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MATERNAL AND CHILD HEALTH TRAINING INSTITUTE (MCHTI) AZIMPUR, DHAKA, BANGLADESH

MATERNAL AND CHILD HEALTH TRAINING INSTITUTE (MCHTI)
History of MCHTI

In 1953: The institution Started with 20 beds hospital by the joint initiative of UNICEF and WHO. Its main objective was: limited MCH services, training of Lady Health Visitors (LHV) engaged in MCH/FP activities.

In 1960: The institution was upgraded to 100 bed hospital.

In 1991: Government of Bangladesh submitted a proposal to Govt. of Japan to upgrade the MCHTI by Grant Aid. Japan Government agreed to support for the up gradation & renovation.

In1997: MCHTI got the status and certificate as a ‘Baby Friendly Hospital’ by WHO and UNICEF.

In May 1998: A contact was signed between the Governments of Bangladesh & Japan and reconstruction & renovation work of MCHTI was started.

In September 1999: Launched five years Technical Assistance Project for "Human Resource Development in Reproductive Health" (HRDRH) in connection with Grant Aid.

In June 2000: Reconstruction & renovation was completed and modernization of MCHTI with extension of 100 bed to 173 bed. The Honorable Prime Minister of Bangladesh and Japan inaugurated the newly constructed MCHTI on 19th August, 2000.

At present Woman Friendly Hospital Initiative (WFHI) has been taken to ensure in MCHTI with the following activities:
a) Quality of Care
b) Delivery of ‘Mother-baby package’
c) Management and reporting of ‘Violence against Women (VAW)’ and
d) Gender equity in health services delivery with appropriate allocation of resources for women

Objectives

To reduce maternal morbidity and mortality of pregnant women of the country.
To reduce infant mortality rate through quality care
To work as a model center for Family Planning services.
To act as a tertiary referral center for Maternal & Child Health (MCH) and Family Planning (FP).
To serve as a Maternal and Child Health Care Training Institute especially in the field of Sexual and Reproductive Health (SRH).
To serve as leading Training Organization (LTO) for developing capacity of the MCH service providers of Bangladesh and in the region.

Clinical Achievements

The quality of clinical services has been remarkably improved during the implementation of HRDRH Project (1992-2004). Investment into modern diagnostic technology enabled to provide 24 hrs. Services to clients instead of referring patients to other facilities.
Along with the quality of clinical services, the capacity of staff for delivering quality MCH has increased. Modern diagnostic equipment enabled to offer various tests at low cost.
Statistics show development of clinical services and increased number to patients that represents a higher reputation of the institution.

Number of beds at MCHTI at present:

Total no of beds -173

For obstetrics and Gynecology-116 beds

- Obstetrics: 98
- Gynecology: 18

For Pediatrics Department - 57 beds

-Neonatal ward: 20 beds
-Pediatric ward: 37 beds

Post operative ward-12

Area of Service
1. Clinical Services:
Obstetrics and Gynecology

Antenatal Care
Normal Delivery
Caesarean Delivery
Postnatal Care
Management of Gynecological cases
Other related services such as Infertility management

Department of Pediatrics

Neonates care
Treatment of under-5 children
Pediatric Surgery
EPI

Anesthesiology

Preoperative check-up
Per-operative management
Post operative management

Blood Bank

Blood is ready to provide emergency services to the patients

Clinical Test

USG
Pathology
X-ray

Clinical Equipments

Doppler
Incubator
Cardiac monitor
Pulse oxymeter

Health Education & Counseling

Antenatal and postnatal Counseling
Nutrition Counseling
Breastfeeding Counseling
Parents/Husbands Counseling

Other relevant facility

Pharmacy
Cabin facility
General Oxygen supply
Ambulance

Family Planning Service

Following FP services are available here with free of cost
Tubectomy
Non Scalpel Vasectomy (NSV)
IUCD
Implant
Injectables
Oral pill
Condom.
ECP

Social Welfare Department

Social Welfare Department started functioning at MCHTI since 1994. This department

Provides free medicines/drugs, blood and blood products and special diet for the poor
Provide financial support for lab. and other investigations needed to be done from outside the hospital when necessary
Counsel mother and family about health, nutrition, newborn care, family planning, breast feeding etc.
Collect fund through Patient Welfare Committee
Distribute warm clothes
Provide wheel chair, sewing machines etc. for the rehabilitation of poor patients
Helps family / individuals for child adoption etc.

