MEDECINS DU MONDE – FRANCE

MONTHLY SITUATION
REPORT
Country/Project: Bangladesh Period: 01 April 2019- 30 April 2019

Written by: MdM Team Submitted on: 2019

Essential facts/Summary of period reviewed:

Issues requiring response from HQ and/or pending:

None
Visit(s) planned:
None
Travel planned:


SITUATION/CONTEXT

SECURITY

GBV – MHPSS JOINT ACTIVITIES

GBV

MHPSS

LOGISTICS

HUMAN RESOURCES AND TEAM MANAGEMENT

ADMINISTRATION AND FINANCE




Situation Report 1/6

 COORDINATION

SITUATION/CONTEXT

SECURITY

PROGRAM

MDM-F Program
April Report.docx

Trainings and Workshops

1. MHPSS Deputy Co has conducted one module on consequences of violence on mental health during GBV
training. Session topic was ‘Sign and Symptoms of mental health problem’’. There were 10 participants, all health care
providers. Venue was in camp 4 hospital. After the training, some participants shared their need for further training on
psychotherapy technique. MHPSS Deputy Co is planning to design a workshop on psychotherapy technique in the
hospital. A report is attached here on the module.

mhpss session in
GBV training report.docx

2. MHPSS Training with CPI has been conducted on April 25, 2019 for CPI community workers. 35 participants
were attended this training.
Training Report

3. GBV Response training for 3rd batch for doctors, nurses and midwives of HOPE Camp 4 Field Hospital has
been conducted be GBV Co, GBV Deputy Co and Translator on 23rd and 24th of April 2019. Training TOR and report is
attached.

ToR _ Training GBV TRAINING REPORT

HOPE.pdf Batch 3.pdf

All other documents are uploaded in the sharepoint.

4. GBV Deputy and MHPSS Deputy participated a one day learning Workshop on Feminist Leadership organized
by Oxfam BD. This is a “sequel” to the Women Empowerment and Leadership Workshop which was held on 28 Feb. In
that workshop, they introduced the framework on Transformative Leadership on Women’s Rights (TLWR) just to guide

2
the different discussions. There was a demand to have more learning opportunity to understand
further feminist leadership approaches hence this learning event was held on 1st April 2019.

GBV/MHPSS response in Hope Field Hospital 2019 (Camp 4)

1. GBV Co and GBV Deputy finalized Outreach Workers training tools and contents. Training will be held on May
12 and 13 for outreach workers, receptionist.
Training Scenario

2. GBV Tools for outreach workers as frontline workers in primary support from Hope Field Hospital have been
developed both in Bangla and English on Job Aid, Companion Guide.

GBV Companion Job Aid in Bangla.pdf Steps to response to

Bangla.pdf Direct exposure of GBV Bangla.pdf
3. Third batch medical staff training on GBV (see upper training reports)
4. Coordination went well with Hope through Mr Showkat, Dr Rumman and Mr Adnan.
5. Mentoring
- visit done by GBV co with translator on April 17th . No curtains used. No improvement on privacy.
- Positive feedbacks, 3 weeks after the training from medical doctor on identification and approaching with
women patient showing signs of violence. E.g. Female medical doctor has recently identified a patient, 5 months
pregnant, going to maternity services for pregnancy follow up. She received her mother in law for consultation. She
noticed that the pregnant woman got some blue on the face, which was clearly punch mark for her. As she stated:
“I remembered what you said at the training and I went to talk to her, privately, and asked her ‘what happened?
Are you okay? Do you need anything?’ The pregnant woman responded by ‘no it’s nothing. It’s just an accident’.
The doctor created the space by letting her know that she can come back later to share her concerns with her if
needed. Patient did not share about her concerns to the doctor. She believes it is probably due to the mother in law
presence in the hospital (April 24, 2019)
- Hope agreed on arranging private room for counselling and hiring two psychologists for Hope hospital.
Next mentoring visit will take place on May 6th, 12th and 13th.
6. MHPSS needs assessment: individual interviews have been conducted by MHPSS Deputy Co on 24th April in
Field Hospital with three receptionists and one midwife, as for testing the tool and exploration.

GBV/MHPSS service provision and needs assessment in Hope Ramu Hospital

1. MdM received many request from Hope to work for Hope facilities dedicated to the host community. Visit
and initial assessment to be taken place April 30; May 4 in Ramu. GBV & MHPSS Assessments will be conducted
jointly, Hope and MdM on May 4. GBV Tools uploaded in sharepoint.

2. MHPSS Deputy and Gbv Co has developed an assessment tool and assessment planning. Revised by MHPSS
coordinator of Hope.

