Selvakumari.pdf
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1
PROLOGUE
CHLP PROJECT-A:
1. ABSTRACT
2. INTRODUCTION
3. WHY I JOINED CHLP
4. MY LEARNINGS AND OBSERVATION
5. MY REFLECTIONS ON THE CHLP COURSES
6. HOW I STARTED WORKING
7. MY LEARNING
8. GOING FORWARD
9. ACKNOWLEDGEMENT
CHLP PROJECT-B :
1. BACKGROUND
2. OBJECTIVE
3. IMPACT
4. ANNEXURES
5. GRAPHICAL REPRESENTATION OF PATIENTS
2
ABSTRACT
What is health?
As an individual who finds happiness in guiding and helping people in
need and distress mainly along the medical stream,I have been asking this
question to myself for a long time.
"At first, I equipped myself with the acknowledgment that health is just an
absence of illness."
As I continued my journey towards helping people I came across DoctorNet
India whose service naturally aligned with my interest.
Ever since I have been in DoctorNet India my perspective on what is health
gradually started to change and I started looking at it as something more
than just an absence of illness.
I was still in the path of pursuing the answer, when I heard About CHLP
from Abirami and
Aravindan of DoctorNet India. This gave me all the more reason to apply for
CHLP
and be a passenger in my journey towards health for all.
After attending the sessions of CHLP It gave me a whole new perspective.
And I found the answer to my longlasted question on what was health.
It made me view Health As something that “ encompasses physical
well-being, mental resilience, and social harmony, reflecting a holistic
balance beyond mere absence of illness. ”
3
INTRODUCTION:
My name is Selvakumari. I am 37 years old. I spent the first 10 years in a
village in Dindigul district, Tamil nadu. I’ve been living in Coimbatore for
more than 20 years. I’ve two sons, studying 7th and 11th grades. My husband
is doing business.
I completed B.Sc mathematics. After a few years of marriage, I completed
M.Sc mathematics and B.Ed.
I started my profession as a teacher. But, due to my family responsibilities, I
had to take a break. Being from a large extended family, I spent much of my
time guiding my relatives from my native place to get healthcare advice
and treatment in Coimbatore. This process matched with my
personality and I found happiness helping people in need and distress.
I’ve also been spending time bringing up my two sons during this period.
In an attempt to get back to formal work or volunteering, I came across
DoctorNet India in June 2022.
I am happy I found DoctorNet because the service done by them is
naturally aligned with my interest.
4
WHY I JOINED CHLP:
As I am from a non-medical background, I have an important need to equip
myself with better understanding of health and the disadvantaged people.
I am interested in understanding human behavior which will also help me
in my work.
I’ve heard very good feedback from Abirami and Aravindan of DoctorNet
India about CHLP. This gave me all the more reason to apply for CHLP
and be a passenger in my journey towards health for all.
During this program my main goal was to learn how community health
efforts can make people feel better. I also wanted to understand what
psychological well- being means and why we don't talk about it enough
when discussing health.Another important topic we looked at was treating
patients equally.
I hope this learning experience would make me more aware and able to
support patients in the future. Honestly the course materials went beyond
what i expected and i got many insights which i already started to
implement in my work.
5
MY LEARNINGS AND OBSERVATION :
LMS was user friendly and easy to use. I found the recorded videos to be a
valuable resource, and the live sessions led by experienced facilitators were
insightful. Managing the course alongside my other commitments was a
bit tough since i had family issues and health issues,
One significant shift in my approach was opting for direct conversations
with community members to understand their needs and concerns
firsthand. This approach led to surprising discoveries, such as uncovering
prevalent issues like uneducation mostly among the rural people. These
insights have reshaped my understanding and approach to community
work, emphasizing the importance of listening and collaborating with
those directly affected.
Another important shift in my journey was, during encounters with
patients, whenever I guided them or conveyed the importance of
medication and they didn't understand or behave differently I questioned
myself of this behavior. But after attending CHLP classes my view changed
and I started looking at the reasons which would have resulted in that
behavior.
Moving forward, I'm focused on building trust and empowering the
community to address their own challenges. Additionally, the course has
heightened my awareness of mental health issues, shaping how I interact
with patients and caregivers in a more compassionate and informed
manner.
My reflections on the CHLP courses:
6
Advancing Human Rights in Global Health . A Call to Action
( module 5 )
In today's society, taking swift action is crucial to safeguarding
everyone's right to health. The principles of human rights provide
valuable guidance for decision makers and policymakers. However,
true progress is only achieved when communities raise their voices
and leaders heed their concerns.
It is essential to acknowledge the impact of collective action in
advocating for rights. Grassroots movements have the potential to
compel governments to fulfill their responsibilities. Yet, some leaders
may resist change, posing challenges to advancing.
Despite uncertainties, the language of human rights serves as a
potent tool. It enables us to concentrate on critical issues and holds
leaders accountable for their actions. To make this effective, civil
society organizations must be equipped with the necessary resources
to oversee governmental activities.
To ensure that everyone's right to health is upheld, it is imperative to
establish clear regulations and mechanisms for monitoring
government performance. This entails not just discussing rights but
ensuring they are implemented in practice.
In essence, guaranteeing health rights for all necessitates active
participation from individuals at various levels. From grassroots
initiatives to legislative frameworks. Each step contributing towards a
world where healthcare remains accessible for all.
7
Navigating the Social Determinants of Health: A
Reflective Journey ( module 6 )
As I delve into Module 6 of our course curriculum, exploring the intricate
web of social determinants of health (SDH), I am struck by the depth of
understanding required to address health disparities effectively. The
resources provided offer a multifaceted view of the social, economic,
political, cultural, and environmental factors influencing health outcomes
worldwide.
The SEPCE framework, highlighted in one of the resources, serves as a
guiding compass, reminding me of the interconnectedness of various
determinants and the need for a holistic approach to health equity. This
framework underscores the importance of acknowledging diverse
socio-economic backgrounds, political landscapes, cultural norms, and
environmental contexts in shaping health trajectories.
The cornerstone of our exploration lies in the seminal report titled
"Closing the Gap in a Generation," which underscores the urgency of
action on SDH to achieve health equity. This report, coupled with the Rio
Political Declaration on SDH, illuminates the global commitment to
address systemic injustices and promote social justice as a prerequisite
for good health.
The metaphor of "social vaccines" resonates deeply, emphasizing the
transformative power of interventions aimed at dismantling unhealthy
social norms and fostering resilient communities.
8
A Reflective Essay on Empowering Communities for
Health Equity ( module 7 )
The seventh module of our learning journey has been a reflective exercise
about community empowerment and cultural perspectives around
health equity. In variously engaging presentations and readings, we
looked at how social movements from below have led to the
transformation of societies as well as explore culture’s critical role in
shaping health.
This is because they revealed that solutions to sanitation challenges could
only come through the total ownership of a community. Prahlad’s
descriptions showed the way in which transforming communities needs
more than just an individual but collective responsibility towards healthful
practices.
Culture and health access were tackled by Sunil George who made clear
that culturally sensitive healthcare delivery systems are essential. We
considered how cultural beliefs influenced behavior in seeking healthcare,
making particular note of caring competence when tackling inequalities.
Sudha Nagavarapu gave us valuable insights into Dalit and Adivasi
perspectives within wider socio-economic contexts thus explaining why
health should not be viewed in isolation. Gaining a deeper understanding
of how several intertwined factors continue to perpetuate inequities in
health among marginalized populations further strengthened our resolve
to fight for meaningful changes.
9
Walking the Pathway to Health Equity
( module 8 )
Healthcare is a complex tapestry in which equity is interwoven with every
part of it but often falls apart leaving unevenness behind. When I think
about health equity, I am confronted by a powerful responsibility that this
principle places upon us all.
Health equity is more than just an abstract idea; it is a moral obligation as
well as a guiding principle that requires that we face up to the harsh
realities of inequality. It means realizing that where one is born, their
socio-economic status, or their race should not determine their ability to
access healthcare and well-being as a whole.
Through my forays into the maze of healthcare, I have seen some instances
where this tenet has been upheld and others where it has been flagrantly
flouted. From seeing affluent communities thrive while neighboring ones
wallow in squalor, to watching marginalized people struggle even for
primary health care services, these disparities are starkly evident.
The realization of health equity means that some conscious effort must be
put to breaking down the barriers that continue to perpetuate disparities.
It needs every policy, system or practice to be re-evaluated on its inclusivity
and fairness. It takes a shift from reactive healthcare delivery to a proactive
approach based on prevention by identifying and addressing causative
factors of disease conditions rather than focusing only on symptoms.
Furthermore, fostering health equity involves collaboration across different
sectors such as education, housing, healthcare and employment. This
10
mandates us to appreciate the interaction between social determinants so
as to produce positive health outcomes. In addition, it calls upon us to heed
the voices of those most affected by inequity and support community
empowerment towards leading their own change.
