Posted: July 31st, 2021

My position function and role in the organizationI was employed

My place, carry out and performance inside the group:

I was employed on this group approx. for 3 years. Initially I joined as medical officer in BRAC Clinic which is part of BRAC effectively being, vitamin and inhabitants program (HNPP)and later I was re-deigned as senior medical officer and clinic in price (Crew chief).

My perform as a Senior medical officer:

· Administration of outdoor and Indoor affected particular person and assist fundamental surgical process.

· Current Antenatal suppliers to detect extreme risk being pregnant, postnatal care, Neonatal affected particular person administration.

· Assure family planning, and sexual effectively being suppliers.

· Maintain knowledge of being pregnant and post-operative complication with their analysis to forestall them to a minimal stage.

Place as a Clinic In-charge (Crew chief):

· Perform assessments; providing remedy to buyers of clinic

· Recruitment of native effectively being care staff along with hiring promotion of staff members

· Observes along with assists staff members at work sure, safe and ethical practices and resolve points present technique

· Conduct teaching program to create consciousness about effectively being, vitamin and hygiene

· Develop a program for medical prime quality administration

· Sustaining the inventory, budgeting, organizing staff meeting and participate inside the effectivity enchancment program

· Put together weekly topic visits of every crew members of clinic.

· Works in shut collaboration BRAC Maternal and child effectively being program (MNCH) and Prepare month-to-month meeting with regional managers of MNCH to debate about month-to-month success and failure, affected particular person satisfaction and plenty of others.

B. Description of state of affairs/ time when extra progress needed.

Main challenges: Main challenges I confronted when started to work there newly that Gap between formal clinic setting to group which finish in delay in decision-making to hunt emergency obstetric service, delay in receiving suppliers at place of referral (BRAC Clinic).

Potential trigger/Background parts:

After I started to work there and my accountability was to supply effectively being care in BRAC Clinic which is ‘one-stop’ suppliers for being pregnant and provide along with take care of the children by licensed medical docs, nurses, lab technician and totally different effectively being staffs. for metropolis slum peoples in a single house (Dhanmandi) of Dhaka metropolis ,BRAC effectively being coronary heart was newly established there .I was accountable to run a model new effectively being coronary heart effectively, enhance affected particular person motion, current full service to them nonetheless for the time being I was not associated with native people, effectively being workers engaged on that areas, regional supervisor, division managers of that space who're beneath MNCH program and straight associated to group and suppose to referred pregnant mother to ensure emergency obstetric care and totally different emergency cases to clinic from different division of that space. I was chargeable for clinic service the place my crew obtained refined case of being pregnant that will’t managed in BRAC maternity coronary heart the place provide carried out by expert supply attendance. So, I didn’t get different to realize people straight. I didn’t have considered beliefs, values, attitudes, info and behaviors of purpose peoples (mother and child beneath 5) related to their effectively being draw back. socio-demographic traits of town slum, key influential people for health-related points, current effectively being networks/sources and companies, present MNCH practices and perceptions. I found that pregnant women did not take any preparation for supply beforehand. Until points arose, they thought-about every being pregnant common. They did not acquire antenatal care all through being pregnant. They could rely upon group effectively being worker and did not perceive any necessity for licensed doctor and nurse for normal provide. Very very long time they waited in maternity coronary heart or at home and tried for provide and when it’s become prolonged, obstructed labor and complication arises for mother and child they referred it to BRAC clinic. They weren't comfortable referral system, although BRAC MNCH program bear value of referral, even price of fundamental surgical process moreover taken in response to monetary scenario of victims and the rest of value of suppliers provided by MNCH program. There have been some gaps in knowledge distribution regarding the content material materials and costs of the effectively being suppliers of BRAC clinic.

· To differ the state of affairs, me as a crew chief of BRAC clinic and MNCH staffs e.g. regional supervisor, division supervisor, group effectively being workers joined collectively and talked about our state of affairs and decided to conduct month-to-month meeting to see failure or success ,organized topic visits of every staffs of BRAC clinic weekly to realize group straight, arrange teaching of group effectively being workers to supply knowledge of referral to Clinic, crew developing teaching ,develop a program for medical prime quality administration.

· After few months later, surprisingly we observed, dramatic modifications of state of affairs. Group effectively being workers referred refined victims as rapidly as attainable so we are going to promptly take alternative to ensure healthful mother and child, enhance number of antenatal and postnatal suppliers and totally different outdoor suppliers of clinic, affected particular person started to rely upon licensed medical docs and nurses, and they also have been proud of suppliers of BRAC clinic.

· I really feel we've got been succeeded as a crew to reduce gap between formal clinic setting and group which is likely to be most essential trigger for the success of the occasion progress.

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