Sayeba Akhter
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Sayeba Akhter (born 1953) is a Bangladeshi physician who has dedicated her career to eliminating
obstetric fistula Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may i ...
. She is an executive member of the International Society of Obstetric Fistula Surgeons and has previously served as the president of the Obstetrics and Gynaecology Society of Bangladesh. She leads two charities, in Dhaka and Gaibandha, which focus on the education of underprivileged girls. In recognition of her contribution in medicine, the
government of Bangladesh The Government of the People's Republic of Bangladesh ( bn, গণপ্রজাতন্ত্রী বাংলাদেশ সরকার — ) is the central executive government of Bangladesh. The government was constituted by the Con ...
awarded her the country's second highest civilian award
Ekushey Padak Ekushey Padak ( bn, একুশে পদক; lit. "Twentyfirst Award") is the second highest civilian award in Bangladesh, introduced in memory of the martyrs of the Bengali Language Movement of 1952. The award is given to recognize contribut ...
in 2020.


Early life and education

Akhter was born to M A Malek and Mahmuda Khatun in
Chittagong Chittagong ( /ˈtʃɪt əˌɡɒŋ/ ''chit-uh-gong''; ctg, চিটাং; bn, চিটাগং), officially Chattogram ( bn, চট্টগ্রাম), is the second-largest city in Bangladesh after Dhaka and third largest city in B ...
. She has said that she was inspired to help young mothers by the devotion of the doctors she met during her medical training. Dr. Akhter earned her medical degree at
Chittagong Medical College Chittagong Medical College (CMC) is situated in the port city of Chattogram, Bangladesh and is the oldest medical college in the south-eastern part of the country. It is affiliated with a tertiary level hospital where clinical students are tra ...
.


Research and career

She served as Head of the
Obstetrics and gynaecology Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...
Department at
Dhaka Medical College and Hospital Dhaka Medical College and Hospital (abbreviated DMCH) is a public medical college and hospital located in Dhaka, the capital city of Bangladesh. It houses medical school as well as a tertiary care hospital on one campus. The country's first ev ...
. In 2000 Akhter created a low cost Uterine
balloon tamponade Balloon tamponade usually refers to the use of balloons inserted into the esophagus, stomach or uterus, and inflated to alleviate or stop refractory bleeding. Esophagus or stomach When inserted into the esophagus or stomach, balloon catheters are ...
(UBT) from a
catheter In medicine, a catheter (/ˈkæθətər/) is a thin tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Cath ...
and a
condom A condom is a sheath-shaped barrier device used during sexual intercourse to reduce the probability of pregnancy or a sexually transmitted infection (STI). There are both male and female condoms. With proper use—and use at every act of in ...
. At the time she created the UBT, around 40% of maternal deaths in
Bangladesh Bangladesh (}, ), officially the People's Republic of Bangladesh, is a country in South Asia. It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of . Bangladesh is among the mos ...
occurred due to
postpartum haemorrhage Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for ...
. She created the UBT to prevent bleeding after childbirth and the total cost is less than $5. Her device has made a considerable impact on women's health worldwide, saving mothers from suffering
postpartum bleeding Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for ...
. The approach became known as ''Saeyba's Method,'' and has been taught to doctors and midwives in
developing countries A developing country is a sovereign state with a lesser developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition is not universally agreed upon. There is also no clear agreem ...
.
Obstetric fistula Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may i ...
is common in
Bangladesh Bangladesh (}, ), officially the People's Republic of Bangladesh, is a country in South Asia. It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of . Bangladesh is among the mos ...
because of the number of child brides who are not physically prepared for child birth. Alongside being physically unprepared, young women suffer from social stigma when asking for help, and there is a shortage of doctors trained to handle the condition. In 2005 Akhter opened a national centre at the
Dhaka Medical College and Hospital Dhaka Medical College and Hospital (abbreviated DMCH) is a public medical college and hospital located in Dhaka, the capital city of Bangladesh. It houses medical school as well as a tertiary care hospital on one campus. The country's first ev ...
where she trained doctors to repair
fistula A fistula (plural: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") in anatomy is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow or ...
. She established the centre in collaboration with the
United Nations Population Fund The United Nations Population Fund (UNFPA), formerly the United Nations Fund for Population Activities, is a UN agency aimed at improving reproductive and maternal health worldwide. Its work includes developing national healthcare strategies ...
''Campaign to End Fistula'' after studying the Addis Ababa Fistula Hospital in
Ethiopia Ethiopia, , om, Itiyoophiyaa, so, Itoobiya, ti, ኢትዮጵያ, Ítiyop'iya, aa, Itiyoppiya officially the Federal Democratic Republic of Ethiopia, is a landlocked country in the Horn of Africa. It shares borders with Eritrea to the ...
. The programme started with one month of training and was funded by the
Islamic Development Bank The Islamic Development Bank ( ar, البنك الإسلامي للتنمية, abbreviated as IsDB) is a multilateral development finance institution that is focused on Islamic finance for infrastructure development and located in Jeddah, Saudi A ...
. Between 2005 and 2011 the centre treated almost four hundred patients, and taught the patients income generating activities so that they could become more independent once they left hospital. In 2009, she was fired from
Bangabandhu Sheikh Mujib Medical University Bangabandhu Sheikh Mujib Medical University (BSMMU) is a graduate medical university in Bangladesh. It was established in 1965. The university offers postgraduate degrees only, not offering undergraduate medical or dental degrees. History Est ...
. MAMM's Institute of Fistula and Women's Health (MIFWOH), was formally established by Akhter in 2012. In 2008 she was elected President of Obstetrics and Gynaecology Society of Bangladesh. She has been involved with the
International Federation of Gynaecology and Obstetrics The International Federation of Gynaecology and Obstetrics, usually just FIGO ("fee'go") as the acronym of its French name Fédération Internationale de Gynécologie et d'Obstétrique, is a worldwide non-governmental organisation representing ob ...
(FIGO) since then, serving on the ''Committee for Genital Trauma''. Together they developed the Fistula Surgery Training Initiative and FIGO Global Competency-Based Fistula Surgery Training Manual. A shortage of specialist surgeons means that only one in every fifty women has access to a trained surgeon. Alongside increasing the capacity of Bangladesh's doctors and surgeons, Akhter has worked with the
Government of Bangladesh The Government of the People's Republic of Bangladesh ( bn, গণপ্রজাতন্ত্রী বাংলাদেশ সরকার — ) is the central executive government of Bangladesh. The government was constituted by the Con ...
on reducing the prevalence of
obstetric fistula Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may i ...
in
Bangladesh Bangladesh (}, ), officially the People's Republic of Bangladesh, is a country in South Asia. It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of . Bangladesh is among the mos ...
. In 2017 the
Government of Bangladesh The Government of the People's Republic of Bangladesh ( bn, গণপ্রজাতন্ত্রী বাংলাদেশ সরকার — ) is the central executive government of Bangladesh. The government was constituted by the Con ...
raised the legal age of marriage, meaning that women had to be over eighteen. In 2019 it was announced that Akhter and FIGO had trained over 50 surgeons who had provided over 7,500 repair operations in Africa and Asia. Recently Akhter has worked with
Rohingya people The Rohingya people () are a stateless Indo-Aryan ethnic group who predominantly follow Islam and reside in Rakhine State, Myanmar (previously known as Burma). Before the Rohingya genocide in 2017, when over 740,000 fled to Bangladesh, an ...
who have fled from
Myanmar Myanmar, ; UK pronunciations: US pronunciations incl. . Note: Wikipedia's IPA conventions require indicating /r/ even in British English although only some British English speakers pronounce r at the end of syllables. As John C. Wells, Joh ...
to
Bangladesh Bangladesh (}, ), officially the People's Republic of Bangladesh, is a country in South Asia. It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of . Bangladesh is among the mos ...
.
Rohingya The Rohingya people () are a stateless Indo-Aryan ethnic group who predominantly follow Islam and reside in Rakhine State, Myanmar (previously known as Burma). Before the Rohingya genocide in 2017, when over 740,000 fled to Bangladesh, an ...
women and girls have limited access to
hygiene Hygiene is a series of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refer ...
,
family planning Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marita ...
and
maternal health Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. In most cases, maternal health encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ens ...
.