In thinking about my contributions towards promoting health equity, I am
reminded of Martin Luther King Jr.’s words that “Of all the forms of
inequality, injustice in health is the most shocking and inhuman.” This
serves as a call for action-a wake-up call that fighting for equality is not just
an immediate activity but an enduring commitment calling for patience
persistence in order not to lose hope over time since battles for equality are
fought over long periods
In conclusion, the journey towards health equity is a multi-faceted
endeavor that comes with challenges but also has opportunities for
positive change. It requires us to look at our prejudices, question what is
regarded as normal and fight for policies and practices that ensure equity
and justice. As I go on thinking of all this, I am reminded that achieving
health equity cannot just be a target; it is a basic right for every human
being which needs everyone’s involvement and undying commitment.
11
Reflecting on Comprehensive Primary Health Care
(CPHC) ( module 9 )
CPHC has a great influence on the health care system by emphasizing
community participation, seeking patient's participation, and transparency
in the health care system.
Comprehensive Primary Health Care (CPHC) in fact is the core in
supporting healthcare systems globally since it greatly serves in addressing
people's health needs through the whole-approach method. Now with the
time passed since the completion of my service, it moves from one’s view
to his thinking, and the three principles for which the organization stands
are becoming more and more evident to me.
CPHC which is in essence aims at accessibility that can be done by health
providers to ensure that healthcare services are available to all people no
matter what socio economic status one may have or where one is located.
This key pillar of universal health care then drives the need to bring down
the boundaries to healthcare service provision, which is either economic in
nature or culture based or structural. The CPHC understands health as a
basic human right and believes that everybody deserves healthcare as a
universal right. Furthermore, the CPHC seeks to eradicate health disparities
between different communities by ensuring that healthcare is equally
given to everybody.
Even more, the CPHC considers community participation as the main
driver of success, as communities play an indeed crucial role in
establishment and keeping of healthiness. In this way, CPHC tackles the
issue of community involvement by mobilizing communities to participate
in decisions, creating partnerships, and with health literacy promoting
12
dialogue in individuals, they become fully-fledged participants in their own
wellness. This endeavor is not only aimed at increasing the efficiency of
healthcare interventions but holding people in the communities
responsible for their own health.
Equity in healthcare is the goal of creation of CPHC which is intended to
deal with sociomedical inequalities and the development of the problems.
Through the provision of the primary social needs to the vulnerable and by
adopting a multi-sectoral approach, CPHC strives at creating a fair and just
system.,s9ee
Looking into the core of CPHC, I encounter its ability to proceed and
transform hand in hand with changing medical scenarios. CPHC has a
unique position – it fights not only infectious diseases but also
non-communicable diseases such as cancer or psychological issues
(depression, fear, sadness, etc.)., and thus it always has to stay true to its
goal of improving health and wellbeing of all people. It offers the variety of
programs that make adjustments to fit populations of varied
characteristics and hence no one is neglected.
Last but not the least, CPHC represents an important movement in the
hospital domain, characterized by the readiness, affordability, community
participation, and sharing of resources. The Panchayat concept seems to
be most appropriate for the public health domain, given the synergy
between its principles and the methodological approach that public health
advocates. CPHC, as the beacon of modern healthcare, guides us in the
endeavor to find a bright future where the effects of social determinants of
health have been lessened significantly, if not eliminated altogether.
13
Navigating the Labyrinth: Health systems reflections is
essential. ( module 10 )
The health system, just like multiple mazes, incorporates confusing
combinations of challenges and opportunities. As I am looking back on
those cryptic episodes( pathways) in this labyrinth, I find it so complicated
in nature and the breadth of its impact on the individuals and society at
large is so profound.
At the heart of any health system is a promise that the welfare of the
people assigned is the first and foremost priority. Nevertheless, the
fulfillment of this obligation shall be restricted by many factors like
systemic constraints, as well as inequalities. My recent sporadic forays
through the doorways of healthcare have thrown up a few shining
examples of access, quality and affordability, yet also a myriad of shortages,
inequity, and inefficiency, demanding urgent attention.
The most valuable take-home message for me would probably be that
equitable distribution of resources is no less than life and death. In the case
of ineffective funding, along with unequal placement of healthcare
amenities, bring up cycles of diseases and inequality. Through my personal
experience of standing by and watching marginalized communities fight
for even their basic healthcare right, I definitely established the importance
of resolving the inequality in the health services they get.
Further to that, the convolution of medicine policy and the governance
processes have also taught me a great deal. The interaction of the public
sector and the private sector, as well as the way regulations develop, are
the elements that create the market for healthcare. Notwithstanding, the
space here involves a fine line to be crossed between the most advanced
14
technology and well-organized rules, guaranteeing people’s necessity of
security and safety at the same time.
Besides, alterations that I've witnessed in health funding systems have left
indelible testimonials about my comprehension of health systems. The
move towards post-valuation care, along with digital health technologies
are UB quintessence ions of reducing the costs involved and improving the
results. On the one hand, it is successive innovations; On the other hand,
however, it requires careful consideration of ethical, economic, and social
implications.
In reality, my founding the maze of health care systems has been both
educational and peculiar. It has increased my understanding of the
numerous difficulties that arise to provide care and has made me even
more determined to create a difference by campaigning for change.
Among the myriad of things as we map out the path to an equitable and
greener society, we must not ever divert our attention from the faces
behind the statistics, for their stories make up the heart of every healthcare
system.
15
Embracing Universal Health Care: A Reflective Journey
( module 11 )
Embracing Universal Health Care: I am not aware of how these qualities
emerged in my character, but I am grateful for the opportunities that have
molded me into the person I am today.
In the modern era, with the existing disparities in access to healthcare
being in place, the notion of Universal Health Care (UHC) and Universal
Health Coverage (UHC), arise as a scintillating light through the dark. Thus,
as I unfold the complexity of these systems, my viewpoint changes, and I
start meditating on the great community impact that they have on
societies globally.
Universal health care does not stop only at hospital services, it instead
embodies the very nucleus of health equity. Strangely, it captures the very
center of humankind revealing that nothing is about the level of
social-economic status; every individual possesses the inalienable right of
quality healthcare as uniformity. This idea inspires me, it gives me the
feeling that everyone should treat a person with respect.
With the UHC dream coming true the world would not stop there, it would
enter a new world of what is possible. It is not confined by borders or
ideologies, instead it creates a common understanding to all citizens
promoting a culture of accountability to the society in general. The group
work goes beyond enhancing individual wellness outcomes but creates a
bonding effect and cohesion.
Nonetheless, the route of healthcare equality involves a plethora of hurdles
and obstacles. Its infuriating limit of economic capacities, political issues
16
and vested interests always impede decisions making. Yet, as I reflect, I
realize the obstacles also define the measure to find innovative solutions
and develop collaborative culture. It posits what requires ground-breaking
reforms, visionary leadership and unflinching resolution from both the
public and private sectors.
In addition, while looking at the UHC meaning I came to the conclusion
that the topic has an invisible value in the context of mankind 's resilience,
especially under the threat of a crisis. The coronavirus outbreak illustrated
this point more clearly than any other factor at large before it: everybody
should be treated equally and without discrimination. The Chernobyl
disaster came as a call for action, compelling nations to reconsider their
healthcare systems and proving that universal healthcare is a vital facet of
their resilience agenda.
My comprehension of UHC, on their individual basis, has been a rich
experience. It has pushed me to confront those very biases and privileges,
too, pushing me to the edge of advocating for a better and a more just
and inclusive world. It has shaped my values as I learned the moral of this
has been to contribute in a real way to the creation of a healthcare system
that leaves nobody out.
In conclusion, Universal Health Care and Universal Health Coverage are not
policy discussions which can be resolved, they are our moral duty. We are
urged to see a society where people can indeed have dignity, right to
health is not luxury but a human essence in place. After the long path of
personal reflection that brought me where I am now, I am overwhelmed
with hope and determination because with each step we are moving
closer and closer to a healthier and more equitable future for all.
17
Empowering Communities: Empowering remaining
Panchayati Raj Institutions (PRIs) ( module 12 )
PRIs can be thought of as the true pillars of local democracy as they are an
expression of the law of local self-governance. Strengthening the PRIs is
not only a technical exercise but a much larger goal of giving the
communities direct ownership over their socio-economic reality and
participation in the power structure.
In its essence, a PRI presents an arena for participatory governance where
the citizens take part in deliberating on policies and projects that have a
direct impact on their life. These institutions mainly play their role in
ensuring that all people participate in governance and minorities have a
place where their voices will find expression and representation.
Funding PRIs does not only involve administrative reforms; it is an act of
commitment to power-sharing and the promotion of fair growth of
communities. The area where PRIs have made most progress is
transparency and accountability issues. As a result, PRIs become the forces
of social change that influence society from the ground-up.
As we navigate the sophisticated terrain of governance, investing in their
equity of power among PRIs is a strategic target. Through the support and
strengthening of these institutions, we root down a tradition of active civic
engagement, resilience, and sustainable development, which serves as the
foundation for a more fair and prosperous society.
18
Embracing Pluralism: Indian Healthcare and Traditional
Health approaches and AYUSH. ( module 13 )
Indian healthcare in its complexity can be compared with weaving of a
multicolored fabric, which uses various threads of Indian local medical
systems and healing methods, known as AYUSH - Ayurveda, yoga,
naturism, Unani, Siddha and homeopathy. These ways provide a healthy
outlook that stands on a solid ground of the cultured heritage of people in
it.