MHPSS Assessment
Tool MdM Hope.ods

Translation

1. Tools on GBV integration in medical practices translated in Bangla for health care providers for Hope Field
hospital:

3
Job Aid to Identify Job Aid in GBV Companion Companion Guide
& Response for Healthcare
Bangla.docx
providers in Bangla.docx Bangla.docx on GBV Doctors Bangla.docx

ABUSE Steps to response

ASSESSMENT TOOL in
toBangla.odt
Direct exposure of GBV Bangla.docx

2. Translation of all guidance tools for medical staff and community health workers in bangla, specific
vocabularies adjustment for Rohingya CHWs have been done.
3.
Medical Advisor Visit

GBV co finalized the ToR with Chloé at HQ on April 3rd. Following activities include: Ramu hospital assessment; Hope
Field Hospital visit; Hope medical center visit; meeting with partners (Hope/CPI). Medical Advisor arrived on 29th April
for CMR assessment and TOT. GBV co and Deputy has accompanied medical advisor (Chloé) in Hope hospital Ramu on
30th April in Ramu Hope Hospital to meet with the country director. Following activities should be done during
Medical Advisor’s visit to Cox : Ramu hospital assessment on 4th May; Hope Field Hospital visit on 6th May; Resource
Center visit on 6th May, ToT planning on CMR trainings for GBV Deputy; camp 4 visit.

Opportunity to visit Hope Health Centre in remoted areas will be difficult due to shortage of time. During her visit in
Hope Field Hospital, the country director invited MDM to attend the International Day of Midwife on 5th May in
Ramu.

Partnerships and collaboration

 Hope Ramu hospital assessment will take place on May 4 th, regarding medical practices on SRH, CMR, MR, IPV
and MHPSS and Resource Centre joint visit on May 6th.
 BNWLA Cox’s Bazar: GBV co met with Mr Shah Alam (program coordinator) on April 21 st, 2019 about their
needs around GBV and on future planning. GBV co visited the shelter and is concerned about the confidentiality
breaking rule. The services provided (counselling and livelihoods) in the shelter need to be seriously improved. Follow
up discussions with BNWLA. Next meeting will happen after hearing news from UNFPA regarding joint letter of
interest sent for fundings.
 TDH wanted trainings on GBV for their healthcare staffs in Burmapara health post but it was cancelled due to
funding constraints. Tdh health post is going to be closed from end of May.
 CPI
Mairie de Paris is funding capacity building activities on GBV and MHPSS for community health volunteers of CPI and
other organizations. GBV co has met program manager of CPI to discuss on CHV needs in terms of training, meanwhile
CPI also request our support to train their volunteers. We agreed on next meeting to be held on May 5 th, with CPI
program director and program team of MdM. Next training on self-care to be given on May 9 th to 24 CHV of CPI.

Resource Center

FD7 has been finally delivered by the authorities. Hope urges to start the activities as soon as possible since FD7 starts
from March to August.
Genco and GBV co met Hope director and senior program manager to agree on what next: rental payment and joint
visit of the resource centre to be on May 6th. The centre location has been identified and agreed upon capacity
building activities. Since CDC asks for direct services, it implies to adjust the activities provided in the centre such as
counselling, receiving survivors and build strong linkages with nearest facilities in host and camps. So forth, joint re-
assessment is needed with program and log to be conducted on May 6th as well.

4
 Coordination Activities
Internal

 Two program coordination meetings have been held on 18 th and 28th. Minutes are being taken by rotation.
 Preparation of Mission Requests for trainings by GBV Deputy Co and Field Co Assist. Field Co Assi and GBV
Deputy ensure quality of printings by providing samples of printings needed and quality assurance checking of the
printing materials.
 Field Co Assist updates online database (Resource Library) with latest infographics /maps and documents
from different stakeholders. The aim is to create an online library for the program team. Link here:
https://mdm1-my.sharepoint.com/:f:/r/personal/fieldcoassist_cox_bangladesh_medecinsdumonde_net/D
ocuments/Resource%20Library?csf=1&e=KPipuG

Coordinated response

 Participation in GBV ss and in GIAH ss by GBV co and GBV Deputy. Main issue raised is related to GBV referral
pathway and lack of coordination among GBV focal points. So often, GBV focal person is not correct and there is no
dedicated person in reality. Mechanisms at camp level are not in place. No referral possible through GBV focal point.
It is in accordance with MdM experience in camps 4 and 3 on GBV.
 Participation in Health Sector EPR Taskforce meeting by Field co assist on Cyclone contingency plan, agency-
wise contingency plan, health facility level preparedness, health sector preparedness matric, updates from ISCG, and
updates from WGs.
 Participation in health sector meeting by Field co assist and MHPSS Deputy on MHPSS Working group update,
Health Sector rationalization update, Health Sector cyclone/monsoon contingency planning
 Participation in health sector meetings by GBV co on assessment within field hospitals. 2 major issues have
been highlighted. Major issue of referrals from the hospitals without proper medical care (no stabilization of the
patients before referral, losing patients in the air, patients dying on the way) Because “doctors don’t want patients to
die in their hospital” (fear of riots, backlash and so on). Second major issue highlighted is CMR. There is no CMR
among field hospitals (Hope, Malaysian, Turkey, Friendship, Ukhyia Government hospital). While UNFPA and WHO
disseminate [wrongly] the information that 80% of PHCs and Field Hospitals do CMR. MdM had earlier raised that
concern directly to UNFPA and WHO. As it is often said that camps are 100% or 50% covered by GBV service provision.
Which is not correct to say.

LOGISTICS

HUMAN RESOURCES AND TEAM MANAGEMENT

ADMINISTRATION AND FINANCE

5
COORDINATION