Home Today's Paper Most Popular Video Gallery Photo Gallery
Subscription Blog Signin Register
Logo
Friday, February 23, 2018 12:08:02 PM
Follow Us On: Facebook Twitter Twitter Twitter Twitter

Developing managerial skills for better mother-child healthcare delivery

photo by

By
28th-Apr-2017       
Comments
Share your thought
Post a comment »
Read all () »

Dr M Hafizur Rahman :
In today’s Bangladesh, newborn babies and their mothers have better chances of surviving than in decades past. Our country has made remarkable strides toward better health for mothers and children: babies born this week are far more likely to celebrate their 5th birthdays than babies born just a few decades ago. But amid nationwide successes in reducing deaths among children under 5 and among their mothers, the rate of neonatal mortality - deaths of Bangladeshi children during their first month of life - remains an enormous concern. The first month of a baby’s life is, statistically, the riskiest; more than half of all deaths of Bangladeshi children under 5 years of age occur within that first month of life.
We know that connecting pregnant and new mothers with home- and facility-based newborn care services, especially delivery in hospitals by trained medical staff, is a vital step toward our goal of helping all mothers and babies survive. Today, Bangladesh's hospitals and clinics offer more and far better childbirth services. Yet most expectant and new mothers don't use these services; only about one of every three births occurs at a hospital or clinic. Connecting families with care services is the mission of Ministry of Health and Family Welfare (MoH&FW). Its district and upazila health and family planning programme managers are  doctors who not only see and treat patients, but also oversee  staffing, supplies and the organization of a wide range of essential health services. To do all this well, they need the skills and abilities of modern managers, in addition to the skills and specialties they learned in medical school when they became doctors. Yet it’s typical for a doctor to become a community health manager after getting an excellent medical education, but no preparation for leadership.
Believing that health managers who improve their leadership skills can then improve mother and child survival outcomes, the MoH&FW has been keen to develop leadership and managerial capabilities of its doctor-managers. UNICEF, which has been working in Bangladesh for many years to improve child health, supports MoH&FW in these efforts and formed a team with Bangabandhu Sheikh Mujib Medical University (BSMMU) and the Johns Hopkins Bloomberg School of Public Health (JHSPH) in the US to develop such a training programme for local health facility managers. I have been leading this project, which will run through 2017. We will offer this training programme to doctor-managers who work in hard-to-reach areas of the country where management resources are especially scarce. Doctor-managers of local hospitals, clinics and family planning centers will be sensitised to the challenges to ‘do things differently,’ identifying opportunities and finding creative solutions to bring high-quality health services to more mothers and children.
Our training programme will not only do classroom training but also will have training and monitoring in the field with supportive supervision, and refreshers training with post training follow up  and problem solving.
Our goal in training local health and family planning managers in these skills is to enable them to lead, as planners and actors, in offering health services that reach more mothers, newborns and young children. More accessible, more user-friendly health services for these women and children will help bring better health and lower rates of death in hard-to-reach districts of Bangladesh.
The abilities to lead people and plan activities are the building blocks of good management. Managers with these abilities can make a big positive difference in the health of communities served by the facilities they manage.
Doctor-managers who learn and practice these abilities to take initiative in collaborations with workplace colleagues and community members to plan and carry out local solutions of local problems - all these capabilities are expected of a manager. Training to be an effective leader is just as important to success as training to be a physician.
The cost of these collective leadership shortcomings is heavy across Bangladesh. Although national health policies and programmes are carefully designed with the best intentions to improve the quality of life for families and children, they cannot fulfil their goals when persons who lack strong management skills are responsible for implementing, managing and monitoring the programmes. Without professional leadership skills, the local manager of a health programme may not be equipped to steer that programme and ensure good results it was designed to produce.
Bangladesh’s health facilities operate with limited physical, financial and human resources, yet expectations are high that facility managers will lead programmes and operations    so they make a difference in achieving better health outcomes. n
(Dr M Hafizur Rahman, MBBS, MPH, DrPH, is a faculty member in the Department of International Health, at the Johns Hopkins University Bloomberg School of Public Health, USA)  

Tariff
Add Rate

News Archive

Inside The New Nation

Front Page »

Amnesty accuses President Trump of HR violations


Human rights group Amnesty International has accused Donald Trump of "hateful" politics and of being a threat to human rights. "President Trump takes actions that violate human rights at home and abroad," the group said. Amnesty put Mr Trump in the same group as the leaders of Egypt, Russia, China, ...