Local health traditions form a mosaic in sending a distinctive vision to
communities on health concerns and providing context in which they deal
with them. Starting from Ayurveda's tenet of balancing and resorting to
the traditions to Unani's assimilation of classical and Arab methods, each
system yields a varied outlook on health.
Through AYUSH - which the government sees as a complementary branch
to allopathic medicine - a lot of areas of pluralism, such as drugs and
various treatments, are promoted. Considering the integration of
alternative medicines into the mainstream health services by the Indian
government is a good indicator of the growing acceptance of varied
practices as therapies. On the other side, AYUSH practitioners may create a
link between old culture and modern science, where innovation and
collaboration can come about.
Yet, challenges persist. Lack of sufficient evidence and uniformity means
local health traditions and AYUSH Ayurvedic and Siddha systems of
medicine are not deemed reliable enough for people to use them.
Similarly, socioeconomic disparities make this common choice even more
19
difficult for people with low income as we call the need for inclusive policies
and equitable distribution of resources as well.
In spite of these boundaries or stumbling blocks, the pluralism in the
medical field of Indian healthcare stands as a manifestation of the
impressive nature of the Indian cultural legacy and devotion to discover
networks of people having problems with bodies whom they could take
care of. Through careful conservation, adaptation as well as absorption of
pluralistic healing systems, India stands out as one of the countries striving
for complete healthcare provision to all members of society.
20
Reflection on Community-Based Health Action
Reflection/Research Project ( module 14 )
A great impact on my knowledge of community-based health practices
within the SOCHARA-SOPHEA CHLP community-health learning program
has been brought through this experience, where I have not just gained a
deeper understanding of the principles of community health ,but also
gained awareness that I can facilitate quite significant changes among the
marginalized communities. On the path of reflective thought I am
overwhelmed by the unmatchable wisdom gained, difficulties conquered
and the immense impact created.
At the beginning, I realized that our program was based on experiential and
immersive learning while I was helpful to find and solve health-related
issues within the community. The knowledge gained from the courses and
intellectual content provided throughout the study program became a
source of inspiration for me for the transformation of theory into practice.
Here I started to build a base for meaningful community action and
engagement.
Establishing links or connecting what you have learnt in theory with field
activities or research is one of this project key aspects. This ranged from a
thorough comprehension of the foundations of population health to a
relevant hands-on experience in a practical set-up. The present process
taught me the significance of autonomy, independence, and community
spirit for the survival of the communities and their neighboring
environments.
21
Finding a health issue in the neighborhood involved both a light and heavy
weight of decision. Collaborating with underprivileged and risky
populations exposed to the complexity of health-related inequalities and
their source, the social determinants. Increasing disease preparedness and
response was the theme of the project, which among others, underlined
the fact that the health systems were vulnerable and needed to be resilient.
I have deepened my knowledge of the principles of community health and
became more aware of how community-based health practices can be
transformed through my participation in the SOCHARA-SOPHEA CHLP
community-health learning program. The latter has also demonstrated to
me that I have it in me to produce changes within the marginalized
communities. During my journey of analytical thinking I am equally
stunned by the extraordinary knowledge, defeat of the opposite difficult
obstacles and the mighty feeling of accomplishment.
Initially, I understood that our program incorporated the experiential and
the immersive learning communities which was beneficial to me in finding
and solving health related issues among my community. The course
materials and intellectual content of the program became the
fountainhead of ideas for me and the spring for my improvement and
creation of products from theory to practice. Here I was shaping the early
part of a future in which community action and alertness works.
Establishing links or bridging the gap between what you have learned
theoretically in the debriefs and in the field activities or research is certainly
one of the core features of this project. It was from here on that the basics
got clearer and clearer, up to the second part of the course where direct
practice skills were acquired. The participating process of the world activity
made me realize that individual management, self-reliance and local
22
engagement cannot be ignored as preconditions of community
sustainability and environmental responsibility.
Deciding upon the health hazard that was evident in the neighborhood
both brought only a mild and strong impact on me. In terms of practice, the
social work agency I choose is a nonprofit organization that will provide me
with the opportunity to learn about the concerns of underprivileged and
at-risk populations who are subjected to inequities in health and their
sources, the social determinants. It was gradually discovered that the
project was mostly dedicated to disease preparedness and response. This
included the recognition that the health systems cannot be robustly
accountable without caring for the communities out of which they are
formed from.
23
Reflections on Project Management: Restructuring of
Original: Balancing Structure and Adaptability
( module 15 )
Project management is the craft of handling confusion as well as
transformation into the proper sequence or process. It's A thin line
between putting together plans, organizing the necessary, and completing
tasks that lead to an assignment of specific goals amid restrictions.
Becoming acquainted with the notion of project management I learned to
value this process as a kind of key for running the show successfully in the
state of confusion and uncertainty.
At its heart optimal project management is about providing clarity even in
obscurity. It is about the achievement by the setting of targets, the
specification of job function and the running of projects. It is also about
agility, during which the journey is not linear as the desired path is
changed with the unplanned factors.
The narrative would need to include technical skills which are the in-built
components for effective project management but also interpersonal
fitness, which is the communication side. Communication is the Armour of
any project from which Teammates and Customer are shielded as it
provides the platform for the alignment. Close interaction and conflict
resolution are very important as well, because they are productive resource
sharing and problem solving.
The experience within project management allows me to think that the
team needs to apply both structure and flexibility in order to achieve
success. Here, the future of work is all about knowing the best resources
and steps while still accepting the possibility of innovation when it shows
24
up. The essence of this mission is incorporated in providing an
environment where the accountability culture promotes each team
member to be the best they can, irrespective of their position.
At the core, project management IS like a century and time dance
between order and disorder, hence the need for flexibility, powerful
communication and unrelenting quest for perfection.
25
The Pivotal Function of the Element of Civil Society in
Explanation of the State of Health in India ( module 16 )
In India, the contribution of civil society in healthcare is not simply
significant; rather, it stands out as imperative. CSOs can become a lifesaver
for many communities on the edge, complementing the place of
government agencies, in case of necessary corrections. Their cult of
grassroots do local health care issues better, because they can be
determined in full the understanding and empathy bureaucracy lacks.
Interacting with the civil society in the Indian healthcare system, I observe
its productivity and proactive approaches to the available situations. The
organizations that pick these problems don't just sit when issues emerge
but invest interventions time ahead. It matters not whether these are
environmental sanitation issues in rural areas or health disasters
designations. In either ways, CSOs spearhead these initiatives, addressing
problems where they are most needed.
Furthermore, apart from being a strong check and balance, civil society
brings to the forefront assurance that the healthcare resource allocation is
achieved through equity and transparency. Their advocacy carries both
public and private sectors liable, then, a culture of being responsible and
honest is formed with each of them in the health sector.
However, challenges persist. NGOs with limited funding, administrative
obstacles and too just small-scale capacities only reach the part of the
population in need for healthcare. However, being leaders is also on the
side of these barriers, the strengths for innovation and collaboration. It is
important that the CSOs embrace digital evolution, enhance partnership
programs and amplify the voice of the disadvantaged groups, hence
26
leading to an improvement in the health care system of India that is
accessible and inclusive.
At heart, civil society's mission in healthcare in India is not just about
providing services; it is about uplift of people, reform, and the elimination of
the current gap which consists of no one left behind. Not only shall we
appreciate the roles they have played, but also remember to pledge loyalty
towards civil society institutions still engaging in the tough but worthwhile
work of building a strong, healthy, and equitable nation.
27
Reflection on Module 17: Research Methodology - Week 1
The enthusiasm and inquisitiveness of setting out to Module 17 powered
me from head to toe - knowing that I was about to sink into deep waters of
research methodology. The module kicked-off with implementation,
efficacy and political contexts of primary health care of comprehensive
quality. The main preliminary scientific research findings on the matter,
supported a comprehensive review giving a preview of this ever so
important issue from a public health perspective, hence, it sent me on my
journey to investigate the matter more.
From all the highlights of the week, I think that the live session, where we
were exposed to the multifaceted area of research methodologies through
a stimulating presentation marked the climax despite all other amazing
moments. The speaker presenter fluently guided through the knotty
problems of the population health system, providing information on what
makes it work and what position it depends on. However, the speech
stimulated abstract thoughts that led me to wonder about the dynamical
interaction between population policy and community setting.
Besides the lectures themselves I also found the video recordings to be
equally helpful since they were founded on the logic that is fundamental to
the comprehension of epidemiology. Epidemiology is initially introduced to
formulate the essential notions. The subsequent lectures involve indicators
like maternal and infant mortality rates, among other specific indicators.
Thus, the complex network of factors contributing to public health
outcomes is continuously developed. The visual aids and case studies
utilized in explaining the concepts during the lectures further added to my
understanding of the complex topics, and made them much more
understandable and relatable to me.
