Community Partners International's intrepid Fecal Sludge Management team, aka the Sludgebusters, play a vital if unglamorous role keeping latrines safe and hygienic in the Rohingya refugee camps in Cox's Bazar, Bangladesh. 

Seven years ago, Khin Aye went for a routine prenatal check-up while pregnant with her first child. The hospital staff conducted a blood test. “When the test came back, they told me I had hepatitis B.”

Thiri, 37, found out that she was HIV positive during a routine checkup while pregnant in 2013. She was afraid and alone. “I was so scared that others would find out that I had HIV so I didn’t leave the house for a long time. I couldn’t tell my parents.”

​Daw Thet Thet lives with her husband and two young daughters, a three-year-old and a baby of six months, in Hlaingtharya, a low-income suburb of Myanmar’s commercial capital, Yangon. A few months ago, Daw Thet Thet’s husband, a motorbike taxi driver, started coughing and having fever. Concerned about costs, they delayed seeking health care until the situation became serious.

For Rohingya refugees from Myanmar sheltering in Cox’s Bazar, Bangladesh, the months of June, July and August can be particularly risky. This is the monsoon season and the refugees’ flimsy bamboo and tarpaulin shelters offer little protection against severe weather and flooding. High population density combined with deforestation have created a high risk of landslides. Community Partners International (CPI) trains and equips a network of 80 Rohingya Community Health Volunteers (CHVs) to provide emergency preparedness, first response and rescue services to their communities during the monsoon season. CPI’s first responder training covers a range of key topics including cardiopulmonary resuscitation (CPR), wound care, hemorrhage control, and safe patient lifting and transportation. CHVs are equipped with rescue kits that include first aid supplies, a life vest, a head torch, stretchers and throw lines. We recently spoke to two CPI-supported CHVs, Rihana and Rohima, about the first response and rescue services that they provide to their community in Camp 1W of the Kutupalong Expansion Site in Cox's Bazar.