Ladybug's field notes

I am new to the field of health. I was so unaware of so many things that last year when I started visiting the health clinics run by Rural Medical Practitioners (RMPs) or quacks in Uttar Pradesh, I was shocked to see them. Since then I have traveled to many government and non-governmental health facilities (not the fancy private ones) and the my shockers are behaving better. However this note is not about how bad the public health facilities are, this is about a pleasant surprise that I encountered during my recent visit to one of the High Priority Districts of Rajasthan. This is about the human spirit that I celebrate whenever I encounter. This is about making the best given all the constraints in the system.  We all know the statistics. Our health sector is suffering from chronic problem around human resource. We dont have enough doctors in the public sector (the lure of private sector is too much), not enough nurses, ANMs (Auxiliary Nursing Matron) and now in Rajasthan the...

There was a perfectly round hole on Baske’s forehead! Yes. a hole. One that caught my attention the moment I saw him. I thought at first, he was in the army and got a bullet injury but then rejected the theory the next second! Nobody would probably survive a bullet injury that is exactly at the middle of one's forehead. When I visited him, he was sitting on a charpoy in his open yard, legs folded close to his chest. When he squinted his eyes to look at us it seemed he was annoyed but, then he smiled at my uncle accompanying me. Baske seemed as old as my uncle but it is difficult to guess the age of any peasant in the countryside working in the field for 10 hours a day from the age of 10…they all look over 60 the moment they reach anywhere near 40. I was in his village working on a project to understand whether tribal culture itself keeps the tribal away from modern medicine. As you can see, I was checking a theorem deeply rooted in the colonial-urban mindset. My uncle t...