Editorial »

Serving people not making money must be the motto


PHYSICIANS must provide treatment, President Abdul Hamid said to common people at affordable cost so that no one remained deprived of receiving treatment for lack of money. He made the call while addressing the third convocation of Bangabandhu Sheikh Mujib Medical University in the city on Monday. He has also ...

Sports »

Karolina Pliskova of Czech Republic celebrates after she beats Carla Suarez Navarro of Spain during the Dubai Duty Free Tennis Championship in Dubai, United Arab Emirates on Wednesday.


Entertainment »

Alicia Vikander loves `big adventure films`


Oscar-winning actress Alicia Vikander said she loves "independent and arthouse" cinema, but is also attracted towards the big adventure films.The actress, who will be soon seen as Lara Croft in the forthcoming film 'Tomb Raider', also shared that she found training and muscle-building exercise for the role, empowering. "My mother, ...

International »

Merkel calls for Europe to step up to global challenges


Reuters, Berlin  :The European Union must develop a response to growing global political and economic pressures and this will be the spirit of an EU summit this week, German Chancellor Angela Merkel said on Thursday.Merkel pointed to the crisis in Syria and the growing importance of Asian economies as needing ...

City »

SNAPSHOTS ON AMAR EKUSHEY OBSERVANCE


Editorial »

Ekushey tells us to be free and fearless against injustice


THE Nation celebrates 'Amar Ekushey' today with due solemnity and colourful festivities to remember the Martyrs of the 1952 Language Movement. It is a landmark occasion and a day of awakening in the history of Bengali people that gave us the clear realization that we have our own language and ...

Cricket »

Captain of Bangladesh National Cricket (ODI) team Mashrafe Bin Mortaza handing over a crest of honour to Hafiz Yasin Arafat at the Bashundhara International Convention Centre in the city recently. Yasin Arafat became Hafiz-e-Quran in 86 days. He was a student of Tanjimul Ummah Hifz Madrasah of Cox's Bazar. Ahlul Huffaz Foundation Bangladesh arranged the reception programme.


Sports »

Medalists in the ice dance, free dance figure skating (from left) : Gabriella Papadakis and Guillaume Cizeron, of France (silver), Tessa Virtue and Scott Moir of Canada (gold) and Maia Shibutani and Alex Shibutani of the United States (bronze) pose during their medals ceremony at the 2018 Winter Olympics in Pyeongchang, South Korea on Tuesday.


International »

Trump backs improved background checks on gun buys


US President Donald Trump signaled support Monday for improving background gun checks amid mounting pressure for reform in the wake of the Florida school shooting, as the accused gunman appeared in court.Nikolas Cruz, charged with killing 17 people, sat silently with his head bowed during a procedural hearing in Fort ...

International »

Nepal wants to deepen ties with China: K P Oli


PTI, Kathmandu : Nepal's new Prime Minister K P Oli has said he wants to deepen ties with China to explore more options and get more leverage in his dealings with India "in keeping with the times". Mr Oli, widely regarded as pro-China, also said he wants to "update" relations with ...

Business & Economy »

M Fakhrul Alam, Managing Director of ONE Bank Limited and Rezaul Islam, General Manager of Bangladesh Bank sign a participatory agreement regarding use of JICA assisted Foreign Direct Investment Promotion Project fund recently. Governor Fazle Kabir, Deputy Governor Abu Hena Moh. Razi Hasan, Executive Director Ahmed Jamal of Bangladesh Bank, chief representatives of JICA Bangladesh office Takatoshi Nishikata and among other were also present on the occasion.


Entertainment »

Inspired by the journey of Deepika and Anushka: Nidhhi Agerwal


Nidhhi Agerwal who hails from Bangalore and is living independently in Mumbai currently believes Deepika and Anushka's journey to the top has inspired her a lot. Just like the other two Bollywood divas, Nidhhi also went through her part of the struggle to make it to Bollywood. The young actress ...

City »

Law enforcers intercepted women leaders and activists of Jatiyatabadi Chhatra Dal when they were going to visit BNP Chairperson Begum Khaleda Zia with fruits at Old Dhaka Central Jail on Tuesday.


Sports »

Medalists in the women's 12.5-kilometer mass start biathlon (from right) Belarus' Darya Domracheva (silver), Slovakia's Anastasiya Kuzmina (gold) and Norway's Tiril Eckhoff (bronze) pose during their medals ceremony at the 2018 Winter Olympics in Pyeongchang, South Korea on Sunday.


 
Items that you save may be read at any time on your computer, iPad, iPhone or Android devices.
 
Are you new to our website? Do you have already an account at our website?
Create An Account Log in here
Email this news to a friend or like someone
Email:
Write a comment to this news