Nina is in Cox’s Bazar, Bangladesh, where MSF / Doctors Without Borders are providing medical care to Rohingya refugees. More than 620,000 have fled violence in neighboring Myanmar since August 2017.

As a doctor or a nurse, you feel responsible for everyone under your care.

Recently I was finding it difficult to deal with the number of children that were dying in the Kutupalong clinic; about one child under five dies in the facility every day. When I worked in the UK, I think I only ever saw two children die.

I was worried that I was not doing the right thing, getting the right diagnosis or giving the right treatment. I was feeling a bit demoralized on the way to work, so I decided to do a ward-round with the other international staff doctor to see if there was any room for improvement.

In the neonatal ward, we had three babies weighing less than 1.5kg (around 3 lbs)  – not an uncommon scenario. One was born about two months prematurely. We were doing our best with a similar treatment combination to the three-year-old’s: antibiotics, oxygen, feeding and in this case, ‘kangaroo’ mother care. Kangaroo care means keeping the baby in skin to skin contact with a carer. Research shows that it has various benefits, including helping to regulate a baby’s temperature, so it’s particularly useful in environments where access to incubators is limited.

Read the full article by Nina Goldman about refugee care from Doctors Without Borders