his expertise, Mr. Islam has managed to see and help several patients over the years. He provides medical care to refugees/FDMNs at HAEFA’s Kutupalong and Balukhali Health Posts. He also serves the underserved host community in the villages in Ukhiya (via HAEFA’s Weekly Mobile Health Clinics), who have little to no access to healthcare. Improvements in a patient’s health following his and his medical team members’ recommendations have always motivated him to continue his work. 

Alongside healthcare, Mr. Islam not only looks into the finances of the medical operations of HAEFA in the camps, but he also manages supplies and medications and attends crucial training provided by HAEFA and UN organizations in Cox’s Bazar, which he later teaches to his medical clinic staff. He was with HAEFA when the first group of Rohingya Refugees came in in 2017, while there was a lack of amenities and several hurdles to take care of. Mr. Islam overcame all hindrances and became more passionate about his work that provides medical care to the people who have been termed the ‘most persecuted ethnic minority in the world. Mr. Islam believes in the same ethics and moral value as HAEFA and wishes to continue his work with the same dedication, sincerity, and passion.

The HAEFA Team Visits NCD Facilities at Chandpur and Noakhali in June

HAEFA’s Strategic Planning and Medical Team members visited existing major NCD (hypertension, diabetes, hypertension, and diabetes during pregnancy) facilities at the health centers ranging from Community Clinics (CCs) to Upazila Health Complexes (UHCs) and District Hospitals (DHs) in Matlab, Sadar, Faridganj, and Kochua Upazilas in Chandpur district; and in Begumganj, Sadar, Sonaimuri Upazilas in Noakhali district on June 29 and 30, 2022. The visit focused on evaluating the existing government primary, secondary, and tertiary health centers, and stakeholders to better understand an effective healthcare delivery system for NCD patients in Chandpur and Noakhali districts of Bangladesh.

HAEFA Cervical Cancer Screening and Treatment: August 2022 Update

Cervical cancer kills 6,582 women annually in Bangladesh, where the diagnosis rate is 2-3 times higher than in the U.S. and hosts a mortality rate that is five times higher. HAEFA has implemented a “See-and-Treat” Cervical Cancer Screening and Treatment Program to reduce these numbers, using mobile (digital) colposcopy and thermocoagulator.

  • In Kurigram District, HAEFA provided over 1,100 women with cervical cancer screenings conducted in 9 Upazila Health Complexes (UHCs) and 6 camps in July. 10 patients were found VIA positive through the initial screening test and referred for further investigation and treatment.
  • More than 2,470 women were screened in 7 VIA Centers (Sadar Hospital, MCWC, Ramu UHC, Moheshkhali UHC, Chakaria UHC, Pekua UHC, and Kutubdia UHC) and 5 VIA camps in the respective Upazilas of Cox’s Bazar, including one hard-to-reach upazila, Moheshkhali, in July. Cases that tested positive through the initial VIA screening were referred for further investigation. Our team followed up with the patients and organized a second VIA screening test and colposcopy in Cox’s Bazar Sadar Hospital, where both colposcopy and thermocoagulation were performed. The Cox’s Bazar Project team also followed up with previously identified cancer patients and referred them to Chattogram Medical College and the National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka for further treatment.

HAEFA Health Clinic for Host Community

From the beginning of the Rohingya FDMN (refugee) crisis, HAEFA has provided primary medical treatment and medical services for both non-communicable diseases (NCD) and communicable diseases (CD) to the FDMN population as well as to the surrounding host community. Underserved patients from beyond the camp have also been coming to HAEFA Health Clinics to receive treatment. 

Free services provided to patients include screening and treatment for Non-communicable chronic diseases (hypertension, diabetes, asthma, malnutrition), communicable diseases, and Family Planning services. However, due to recently installed fencing setups, the surrounding communities have limited access to health clinics to receive free medical screenings, treatment, and follow-ups. To help these host community patients access care, HAEFA has started a new weekly Mobile Medical Clinic for the host community. 

  • In July, the HAEFA Health Clinic services for the host community were provided on the 19th, 25th, and 27th of the month to more than 180 patients, at three different locations, including the Ukhiya Degree College, AKNC High School, and Palong Model High School, Ukhiya, Cox’s Bazar, Bangladesh, respectively. 

HAEFA believes this new chapter of providing healthcare services to the surrounding host community will improve the quality of life and bring bright smiles and hope to the faces of disadvantaged and vulnerable people.

Donate to Support Our Cause!

HAEFA is in need of donations to support the Rohingya FDMN (Forcibly Displaced Myanmar Nationals) healthcare and COVID-19 relief efforts. Any support, whether donations, outreach, aid in collaboration from personal and professional involvement, or any other method of support to HAEFA and its underprivileged, underserved, and displaced beneficiaries, would be greatly appreciated! All donations to HAEFA are tax-deductible as allowed by the laws of the United States.

 

HAEFA’s Tax Identification Number (EIN): 46-2997707
NTEE: Public Health Program (E70)
Text-to-Donate: 53-555 (Keyword: HAEFA)

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