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However, as I look back over this week filled with the discovery of hidden
thoughts and ideas of Research methods, Greek letters and all, I am totally
awestruck at the depth and the width of knowledge that is waiting to be
unraveled and explored. The insights to the whole thing led to the
development of a passion in me such that I would like to do more than
research and investigate the impacts and implications of the public health
research wastage to the society.
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Reflection on Module 17: Research Methodology - Week 2
In the Module 17, I acquired new knowledge in research methodology by
going through the elements like data collection techniques and research
ethics. The sessions in person were especially helpful and covered issues
like working out long-term development plans in inner cities from top to
bottom and the ethical concerns involved in the research. These sessions
offered a hands-on approach, which stressed the notions of research that
had to be ethically and effectively conducted, with respect for human
subjects being imperative for the upholding of integrity.
During this whole semester the lecture class was not limited to a certain
program "Journal Club" for instance where we were tapped in an article
that gave a long-term development model in slums of Delhi. Real-world
research analysis proved to be an extremely useful tool as it supplied us
with important information on the numerous obstacles that need to be
overcome and which opportunities can take shape when implementing
this type of intervention. This prolonged our knowledge of in-action and
demonstrated research methods further.
All week long, we were very lucky to use the practical means put at our
disposal, including live session presentations and extra materials specially
designed for us, which greatly added to our education. A structured
approach that covers research methods and ethics has been used to
equip us with the right tools, skills, and knowledge to assess and research
in the public health area.
It pushes me to the limits of knowledge when I recollect the gained depth
as well as variety during Module 17. Here, I have covered documenting
development models from the intricacies to dealing with ethical issues in
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a research which has broadened my scope and changed my perspectives.
I am enthusiastic about applying those newly acquired abilities in my
future undertakings and I will re-inspire my will to succeed in the mission
of serving the interest of public health.
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Reflection on Module 17: Research Methodology - Week 3
Module 17 was still more adept at facilitating me to get the picture of the
research methodology, in particular, qualitative research strategies and the
way they are used in the implementation of community health
programmes. The ‘live sessions’ were quite engaging, and the expert Dr.
Manjulika Vaz added rich content on qualitative research methods. The
novel aspect of her presentation was that she brought light into the
specific steps involved into qualitative studies as well as the significance of
sharing the personal experiences forming the communities.
Among the exciting parts of the third week is of course the lecture about
the "Research in Community Health Action" movie that helps community
workers in Karnataka andUP. Sudha Nagavarapu's talk, among others,
could provide an insight into firsthand the challenges and strengths of
implementing community-based healthcare programs. However, sites
visited not only were controversial topics (for instance, justice system) but
also stressed a need to contextualize research. Community interaction was
another important requirement in my study.
The project in Week 3 prompt that required us to examine how climate
change affects the daily lives of the already socially excluded community.
The term paper was a good illustration of the linking between the content
knowledge and skills gained in this module, and the existing real-life
problem. It was all the more difficult for us to dissect and understand how
social determinants of health and environmental factors meet at previously
unfamiliar crossroads, but at the same time, it emphasized the significance
of sorting out and correcting the health inequality in underprivileged
populations.
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From Monday to Friday, beneficial factors i.e. Moments of live presentations
and supplementary materials, which are offered beyond the classroom, are
aimed to enrich and enhance our learning process. The chapter pointed
out the usefulness of qualitative research methods and the various ways of
collecting and studying health data. The course outcome was that the
methods in using diverse research approaches for solving complex health
problems were enhanced.
As I reviewed the events in that period of the material in module 17, I
understood the vast knowledge gained and the useful applications of
research methods for the solution of pressing public health issues. The
inspiration behind the stories by the experts and the assigned project has
helped me obtain essential tools and thoughts that I am excited to apply in
my next research projects.
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Reflection on Public Health Ethics ( module 18 )
Participating in the ethical public health module afforded me fruitful
moments of reflection on how to tactfully resolve ethical dilemmas in the
public health field. In the course of my reading and video watching, I tried
the themes which were the ethical use of digital proximity tracking and
contact tracing by coVID-19 and the importance of the treatment of health
disparities.
I pondered on the differences between gaining the public health
advantages and the individual privacy protecting when using digital
technologies for contact tracing. Furthermore, apart from tuberculosis
prevention and care of ethical challenges, however, inevitably, matters like,
stigma and equitable access to treatment should not be ignored.
The main concern of EHP’s training module was the formulation of an
ethics framework that must be relied on in the cases of decision-making for
public health. The structured manner to which it involved serious reflection
of ethical complexities in actual world situations was, therefore, my style of
thought.
Furthermore, the fact that the videos demonstrated this in an ethical
manner meant to also drive home the message of fairness and healthcare
equity, this being most clearly in communities that are marginalized.
Summing it up, I became more aware about public health ethics and
gained new practical insights to be used later for my better understanding
and implementation of health ethics-related principles.
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Module 19 - Mental Health Week 1
During Module 19, we were not only reminded that the mental health
problems are real and numerous, but they are also very serious life issues.
Our journey began with a thorough investigation of the intricate
relationship that exists between the mind, the body, and behavior under
the tutelage of Dr. Mohan Isaac whose insightful video lecture served as an
eye-opener to subsequently unearth the deep-seated connection. This
basically laid the platform for the subsequent journey in-depth of the
mental illness where we were to study the provided piece read through in
the reading with critical perspective.
Further enriching our understanding, Dr. Kaustubh Joag's video lecture
shed light on two prevalent mental disorders: the two most common
problems. Also we investigated the dark truth behind Mental health status
over the Covid-19 pandemic, as illustrated in the article entitled usama
rehman et al.
Along with other topics there is suicide that the unit have made us
acknowledge. Via reference to the methods of peer-reviewed articles and
regulations on public health, we faced the deep problems of preventing
suicide, with special attention being paid to aboriginals of India.
Being totally engaged in this type of training, history and real life
experiences, we devoted the time tk discussion of rural psychiatric services
and get acquainted with the recovery stories. Community Mental Health
program videos of 'Lalepa -A Journey from Mental Illness to Recovery
Program' have provided this essential knowledge concerning delivery of
mental health care services.
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During the course of our career, our observation of Ms.Ketaki Kelkar helped
us to get better skills in counseling that were quite practical. The ability to
engage in empathetic listening and to communicate in an effective way
successfully portrayed two fundamental elements that will make this
course a good handout on basic counseling skills must-read.
During live lectures and rich PowerPoint slides, there was no way we could
simply sit and listen with instructor's suggesting us to participate so that
we could seem to be more interested and committed to the mental health
material than anything else preceding. Dr.Rajaram's counseling process
has turned out to be a valuable resource that is advisable in handling the
troubles that arise in counseling.
Therefore, in the end, subject 19 was a journey through mental health
issues, with the help of which we intend to break the stigmata and bias,
and to support and provide and support for open conversations in the
society.
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Module 19 - Mental Health Week 2
Week 19: Mental Health will be addressing mental health as a serious issue
in the college community.
The 19th module not only developed our mental health knowledge, but we
also discovered various related facts, for example the child and adolescent
mental health disorder as well as substance abuse and legislative
landscape.
The facilitated sessions by Dr. Suhas Chandran ensured the utmost
knowledge of child and adolescent mental health disorders, shedding light
on the various specific challenges that those aged folks get faced with.
From assisting us to grasp the concepts in the video tutorials to supplying
us with a wide range of materials, we acquired a whole the complexities of
mental health illnesses in our youths
When we came across substance abuse, a specialist, Dr. Abhijit Nadkarni
guided everyone to understand the reason behind alcohol and cigarette
consumption in India. His knowledgeability steered us towards a more
thorough analysis and recommended books of the likes of Nupur Goenka &
Dr. Abhijit Nadkarni to enlighten us more on the topic. Also, TEDx talk on
drug de-addiction by her instilled some new viewpoints as well that
deserve exploration.
In the consideration of their important roles in the larger picture of mental
health policy and legislation, the experience of Dr. Sharad Phillips and Dr. C.
Naveen Kumar was respectively very informative. Their lectures made a
valuable trip through the complex policy scene teaching us to take decisive
37
action at the moment of unraveling the frameworks in place to put forward
the needed reforms.
Lastly, the small group assignment was used to engage the group
members in multi-perspectives and applying knowledge gained.
Module 19 has indicated that the Mental Health Week 2 was an impervious
step concerning the comprehensive study of the mental health challenges.
It highlighted the critical need for integrating diverse perspectives through
deliberate interaction with policy designs that affects the policies and
programs that govern mental health services delivery and advocacy.
.
.
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"Nutrition for Healthy Living: A Reflection" ( module 20 )
The discovery of a connection between the eating patterns and overall
well-being really makes life-changing. It is not only about eating but it is also
about providing nourishment to our bodies, minds, and inner selves. Taking
a balanced diet that has a combination of fruits, vegetables, lean proteins
and whole grains, as an example, helped not only in improving my physical
health but it also promoted my overall well-being level.
As I have been aware of the tremendous effect of food choices on one’s
energy levels, the mood itself and the long-term health, it is really shocking.
The importance lies in making mindful choices, relishing meals, and
gratitude for what they do every day for our body.
