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Alex Berland, Advisor on Health Sciences at IUBAT for the BScN program, has recently published an article about the Bangladesh Health Project entitled, A ‘Do-It-Yourself’ Approach to International Nursing Education.


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Featured in the October 2017 edition of the American Journal of Nursing, this article provides a practical framework for social entrepreneurs who wish to develop similar volunteer projects. His advice is especially pragmatic, relevant and drawn from extensive experience, and among his suggestions: conduct research prior to committing to an endeavour and be aware of the possibility of relying heavily on your own resources. With some hope, the Bangladesh Health Project may inspire similar initiatives elsewhere!


To purchase and read the article, please click here for the online article.

 
 
 

COMMUNITY AREA

A member of our first graduating class, Sushma Sapkota (previously mentioned here) has had quite a vocational journey since moving on from IUBAT. She has worked in a variety of settings and occupied a number of roles, but now, she has also added the title ‘published author’ to her resume. In her own words, she describes her career progress and how she came to write a textbook:


“After graduating with my Bachelor of Science in Nursing from IUBAT, I began working at an American super-specialty hospital in Uttara, Dhaka.  While working, I was able to see the difference that nurses make and the smiles on patients’ faces, which made me realize that IUBAT taught us the skills in order to make those smiles happen.  Soon after, I obtained my Master’s degree while working at Ayesha Memorial Hospital, a universal medical and nursing college.  All of the standard practices that I learned from IUBAT, I applied to my everyday regimen at Ayesha Memorial Hospital.  After completing my Master’s degree, I worked as a nursing supervisor at Sajida Foundation in Narayangong, Bangladesh, then came back to Nepal where I began working as a lecturer to BSc Nursing students, teaching Community Health Nursing, Nutrition and Dietetics, and some courses of Medical Surgical Nursing and Midwifery Part III (Postnatal).


Industrial visit with students

Sushma, in the field with her students


After starting my career as lecturer, I realized that my education from IUBAT was similar to some best colleges of Nepal, however, at times, I felt like I was spoon feeding information to the students.  It seemed like the teacher was doing more labour than the student.  I was then promoted to work as the coordinator of the Nursing program for 1st and 2nd year students.  I got a chance to learn more about leadership and management of students, and was even able to apply my leadership skills that I obtained from my own studies in Nursing Administration, part of the IUBAT Nursing Program.  While working as a clinical supervisor, I often heard positive and encouraging feedback from the students that they wanted to emulate my style and skillset.  Students were inspired by my class, teaching and clinical supervision style.


Nutrition Exhibition with Sushma and her students

Nutrition Exhibition with Sushma and her students


In addition to working as coordinator of the 1st and 2nd year program, I also got the chance to work as the coordinator of the 2nd and 3rd year program.  In the meantime, I also received my ‘Skilled Birth Attendant (SBA) training in Nepal.  Most recently, I am working as coordinator of the 4th year Nursing students; I design the curriculum, rotation plans (especially clinical postings), weekly class schedules, prepare exams and end of year assessments, and schedule clinical rosters for the students.  I also coordinate with the nursing chief, clinical supervisor, and hospital management team regarding clinical postings.  As the 4th year coordinator, I am responsible with selecting research topics and supervising 3-4 students in their research.

My greatest achievement to date is publishing my nutrition text entitled, “Comprehensive Textbook of Food and Nutrition”.  Preparing a book was challenging; I had to study many references to make it more credible and useful.  A large number of books on food and nutrition are available in the market, but some had much irrelevant material, or were missing content, or contained content that was far too tailored to one university’s curriculum to be considered comprehensive.  I have reviewed different national and international books, journals, reports, articles, guidelines, policies, strategies, and protocols related to food and nutrition in order to produce this text.  The book has 13 units, written to meet the course requirements of the nursing programs of many different universities; however, it will also be helpful for students enrolled in similar areas of study such as Public Health, food technology and so on. I have tried to incorporate all essential areas of food and nutrition in this book to provide a complete understanding of the subject.


sush cover book

Producing a book requires coordinated effort, which no author can accomplish without the involvement of friends, relatives, colleagues, seniors and especially teachers.  First of all, I want to thank God Almighty who made it possible to fulfill my vision of writing this book.  I feel grateful to, and want to acknowledge, Dr. Karen Lund, Senior Advisor of Health Sciences (ex-nursing program chief of IUBAT), and Adjunct Professor Alex Berland, for their support, guidance and inspiring words for my book.  They helped me tremendously in writing this text.  They were even kind enough to send me examples of texts in Canada as reference.


It would be unfair if I didn’t acknowledge the professionalism and diligence of my nutrition teacher: Judi Morton at IUBAT, who taught me the nuances of this subject.  My book delivers a comprehensive overview of nutrition, from introduction to food and nutrition, balanced diets, nutritional needs across the life span, to management of health and disease through therapeutic diets.  It contains numerous figures and tables which illustrate key concepts and conditions as well as explain details about the national nutrition policy in Nepal.


