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orientation 2

A recent volunteer, Roslyn Coltheart, answered some questions to allow us to share her experiences as a visitor to Bangladesh and a staff mentor at IUBAT.  Roslyn held a unique volunteer position as she was not an instructor to the nursing students, but rather, a mentor to new permanent faculty at IUBAT.  She is pictured above with faculty members and students at the 71st orientation program for new students (“Fresher”), for spring semester.  In the picture from left to right: Faisal (nursing student), Roslyn, Tutal (IUBAT graduate and now faculty), Khadizia (IUBAT faculty, graduate of armed forces medical college and the first non-IUBAT trained staff), Tahamina (IUBAT graduate and now faculty), Tithi (nursing student), Shoykit (nursing student), Shuvashish (IUBAT graduate and now faculty), and Elma (nursing student).


What were your roles/responsibilities in Bangladesh and when did you become involved with the Bangladesh Health Project?


“I first came across the Bangladesh Health Project in 2013, when I read an article in the American Journal of Nursing. At the time, I had just moved from Australia to Canada but filed the information away for future reference. In early 2015, I applied to volunteer with the Project. Initially hopeful to be there for the September to December 2015 semester, I had to delay due to Canadian immigration difficulties and arrived January 7th 2016, staying until April 16 2016, during spring semester. 


At this time in the Project, six IUBAT graduates had been hired as teachers and I was the first volunteer to join the project, not as a teacher myself but as a mentor for these young teachers. My roles and responsibilities were very autonomous and self directed. My main focus was not to teach, but to help guide the teachers to develop their confidence, teaching styles, assignment setting, exam marking etc. I would sit with teachers before class and help them prepare, join classes and give support, answer questions, join in discussions, read assignments and give feedback on marking. I also accompanied teachers and students to attend clinical placements and updated some old lectures. 


As I was not directly responsible for classes each week, I had more flexibility to travel some parts of Bangladesh whilst there.”


What/where is your current position/role (i.e. are you a practicing nurse, writing/teaching full time?)?


I am an Australian registered nurse and have now been living and working in Canada for 3 years. I graduated in 2004 and have predominantly worked in Emergency in that time frame. I am currently registered in BC and working in Emergency.


Can you share your overall impressions of Bangladesh and your experiences with the Project?


“I had a truly great experience in Bangladesh, I can’t believe the availability of so many different foods! I’m very happy I came across the Project and was able to experience it. I am also happy I came across it in the stage that it was at: during the transition of the graduates into lecturers, rather than as a teacher myself. I found the role interesting, challenging, stimulating and worthwhile, although I had a few challenges along the way! All of the teachers said I made a difference, but a mentee faculty member probably gave me the greatest insight into this when he said something along the lines of, “You may not realize the difference you have made, but we know.” It was also interesting to hear the students talk at the end about things they had learned from having me there – a few off the cuff remarks I made seemed to have made an impact! I have encouraged them all to keep in contact and they are aware I’m happy to help over email when and if they need it.”


Thank you for sharing your insight during a pivotal time during the Project’s development, Roslyn, and it is without doubt that your assistance and guidance has helped strengthen the foundation and shaped the growth of the nursing program at IUBAT.  We’re sure the students and faculty alike can wholeheartedly agree that your influence has been positive and beneficial for the future direction of the Bangladesh Health Project!

In May of this year, Benoît-Pierre Laramée, High Commissioner of Canada to Bangladesh, visited IUBAT for an International Nurses Day celebration.  


Mr. Laramée addressed the crowd and in his remarks he stated, “We must recognize the utmost value of nurses. They are essential to quality healthcare and the closest professionals to the patients. Canada is providing 20 million dollars to improve nursing and other care in Bangladesh, and we are also proud to support institutional partnerships like the nursing training partnerships between Canadian universities and Bangladesh’s IUBAT. Nurses can lead the way in making Bangladesh healthier.”

In his presentation, the High Commissioner spoke of his own familial ties to the profession – his son is also studying to become a nurse, a fact that inspired many of the IUBAT Nursing students.


For pictures and comments, please visit the High Commission of Canada to Bangladesh’s Facebook page here.

In this New York Times article, the author quotes WHO (2010) in noting that 50,000 Bangladeshis travel to India for treatment each year.  This phenomenon of travelling to neighbouring countries to recieve healthcare is evident, as billboards that advertise hospitals in Singapore and Hong Kong are numerous in Bangladesh.  Bangladesh nationals justify the expense and trouble of travelling for care because of their mistrust of local hospitals.


Although there are many dedicated individuals working in difficult conditions, nurses are also mistrusted.  As a result of their low status and weak education, nurses’ scope of practice is very limited in Bangladesh – another reason patients get better care elsewhere.


However, there is positive change in the country.  Public health initiatives, many focused on marginalized populations like women, have been very successful in improving health outcomes in Bangladesh, and community-based forms of health care have increased access for much of the population.


IUBAT is also contributing towards better health care through the education of new nurses; IUBAT Nursing students practice in several private hospitals, not-for-profit and for-profit.  They also attend one government hospital, the National Institute for Mental Health.  Through a variety of health settings, the students are exposed to hospitals that have reasonable standards of care.  In post-practice seminars, the students have the chance to discuss any gaps in care that they have observed, and these points serve as learning opportunities and impetus for improvement.  Furthermore, visiting faculty volunteers offer training sessions for the nurses working in our teaching hospital sites.  Slowly, we see that care is improving; our mission is to speed that process for a wider population.


For the full New York Times commentary, please click here.

STRENGTHENING POPULATION HEALTH IN BANGLADESH

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