Also, this is one of the most important lessons taught to me which is about
the nutrition not being limited to an individual; but branches out to
communities as well as the planet. Choosing environmentally friendly,
domestic origin products leads to support for local farmers whose efforts try
to reduce global warming in addition to maintaining a good mother nature
which we shall distribute to the coming generations.
In principle, the matter of nutritious diet for healthy living is not so much a
personal choice as a pledge made to oneself, to others, and to the planet we
co-inhabit. It is not about being thin but it is about our lives being a
continuous movement, with a firm, peaceful and everyday relationship
between the nurturing powers of the earth and our bodies, where we have
proper nutrition, enjoy a life that meets high standards, and have the great
feeling of good health.
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Reflection on Module 21: Women's Health Week 1
Module 21 was both insightful and moving in that it unpacked the
intricacies of the interaction between gender and health, showing how
strongly societies' constructions impact the health practices of individuals.
We explored the ways of how gender norms, roles and expectations are
manifested among health outcomes, healthcare access and illness
perception using practical presentations and ICT technologies. Indeed,
through this expedition, this point was emphasized more and more
regarding the social construction of gender and its immense influence on
health behaviors, presentation patterns of disease, healthcare seeking
behaviors.
In particular, the module was dedicated to the idea of the life course
approach toward women's health that meant the doctor should consider a
woman's place in the spectrum of her life which is one of the most
important facets of effective health care. We realized that it is not simply a
sum of biological, social, and environmental factors that work in a concert
way at different times, but also it is a deep understanding of the unique
health difficulties and high rates of risks that women and girls encounter.
Through the study of maternal health, the ongoing challenges were
unmasked. This was as discussed in the introductory sentence about the
trend of the high maternal mortality rates in Koppal district, Karnataka
state of the country- India. With the help of profound study material as well
as video lectures, the role of observed service delivery constraints were
analyzed, however, on the hindrance of maternal healthcare access and
results, the impression was given.
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Also, exchanges of views on reproductive healthcare services and family
planning including access to abortion gives an insight into the value of
reproductive rights and abortion services. We looked at different advocacy
options and policy alternatives as part of our lesson, which enabled us to
understand the picture of how to ensure a rights-based process of
providing contraceptive information and services in India, and also about
the laws surrounding abortion under The Medical Termination of
Pregnancy (Amendment) Act, 2021.
The module did not only touch on SRH but also the intersectionality of
gender, age and gender, which are critical issues in sexual health. The
discussions and resources that were available gave me the details on how
abortion services to the children can be guaranteed and also a community
based sexual and reproductive health programs with emphasis drawn on
the organization of the grassroots who can help in implementing
comprehensive SRH strategies.
At the very core of our reflections, it is clear we must consider a broad
approach on women's health. The implications here are extensive and
some of the manifestations include tackling the health concerns by
women in general as well as tearing down the barriers and the inequalities
discouraging women from taking normal health care. Achievable through
the implementation of gender-sensitive interventions and policies, which
highlights the unique health of women, we can aim to achieve equitable
health outcomes for all women in the society, be it from the poor income
group or the wealthy family. The outcome should be the same where the
quality of health of women is maintained. Module 21 is a centerpiece of this
module's overall message that proactive women advocacy for equal access
to healthcare systems with women care as a commonplace right is
paramount.
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Reflection on Module 21: Gender, Women's Health, and
Gender-Based Violence, Week 2
The last two weeks all immersed me into the complicated and versatile
world of women's goods, which I studied through the means of gender
inequities in communicable diseases, women’s wounding and violence as
the health care problem, and also the position and function of old and new
women's health movements and caregivers in the Indian society. It has
been an illuminating journey wherein the difficulties and complexities
involved in attaining higher levels of healthcare for women and in
mitigating gender imbalance in healthcare have been made clear to me.
One of the striking lessons that I learned was from a section about gender
and communicable disease; especially the scary fight against tuberculosis
in India. The session highlighted cross-cuts of factors which influence the
health outcomes depicting how women often face unique barriers in
accessing timely TB diagnosis and treatment owing to the traditions and
norms, economic constraints, and inadequate health care delivery system.
Valuable to learn these dynamics because of tailoring effective
interventions that focus on the root of the imbalance in health outcomes
through gender.
Additionally, the WHO gender and health factsheets vividly took the
audience through the various health issues bedeviling women cause,
including lung infection, amoeba, destructions, tobacco use and road
traffic Injuries. Those resources highlighted the importance of
gender-sensitive approaches at the very heart of the public health
interventions, as such conditions pose disproportionately higher impact
generally on women.
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The continuation of gender-related violence as a medicine issue again
emphasizes on how all this is intertwined with gender, health, and social
factors. The Lancet editorial case study, Dilaasa, brought out into stark the
imperativeness of healthcare professionals as the first responders and
underscored the urgency for sensitive and effective healthcare system
response.
The taalabor-oriented tips on how health systems respond to intimate
partner violence or sexual violence given by the resource personnel were
meaningful as they also came with guidelines for healthcare managers to
integrate GBV services within the existing healthcare protocols. This
expresses the main role of institutions and the policy changes to be
undertaken as regards violence against women in the context of public
health.
Hence, the presentation of women’s health movements in India along with
female healthcare personnel contributions showed the importance of local
initiatives and advocacy to redress women gender inequality healthcare
issues. These are the pacers of change midst society, who aren't scared to
challenge traditions and endorse women's rights for health and wellbeing.
To sum up, the last two weeks have not only been the vessel for gaining
further insights in topics pertaining to genders, women's health, and
gender-based violence but they have also been a path that I traversed in
order to understand these connections better. Going ahead, I am looking
forward to capitalizing on these lessons for men and women, in planning
for gender-responsive health in my area of work so as to reach the ultimate
goal of creating equitable outcomes for individuals irrespective of their
gender.
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Reflection on child health ( module 22 )
The health of children lies at the heart of a prosperous and happy
community. Sadly, it is taken for granted when sound, and only noticed
when it deteriorates. The fate of the nation is not only represented by the
kind of future it augurs but also by its ethical values which can be observed
in how human the underprivileged children are treated. Creating a healthy
child care environment is not all about his physical health; it is also about his
psychological and social wellness.
It is the right of each and every child that they can equally access quality
healthcare. They should not be discriminated against based on the
economic level or demographic location. It is a basic philosophical principle
that should be made the responsibility of governments as well as the
community. Investment in pediatric healthcare generates tremendous
sustainability, formed by more competent and productive generations.
In addition, nurturing children’s health requires building capacity on the
root causes such as nutrition, education, and health environments. This
entails nurturing the health of the whole person, and thereby, building the
foundation for people who are capable of overcoming all obstacles.
In the overall sense our children's health is a reflection of what we think of
our duty and also a showcase of how we look down to the next day Let us
commit ourselves first to their survival, though, as it is their reaching of their
full potential that will bring about the perfect world for us to live in.
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Reflection on Non-Communicable Diseases
( module 23 )
NCDs are presently a very deadly plague and a major health problem the
world is facing especially in the manner of non-communicable diseases.
Such diseases fetch a common name „chronic diseases“ and combine
conditions like cardiovascular diseases, cancer, chronic respiratory diseases
and diabetes.
Foremost, taking courage to mull over NCDs brings to the fore the
complicated relationship of individuals, social conducts and biological
factors. Whether it is adhering to a healthy diet, exercising physically or
avoiding smoking and overuse of alcohol, all lifestyle behaviors affect the
occurrence and evolution of NCDs. Primarily socioeconomic factors,
environmental conditions and available health care services join together
to create the onset and impact of those diseases within the communities.
This intricacy illustrates the importance of comprehensive public health
practices which not only involves medical treatment but also policies and
interventions that deal with the socio-environmental factors that influence
health and wellness.
Additionally, NCDs through an examination acting as a reflection gives
room for contemplation on the global agenda for health equity. Whilst
NCDs are wide-spread, the differences in access to healthcare and
resources as well as educational resources of people belonging to low- and
middle-income countries tend to exacerbate the problems associated with
NCD. The fact that in many circumstances people would have limited
access to medications they rely upon, tools for diagnostics, and such
services as prevention only lead to the continuation of cycles of illness and
poverty that show the importance of addressing structural injustice in
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order to achieve true health equity. In view of this reality, it is vital to
counter these NCDs on an equity basis to acknowledge the fact that it is
everyone's right to enjoy health regardless of whether one is economically
advantaged or not, and whether one is geographically found within easily
reachable areas for medical care or not.
In addition, the attention given to NCDs emphasizes the urgent need to
pursue interdisciplinary teamwork and innovation. Addressing the
multidimensional nature of such illnesses needs all areas, including
medicine, public health, economics and policy, to cooperate in the fight of
these diseases. The collaborative approach to research activities, the
innovative technological solutions and the data-driven techniques are
some of the hopeful paths in the direction of increasing our knowledge
about chronic non-communicable disorders and developing workable
interventions. Alongside these governments, civil society, academia and
private sector partnerships should form the basis for financing and
implementing the wide-ranging strategies globally required to deal with
NCDs thoroughly.
