Achievements & Contributions

I am working as Prof. and Head of Department of Obstetrics and Gynecology at MCH Center, QPGMC, PIMS, and Islamabad. I am carrying out following duties and functions: –

  • I am responsible for arranging and planning a postgraduate training Programme in addition to organization, education, supervision and evaluation of the clinical work in my department.
  • I provide consultant/specialist advice to the staff and the patients under care of the unit placed under me and other disciplines in the hospital in the field of Obstetrics and Gynecology,
  • I supervise and direct research work in the subjects of my specialty for international multi-centre trials for maternal health and research for FCPS trainees.
  • I maintain continued liaison and coordination with other heads of departments for the best care and treatment of patients and advancement and research in medical sciences.
  • Provide patient services both in outdoor and indoor in addition to difficult and innovative surgery in gynecology. When I took charge in 1995 total no of deliveries were less than 1000, but in year 2001 no. of total deliveries increased up to 2632. In the same manner in 1995 total OPD attendance was 3000, and in year 2001 total no. of patients seen in OPD were 27,317.
  • Organization and management of Department of Obstetrics & Gynecology in MCH Centre till May 5, 2001.
  • Conducted workshops on Reproductive Health for all levels of health personals
  • Presented at  FIGO Congress in USA:
    – Comprehensive Maternal Health Data of ICT
    – KAP about maternal health and nutrition
    – Comparison of various modes of management in PROM
    – Admission biophysical profile in low risk labouring  women
    – Comparison of PGE2, Folley’s alone and folley’s with saline for induction of labour.
  • Presented PIMS Data on 1. Menopause in the plenary session in National Society of Obs and Gynae (SOGP) Karachi 2. Severe maternal morbidity The Nearmiss concept an indicator of maternal care. Presented at annual workshop of Population Council of Pakistan at Karachi.
  • Total numbers of patients seen 32503 OPD consultant involvement 23%
  • Total deliveries 3760, Surgeries 1249, Major 450, Minor 410, Endoscopic 389.
  • Organization of Special Clinics in the out patients:
    – Menopause 198
    – Infertility 1325
    – High risk 3014
    – Referral clinic 643
    – Ultrasound & Doppler facilities 4989
    – High risk day care ward 1588
    – Cervical Clinic.

Such special clinics are seen nowhere in Pakistan:

  • 100% result of FCPS-II two candidates appeared and passed the exam in first attempt.
  • Represented the GOP in the WHO Regional Symposium on Reproductive Health for Policy Makers, Programme Managers and Head of Reproductive Health (24-28 September, 2001) in Nairobi, Kenya.
  • In recognition of my services toward medical education and obstetrics and gynecology, I have been appointed as a Faculty of Medical Education and Faculty of Obstetrics and Gynecology, College of Physicians and Surgeons Pakistan, Karachi.
  • I performed all special assignments and duties assigned by the Executive Director.

PROFESSIONAL COURSES FACILITATED

  • Facilitator Objective Structured Clinical Examination, March 1999.
  • Facilitator Educational Planning & Evaluation, June 1999.
  • Facilitator Educational Planning & Evaluation, August, 1999.
  • Facilitator Objective Structured Clinical Examination, 10-12 March 2000.
  • Facilitator Educational Planning & Evaluation, 12-14 February, 2001.
  • Facilitator Educational Planning & Evaluation, March, 2002.

OFFICIAL REPRESENTATIVE OF GOVERNMENT OF PAKISTAN

  • ECO/UNFPA Conference on expanding Contraceptive choice and improving quality of Reproductive health programmes Istanbul, Turkey, on 07-11 May, 2000.
  • May 07 to June 17, 2001, Indicators of Maternal Health Group Training Course, Japan.
  • 24-28 September, 2001, WHO Regional Symposium on Reproductive Health for Policy Makers, Programme Managers and Head of Reproductive Health followed by Annual meeting of Regional Advisory Panel in Nairobi, Kenya.
  • Presented the Reproductive health policy of the GOP at the launching ceremony of the WOMEN HEALTH PROJECT of the GOP.

LINKAGES AND NETWORKING

International:

  • Participated in the International collaborative trial for the role of magnesium sulphate in the management of severe pre-eclampsia on mothers and babies. MAGPIE TRIAL by the Oxford Center of collaborative studies.
  • I’m working with the Oxford University Group for international collaborative trials for follow-up study of Magpie Babies. Started in the year July 2002.
  • I’m working with the Royal Free Hospital London on outpatient Hysteroscopy.
  • Advocate for the awareness and study of menopause and member of the International faculty of study of menopause of Duke University Programme.

