Two decades of learning. The journey so far Ramanamma A V 9 th April, 2012.
-
Upload
arnold-moore -
Category
Documents
-
view
216 -
download
1
Transcript of Two decades of learning. The journey so far Ramanamma A V 9 th April, 2012.
Different hats at different times
Clinician Public health physician Trainer Advocate
And at all times – a learner
Suffering from chronic hunger and tuberculosis
Weighs 28.5 kgs Body Mass Index of 10.9,
considered incompatible with life.
Diagnosed in March 2011
Died September 2011
Dhanga Baiga, 55
Raja Baiga, 9 yrs
Also suffers from hunger and tuberculosis
Weighs 10.8 kg Body Mass Index 11.5,
considered incompatible with life
Diagnosed December 2011
Currently on anti-TB drugs and food supplementation from JSS.
People living in small places have small problems…
--and thus can do with simplistic care delivered by poorly trained and
inadequately supported staff
There is therefore an urgent need to train doctors and nurses in peripheral areas to deal with these common conditions,
And to equip the peripheral centres to be able to provide appropriate care before referral.
Massive levels of childhood undernutrition
Poor supplementary feeding; no one to feed the young child; low family income;
family on starvation diet.
Weight for height, all children
2009
26% wasted
2011
10% wasted
2009
26% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
2009
26% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
2009
26% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
2009
26% wasted
2009
26% wasted
2011
10% wasted
2009
26% wasted
Malnutrition in young children can be prevented at the community level
It needs support from Government, however, for food supplementation
Health care costs
Second largest cause of rural indebtedness after agriculture
Each episode of hospitalization pushes 2% of families below the poverty line
There is a huge unmet need for good quality training and appropriate training material
-whether it is for health workers, ANMs, or doctors