Field Trip Report 2009 6 Aug. Openig session at BRAC Center 10 Aug. BRAC’s Human Rights Education with local children 10 Aug. Human Rights Education Class of BRAC 12 Aug. Community Health Research Worker in Matlab 12 Aug. Mother and child in Matlab 11 Aug. Lecture by Dr. Midori Sato at UNICEF 11 Aug. Lecture at MCHTI 11 Aug. Mother and baby 13 Aug. After the midterm presentation by MPH students at BRAC Uni. 12 Aug. Household Survey in Matlab 12 Aug. Visit to hospital and HbSS in Matlab 16 Aug. District Hospital in Narsinghdi 18 Aug. Birth Delivery Center of BRAC in an urban slum 18 Aug. View in urban slum 18 Aug. With local children in urban slum 18 Aug. Father and daughter in urban slam 19 Aug. BRAC staff (SK and SS) in Bogra 19 Aug. Recap meeting in Bogra 20 Aug. WASH Program of BRAC in Bogra 20 Aug. Pre-primary School of BRAC in Bogra 20 Aug. Primary School of BRAC in Bogra 20 Aug. WASH Program of BRAC 22 Aug. With children at Ekmattra 22 Aug. With children at Ekmattra Map（Field Trip Sites） ボグラ キショルガンジ スレプール ノルシンディ ダッカ マトラブ Index Photos & Map Foreword ………………………………………………………………………… 2 Introduction to the Field Trip …………………………………………………… 3 Schedule ………………………………………………………………………… 4 Acronyms ……………………………………………………………………… 6 ◆Day by Day Student Notes …………………………………………………… 7 ◆Student Reports …………………………………………………………… 23 1. Mr. Yoshito Kawakatsu …………………………………………… 25 2. Ms. Kanako Kikuchi ……………………………………………… 28 3. Ms. Kanako Koyama ……………………………………………… 32 4. Ms. Naomi Takagi ………………………………………………… 35 5. Mr. Junichi Tanaka ………………………………………………… 38 6. Ms. Miyuki Tsuruoka ……………………………………………… 41 7. Ms. Sayaka Toyoshima …………………………………………… 45 8. Ms. Akiko Nagata ………………………………………………… 48 9. Ms. Mami Hitachi ………………………………………………… 52 11. Ms. Shiho Hirano …………………………………………………… 55 11. Ms. Tomoko Masunaga …………………………………………… 58 ◆Student Group Presentation ……………………………………………… 63 ◆Organizations Visited ……………………………………………………… 69 ◆Afterword ………………………………………………………………… 71 Foreword The Graduate School of International Health Development opened at Nagasaki University in April 2118 to develop professional human resources with advanced practical knowledge and skills that will enable them to contribute to resolving global health problems, particularly healthcare problems that confront developing countries. Individuals who have successfully completed the master’s program at this graduate school receive a Master of Public Health (MPH) degree. International healthcare professionals who play important roles in developing countries must possess a broad spectrum of knowledge, skill and ability, including: basic knowledge of maternal and child health and tropical diseases; understanding of various factors complicating current healthcare problems; and the ability to take an interdisciplinary approach, as well as establishing trustful relationships with relevant parties in resolving such problems. With the aim of developing such professionals, who can work effectively in the field of international cooperation, the Graduate School of International Health Development provides a balanced curriculum comprising classroom lectures and practical training in real-life situations, so as to facilitate students’ understanding and acquisition of adequate knowledge and skills. The important pillars of the curriculum are a short-term (three-week) field trip during the summer of the first year, and a long-term (eight-month) internship program during the second year. The field trip is designed to enable students who have acquired knowledge of basic subjects during the first semester of the first year to learn first-hand the realities of developing countries and to observe the activities of organizations that have played significant roles in development assistance. The field trip also aims at promoting interaction between participating students and such organizations through discussions and presentations of the field trip results, thereby enhancing learning outcomes and preparing the students for the second semester coursework. This report summarizes the students’ activities during the field trip that the Graduate School of International Health Development organized this year. The destination was Bangladesh, the same as last year. During the field trip, participating students visited the Bangladesh Rural Advancement Committee (BRAC)- -a leading world-wide NGO engaged in promoting social development in such areas as healthcare--and other developmental assistance organizations in Bangladesh, and inspected the regions covered by the organizations’ ongoing projects. Under the guidance of Assistant Professor Kaori Miyachi, participating students prepared observation summaries and minutes of the presentations and discussions at organizations they visited during the field trip and produced reports