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HAEFA Newsletter – November 2021

Posted on December 6, 2021May 15, 2022 by Chonchol Mahmud

HAEFA COVID-19 Response:

Presumptive COVID-19 Cases:

The number of COVID cases are rising all over Bangladesh including in the Rohingya camps.
HAEFA is providing free medical services in the Rohingya refugee camps.

Cox’s Bazar District:

More than 55 COVID-19 confirmed cases were reported in the district during the month of October. Currently, more than 350 contacts are in home quarantine.

FDMN/ Rohingya Refugees:

In the month of October, more than 55 COVID-19 cases were reported. Presently, more than 70 contacts are in-home.

HAEFA Implementation of Project HOPE Mental Health and Resiliency Training:

HAEFA, in collaboration with Project Hope and partners at the National Institute of Mental Health, Sher-E-Bangla Nagar, Dhaka, is implementing “HERO-BANGLADESH,” an online Mental Health and Resiliency Training of the Trainers for frontline healthcare workers including physicians, nurses, paramedics of Bangladesh.
Master Trainers will conduct two monthly training sessions beginning on the 15th of November 2021 through February 2022.
Participants of the training will be conducting cascading trainings to share mental health resources with their networks. HERO-BANGLADESH is aiming to train 3,000 healthcare workers by April 2022.
If you are interested in joining the training, please include your information in this registration form. If you have any questions about this training, please email mental_health@haefa.org.

Advanced COVID-19 Clinical Management Certification Course:

In collaboration with Brown University CHRHS, Project HOPE, DGHS Bangladesh, Bangladesh National COVID-19 Guideline Committee, SCIB, and USAID, HAEFA has developed and launched a new, web-based, interactive Advanced COVID-19 Clinical Management Certification Course on the DGHS website.
Cumulative number of Doctors registered for the online training course as of 7th November:

Completed Certification MCQ Test: 836

Passed and Achieved Certificate: 426

The project is successfully completed, and the promotional film for the course is in the review process. The course will also be visible on a2i, Muktopath platform.

Web-based Advanced Clinical Management Course:

The tri-party discussion meeting was held between MaMoni-MNCSP COVID-19 Response Team, HAEFA, and a2i (Aspire to Innovate).
The objective of the meeting was to reach an agreement regarding the launching of a web-based Clinical Management course at the Muktopath platform.
HAEFA will promote and reach the maximum target audience through a2i’s e-Learning platform ‘MuktoPaath’; provide the necessary guidance, support, and coordination for successful implementation of this course.

The HAEFA Community Clinic Visit by UNHCR:

UNHCR representatives Dr. Allen Maina & Dr. Taimur visited the HAEFA community clinic in October.

Family planning support and information:

The HAEFA team continues to promote Family planning counseling in Rohingya Camps as part of Family planning support and information.

Pathology Laboratory Information:

The lab started functioning on 11 October 2021.
The lab services include ASO (Anti-streptolysin O), Bilirubin test, Lipid profile, LFT (SGPT, SGOT), Pregnancy test, (RBS), HbA1c, Widal test – TO, TH, AH, BH, Serum albumin/creatinine/electrolyte/urea test, urine creatinine test
Samples from the Kutupalong camp were also transported to Balukhali as part of comprehensive health care services provided by HAEFA.

HAEFA is setting up a new transformer on a new electric poll for the Pathological Lab in Balukhali

Daily Synopsis Report of October 2021:

HAEFA healthcare professionals have been giving medical care to the Rohingya Refugees since its establishment. A summary of the medical conditions of the patients treated by the three camps of HAEFA is provided below.

Kutupalong (Camp 1w): HAEFA team provided health care services to more than 2450 patients in the Kutupalong camp.
Balukhali (Camp 9): HAEFA team provided health care services to more than 1715 in the Balukhali camp.
Bhashan Char FDMN: HAEFA team provided health care services to more than 1840 patients in the Bhashan Char FDMN camp.

The most prevalent cases were fever, cough, anemia, HTN, DM, skin diseases, presumptive TB, and other diseases among these camps. Prenatal care services were also provided.

Cervical Cancer (VIA) Screening:

In October, more than 2200 women were screened in 7 VIA centers in Cox’s Bazar. Around 4% of cases were positive.
Out of VIA-positive patients in Cox’s Bazar, the CC CXB team referred one VIA-positive patient (suspected of >CIN2) to Cox’s Bazar Sadar Hospital for further investigation.
VIA Camps: The HAEFA Cox’s Bazar team organized VIA camps for the first time during this reporting time. The team organized four VIA camps in Ramu, Cox’s Bazar Sadar, Chakaria and Pekua Upazila. Around 450 women were screened.