National :

  • Worked for the National committee on Maternal Help in developing EAC protocols funded by UNICEF – Developed the protocol for postpartum hemorrhage.
  • Regular lecturer and facilitator for post-graduate course in Lahore and Peshawar for FCPS, MRCOG and MCPS candidates.
  • Facilitator for faculty and faculty members of department of medical education CPSP.
  • Initiated and implemented the present referral system and outreach Programme of MCH center with the ICT since 1997.

Local :

  • Facilitating research for (i) Health Services Academy (ii) Quaid-e-Azam University M. Phil candidates.

TECHNOLOGY DEVELOPMENT

  • Introduced daycare Hysteroscopy without general anesthesia on outpatient basis in the department and is now running for the last three years.
  • Developed a fully functional theatre for operative laparoscopy with backup facilities and disposable for operative gynecological laparoscopic surgery.
    Introduced color Doppler for the management of high-risk pregnancy in a Government hospital for the first time.
  • Day care ward for high-risk pregnancy improves patient services and facilitates and is a cost-effective means of managing such cases with limited resources. Day care services are convenient for the patient and their families.

MANAGEMENT & ADMINISTRATION

  • Head of Department of Obs & Gynae with 150 functional Obs & Gynae beds.
  • Successfully completed the MCH, JICA, project from brick and mortar stage to present stage with the state of art department and facilities in the countries. (see description of special assignment)
  • Established all the respective departments and specialized clinics as indicated below  from ab-initio.
  • As Programme manager UNDP, JICA, project used $ 100,000  to successfully publish the research findings and disseminate the results nationally and internationally by holding workshops in a span of 1 year.
  • As in charge MCH centre and manager training MCH JICA project from August 1996 to June 2000, a grant in aid project from the Government of Japan.  Successfully completed the Rs.800 million JICA project with about Rs.200 million for the Japanese experts and research. (see details under special project)

CONTRIBUTION TO THE IMPROVEMENT OF AN ORGANIZATION/ INSTITUTION’S SERVICES AND PROCESSES

  • In August 1996 the JICA MCH project was not yet approved. It was approved by the CDWP and finally by the ECNEC in December 1997 with the ground breaking ceremony held in January 1997.
  • Today there stands a fully functional MCH centre with 150-bedded in-door department with pathology, blood transfusion and radiology services for women.
  • A capacious well-organized outpatient department with general and specialized clinics.
  • A training centre with all the modern audio-vision facilities with residential facility for trainees.

HUMAN RESOURCE DEVELOPMENT

  • Successfully conducted numerous workshops for training of lady health workers, lady health visitors, nurses and doctors of all grades from MO to Consultants and Heads of other departments in safe motherhood disseminating the comprehensive maternal health indices data from ICT- Pakistan from February, 1997, till date.
  • Refresher training has been given to lady health workers, LHV and doctors of ICT in safe motherhood.
  • Supervised and trained 12 post-graduate trainees. At least 30 postgraduate trainees for FCPS- II and at least 15 for MCPS out of which 12 have passed FCPS since 1997, in the last 5 years and 5 have passed MCPS. At the moment 16 post-graduate trainees of FCPS-II are working under my supervision.

MCH JICA PROJECT: GOVERNMENT OF PAKISTAN AND GOVERNMENT OF JAPAN

SPECIAL ASSIGNMENT

SAFE MOTHERHOOD PROJECT 1ST JULY 1996 TO 30TH JUNE, 2001

Lead role in the inception, Publication, Presentation and Supervision of research conducted by MCH JICA project and implementation in the form of numerous workshops for health personnel of ICT area. See attached research reports and workshop reports for details:

Comprehensive Maternal Health Studies in Pakistan:

  • Volume-I – Referral Level Hospital Survey – Prof. Ghazala Mahmud, Dr. S. Batool Mazhar,
    Dr. Tamotsu Nakasa
  • Volume-II – Health Facility Surveys – Prof. Ghazala Mahmud, Dr. Gul N. Rehman, Dr. Hirose Fuchigami, Dr. Tamotsu Nakasa
  • Volume-III – Household Surveys – Prof. Ghazala Mahmud, Dr. S. Batool Mazhar, Dr. Tamotsu Nakasa
  • Volume-IV – Community Surveys – Dr. Kausar Iqbal, Dr. Ayesha Mukhtar,
    Ms. Yukiko Hasebe

Supervised Production of the following materials :

  • Pictorial Manual for LHWs to train mothers in Safe Motherhood practice.
  • Maternal Health Education PamphletsHas worked as Manager Training in MCH Project, MCH Center, and PIMS Islamabad.

