Public Health and Human Rights
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Source: Community Health Cell
A Report on the Community
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Page 0 of 32
Community Health Learning Programme (CHLP)
June 2008 to February 2009
M. Karibasappa
Summary of the Report
Looking back
It has been for the past five to six years, that I have been involved with working with
communities on issues related to child rights and child labour, women’s self-help groups, the
National Rural Employment Guarantee Act 2005, Right to Information (RTI), Public
Distribution System (PDS), Integrated Child Development Scheme (ICDS) etc. I have also been
a part of different struggles, dhamas, and conducted dialogues and training sessions as well.
During this time, I was introduced to “lanaarogya Aandolana - Karnataka (JAA-K)”.
Having attended two workshops conducted by JAAK, facilitated by Premdas and Prasanna, I
learnt the basics of health, health rights’, primary health care and the Alma Ata declaration.
While attending the State-level workshop, I came to know about the Community Health
Learning Programmme. To me, the Programme meant an opportunity to get a job.
However during the course of the orientation, I realized that was a learning programme.
It set us thinking when we confronted questions like “What is your objective?”, we were guided
to plan our own activities towards the end of the “9-month learning programme”. That the
organization invested this sort of efforts, money, human resources in a programme of this
manner, came as a surprise to me. This was itself a learning point.
There have been instances in my life, which scared me. The five weeks CHLP
orientation programme is one. Since it was conducted in English, I was apprehensive about my
learning’s from the programme. But, after the first day, my fears were laid at rest. My only
regret was that I did not know the language. Not knowing the language was a disadvantage, as I
was not able to participate in discussions with my fellow participants. This cut my chances of
opting for a placement to other states too. But, it did not deter me from making good use of the
programme as an opportunity for learning. Over the course of the programme, the fear of the
language disappeared and set me thinking about the things being taught, beyond the framework
of language.
Earlier, my concept of health was limited to medicines, pills, injections and a few stray
health programmes. After a series of lectures, field visits, discussions, dialogue, going through
books on community health and related subjects from the CHC library, posters on health put up
on the walls, I could understand the phrase “Health Right is Human Right”, and learnt about
various movements like the Peoples’ Health Movement (PHM), lana Swasthya Abhiyana (JSA),
and lanaarogya Aandolana - Karnataka (JAAK). My eyes opened to the concept of health as a
financial, social, political and cultural wellbeing of a person (SPEC).
Before I came into contact with JAA-K and signed up for the fellowship programme, I was
angry about the way Government doctors functioned - the corruption, mishandling and so on.
But, as the fellowship programme got under way, I realized that a lot of them work under
immense pressure and for a measly salary with no proper infrastructure. In spite of all this, there
are many who do an honest day’s work. I hadn’t realized that there was a need to work with and
support them in an effort to take health to the community. The internship programme helped put
things in perspective and think of solutions to the current problems facing the health systems.
Page 1 of 32
Learning objectives
i.
ii.
iii.
iv.
v.
vi.
To understand the public health system
To increase knowledge about primary health care
To better understand health as a human right
To find out ways to utilize the Right to Information Act (RTI) 2005 in the Health System
To explore the link between herbal medicine and the community
To know the link between health and schemes like NREGA, PDS, ICDS and RTI.
My Learning
1) I learnt about Public Health and Health Rights’
2) I came to know about the socio-financial-politico-cultural analysis
3) Issue-based learning
4) Personal growth
5) Skills learnt
• To file public petitions
• To conduct trainings
• To organize fact finding
• To use community resources / media
• Use of Herbal medicine
On the whole, during the nine months of the programme, I got an introduction, rather a fair
amount of awareness on the 25 districts of the State, the hopes and aspirations of the people and
the state of affairs with regards to Social, Economical, Poltical and Cultural (SEPC) Aspects
was created. It was also possible to network with a lot of peoples’ organisations. It provided an
opportunity to be part of many state / district level training programmes as a resource person.
As part of these programmes and as a resource person, it was possible to integrate issues related
to the Public Distribution System (PDS), National Rural Employment Guarantee Act (NREGA),
Right to Information Act 2005 (RTI), Integrated Child Development Programme (ICDS) into the
programme.
During the Fellowship programme, I learnt about Health Rights, concept of health,
Human Rights, herbs, PHM, JSA, JAAK and the health system. As of now, I have developed
expertise in the preparation of 10 herbal medicines. And, I feel proud to say so.
Opportunities I got
As a trainer and as a community monitoring programme manager, as well as a presenter:
During this period, I got the opportunity to read a lot of books on community health,
communalism, gender, caste system, and political campaigns. Apart from this, I participated in
a number of training programmes, field visits, meetings and increased my awareness. There was
never a moment of boredom during the nine month learning programme. The design of the
programme was very apt and it is rare to find such opportunities around us.
The nine-month journey of the ‘Community Health Learning Programme’ was extremely
satisfying and full of learning experiences. It has helped shape my life by throwing up
challenges, strengthening my confidence, and filled me with courage and belief. This has been
all the more strengthened through the mentoring received at the Programme. In short, it is no
exaggeration to say that the Fellowship Programme has been an important turning point in my
life.
Page 2 of 32
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