Yangon, Myanmar

BMT training course. Yangon, Myanmar. December 9th and 10th 2017

Myanmar is a low-middle-income country in Southeast Asia, with a rich cultural and socioeconomic background, variable communication and transport obstacles. Up until 2012, childhood cancer management was particularly challenging, with a scarcity of human resources, quality improvement initiatives, and limited treatment outcomes. There are only 2 centers for childhood cancer treatment in Myanmar, Yangon Children’s Hospital and Mandalay Children’s Hospital.
(Tint Myo Hnin and al. 2017)

Nurses No Frontiers and European society for Blood and Marrow Transplantation Nursing Group (EBMT NG) in collaboration with Childhood Cancer International (CCI) and Yangon Children Hospital  organised the first training course for HSCT nurses in in December 2017.

Over 100 nurses attended from both centers, Yangon Children’s Hospital and Mandalay Children’s Hospital, and they were extremely interested in many topics, especially on BMT complications.

A questionnaire in order to assess nurses education, patient assessment knowledge and learning preference, was distributed  months before  the meeting.

Most of the nurses are Diploma and Bachelor’s degree, Master’s degree course is available, however nurses don´t have the opportunity to attend it currently. For the first time, nurses from Myanmar involved in management of paediatric, AYA  and adult patients that have undergone bone marrow transplant, had the opportunity  to share experience and to improve knowledge and skills  .

 

 

Training course was organised  over two days, first day on December 8th  oral presentations, focused on evidence based quality of care in BM transplant, principles of conditioning, nutrition, BMT complications management such as, Mucositis, GvHD, Haemorrhagic Cystitis and Infection control.

 

 

The second day, December 9th  we had the opportunity to have  Mauro Pittiruti  on the team, so apractical course on central venous devices management  was held, particularly focused on peripherally inserted central lines (PICCs), with a large participation of doctors from different hospitals across the country.

 

 

 

We also had the opportunity to visit Yangon Children´s Hospital, Paediatric ward, laboratory and blood bank.

 

 

“Plans are under way to further develop capacity across other dimensions of the health care system, including plans to increase and enhance facilities, improve the diagnostic and treatment services, including palliative care, increase the financing and supportive policies locally, and enhance family support and partnerships. “(Tint Myo Hnin and al. 2017) for that reason we  look forward to continue our collaboration with a second step, an advanced training course focused on management of adult and paediatric patients undergoing BMT, using the new technologies possibilities such as on-line follow up, courses.

References:

  • National capacity-building initiatives for childhood hematologic malignancies in Myanmar. Tint Myo Hnin, Aye Aye Khaing, Yi Yi Kyaw, Catherine G. Lam, Carlos Rodriguez- Galindo, Robert Carr, LizBurns, Htaik Tint Tun, Pe Thet Khin