Other Activities

Daily morning sessions by different units
Clinical seminar & symposia
Continued medical education (CME)

Administration Plus
For the smooth running of the Institution and to ensure quality of services, different committees are at work:

Hospital Management Committee
Clinical Committee
Training management Committee

Performance of MCHTI
July2010-June 2011(MCH Activities)

Name of the Months	ANC	PNC	Normal Delivery	C-Section	RTI/ STD	Child Care		Still Birth	Immuni zation	OBGY Admi ssion	Child Admi ssion	Total Admi ssion
Name of the Months	ANC	PNC	Normal Delivery	C-Section	RTI/ STD	0-1	1-5	Still Birth	Immuni zation	OBGY Admi ssion	Child Admi ssion	Total Admi ssion
July/2010	3456	977	375	199	01	1577	2660	05	2226	462	217	679
August/10	3482	983	475	281	01	1699	1699	03	2517	558	245	803
September/10	3004	635	474	279	0	1553	1383	02	2373	534	227	761
October/10	3228	954	451	264	0	1797	1569	0	8042	517	203	720
November/10	2745	819	428	253	0	1815	1440	01	2636	469	157	626
December/10	2615	685	378	236	0	3482	1542	0	2218	422	125	547
January/2011	2495	637	312	181	0	2030	1855	0	2600	349	154	503
February/11	2367	659	322	207	0	1823	1858	0	2206	370	163	533
March/11	2800	709	359	241	0	1916	1754	0	2534	377	180	557
April/11	3065	556	268	181	0	1713	1828	0	2223	322	142	464
May/11	3596	639	321	246	0	1572	1476	01	2563	382	135	517
June/11	3459	747	333	258	0	1513	1631	0	2371	399	139	538
Total	36312	9000	4494	2829	02	22490	20695	12	34509	5161	2087	7248

Performance of MCHTI

July2010-June 2011(FP Activities)

Name of the Months	Tubectomy	NSV	Implant	IUCD	Injection	Oral Pill Person	Condom Person
July/2010	17	-	03	20	2992	570	264
August/10	17	-	104	19	3598	488	291
September/10	25	-	24	15	3541	478	274
October/10	20	-	06	32	4075	548	291
November/10	14	-	14	23	4948	462	211
December/10	26	-	24	24	3903	478	230
January/2011	15	-	43	43	4687	541	229
February/11	17	02	22	31	4516	432	114
March/11	14	-	34	38	5079	484	285
April/11	13	86	30	39	4807	453	220
May/11	14	520	23	43	5727	270	252
June/11	31	280	21	43	5673	437	228
Total	223	888	348	370	53546	5741	2889

Training Unit

MCHTI is providing training to the service providers related to MNCH/SRH.
This independent training unit is well equipped with necessary training materials and manpower. Expert resource persons from in and outside the institution conduct the theoretical and practical sessions.
An Assistant Coordinator (Training & Research) monitors and supervises the training programs under the guidance the head of the Institution.

Training unit is providing high quality training for both GO and NGO staffs at national and regional levels. A few to mention are:

Regional ToT on Competency Based Training (CBT) for Emergency Obstetric Care (EOC) services provider.
CBT for EOC service providers
ToT for Master/ National Trainers on Community Based Skill Birth Attendant (CSBA) Training.
ToT on CSBA Training for District Trainers
CSBA Supervisory Training for FWV’s
6 Months EOC Training for Doctor’s
6 Months EOC Training for Nurses
6 Months EOC Training for FWVs
6 Months Midwifery Training for FWV’s
Continue Medical Education (CME)
Postpartum Tubal Ligation & IUCD
ToT on Community Based Post natal Care (PNC)
ToT on Operational Research for the Managers by WHO
TOT for 6-Months Advance Midwifery Programme
6 weeks Clinical Placement for the participants of 6 Months Post Basic Midwifery Training Program
Two months Refresher Training on Safe Delivery for Paramedics from BRAC
Two weeks “Skilled Based Training on Safe Delivery” For Manoshi Midwives from BRAC.
Two Months Clinical Practice on Safe Delivery for Junior Midwives Holy Family Red Crescent Medical College Hospital
Integrated Management of Childhood Illness (IMCI).
ToT of National Trainer Infant & Young Child Feeding
ToT Master Trainer Infant& Young Child Feeding
TOT for Essential Newborn Care (ENC)
Training on Essential Newborn Care (ENC)
Breast feeding Counseling
Clinical Contraception, HIV/ AIDs & RTI/ STI Case Management Basic & Refresher Training for Doctor/Nurse/FWV & Paramedics
ToT on IUD Service Delivery Training for Nurses
Basic Training Course on Long Acting & Permanent Family Planning Methods
One year honorary training for Doctors (Gynae/Obs. & Paed.)
Orientation of Graduate and Post Graduate Students and Health Workers from different Medical Colleges, Universities, Nursing Institutes and NGOs etc.