after the trip. These materials were compiled into this Bangladesh Field Trip report. At first, I was concerned about the language barrier, but upon reading the report I was greatly pleased to learn that participating students were able to overcome the language barrier and understand well the content of lectures and presentations given to them in Bangladesh, and that the field trip enhanced their motivation to continue studying. I hope that those who are playing important roles in international healthcare and those who are interested in such matters will read this report and make suggestions to improve our education. Finally, I would like to express my deep and sincere gratitude to all the staff at BRAC, and BRAC university, especially Prof. Anwar Islam, Dr. Farah M. Ahmed and Mr. Nakib Rajib Anmed, who provided a great opportunity for our students to receive training, and to JICA, UNICEF and the many other organizations our students visited. Prof. Yoshiki AOKI Dean, Graduate School of International Health Development Nagasaki University 2 Introduction to the Field Trip 【Object】 The purpose of this field trip is to develop understanding and insight through field observation in developing countries about health promotion and other related projects, such as infectious diseases, maternal and child health, and local health and medical care systems. In addition, students are expected to view the actual field site after learning at school in the first semester, to learn how case studies are done in the field, to know about security management, and to develop understanding of the culture and environment and other things during the field trip to utilize these experiences for a long term internship in the second year of MPH. 【Method】 In 2118 and 2119, the field trip was in Bangladesh supported by BRAC*1, the largest NGO in Bangladesh and in the world. Students visited not only BRAC, but also other international organizations, such as ICDDR,B*2, JICA, UNICEF, and others, to observe and to have discussions with related personnel and students in Bangladesh. Furthermore, students had the opportunity to chair meetings and to gain experience of the logistics involved in developing their skills for international health activities. 【Main Field】 BRAC ICDDR, B (Dhaka and Matlab) JICA Bangladesh Office and JICA Project Site UNICEF Bangladesh Office Ministry of Health and Family Welfare *1: BRAC is the largest development NGO in Bangladesh and it develops projects for health, education, rural development, etc. in all parts of Bangladesh. In some cases, the Bangladesh government applies BRAC’s model of activities in its projects. BRAC has a graduate school for public health (MPH) (professors are invited from Harvard and other universities) where international students from Bangladesh, Africa, and other Asian nations are enrolled. *2: ICDDR,B (the International Centre for Diarrhoeal Disease Research, Bangladesh) is world-renowned center as well as a research area studying 200,000 local people. For more than 41 years, it has been studying health conditions of poverty-stricken people in tropical areas, taking measures and conducting activities for improving health case surveys and other studies. 3 Schedule Date Schedule Leader Reporter Departure Fukuoka (TG649) 11:45 Arrival Bangkok 15:15 4th Aug Tue − − <Overnight Stay in Bangkok> Departure Bangkok (TG321) 11:35 Arrival Dhaka 12:11 5th Aug Wed − − <Dhaka> 11:31 Orientation at BRAC Center 12:31 Lunch at BRAC Center (Restaurant Shuruchi) 14:11 Visit to ICDDR,B 6th Aug Thu Kawakatsu Toyoshima Lecture, discussion, tour within ICDDR,B 15:31 Participation in “Knowledge Fair” 16:31 Tea party with students and staff of BRAC University <Dhaka> 7th Aug Fri AM Recap meeting; PM Free Time <Dhaka> − − 8th Aug Sat Free Day <Dhaka> − − 11:31 Visit to the Program Support Office of the Ministry of Health and Family Welfare 9th Aug Sun Lecture and Q&A session Hitachi Tanaka 15:31 Visit to JICA Bangladesh Office Lecture and Q&A session <Dhaka> 9:31 Visit to BRAC Project Site in Sreepur Micro-finance Programme, Income Generating Project by Women, 11th Aug Mon Masunaga Takagi Discussion and Q&A Session 13:11 Human Rights and Legal Education Class <Dhaka> 9:31 Mother and Child Health Training Institute Lecture and Q&A session 11th Aug Tue 14:11 Visit to UNICEF; Lecture and Q&A session Koyama Masunaga 16:31 Departure for Matlab 21:11 Briefing at Matlab Health Center <Matlab> 9:11 Field Observation of HDSS by ICDDR,B in Matlab 12th Aug Wed Visit to communities, community clinics, sub-center clinic, Matlab Kikuchi Koyama Hospital, data collection room <Dhaka> 11:31 Midterm presentation by MPH students of Nagasaki at JPGSPH in 13th Aug Thu BRAC University − − 13:11 Lunch with professors at BRAC University <Dhaka>