On the Other Side of the Himalayas
Guests from Tajikistan with the NICU team at Aga Khan University Hospital
 
NICU Training · Karachi ↔ Khorog

On the Other Side of the Himalayas

Dr Shoista Mamadnazarbekova, a neonatologist, and Ms Manizha Payshanbieva, a nurse from Aga Khan Medical Centre, Khorog, Tajikistan, attend a three-week neonatal training programme at Aga Khan University Hospital Pakistan – AKUH

Aga Khan University Hospital · Centre of Excellence for Women and Child Health · Late August 2026

Late August, two people from Tajikistan arrived at the Aga Khan University Campus, amidst the pink walls and calming greenery.

At the Centre of Excellence for Women and Child Health, Dr Shabina Ariff welcomed Dr Shoista Mamadnazarbekova, a neonatologist, and Ms Manizha Payshanbieva, who had been selected to undergo the intensive NICU training.

Dr Shoista Mamadnazarbekova works as a neonatologist while Ms Manizha Payshanbieva works as a nurse at the Aga Khan Medical Centre, Khorog, Tajikistan. Under the NICU Training Opportunities programme led by Dr Shabina Ariff, a three-week training was established for them.

A welcome meeting at the Centre of Excellence for Women and Child Health
A warm welcome at the Centre of Excellence for Women and Child Health.

A first day of discovery

On the first day, the pair was briefed about their daily schedule and learning opportunities through a ROTA and were given a tour of the state-of-the-art NICU facilities at Aga Khan University Hospital.

Dr Shabina Ariff took the guests around the campus, introducing them to the hospital and nursing school, as well as the clinics and medical college. They toured the NICU thoroughly, meeting all the clinical and nursing staff who they were going to work with for the duration of the program.

Clinicians gather on the unit for a briefing
Introductions and briefings on the unit.
A group of women pose together
New colleagues, new friendships.

Hands-on at the bedside

The pair joined the NICU staff in clinical rounds, observed neonatal care practices, and gained hands-on experience in the care of small and vulnerable newborns, including the use of CPAP technology.

Clinicians and nurses gather around an incubator in the NICU
Clinical rounds in the NICU.
We learned many new skills and we hope to share them with our colleagues back home. Dr Shoista Mamadnazarbekova

The NICU training consisted of

  • 01Delivery Room Management & Neonatal Resuscitation
  • 02Non-Invasive & Invasive Mechanical Ventilation in Neonates
  • 03Patient review meeting
  • 04Neonatal Resuscitation Program
  • 05Management of Respiratory Distress & CPAP use
  • 06Necrotizing enterocolitis
  • 07Patient review meeting
  • 08Neonatal Feeding & Use of Human Milk Fortifier
  • 09Neonatal respiratory disorders & CPAP Mechanics
  • 10Complications of Prematurity & their Assessment
  • 11Management of Hypoglycemia and Hyperglycemia
  • 12Neonatal Jaundice, Phototherapy indication and Management
  • 13Fluids and Electrolyte Management

They resided on-campus during their stay, for ease of access to the hospital and NICU facilities. Their time at the campus was full of networking, knowledge exchange, and getting to know new people along with the culture and traditions of Pakistan.

Nurses practise a procedure on a neonatal training manikin
Practising neonatal skills on a training manikin.
Two guests seated in the classroom
Attentive in the classroom.
Two guests seated with notebooks
Learning alongside AKUH staff.

“I have worked at Aga Khan Medical Centre Khorog for around 9 years. We got this unique opportunity to come to AKU and learn more about neonatology. The most important training we received here was how to operate the CPAP machine. I have seen some new procedures, like inserting picoline for parental feeding, which I had never witnessed before, along with putting the needle in the umbilical and arterial vein. We have been taught many procedures that we haven’t done in our NICU before. We learned many new skills and we hope to share them with our colleagues back home.”

— Dr Shoista Mamadnazarbekova

“Thank you very much to AKU for their help and support during the training. I learned many new things specially in NICU for the care of newborns. I am very happy that I got the chance to gain this experience and I will take this knowledge back home and share with my colleagues. I am grateful to the NICU nurses for their support.”

— Ms Manizha Payshanbieva

A gift to save newborn lives

The NICU has gifted two CPAP machines for Aga Khan Medical Centre, Khorog, along with tutorial videos of operating the equipment so that it can be used to save newborn lives.

In pictures

Aga Khan University Hospital · Centre of Excellence for Women and Child Health​