Finally, to conclude, reflecting on non-communicable diseases reflects the
fact that it is high time we acknowledged the development of their
complex etiology, invade throughout the world and the need for societal
action. Interventive NCDs combatation utilizes multi-tiered plans that are
concerned with preventive, therapeutic, and socio-cultural ailment factors.
Apart from that, putting curbs on NCDs should free faculty to do great jobs,
foster interdisciplinary collaboration, and innovation. These principles, if
adopted , help us advance to a future where individuals have the liberty to
live happy and fulfilled lives, far from the shadow of the chronic illnesses
that are entirely preventable.
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Reflecting on Communicable Diseases ( module 24 )
It is striking to think about the communication diseases through the biology
society and the individual behavior lens, it is just intricate. Transmittable
diseases, which can commonly be ascribed to viruses, bacteria, fungi and
parasites have to take their place among those which are of greatest
importance in the history of man and are still a great public health burden all
around the world.
I am in awe with the infectious diseases at a cellular level as they possess
adaptability and resilience that never stops amazing me. This is a true
battleground where the microbes show their speed as they evolve and
become drug-resistant and are capable of finding new ways of infection.
From bubonic plague to influenza of 1918 or more recently, HIV/AIDS and
SARS to Ebola and Codid-19 epidemics that impact the lives of so many
people. Communicable diseases caused extensive suffering and upheaval in
history.
The pathogens are the ones with the largest role in the process, while other
determinants are just seen as additional factors. Social environmental
aspects are the foundation which contributes to the transmission and
escalation of infectious diseases. Lacking healthcare facilities and good
sanitation, poverty, overcrowding and population, this is how communicable
disease can spread among marginalized communities especially. As a result
of globalization and intensive traveling, the spread of pathogens beyond
borders occur that fuel more difficulties in attempts to stop them.
Besides individual action, however, I am painfully aware of the need to use
my own choices not to spread any communicable diseases. Commonly
implementation of simple steps like handwashing, observing safe sex
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methods, initiation of immunization and adherence to quarantine help
prevent infection. Thus, simply providing misinformation, lack of trust in the
healthcare authority and some cultural practices may hinder these
preventive measures; being well educated and disseminating information
effectively can help to overcome the challenges.
However, this progress against communicable diseases is often hindered by
factors such as inadequate funding, limited supply of healthcare workers,
corruption, and ineffective response to the new viruses. While these
difficulties exist, I am full of hope when I hear about the passionate
healthcare professionals, researchers, policy makers and communities who
are working together to overcome these diseases. Vaccination mobilizations,
public health interventions, and progress in medical science, have saved
millions of lives and minimized the damage impeded by the outbreaks. The
coronavirus pandemic has clarified even further how the issue of global
collaboration and the spirit of solidarity play a significant role in fighting the
world health crisis.
In my view, this concerns communicable diseases, so I am going to remind
you about the vulnerability of human health and worldwide connectedness.
Infectious disease fight demands a multifaceted approach that involves in
addition to the medical intervention, the societal, economic, and political
affairs as well. Furthermore, I am optimistic that continuous studies,
technology and research will come up with an approach to tackling future
challenges for everyone and promoting a healthy and resilient world.
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Reflecting on the People's Health Movement
( module 25 )
The People's Health Movement has become a symbol of people's movement
around the world and is a powerful tool in health and advocacy at
international level. Its core encompasses not only the health equity, social
justice, and community's power, but also many other important matters of
our current society. While I can see the significance of the experience through
the lens of those learning moments and insights I describe below.
Among many other health-driven movements, the first and undoubtedly
most powerful is the People's Health Movement, which prides itself in the
strength of the community in action. It is nothing more than a reference that
in the midst of change in any health system, communities who are
custodians of reality have to be at the forefront and not just higher
institutions that give commandments from above. The movement stands out
from the crowd since it relies on its network of activists, health care
professionals, and advocates to increase the representation of healthcare
issues that are usually disregarded or ignored in health policy.
Moreover, the movements put a spotlight on the unifying health influences
stemming from underlying societal, economic and policy issues. It recognizes
that elimination of health disparities requires the presence of affiliates that
are ultimately responsible for various obstacles such as poverty,
discrimination, and inequity in resource distribution. To propose policies that
came up with solutions concerning these underlying causes, the People's
Health Movement sought to create frameworks where everyone could reach
the top level of their health.
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Additionally, the People's Health Movement delivers a community of
common goals and partnerships. It brings together individuals from diverse
backgrounds and disciplines, united by a common goal: to propel health as a
basic pillar of the human condition. By multiplying information, exposing
experiences, and the replication of successful strategies, this movement helps
plan human challenges not only in the local or national but even global ones.
As I contemplate the impact of the People's Health Movement, I am
reminded of the words of Margaret Mead: "Never underestimate the power of
a small group of dedicated and purposeful citizens to change the world; the
only thing that ever has." In today's global world where there are numerous
health crises and social gaps which span across distances, the People's Health
Movement is an example of hope as well as the catalyst of the transformation.
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"Power of Crisp Health Communication" ( module 26 )
Health communication stands out, being the main thread that brings
individuals, communities and healthcare providers together. Its core,
actually, is that path of using information and knowledge to act and change
behavior. It is no longer simply about a transmission of facts but about
deepening the insight into the nature of human behavior and culture to
facilitate communications that fulfill our mission.
In the continuous screen presence we enjoy today it is the concise
statement that captures us. Short `n tight writing levels the playing field, by
delivering key messages in an effective manner. It doesn’t matter whether it
is raising healthy habits, clearing misconceptions, or just providing
information on the ways to access healthcare, the effectiveness of
communication guarantees that the data received is possible to
understand, digest, and use.
The main point is that sound health communication is also able to increase
the trust rate. It helps in building the trust between healthcare providers
and the people and consequently provides individuals the power to exercise
deemed fit decisions on their own health. It is about making ourselves not
just the ones who are mentally focused but those who can hit people on a
heart level, bringing the message close to every person positively.
Given the daily world of information overload, the skill to summarize the
health complexities into easy to comprehend sentences is priceless. It fosters
self-determination of health, engages community in this process, and
makes citizens healthier. Therefore it is an important tool in public health
campaigns.
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"Embracing the Future: Reflections on Health
Technology and Innovation" ( module 27 )
The process of medical care has undergone a complete sea change in the
wake of health technology and medical innovations. A diverse palette of
technologies may be employed from watches tracking vital signs to
AI-based diagnostic applications, which create a process of perpetual
healthcare development. These technological developments do not only
greatly enhance the patient care level but also increase the efficiency and
convenience of the entire healthcare delivery system.
Health technology may be one of the most notable of these in the way that
it allows individuals to take personal responsibility for their own health. In
the process of health apps and wearable devices becoming widespread,
people can control their fitness indicators, sleep rhythms, and long-term
chronic conditions more recently. Personalized medicine is the new
evolution of medicine that not only improves the patients wellbeing but also
reduces the long term cost of the healthcare system.
Additionally, healthcare professionals are now allowed to obtain accurate
diagnosis and treatment decisions due to the implementation of health
technology. AI algorithms are able to cut through the medical data silos in a
blink of an eye, and this has an immediate, positive effect on the speed and
accuracy of diagnostics. This does not only save lives but also enables the
healthcare specialists to use their delicate time more efficiently like focusing
on the patients rather than all the administrative work.
Yet we have reached the stage where it is hard to foresee the unsaid
consequences of the fast development of health technologies. Privacy
issues, data security, and digital divide - these are eluded to only as few
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challenges that need to be resolved in order for everyone to equally gain
from the innovative actions.
Lastly, I have a few sentences ensuring that health technology and
innovation are going to play an overwhelming role in the field of healthcare.
Technology-driven healthcare will revolutionize the quality of patient care,
optimize process management, and through it, a better society! Despite
that, it is fundamental to think carefully with regard to these techniques
acknowledging the ethical, social and practical issues that they were
bringing along.
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The Intersection of Climate Change and Health: A
Reflective Insight ( module 28 )
In today’s time, climate change and health closely mingle to serve as an
exemplary case study on the complex process of two separate
entities—environmental and human—becoming one. With soaring
greenhouse gas emissions and rising temperatures, the ramifications of a
public health crisis become more pertinent and more worrisome as each
passing day.
Health effects on climate change are very complicated. People may
experience all kinds of disasters like hurricanes, and disease patterns may be
altered. Heat wave progresses and becomes a potential danger to
asymptomatic, elderly, and immunocompromised ones, where on the one
hand, mosquitoes may transmit infectious diseases. In addition, the
worsening air quality increases incidence of lung diseases, leading to
healthcare systems of more countries overloading.
Ensuring communities to make comprehension and resource adaptation to
dynamic environment change is most important. Moving forward, not only
shall we strive to reduce greenhouse gasses, but also taking the most
effective steps to create a healthier environment for all generations to come is
vital.
The responsibility lies on each and every one to acknowledge the symbiotic
relation of health and climate, and, indeed, come up with the solutions that
limit the harm done to the components of the planet. And yet through our
collective determination and progressive actions, we, as a society, have the
ability to shape a healthier world that is built based on principles of unity and
resilience for everyone.