Kurigram:

More than two thousand and six hundred patients were screened for Cervical Cancer in the UHCs of Kurigram, and nearly around 20 cases were positive for CC screening in the month of October.
The HAEFA team at Kurigram is working to ensure referrals for more than 120 positive patients to receive tertiary care in Rangpur.
On 10/25/21 the UHFPO of Rajarhat health complex, Kurigram visited the HAEFA VIA camp and was pleased to see such an organized and successful camp to ensure preventive health care
1 patient’s second cycle of chemotherapy began in September 2021 and was completed on 30th October, 2021.
Refresher training for the community facilitator by HAEFA Doctor was done on 31st October, 2021.

HAEFA Newsletter – October 2021

Posted on October 19, 2021May 15, 2022 by Chonchol Mahmud

Cervical Cancer Screening

Kurigram:

In 9 UHCs of Kurigram, a total number of 5500+ patients were screened. VIA-positive patients were treated.
The HAEFA team was proud to see their work in action when chemotherapy was started on the first patient with advanced lesion in Dhaka this month.

Cox’s Bazar:

In 5 VIA centers of Cox’s Bazar, a total number of 1700+ patients were screened.
Among the VIA-positive patients, 11 patients were referred to Cox’s Bazar Sadar Hospital for further investigation and treatment.

Online Training on VIA Counseling

The HAEFA Cox’s Bazar team organized an online training on VIA Counseling for their newly joined eighteen Community Health Facilitators (CHF) on 28 September, 2021.
The CHFs were trained with background knowledge of the local community, cervical cancer etiology and benefit of early diagnosis for better VIA Counseling and Community Mobilization.
The training was attended by the Project Coordinator and other team members of the HAEFA project team in CXB.

Mental Health & Resiliency Support for the Healthcare Workers of Bangladesh

HAEFA has been planning to provide mental health support to the frontline healthworkers including physicians, nurses and midwives of Bangladesh in collaboration with the Project HOPE and HERO-NY from October 2021 through April 2022.
This Training of the Trainers (ToT) Mental Health and Resiliency Training will have three modules that have been contextualized to the perspetive of Bangladesh under the guidance of Prof. Dr. Mekhala Sarker and mental health postgraduate trainees.
Master trainers will conduct two to four monthly training sessions beginning in October 2021 through March 2022 to train and help cascading secondary training to 3,000 healthcare workers by April 2022.

Joint Response Plan, Cox’s Bazar: Protection Mainstreaming Training

In line with the 2021 JRP and the objective of ensuring age, gender and diversity approaches, WHO/Health Sector and Protection Working group jointly took the initiative and conducted Protection Mainstreaming training targeting HS partners for ensuring integration of protection principles and standards within the scope of sectoral response plans.
The management team of HAEFA and Operations Department took the training and attended the two-day summit which started from 26th September, 2021 at Hotel Seagull, Cox’s Bazar along with more than twenty national as well as international NGO’s Program Manager, Technical Manager, Project Coordinator, Project Heads and Program Heads.

Supporting 20-Bed Hospital in Bashan Char

Since Noivember 2020, HAEFA has continued to provide medical treatment, including free medicine to the FDMN patients from 9:00 am to 2:30 pm at the HAEFA Medical Center located at shelter 66 in Bhasan Char. In September 2021, HAEFA provided medical treatment and free medication to 1596 FDMN patients.
In addition to that, from March 19, 2021, HAEFA has started providing medical support via its physicians, paramedics and pharmacists in the Only 20-bed hospital in Bhashan Char

RMG Inclusive Business Program in Sept. 2021

HAEFA team attended the Sharing and Learning session of Ready Made Garments (RMG) Inclusive Business Program, hosted by SNV Netherlands Development Organization on September 28th, at Le Meridian Hotel.

Online “Advanced COVID-19 Clinical Management Certification Course”:

This 3-hour online interactive clinical course is becoming popular among the physicians of Bangaldesh who serve at the forefront of the COVID-19 pandemic
Since June 2021, 1,995 physicians have registered for the online course 821 physicians completed the MCQ test, and 416 doctors passed and achieved the certificate (jointly issued by the DGHS, Brown University’s CHRHS, Project HOPE, HAEFA, USAID and SCiB) as of September 29, 2021.
Two promotional videos, one around 2-min and the other around 5-min in length, are being prepared for publicity of the course.
Another version of the improved and revised web design (UI/UX) of this online course will be completed in October 2021.