Last but not the least, I am grateful to IUBAT, as my education gave me a platform to write a book, as well as develop my skills as a nurse and a person.  I learned about plagiarism, which is a not a well-known concept amongst students of Nepal.  As a result, many of the books in Nepal are just copy and paste, but knowing this and trying to avoid it, I was able to produce a nutrition text that could exist as a standard of reference in Nepal.”


Congratulations to Sushma on her monumental achievement and on her contributions to healthcare knowledge and education in Nepal.  Publishing a textbook involves rigorous effort and is an extremely large undertaking.  Excellent work, Sushma, and we can hardly wait to hear about your next project!

 
 
 

Emily Hagg, a ICU RN at the Foothills Medical Center in Calgary, and Nancy Campbell, a Registered Nurse with Alberta Health Services, recently returned from Dhaka, where they volunteered with the Bangladesh Health Project. We asked Nancy and Emily to regale us with their favourite stories and most memorable moments from their trip.


Nancy and Emily at the "Mini" Taj

Emily: “I was in Bangladesh from Jan. 11th to April 3th, so I was there for almost an entire semester. My official role was as a Post-Graduate Research Fellow, which mostly entailed being available as a mentor to the nursing instructors already in place and helping out with whatever I could in the classes and clinicals.

Nancy: “I arrived in Dhaka March 7th and left April 8th. My arrival was easy for me as Emily was already there! Emtiaz from the IUBAT Nursing College met me at the airport and I felt supported for the entire time. My official position was the same as Emily’s: Visiting Research Fellow, and my role was the same as well, to support the Nursing Faculty in the clinical and classroom settings. I also had the opportunity to work with the Sajeda Foundation on the development of their Home Care Program and their Seniors’ Supportive Housing Facility project.”


Emily: “What I especially loved about my experience was how friendly people were in Bangladesh, from the instructors, the students, to people on the street: just big smiles wherever I went. Initially, I had to adjust to the attention and the people just wanting to know about you and get close to you, which is very different from North American culture! I also will always remember how respectful the nursing students were! They stood when we instructors came into the room, calling us “ma’am”, earnestly listening to every word we ever said, and being protective of us when we were out in public together, etc. They were so polite and pleasant to work with!”


Emily at the Pink Palace in Old Dhaka

Emily at the Pink Palace in Old Dhaka


Nancy: “Yes! The thing I will always remember is walking into a classroom that first afternoon and all of the students standing up when the faculty entered. That just doesn’t happen in Canada. As I got to know them, I was humbled by their commitment to their education: the daily challenges they had just to get to school, on top of having to learn in English – nursing education is tough enough without these challenges. There wasn’t single day that I didn’t have an interaction with one of them that made me smile. They included us in their annual picnic and it was an incredible day, full of surprises and adventures.

IUBAT was similarly great: a sanctuary created by the school with the tea in the cafe, the guards that helped you cross the road in crazy traffic and of course, the long lineups to use the elevators. The faculty of the nursing college were simply amazing. They mentored us on “life” in Dhaka as much as we mentored them on nursing education.

It was interesting to be stared at and be asked to take pictures with total strangers. Add to that the population density that I hadn’t yet ever experienced – I didn’t know what to think at first. While it was unusual to have my activities/freedoms curtailed, I did not ever feel threatened or unsafe. Also, everyone should ride in a rickshaw at least once in their life! One cannot think of Dhaka without thinking of the traffic and the noise; there are absolutely no words that adequately describe the travel by van in that city.”

Emily: “I was definitely surprised by the instant celebrity status we seemed to develop by just entering the country and how hard that was to get used to. I didn’t think it would be quite the extreme that it was. It would have been nice (and easier to move around) if we were more ‘invisible’.” 


Emily and Nancy at the guest house

Emily and Nancy at the guest house


Emily: “If I had any advice for those interested in volunteering, it would be to be prepared to ‘go with the flow’! Things change rapidly and your day seldom works out as you initially planned it. It’s important not to get stressed out about stuff like that. Also, the accommodations are better than the volunteer manual makes them out to be! There’s hot water showers, a washing machine available, etc. It’s also so nice not having to prepare lunch and supper everyday! Finally, Caucasians should be extra prepared to be an object of fascination every where you go. It often takes longer to move around because of this fact.”

Nancy: “Anyone who is open to a new experience should go. I would encourage my nurse colleagues to go and experience a world where you can truly mentor nursing leadership AND grow an appreciation for the respect that nursing receives in Canada. Perhaps a practical piece of advice would be to get your visa before you arrive – I spent 2.5 hours in the VISA on arrival booth and an additional hour when I left because I had overstayed by 2 days. Despite that, it was amazing to be able to have a small impact and change the world of nursing in Bangladesh. I hope to go back very soon.”


A big thanks to Nancy and Emily for sharing their favourite recollections of Bangladesh; we love hearing from our volunteers! If any potential volunteers are interested and would like more information, please go to the Volunteer section on our website.

 
 
 

STRENGTHENING POPULATION HEALTH IN BANGLADESH

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