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Embracing Globalization: Fostering Solidarity from Below
( module 29 )
That, which is frequently perceived to be faceless and greed driven, the
economic interests and the powerful state machine, is in fact the solidarity,
which is built from the very bottom, and which comes from the grassroots. It
embodies the idea of the "fraternité de face à face" which symbolizes the
oneness of the community and the collective voice that these individuals
and movements share, irrespective of their origin or culture.
In a nutshell, globalization connects the world by providing an environment
for the widespread exchange of ideologies, norms, and material things
within a worldwide context. However, access and benefits of it are not evenly
distributed most of the time which only puts the impoverished
communities behind the line. On the other hand, in spite of high-level
agents and organizations of inequality such as institutional discrimination,
exploitation of resources and inequality of rights, these disparities bear a
sign of hope as in the emergence of grassroots movements for justice,
equality and sustainability.
Through these movements new movements come into existence which
reflect on the solidarity from below as they unite people from different walks
of life in the achievement of one goal. This can be manifested in different
ways - through people on the streets adopting the cause of environmental
protection and campaigning for climate justice, or social justice proponents
providing a platform to combat systemic oppression, it is always about the
common humanity and our fate that we all have in common.
However, technology, besides its media role, is mostly about empowering
the voiceless to speak up and triggering collective actions and even
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movements that now cover the planet. Similarly, the social media platforms
serve as tools of great power for organizing, mobilizing the support, and
transmitting information to different communities especially wherever they
might be, which in turn creates a feeling of solidarity among various
communities which do not see eye to eye.
Through the process of globalization, we have to understand the role of the
grassroots in bringing to light the major (dissatisfaction) that can possibly
change things around in a positive manner. Collectively is how we can solve
world problems with empathy and understanding toward each other. It is
through our assistance that we can build a world that meets the needs of all
people and is sustainable. In the process of walking around the globe, let us
build a strong cooperation from the below ground level and let the light,
and the peace of, unity, diversity and justice and justice be brought forth.
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Reflecting on Community Water, Sanitation, and Hygiene
(C-WASH) ( module 30 )
Community water, sanitation, and hygiene (C-WASH) initiatives excel in
doing more than just infrastructure development. They encode
transformation and empowerment on a deeper level beyond a community.
While C-WASH projects have shown that good water, sanitation and
hygiene are basic rights, their health implications are not the only ones
because social- economic progress and dignity are some of such positive
benefits also.
First and foremost, community empowerment and uptake form pillars of
the C-WASH concept. The village people whose own communities drive
water sources, bathing points, and sanitation is a great example to follow. It
shows to the world that we are a persistent and devoted society, eager to see
the development of our community. At the same time, this C-WASH factor
impacts the health sector beyond its core metrics. Allowing more time for
water collection leads to better education, work, and especially more female
and female participation, which is often the back-breaking task for women
and girls.
However, challenges persist. Sustainable solutions entail not abandoning
initial construction and subsequently, assurance, maintenance, and
behavior change. Education undoubtedly is beyond a shadow of a doubt the
secret behind community health uplift where community members are
enlightened to understand that their health depends on their behaviors. As
such, inclusiveness has a high priority; hence, marginalized communities
must also be engaged in the C-WASH programme.
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Achieving D-WASH is evidence that communities cooperate to develop the
society. It puts on the limelight the need for collaboration in education and
long lasting investment of infrastructure and behavior betterment. Along
with other foreseen global problems such as water scarcity and health
disparity, C-WASH offers a way of hope and shows us the transformative and
inspiring capacity of collective action that leads to a healthier, more peaceful
society.
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HOW I STARTED WORKING
I am a facilitator in DoctorNet India who has tie ups with many Grassroot
level organizations, who would refer patients and we take them up and
guide them in their medical journey.
As a facilitator I connect with a lot of people in need of medical guidance on
a daily basis. It enabled me to experience people from different
backgrounds and cultures, which enriched my learning experience.
DoctorNet gave me a platform to deal with people who come from various
socio-economic-cultural status and mindset and through this I am able to
develop my social skills.
MY LEARNINGS:
During my involvement in community health initiatives, I gained insights
into the multitude of social factors influencing health outcomes. Gender
disparities, particularly affecting women, became evident, highlighting the
imperative for community engagement in addressing their welfare.
This journey illuminated the intricate web of elements contributing to
community well-being, marking merely the inception of a deeper
exploration.
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GOING FORWARD
I am practically learning that working on community health is not just
about physical and mental well being. It's about working on a range of
social problems starting from sanitation to social justice.
My key takeaways have been these. Learning about the importance of
community based health intervention, and understanding mental health.
Being supportive to differently abled and caregivers, and realizing the
importance of health animators from the community. Learning about the
gender based health inequalities , the social determinants of health,
comprehensive primary healthcare, health communication.
Overall, this journey has been an invaluable experience for me as a social
worker, and as a person.
ACKNOWLEDGEMENTS
I am very grateful to sochara for providing me with a wonderful learning
opportunity
Special thanks to
●
My mentor Dr.Rajaram
●
All learning facilitators who made the sessions more lively and
informative
●
My fellow volunteers
●
All the doctors
●
And My family for being my backbone of support
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CHLP PROJECT - PART B
BACKGROUND
The community in which I work consists of people from different areas, age
groups and culture. And most of the people were predominantly Uneducated
and daily wage workers.
During my time dealing with the community I felt there were many gaps
between the doctors and the patients.
There were also times where I faced challenges with the patients, they were:
1.
Reliance on hearsay
2.
Short-term Focus
3.
Cultural Factors and Conformity
4.
Over-Reliance on Fate
5.
Postponing the treatment
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OBJECTIVE
I have been working as a facilitator in DoctorNet India for 2 years now and there
were many times where I gained new profound experiences. But I was still
doubtful of the patient's thought process and their behavior at times of adversity.
Before attending CHLP, I predominantly looked at things from only one
viewpoint. Whenever I guided patients and arranged appointments with doctors
for them, and they didn't show up due to various reasons, I initially felt confused. I
believed I had facilitated these appointments for their well-being and had made
them aware of the importance of their medication. However, their absence left
me puzzled. After attending CHLP classes, my perspectives became more
flexible. I began to examine the reasons behind the patients' behavior. This shift
allowed me to identify the causes and foster decision-making within them.
Consequently, my guidance towards patients became smoother.
At this point of time my main objective was to fill the gap between the patients
and the health care system.
The gaps I had to deal with typically were
1.
Lack of information about treatment options, insurance.
2.
Lack of knowledge about health, nutrition and health care options
3.
Lack of trust with system and hospitals
After attending CHLP classes I gained the knowledge and experience I had
needed to fulfill my objective and thus succeeded in closing the gap between
them.
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IMPACT
Whenever I guide patients during their adversity time I try to make them
understand their situations better and make themselves more aware of their
current state, this enables them to understand that ‘health is their rights’.
The patients started to understand that prevention of disease is more efficient
and prominent than curing of disease. Likewise they also understood the
importance of lifestyle modifications and mental health.
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ANNEXURES
CASE STUDY ON ACCESS TO HEALTH CARE AND PATIENT NEEDS OF
TAMILNADU(NO. Of Patients - 10)
1. VISHAL:
Vishal is an 11th-grade student, aged 16. While driving a bike, he got into an
accident resulting in a hand fracture. He has been admitted to Pondicherry
JIPMER.
He is unable to move one hand and feels no sensation in his right hand. Surgery
at JIPMER would take 10 days, and before that, they need to undergo medical
management. They have been asked to either stay at home or be admitted to
another hospital for medical management.
However, the round trip charges from their home would be 8k. Additionally,
nearby government hospitals, due to lack of facilities, did not accept them.
At this time, they had no idea what to do, so they contacted us. Through
teleconsultation, we identified the problem and determined the best approach.
We also addressed their fears and doubts.
Furthermore, we found doctors in nearby hospitals and facilitated their
treatment. During each treatment, as their son was unable to feel sensation, they
were in dire need of a supportive voice, which was provided by the Doctor Net
India members throughout their treatment. Now, after surgery, Vishal is in a
recovering state.
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2. INNASI MUTHU:
Innasi Muthu's initial health issue arose from dietary concerns. He
sought medical assistance at Sathiya Manglam Hospital nearby,
where basic investigations hinted at a possible cancer diagnosis. To
confirm this, doctors recommended a PET scan in Coimbatore.
Upon undergoing the PET scan in Coimbatore, it was confirmed that
Innasi Muthu had cancer.
At this point, they had already expended 30,000 rupees from their
funds. With no further financial resources or direction on how to
proceed, they found themselves in dire need of compassionate care
and guidance from understanding doctors. In their desperation, they
turned to Doctor Net India for assistance.
Following this, Innasi Muthu was referred to PSG for treatment
covered by a government insurance plan. There, he commenced
radiation therapy. However, after three days of hospitalization, he
expressed reluctance to continue further.
His family found themselves in a state of confusion, unsure whether
to withdraw from treatment or persist. Sensing their dilemma, we
provided awareness regarding the critical importance of continuing
with the radiation therapy.We provided support to guide them
through this challenging situation, and they persevered with their
treatment, successfully completing the radiation therapy.
