Haefa

13.08.2018 3 Comments

Are they refugees—never expected to return to Myanmar, but to find a new homeland? All patient and employer records are kept strictly confidential and secure. Although the line is long with people waiting to see the doctor, there are no complaints. In September, after reports of polio and measles in the camps, the Bangladesh government promptly provided emergency vaccines, including cholera. An informal economy has grown on the edges of the camp, selling groceries and small personal items. Although Abid and I are both on the faculty at the Warren Alpert Medical School, our paths had never crossed until that email. In the immediate emergency response, the priority was providing the basics:

Haefa


The major goals of Health on Wheels are to help the workers live self-sufficient, healthier, happier and more productive lives. But what the Rohingya need is an effective health care system. Despite centuries of residence in Rakhine State, the Rohingya were stripped of their citizenship, losing their health care and other rights. Each patient receives a laminated ID card so that when they return, the card can be swiped for record retrieval. Health on Wheels uses on-site healthcare workers, sophisticated cell phone-based m-Health and electronic medical record EMR software to coordinate screening test results, diagnosis, and treatment regime with our physicians. Health on Wheels in the news and more: Salute to our dedicated HAEFA medical professionals who have been serving humanity in a very harsh and unhygienic condition 6 days per week! Abid added TB screening to his program, hypothesizing that linking TB with common diseases would reduce stigma. All patient and employer records are kept strictly confidential and secure. Between 70 and 80 percent of t he people in the camps are women and children, including around 32, pregnant women and , children between 1 and 4 years of age. A local female health care worker fluent in both Bangla and Rohingya interprets for the doctor. He has a headache and points to a spot above his right ear. But historically, it was never their intention to belong to that country. Ruhul Abid founded his NGO to provide health care to factory workers and adapted that model for the Rohingya camp. But no one complains to us about the wait. The HAEFA project combined noncommunicable disease and tuberculosis screening efforts for factory workers and rickshaw pullers in Dhaka, Bangladesh. A young boy about 10 is in line and I ask through the interpreter what is his concern. Intermittent purges, from to , displaced hundreds of thousands of Rohingya, with most fleeing to Bangladesh. The roads are filled with supply trucks, as well as politicians—international and local—visiting the area. In the immediate emergency response, the priority was providing the basics: On day three it rained, and the water mingled with sewage and flowed down the street. Initially HAEFA referred TB patients to the government screening center, but it turned out to be a minute drive away, and none of the patients had transportation. Abid is in the cardiothoracic surgery department, where he studies the mechanisms to improve heart function after myocardial infarction heart attack. But since August, , Rohingya from Myanmar have crossed over the Naf River to reach Ukhiya, and the Bangladesh government has designated the area as a campsite and has assisted in bulldozing the forest, setting up temporary shelters, building streets, providing food and water delivery, and coordinating international relief efforts. By the time the patient sees the physician their electronic record is populated, with a red exclamation point flagging any abnormalities. Other caregivers also need to link their patients to the appropriate facilities. Immunization Ante- and post-natal care to ensure safe infant delivery, Health and general hygiene education Feminine health and hygiene education Our on-site curative care includes:

Haefa


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3 thoughts on “Haefa”

  1. The Way Forward As an emergency measure, the government of Bangladesh has taken on responsibility to loosely organize the camps since August Immunization Ante- and post-natal care to ensure safe infant delivery, Health and general hygiene education Feminine health and hygiene education Our on-site curative care includes:

  2. These are not the best of conditions. HAEFA is a US-registered c 3 nonprofit organization and solely dependent on fundraising to support their continued services in the Rohingya camps.

  3. A young boy about 10 is in line and I ask through the interpreter what is his concern. Patients who need followup care are linked to existing services in the community.

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