Postgraduate Fellowship

99

Medical doctors trained

900,000

Patient consultations benefitted

787

Clinical shadowing hours conducted

423

Teaching hours conducted

The Postgraduate Fellowship in Refugee and Migrant Health (PGF) is a 13-week medical capacity building and training programme specifically designed to help local doctors working in humanitarian settings to improve their clinical practice. It targets those who have not worked in similar settings previously, or have not received specialised training to meet the specific healthcare needs of a migrant/refugee population.The PGF started in November 2017 in Bangladesh in response to the ongoing Rohingya crisis, and we have been working hard to grow and improve the programme to date. We aim to roll out the PGF in other countries from 2020 onward. To find out more or if you are interested in bringing the PGF to your community or area, please get in touch.

Background

The Rohingya people have suffered under decades of discrimination and lack of access to basic rights and services such as healthcare with high rates of attacks reported in 1978, 1991-92, and in 2016. Recently, In August 2017, a widespread attack in the Rakhine state of Myanmar (Burma), including murder, torture, rape, sexual violence, enslavement, triggered over 700,000 Rohingya refugees to flee to its neighboring country of Bangladesh. The UN Chief of Human Rights has reported it as a textbook example of ‘ethnic cleansing’. From a medical and public health perspective, there are immense requirements in the control of communicable disease, management of non-communicable disease and injuries, support for mental health and psychological trauma, as well as understanding reproductive health and coping with the effects of gender-based violence. These requirements are further challenged by the lack of health literacy amongst the Rohingya population stemming from decades of denied healthcare access. Following on from a pilot run held in February 2018, DWW launched the PGF officially in July 2018 with its first cohort of 24 Bangladeshi doctors.

Programme In Action

In 2018/19, Doctors Worldwide trained approximately 99 local Bangladeshi doctors over 4 Cohorts working within the Rohingya camps and host communities

The estimated impact benefited over 900,000 patient consultations with doctors trained through the PGF by the end of 2019r. The PGF training programme involved 423 hours of classroom sessions and 787 hours of clinical shadowing over the entire PGF.

The PGF is centered around the delivery of 8 independent modules:

  1. Health in Humanitarian Emergencies
  2. Triage and Acute Care Management
  3. Communicable Diseases
  4. Non-Communicable Diseases and Palliative Care
  5. Mental Health in Humanitarian Emergencies
  6. Sexual and Reproductive Health, Family Planning and Gender Based Violence
  7. Clinical Assessment, Professional Practice, and Communication Skills
  8. Leadership and Governance (NEW)

The teaching incorporates a wide range of methodologies including:

In addition, several other certificates as part of the PGF programme were provided upon completion:

  1. The London School of Hygiene & Tropical Medicine certificate in Health in Humanitarian Crises (online via FutureLearn)
  2. The WHO Emergency Triage Assessment & Treatment (ETAT) certification
  3. Basic Life Support (BLS)
  4. mHGAP for mental health
  5. Minimum Initial Service Package (MISP) Certification for Sexual Reproductive Health (online via IAWG)

Doctors Worldwide recruited international medical experts with primary care, emergency medicine, mental health, sexual and reproductive health, maternal health, and pediatrics backgrounds to deliver the training and clinical mentorships.

The long-term impact of the PGF in low-middle income countries includes better healthcare outcomes in Bangladesh for both the local host and refugee/migrant population as doctors will be better equipped to meet their health needs now and in the future. As these doctors work alongside their peers, and as they progress into leadership roles, the benefits of this training will also be passed on to their colleagues as well as the wider health settings within which they practice and operate.

Impact

Our PGF doctors have reported:

Overall, our long-term, comprehensive training has:

PGF Impact Report 2020