UNDP Project:

Project Manager UNDP MCH Project.

Organized a International Workshop Nov. 1999 to disseminate research was produced by the MCH JICA Project.

Published the UNDP workshops reports which include One International Workshop one National Workshop and three local workshops for health personal i.e. LHWs, LHVs.
Organization and management of Department of Obstetrics & Gynaecology in MCH Center till May 5, 2001.

Organization of Special Clinics in the out patients:

  • Menopause,
  • Infertility,
  • Menstrual irregularity clinic
  • High risk,
  • Referral clinic,
  • Ultrasound & Doppler facilities.
  • High-risk day care ward,
  • Cervical Clinic and
  • Urogynaecological clinic.

Such Special Clinics are seen nowhere in Pakistan.

Organization of Special Areas in the in patients department i.e.

  • Emergency ward
  • Labour room
  • High dependency area
  • Operation theatre
  • Gynae and
  • Antenatal ward
  • Postnatal and
  • Private ward
  • Isolation ward.

Organization & implementation of out reach programme for ICT.

Established a liaison with primary health centers by continuing the outreach community health programme started with the MCH project.

Conducted workshops on Safe Motherhood for LHWS and LHV, s for northern areas i.e. Gilgit and gave them practical training.

Conducted workshops on Reproductive Health for all levels of health personals.

CONTRIBUTION TO THE IMPROVEMENT OF AN ORGANIZATION/ INSTITUTION’S SERVICES AND PROCESSES

  • In August 1996 the JICA MCH project was not yet approved. It was approved by the CDWP and finally by the ECNEC in December, 1997, with the ground breaking ceremony held in January, 1997.
  • Today there stands a fully functional MCH centre with 150-bedded in-door department with pathology, blood transfusion and radiology services for women.
  • A capacious well-organized outpatient department with general and specialized clinics.
  • A training centre with all the modern audio-vision facilities with residential facility for trainees.

JUSTIFICATION FOR MERITORIOUS RECOGNITION INSTITUTIONAL BUILDING

Played an anchor woman role since 1996 to the present setup of MCH. It can claim to be one of the most prestigious institution in the country in the specialty of Gynae and Obs. Worked as the key person and team leader for the research and training component of the MCH, JICA Project from August 1996 to June 2001 in the MCH, JICA Project.

PATIENT CARE

Played a key role in the provision of increasing first rate patient care services at MCH in all sub-specialties of Gynae and Obs.

TRAINING CARE

MCH has already become a prestigious and a leading postgraduate training centre in Pakistan. The standard of training to post-graduate students at MCH is now recognized in terms of past percentages and job opportunities.

LEADING RESEARCH CONTRIBUTION

Raised the level of research papers at MCH to a level that these are now being published in the leading professional international journals of the world. e.g. “The Lancet”.

MEDICAL EDUCATION

The department has excelled in the field of medical education as well and has also become and important training centre in this fast emerging field.

Generation of funds for MCH

Financial Year

In Door

Out Door

Total

1998 – 99

1,064,795

495,330

1,560,125

1999 – 00

5,555,265

1,246,399

6,801,664

2000 – 01

8,430,520

3,549,327

11,979,847

2001 – 02

10,484,535

4,621,152

1,510,5687

2002-2003

13037374

6000515

19037889

2003-2004

14214884

6665411

20880295

2004-2005

15251866

7274710

22526576

PERSONAL ACADEMIC ACHIEVEMENTS AND PROFESSIONAL RECOGNITION

FRCOG confirmed. I am a leading examiner for FCPS and MCPS exam and inspector for PMDC & CPSP College of Physicians & Surgeons of Pakistan (CPSP). I am also a faculty member on the CPSP Medical Education Faculty. Worked at Oxford University and published in US leading professional journals “Sterility & Fertility”. Also contributed extensively in international books published abroad.

HONOURS AND AWARDS

  • Fellow of the Royal College of Obstetricians & Gynecologists 1999. FRCOG.
  • Commonwealth Teaching fellowship at University of Oxford 1993-94.
  • JICA trainee for International MCH indices, from 7th of May, 2001 to 15th June, 2001.
  • Recipient of cash award of Rs.3.6 lacs as Productivity allowance from the Ministry of S&T, Government of Pakistan in the year 2003-04.
  • JICA trainee for International MCH indices,  from 7th of May, 2001, to 15th June, 2001, Japan.
  • Awarded “Mohtarma Fatima Jinnah Gold Medal Award” in lieu of services in public health sector for improvement in woman health in particular safe motherhood, especially in emergency obstetric care.