Doctors Worldwide has been active in Bangladesh since November 2017, responding to the Rohingya Crisis through the Doctors Worldwide Improving Care in Health Emergencies (DICE) Programme, in partnership with the UN-IOM. Between April – December 2020, we delivered core capacity building and mentoring programmes in Primary Care and Emergency Care for Bangladeshi healthcare workers working in the Rohingya camps and surrounding host communities.
In our pre-DICE 2020 survey:
- 78% of participants had seen or experienced a patient’s death whilst working in their facility, and of these:
- 63% thought that most of these patients’ deaths were preventable
- 45% agreed that the deaths could have been prevented if the patient was brought to the clinic earlier
- 79% agreed/strongly agreed that the deaths could have been prevented if they had further training in emergency skills.
The project therefore aimed to improve the current health systems by providing hands-on clinical supervision training for healthcare workers regularly managing acute or life-threatening conditions within 24/7 primary care facilities. With the widespread outbreak of COVID-19 becoming more serious by April 2020, the project became even more important to undertake, with the project slowly adapting to online-learning in order to continue the training sessions.
Speaking about his experience with DICE, one participant said:
“DICE has taught me how to deal with health emergencies in low resource settings. Serving in health emergencies with the available assets has become easier after receiving training from the DICE course”.
Between April – December 2020: the impact of the DICE Programme has led to:
- Improved quality of patient care and clinical governance in Primary Health Care Centres (PHCCs) through mentorship and health system strengthening focusing on emergency care.
- Significant improvement in triage and patient flow through training and recruitment of Rohingya volunteers in healthcare facilities to assist staff and communication.
- Sufficient stocking of essential medicines for acute needs in primary care clinics.
- Improved patient flow and reduction of patient wait times through comprehensive triage training to healthcare workers responsible for patient intake in targeted clinics.
- Creation of 16 easy-to-use protocols focusing on acute care management.
- Empowerment of 5 Dignity Champions (a key healthcare professional who will act as a focal point for training and quality initiatives in each clinic) to ensure patient privacy and dignity in primary care clinics is improved and monitored.
- One additional primary care clinic that sees an average of 1,500 patients per week (of which 50-75 are maternal health patients), was fully rehabilitated to serve patients better and support healthcare staff.
Key project impact data:
- 61 participants trained
- 42 comprehensive training sessions undertaken
- 229,500 patient consultations benefited
- 10 primary care clinics benefited
- 13 Quality Improvement Projects (QIPs) generated by participants
- 32 medical experts deployed to teach the programme in-person
- 16 acute care protocols built
- 74 midwives/doctors from 42 clinics attended the Obstetric Emergencies Conference
- Scientific Conference showcasing participants Quality Improvement Projects
At Doctors Worldwide, we believe that access to quality healthcare is not a privilege, but a human right, and we work towards making that a reality for the most vulnerable communities. Yet none of our work would be possible without your continuous support, and we therefore would like to extend our utmost gratitude to everyone who contributed to the success of this project. In particular, we would also like to thank the International Organisation for Migration (IOM) Bangladesh who we ran the project in partnership with, in addition to the support of PRM (Bureau of Population, Refugees and Migration) and ECHO (European Union Civil Protection & Humanitarian Aid).