Showing posts from October 29, 2017

One Nation 2 Narratives

We were traveling in the neighboring state visiting friends. And listening to friends share stories of contexts and challenges.
We heard about patients traveling 100km or more in search of accessible and trust worthy health care. We heard about many maternal deaths in villages. We heard about rupture uterus's presenting to institutions every other week. We saw in small clinic 7 cerebral malaria patients all with Hb less than 5 or 6 gm/dl. We heard about 80% institutional deliveries of which only 20% only happens in institutions, rest at home, the data cooked up for reimbursement of health care staff under NHM. We heard about early data from a study on malnutrition where 80% of kids are completely off the road to health chart - they needed to create a separate chart (weight was off the basic minimum). We heard about the need of a bribe of Rs 3000/- to get blood from a state blood bank. We heard about large numbers of patients with partially treated TB landing up in these clinics a…