New HAEFA Diagnostic Path Lab in Balukhali

7-day Onsite training of HAEFA’s two Clinical Laboratory Technologists was completed by the Technical Assistance and Support of LABAID Diagnostics (Main Branch) Laboratory in Dhaka this month.
This Diganostic LAB, with a major focus on Non-Communicable Disease (NCD) patietns, will serve the FDMN (Rohingya) and nearby host communities in Ukhiya.
This LAB will perform Lipid profile including cholesterol and triglycerides, HbA1c, Liver function tests including Bilirubin and Alk. Phosphatase, and Renal function tests including Creatinine, Serum Electrolytes, Serum Albumin (for SAM and MAM), Hb% for preganant women, Pregnancy tests, etc .
The pathological lab will start functioning and serving the FDMN and host communities in October 2021.

COVID-19 Vaccinations

Number of COVID tested in the Rohingya camp: 64018
Number of positive cases: 3095
The 2nd dose of COVID-19 vaccine was provided in Teknaf and Ukhia UHCs from September 18- 23, 2021.
Among 36,943 people of 50+ years of age, 90% coverage was achieved with the 2nd dose of COVID-19 vaccination of 33,386 people.

Rohingya FDMN Camp Updates, Sept. 2021:

HAEFA healthcare professionals have been giving medical care to the Rohingya Refugees since its establishment in 2017. In September, a total of 6,430 refugees received medical care from HAEFA. A summary of the medical conditions of the patients treated by the three camps of HAEFA is provided below.

Kutupalong (Camp 1w):
- Total patients seen: 3219
- Among them are DM, HTN, Asthma, COPD, Anemia, Presumptive COVID-19, Musculoskeletal Disease, Dermatitis & scabies, Diarrhoea, Malnutrition, Fever, Cough, Dyspepsia, and Helminthiasis were the most prevalent cases.
Balukhali (Camp 09):
- Total patients seen:1615
- Among them DM, HTN, Asthma, COPD, Malnutrition, Anemia, Presumptive COVID-19, Musculoskeletal Disease, Dermatitis & scabies, Diarrhoea, Dyspepsia, Helminthiasis were the most prevalent cases.
Bhashan Char FDMN:
- Total patients seen: 1596
- Among them, DM, HTN, Asthma, Pregnancy, Presumptive TB, Skin Disease, Fever, and Cough were the most prevalent cases.

HAEFA Newsletter – September 2021

Posted on September 26, 2021May 15, 2022 by Chonchol Mahmud

HAEFA COVID-19 Response

As part of HAEFA’s “Emergency Covid-19 response”, HAEFA Bangladesh has provided 7 Oxygen cylinders on an emergency basis to help Covid patients in Sirajdikhan Upazila Health complex, Munshiganj on September 3, 2021.
Honorable DG of NGOAB of Bangladesh, the country director of HAEFA, and the UHFPO of Sirajdhikan Upazila Health Complex were present at the occasion.

Advanced COVID-19 Clinical Management Certification Course

In collaboration with Brown University CHRHS, Project HOPE, DGHS Bangladesh, Bangladesh National COVID-19 Guideline Committee, SCIB, and USAID, HAEFA has developed and launched a new, web-based, interactive Advanced COVID-19 Clinical Management Certification Course on the DGHS website.
This course is contextualized for Bangladesh with a major goal to help physicians acquire a standardized COVID-19 management and treatment protocol in a convenient, self-paced manner.
The course consists of 3 interactive modules, each of which contains pre-recorded videos about the clinical management of Covid-19 patients and an exam based on interactive case scenarios.

Cumulative number of Doctors registered for the online training course as of 7th September: 1961
Completed Certification MCQ Test as of 7th September: 810
Passed and Achieved Certificate as of 7th September: 407

Residential Training on VIA for Service Providers

Prof. Dr. Sabera Khatun, Gynecological Oncologist, Professor & Head, Dept. of Gynae Oncology (BSMMU), was the focal point of the training.
The goal of the training was to create awareness on cervical and breast cancer as these are the prevalent types of cancer among women in Bangladesh.
The training included steps for the prevention of cervical screening and breast cancer, use and interpretation of diagnostic tools for example VIA, CBE, SBE.
Two doctors from Cox’s Bazar and one midwife from Kurigram participated in the training on behalf of HAEFA. Other participating midwives and SSNs were from Cox’s Bazar, Narayanganj and Kurigram.

