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NEWS & Events


January at AHC


  January 2008 Year to Date Total
Outpatient

8,509

8,509

517,245

Inpatient

230

230

22,767

Intensive Care Unit

50

50

3,322

Low Acuity Unit

80

80

6,965

Emergency

589

589

82,222

Surgery

105

105

8,213

Home Care

209

209

10,524

Dental Care

874

874

88,290

Eye Care

309

309

10,252

ARV Treatment
12
1
444
Lab Tests

3,908

3,908

260,597




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Education

Since its inception, AHC has had a strong commitment to education - education for hospital staff, for families, and for Cambodian health workers from around the country. This month’s newsletter is intended to highlight some of the educational activities that occurred in January.


AHC nurse Heng Phanoeurn teaches parents how to recognize signs and symptoms of dehydration



Staff Development


Dr. Nget leads Lunchtime Lectures for AHC Medical Staff (left)
Dr. Varun Kumar provides an afternoon lecture to AHC's junior doctors (right)

Continuing education for AHC staff is designed to enhance their professional development in practice, education, administration and research, which ultimately benefits the health of the children and families they serve.

In January, education and training for hospital medical staff included ongoing programs such as AHC’s Curriculum for Junior Doctors, regional workshops, as well as our own “Lunchtime Lectures” series. The lecture series in January included a variety of topics, such as:
- “Mortality review” (Dr. Nget and Dr. Peng An)
- “PDA surgery at AHC” (Dr. Lyda)
- “Deformities of the lower limbs” (Dr. Godner)
- “Effects of anit-parasite medications on anemia” (Dr. Heng)

For our Nursing Department, ongoing educational opportunities included daily patient conferences, weekly nursing presentations as well as a weekly doctor’s lecture for nurses. Also in January, more than 60 AHC nurses completed a review of First-Aid training and CPR conducted by a visiting team of volunteer specialists from Medical Teams International.

Congratulations are also in order for a few of our staff members who successfully went to Phnom Penh this month and sat for International English Language Testing System (IELTS) examinations: Seng Phearum (scored 5.0), Duong Vibol (scored 6.0) and Dr. Chheng (scored 7.0)


Som Chamroeun conducts basic English class for hospital housekeeping staff


Research


More and more each year, AHC staff recognizes the importance of conducting and sharing research. A tremendous advantage in this endeavor has been the recruitment of Sarah Tarquinio, who is volunteering at AHC for one year through the Australian Youth Ambassadors for Development (AYAD) program. Sarah is volunteering her time as a research assistant to help AHC’s senior medical staff develop and compile their theses to present to the University Health Sciences (UHS) in Phnom Penh.

AYAD volunteer research assistant Sarah Tarquinio works with Dr. Pheaktra to help prepare his thesis


International Volunteers

International volunteers continue to be invaluable learning resources for AHC staff members. In January, more than 40 volunteers from around the world generously donated their time, including volunteers from Australia, Canada, England, Germany, Netherlands, New Zealand, Singapore and the USA.

Medical and surgical specialists spent time working alongside the Cambodian doctors. In addition to providing scheduled lectures and workshops, volunteers often provide one-to-one supervision and mentoring of junior medical staff.


Dr. Marvin Garnder (USA) mentors AHC's Dr. Seng Vannara.
This is Dr. Marvin’s sixth year of volunteering at AHC.



Family Education


AHC staff Ms. Heng Chan teaches mothers how to cook healthy food (left)
More than 130 parents in January learned how to provide simple at-home treatments to their children with diarrhea (right)

Thousands of parents are provided education each month at AHC. A variety of methods (DVDs, flipcharts, pamphlets) are used each day to help families better understand how to care for the children both in the hospital and when they return to their homes. The focus remains on providing basic information on the diseases and conditions most affecting Cambodia’s children.

The cornerstone of providing education to families is individual bedside teaching. AHC has implemented several innovative approaches to help parents better care for their children. Programs such as demonstration cooking classes target mothers with malnourished children; the Oral Rehydration Corner teaches parents how to treat simple diarrhea at home; and our Phsyiotherpay department teaches parents how to provide simple exercises at home for special needs children.

In January, education extended outside the hospital as well and reached several hundred families and children. In addition to teaching during individual family visits, our Home Care staff spent time with more than 120 children and caretakers at various local organizations, covering such topics as how to prevent diarrhea, the importance of vitamin A and basic nutrition, and the appropriate use of medications.

Our Dental Outreach programs taught more than 700 children and parents at local schools and Health Centers about basic dental hygiene, and gave each of the children a toothbrush to take home. Our Eye Clinic program lectured to more than 120 teachers and students at Chong Khneas School on blindness prevention.



AHC Dental Nurse Chuo Chanthol teaches local schoolchildren
on how to correctly use a toothbrush

 


Training For Rural Hospital Staff

Approximately 85% of Cambodia’s population lives in the countryside and for many of these families access to appropriate health care facilities is extremely limited. Responding to this need, AHC has developed a Pediatric Basic and Emergency Care (PBEC) course for rural based doctors and nurses which we conduct twice a year. The goal of this training course is to produce doctors and nurses who can practice pediatrics safely, ethically and competently in their own facility, leading to better pediatric care in rural areas and children would be much more likely to receive adequate treatment at their local facility instead of having to travel to AHC.

In January, 7 doctors employed at rural government hospitals began the two month PBEC course at AHC. An additional 9 nurses from these facilities began the one month PBEC course designed for nurses. Rural hospitals participating include Preah Vehear, Kranlanh, Sotnikhum, Anlong Veng, and Mogkol Borei.


AHC Dr. Kheng Chhheng teaches doctors from rural government hospitals (left)
AHC Nurse Khlu Khly teaches nurses from rural government hospitals (right)

 


IMCI Training Site

One of the plans by the Cambodian Ministry of Health (MOH) for improving child survival includes the adoption of the Integrated Management of Childhood Illness (IMCI) strategy. The WHO-led IMCI strategy aims include strengthening the skills of health workers in child illness case management; promoting health service; delivery with supportive supervision; management and referral systems and essential drug supply for child health; and promoting appropriate family and household practices.

For more than three years AHC has acted as a MOH designated site for IMCI training, playing a key role in improving the quality of pediatric care for the entire country. AHC remains one of only two hospitals in Cambodia chosen by the MOH to host these IMCI training sessions.

In January, two of the two-week IMCI training sessions were held at AHC. In total 48 Cambodian health workers from the rural areas of Mongkol Borie, Thmor Puok and Kralanh completed the training this month.


Dr. Pheaktra leads IMCI group (left)
IMCI training participant practices assessment skills in AHC’s Outpatient Department (right)

 


Helping to Revise National Health Care Guidelines


More than just focusing on constantly trying to improve the quality of care for children arriving at AHC, the staff is also committed to working on improving the standards of care for all Cambodian children. To this extent, at the request of the Ministry of Health, several AHC doctors will be helping to revise the national Clinical Practice Guidelines. Dr. Pheaktra will be working on Pediatric care guidelines, Dr. Vuthy will be contributing to surgical care guidelines, and Dr. Leakheana will assist with developing guidelines for Avian Influenza.

 


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