Awards and honours

Akhter has won several awards and honours, including the
Anannya Top Ten Awards Anannya Top Ten Awards ( bn, অনন্যা শীর্ষ দশ পুরস্কার) is the prize for women in Bangladesh recognition of contribution to the fields of agriculture, industrial, trade, economics, acting, music, sports, ...
, Women Super Achiever Award,
Mother Teresa Awards The Mother Teresa Awards, officially called the Mother Teresa Memorial Awards for Social Justice, are international and national awards presented annually to honour individuals and organizations that promote peace, equality and social justice, and a ...
and Lifetime Achievement Award. She holds an honorary Fellowship of the
Royal College of Obstetricians and Gynaecologists The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is ...
, the Indian College of Maternal and Child Health, the
College of Physicians and Surgeons Pakistan The College of Physicians and Surgeons Pakistan ( ur, , abbreviated as CPSP) is a regulatory college established in 1962 by a special act of the Parliament of Pakistan to oversee the postgraduate medical education and professional development. I ...
and the Indian Academy of Obstetrics & Gynaecology.
Government of Bangladesh The Government of the People's Republic of Bangladesh ( bn, গণপ্রজাতন্ত্রী বাংলাদেশ সরকার — ) is the central executive government of Bangladesh. The government was constituted by the Con ...
awarded her the country's second highest civilian award
Ekushey Padak Ekushey Padak ( bn, একুশে পদক; lit. "Twentyfirst Award") is the second highest civilian award in Bangladesh, introduced in memory of the martyrs of the Bengali Language Movement of 1952. The award is given to recognize contribut ...
in 2020.


References

{{DEFAULTSORT:Akhter, Sayeba Bangladeshi women academics Bangladeshi women scientists Bangabandhu Sheikh Mujib Medical University alumni Women gynaecologists Bangladeshi obstetricians 1953 births Living people