However, the disease had spread to various parts of the body,
including the bones. Facing the reality of ongoing treatment
expenses and the associated side effects, coupled with the
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understanding that the disease was incurable, they once again
found themselves in a state of confusion regarding the next steps.
We stepped in once more to assist them in making informed
decisions. Together, it was determined that they would transition to
palliative care. We provided guidance and referrals to access the
necessary palliative care services, ensuring they received the support
they needed during this difficult time.
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3. Reshmi:
Reshmi is a 21 year old girl doing Be final year in ECE, she was first
affected with fever and simultaneously she started getting knee and joint
pains.
And so they went to a nearby doctor and took medicines but still the pain
did not reduce and so they again consulted some other doctors and took
some more medicines.
But the pain still persisted and then they consulted a heart doctor and
after the heart doctor did some investigation and even they didn't
provide an answer on what the problem was and so they were finally
suggested to CMC vellore .
At this time they were in a confused time and they had already finished a
lot of their money at this point and so Reshmi not knowing what she was
affected with became afraid and couldn’t concentrate on her studies and
she was physically and mentally disturbed.
At this point of time they came seeking help from Doctor Net India, and
we gave Reshmi teleconsultation and they asked what her previous
history was , her fears, etc.. and they did a complete investigation on her
about how she was mentally and physically.
And they came to know what her problem was and they gave her
guidance on what she was suffering from and to cure this what were the
lifestyle changes, diet changes she has to go under and gave her a clear
idea on how she should move further.
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Her parents were too in a confused state and thus the entire family was
emotionally drained.
Then they started their medical journey with CMC vellore and started
taking medicines. At this point Reshmi was having lots of questions on
why she had been affected by this disease and so on . So we spoke to her
continuously, providing her with the answer she was hoping for.
And since this was a long term treatment with at least minimum time of
4 years, and due to our continuous talking with them they were now
courageous to move forward with the treatment.
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4. Sabeer:
Sabeer is a hardworking person of age 44 working as an merchandiser.
His initial struggles started from caste trouble and thus he went to the
nearby hospital and took medicines.
But his problems started to worse and he started feeling pains and so
they went to another hospital and again there they too started with the
tablet but there too his pains didnt cease and the hospital told that it was
due to pancreatic shrinkage and if medicines don't work they had to put
stunts or go with the surgery.
Due to this he started facing fears on undergoing the treatment,
Also they were unable to meet up with the hospital charges and thus
they started taking loans for his surgery and hospital requirements.
He was physically and mentally disturbed at this point of time.
It was at this time they came seeking help from Doctor Net India, now we
have given him some hope and we sent him to another doctor where he
was given the awareness of his problems and moving on further how his
food habits and lifestyle has to be changed.
If this was done his disease could be cured. And thus he found a hope
from the doctors, the doctor additionally even reduced the costs of the
medicines.
Now after taking medicines his pain had reduced and he started eating
well and their financial strain had also reduced thus he is mentally stable.
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5. Mridula Sri:
Mridulasri a girl of age 16 studying 12 th started facing abdominal pain
And did not urinate for 2 days so they told her to go to the nearby
hospitals and take a scan.
but they started facing fears on what would happen if this would turn out
to be a big problem and since she was a single mother with no one for
guidance she came to Doctor Net India seeking help.
When she consulted a nearby doctor, He gave them a few tablets for a
few days hoping it would get cured but even after completing the
dosage for a prescribed time she still faced her troubles.
Hence the doctors did some investigation on her but the reports turned
out to be normal and so it was suggested that it may be a psychological
problem.
since she was admitted in the hospital at this point the doctors
encouraged the mother to go and speak to her as this was a
psychological problem, and she confessed that she feels like wanting to
meet her dad and speak with him and spend some time with him,
Hearing this her mother was shocked and she started questioning
herself on whether it was due to her lack of careness that the daughter
was wanting him and she also thought whether it would be okay for her
to call him and ask him to take care of Mridul Asri now as he had already
remarried another woman.
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And since her Board exams are in two months, her mother was confused
on whether to call her dad or move on with the psychological help, since
she studies well her mother didn't want this to spoil her exams.
And so we spoke to her mother and helped her to decide on what would
be the best course of action for her life, but the mother had a guilty
feeling.
After this with our help and a bit of guidance she spoke to her husband
and asked him to speak with his daughter and meet with her and the
husband did and this made Mridulasri back to normal and now she is
cured and preparing for her studies well.
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6. Naveen:
Naveen a 24 year old, is employed at a company, by slipping from the
steps he was injured with ligament tear in his knee, after checking up
with an hospital they told him that he was to go under surgery and since
he was an orphan he couldn't claim government insurance for his
surgery nor he had the money to do his surgery in a private hospital.
Thus he stayed at his home without going to work nor tending to his
injury.
At this time they came to Doctor Net India seeking help and we helped
him find a hospital where he could do his surgery free with a bit of
funding by explaining to the doctors his situation.
Before the surgery he was panicstricken and since he needed help
caretaking we spoke to his friends and motivated them to help him in
this state and we also gave naveen the mental support he needed before
the surgery .
Now after his surgery was successfully completed he is now cured and
even after the surgery we provided him with some support.
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7. Maghilini:
Maghilini is a 4 year old, who is a twin. Her twin brother is completely
alright while she is facing some developmental difficulties and is unable
to walk or sit.
Hence they met with the doctors at CMC and they had advised them to
give therapies at home for improvements but after a few days they
neither went to the reviews nor did the therapies at home.
They went to an alternative therapy and did ayurvedic oil massages and
they stopped that too since there were not any significant developments
and they were also not able to afford it.
It was at this time they came to Doctor Net India seeking help and we
told them to meet the same doctors at CMC and told them to continue
the therapy and gave them the awareness and the importance of the
therapy.
But the couples were not in a state to accept this nor did they have any
hope.
And so we made them speak with a father who had a child who was also
facing similar developmental difficulties, but at first they were also
reluctant to speak with him.
But after that with a few friendly chats and hearing out the fathers
experience the couples were now a bit more positive and decided to
move on with therapy.
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8. Geetha:
Geetha is a 44 years old female with a heart problem. When She first
came to DoctorNet India she was very weak both mentally and physically.
So we referred her to the doctors known to DoctorNet India and the
doctors told that she had to take angio but due to financial problems
they couldn’t and hence they went home.
After that on one evening they experienced severe pain in the heart and
so they went to their nearby GH but they couldn’t get admission and so
we helped them to take Angio in an private hospital and the doctors told
that we have to heart transplant but due to her health conditions the
doctors told that it was not advisable.
So they were maintaining her health with the help of medicines, after a
month or so she again experienced severe pain in her heart and her arms
and legs got swollen.
And so we arranged an ambulance for her to get to the hospital and
admitted her to Coimbatore GH. But there wasn’t any proper treatment
and care and Since Geetha’s elder daughter was the only one taking care
of Geetha, she faced many difficulties.
And each time she faced difficulties she had anxiety, fear about her future
and her mother’s health and so she would call DoctorNet India and so
we gave her unwavering support for her to overcome this situation.
But soon enough she came to know that her mother wouldn’t stay alive
long enough and she faced difficulties in accepting the truth.
And so we talked to her consistently which made her think that she
should at least take care of her mother well until she stayed alive. But
unfortunately after 10 days Geetha passed away.
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9. Seetha:
Seetha is an 45 years old female who is a farming laborer who has been
suffering from severe bleeding and stomach and upon investigation it
was observed that she was from uterus problem and had to undergo
hysterectomy.
Seetha at one night due to severe bleeding and pain she had fainted and
so she went to a private hospital that was 50 km away, after going there
she was admitted in ICU and after a day she got better and came out of
the critical situation.
But then after a few days unable to afford their treatment they returned
back to their home . At this stage they came to us asking help but since
they had no insurance we explained their situation to a doctor in a private
hospital and immediately made Seetha get an operation.
but they were physically and mentally weak and they needed blood for
the surgery and since they were from a tribal area, just looking at the
hospital and their surroundings they became anxious and started
questioning themselves if they could afford getting treatment there.
But we gave them emotional support and made them aware of their
current situation.
Their surgery was completed successfully and even after going to their
home we followed up on them regularly at frequent intervals.
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10.Jaya:
Jaya is a 48 years old female who is a laborer in a tea estate.
She first came to us for her heart valve surgery, she had already consulted
with a private hospital but due to the lack of fundings they discontinued
the treatment and since they had insurance we found a hospital in which
they could get treatment under the government insurance.
Before the surgery jaya son was terrified about his mother condition and
was also afraid if the treatment would work out or not, he would call us
everyday and inquire about his mothers treatment and would ask the
same question everyday again and again, this showed his affection for his
mother and at the same time his fear of his mothers treatment.
Due to this he was unable to eat, sleep and do anything properly and
since he was alone at the hospital he needed emotional support very
badly and thus we talked to him and gave him a helping hand after this
jaya underwent surgery and she is now completely cured.
But unfortunately at this her husband died and Jaya and her son needed
emotional support after this unexpected turn of events and so we again
spoke to them.
Now both Jaya and her son are going to work and are alright.
The data of these 10 patients have been graphically represented down below:
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