Right Treatment at the Right Time
Sapna (18), wife of Sajedul, an auto rickshaw driver from a village in Daulatpur Upazila of Kushtia district, was taken to a nearby private clinic for her first delivery. There at the clinic Sapna delivered her first child, a baby girl they called “Chadni.” Unfortunately, Sapna suffered from convulsion soon afterwards and had to be taken to Medical College Hospital. Chadni was left at home in the custody of her grandmother (Sapna’s mother).
While at home, the grandmother noticed that Chadni was unwell and that she felt warm. Without wasting much time, she took her to the nearby union health facility. The Sub Assistant Community Medical Officer (SACMO) Jamal Uddin diagnosed 2 day old Chadni to have “clinical severe infection” since he recorded her temperature at 100.6 degrees Fahrenheit, unable to feed, with breathing rate at 88. Jamal Uddin treated Chadni with the 1st dose of gentamicin injection, with oral amoxicillin, and provided 2nd dose of gentamicin on following day, since they were unable to travel to the hospital. Oral amoxicillin drop for 7 days was also provided. As a result of the treatment completed at the FWC, Chadni soon became well.
Sepsis is one of the major cause of newborn and young infant deaths in Bangladesh. Fortunately, most of these deaths are preventable, but like Chadni, the treatment needs to be correct and at the right time. Recently, SACMO of all union health facilities of Kushtia district received a training on Comprehensive Newborn Care Package (CNCP), where newborn sepsis management is an integral part. This package has been initiated by Ministry of Health and Family Welfare (MoH&FW), where Saving Newborn Lives (SNL) program of Save the Children provided technical support on training and also assisted in developing the training curriculum.
SACMOs at the union facilities have appreciated the training. Jamal Uddin, who treated Chadni, said, “I feel good to be able to manage the case successfully. The treatment is simple, easy, and also inexpensive. It would have been expensive if they had gone elsewhere. The challenge is to let the community know about it so they do not go anywhere else.”