Project HOPE’s Mental Health and Resiliency Training:

HAEFA is implementing a 5- module online TOT on Mental Health and Resiliency Training for the frontline healthcare workers including physicians, nurses, paramedics of Bangladesh collaborating with Project HOPE and Brown University
The HERO-NY module will be updated based on the contexts of Bangladesh
Master trainers will conduct two monthly training sessions beginning in October 2021 through February 2022 aiming to train 3,000 healthcare workers by April 2022.

Updates:

The HAEFA Mental Health team had meetings with Dr. Mekhala Sarkar (Associate professor of psychiatry, National Institute of Mental Health) regarding the review of modules.
The team is working on the identification of the implementation team and review and compilation of edits to modules.
The team will have meetings with the Project HOPE and New York City Health & Hospitals and other master trainers from other countries in Southeast Asia in the 3rd week of September.

Pathology Laboratory Updates:

HAEFA has completed building the infrastructure for a diagnostic pathological laboratory at Balukhali camp in collaboration with the PwC Charitable Foundation to achieve the highest level of quality for diagnosing medical conditions, monitoring diseases, and evaluating patient treatment.
The laboratory setup and procurement of equipment is underway, with technical assistance, personnel training and expertise from LABAID.
Free lab facilities will be available for the Rohingya and the host community when the lab opens on October 1, 2021.
The lab services include Lipid profile, HbA1c, Serum albumin /creatinine/electrolyte/urea test, LFT (SGPT, SGOT), Pregnancy test, (RBS), urine creatinine test, ASO (Anti-streptolysin O), Bilirubin test, Widal test – TO, TH, AH, BH.

Cervical Cancer (See-and-Trat) Screening:

Total number of patients screened from October 2019 till August 31, 2021 with a table for (A) total positive cases, (B) total received treatment: (i) Thermocoagulation, (ii) LEEP/biopsy/Surgery

In August, a total of 4544 women were screened in 9 subdistricts (UHCs) in Kurigram. Fifty-five cases were positive. Positive cases are receiving treatment now.
In August, 474 women were screened in 5 VIA centers in 5 upazilas in Cox’s Bazar. Twenty-two cases were positive. Positive cases are receiving treatment now.

Awareness Campaign

Community Facilitators of HAEFA have started the door-to-door awareness sessions at the community level and are motivating the targeted group for VIA screening. As a result, VIA (visual inspection by acetic acid) screening number significantly increased after starting the campaign at the Upazila/union level. The team is working hard to build awareness among the community to increase the VIA screening numbers.

COVID-19 in Rohingya Camps:

Rohingya refugees usually suffer from malnourishment and multiple comorbid conditions, such as Hypertension, Diabetes Mellitus, etc., which put them at high risk for severe Covid-19 illness, hospitalization, and mortality.
HAEFA is providing free medical services in the Rohingya refugee camp in Cox’s Bazar.
HAEFA identified 154 presumptive Covid-19 cases in the Rohingya camp in August 2021 and provided medical care to the suspected cases. The patients were provided health education to maintain quarantine and health hygiene in preventing the outbreak.
HAEFA is trying its best to prevent the outbreak of Covid-19 by raising awareness among people, and by providing protective equipment to healthcare professionals.

Rohingya Camp Vaccinations:

As of the 23rd of August, a total of 36,943 people have received their first dose of the vaccine out of the targeted 43,093 population of 55+ years of age. This helped HAEFA to achieve 86% coverage.

Rohingya Camp Updates:

HAEFA healthcare professionals have been giving medical care to the Rohingya Refugees since its establishment. In the month of August a total of 6050 refugees have received medical care from HAEFA. A summary of the medical conditions of the patients treated by the three camps of HAEFA is provided below.

Kutupalong (Camp 1w):
- Total patients seen: 3054.
- 644 DM, 814 HTN, 31 Asthma, and COPD, 29 Anemia, 78 COVID-19, 267 Musculoskeletal Disease, 262 Dermatitis & scabies, 98 Diarrhoea, 90 Fever, 65 Cough, 227 Dyspepsia, Helminthiasis 67.
Balukhali (Camp 09):
- Tota patients seen: 1631.
- 171 DM, 241 HTN, 13 Asthma, and COPD, 29 Anemia, 71 COVID-19, 208 Musculoskeletal Disease, 211 Dermatitis & scabies, 59 Diarrhoea, 75 Fever, 47 Cough, 203 Dyspepsia, Helminthiasis 46.
Bhashan Char FDMN:
- Total patients seen: 1365.
- Among them 93 DM, 91 HTN, 5 Asthma, 24 Pregnancy, 8 Presumptive TB, 145 Skin Disease, 260 Fever, 183 Cough.