HEALTH DEVELOPMENT

HEALTH DEVELOPMENT

The goal is to significantly increase the number of health days per person in the project area. This is done by addressing both curative and preventative health care issues.

Curative health care is addressed through focusing on two parameters: the ready availability of health care and the quality thereof. In order to do this we must realize that not all health issues require the same level of expertise or urgency. We must match the level of expertise and the level of urgency to the health issue being faced. We can do this by using the following structures: community health workers and local dispensaries, on-call doctors, traveling doctors and nurses, a network of cooperating health care facilities and a medical assurance program.

Preventative care is usually not a felt need in the village. But as the non-profit organization and community health workers develop relationships with the people and earn their trust by treating their felt-needs, then an avenue opens up for training.  When this training begins to display results, others will join the program.

SONU IS ALIVE AND WELL!

Jayatri is a poor, low caste Hindu. Her husband left her for another woman, leaving her and her 10 year old son destitute. She works as a domestic helper to pay the bills. We met her when she worked briefly at our house.

 
One day a few months after she took another job, she arrived at our gate, distraught, with her unconscious son, Sonu, in her arms. We took them in and managed to revive the boy. Through broken stories we pieced together a tentative, non-professional diagnosis: it was either an advanced stage of meningitis or cerebral malaria, but either way the boy was dying.
 
We called a doctor friend and took Jayatri and Sonu in to see him. Because we were there as guarantors, the boy was received and treated. He was immediately admitted into hospital and blood and spinal fluid tests were done. The results:  tubercular-meningitis. 
 
The doctor wanted to just let the boy die at this point. But I insisted why? He said that he could treat and cure the meningitis, but that the boy would eventually die of tuberculosis anyway. Again I asked why – because many doctors in India refuse to treat poor, uneducated patients for tuberculosis. It seems they begin to take the medicine and start to feel much better after a few doses, so they stop taking the medication. The result is a mutated disease; it kills the patient anyway, and possibly spreads a new strain of tuberculosis that is immune to treatment with the current medications, thus killing many more people. 
 
I gave the doctor my person guarantee that she would carry the course of medication through the entire 6 month regime. The doctor and I explained forcefully to the mother that if Sonu didn’t take the full 6 months of medication that he would die. I then arranged with a local pharmacist to give her the medication on a weekly basis and to put it on a line of credit for me to pay later.    Thus there was no downside for the woman – I paid the bills and her son got better. There was accountability through the pharmacist who would only give her a week’s worth of medication at a time, preventing her from selling it – this satisfied the skeptical doctor. 
 
At the end of the six months of medication, Jayatri and Sonu disappeared from our lives. But three years later, a strapping young lad of 14 arrived at our gate to thank us for what we had done for him.