Training Performance from July2010 to June 2011

Sl No.	Name of the Training	Duration	Category of Participants	No. of Participants attendant	Agency (GO/ NGO)	Remarks
	EOC	6 Month	FWVs	20	DG-FP &UNFPA
	CME	5 days	FWV from MCWC	49	DG-FP &UNFPA	2 Batches
	CME	5 days	Nurse & Paramedics	30	UPHCP-II	2 Batches
	CSBA Supervisory Training	5 days	FWV from UH & FWC	150	DG-FP IDB & OGSB	10 Batches
	CSBA Supervisory Training	5 days	FWV from UH & FWC	265	DG-FP UNFPA& OGSB	18 Batches
	IMCI	12 days	SACMO, MA, SSN, FWV	180	DG-HS	6 Batches
	Refresher Training on Safe Delivery for Community Midwives	2 Months	Paramedics	10	BRAC
	Clinical Practice of Safe Delivery AITAM for Paramedics	2 Months	Trainee Paramedics	112	AITAM	9 Batches
	Training on “ANC, PNC,FP, EPI & Normal Delivery Observation” for Paramedics	1 Months	Paramedics		Jatyo Tarun Sangha (JTS)
10.	ToT of National Trainer on Infant & Young Child Feeding	5 days	Doctors	06	DG-FP Alive & Thrive
11.	ToT of Master Trainer on Infant & Young Child Feeding	5 days	From Shimantic, LAMB Hospital, Save the Children fund UTL, DPM, MNH,PHC, MA,FSO, SSN,PO,PM	12	DG-FP Alive & Thrive
12.	Clinical Contraception HIV/AIDs &RTI/ STI Case Management Refresher Training for Doctors	12 days	Doctors	09	DG-FP
13.	Clinical Contraception HIV/AIDs &RTI/ STI Case Management Refresher Training for Doctors	12 days	Doctors	06	UPHCP-11
14.	Clinical Contraception HIV/AIDs &RTI/ STI Case Management Basic Training for FWVs	12 days	FWV	20	DG-FP	2 Batches
15.	Clinical Contraception HIV/AIDs &RTI/ STI Case Management Refresher Training for FWVs	06 days	FWV	10	DG-FP
16.	Clinical Contraception HIV/AIDs &RTI/ STI Case Management Basic Training for Nurse & Paramedics	12 days	Nurse & Paramedics	49	UPHCP-11	4 Batches
17.	TOT for 6-Months Advance Midwifery Programme	4 wks	Nursing Instructor & Senior Staff Nurse	20	WHO & BNC
18.	Clinical Placement for the participants of 6 Months Post Basic Midwifery Training Program	6 wks	Senior Staff Nurse	20	BNC
19.	ToT on IUD Service Delivery Training for Nurses	5 days	Doctor, Sister Tutor & FWV	12	Engender Health
20.	IUD Service Delivery Training for Nurses	12 days	Senior Staff Nurse	69	Engender Health	06 Batches
21.	Work shop on Implanon		Doctors, Paramedics, Nurse & FWVs	109	DG-FP	02 Batches
	Other Training & Orientation Program
	Clinical Orientation for BRAC Health Worker					256
	Community Visit for 4^th Year MBBS Students from DMCH, DNMC ,Ibrahim MCH, Northern Medical College, Bangladesh Home Economics college, MPH students from NIPSOM, BRAC University and from other Institutions.					400

Research Activity

Various Research activities from organizational & individual from in & out side country are being done here: a few of them mentioned below:

A pilot project of Jadelle (two rods- contraceptive method) from DG-FP done here.
“Role of Vitamin B12 supplementation during pregnancy and post partum mother to reduce nutritional Anemia & improve immunity in Bangladeshi women and their Infants.”- An on going project from ICDDRB.
“Effect of Maternal Health on pregnancy outcome and glucose homeostasis offspring and pilot intervention in pregnant mother in Bangladesh.”- an on going project from BIRDEM.

Individuals from following institutions & organizations:
James Cook University Australia, Singapore campus, 600 Upper Thomson Rd, Singapore 574421.