India

  1. Project RISHI: Health and Lifestyle Analysis in Charniya, Hayana, India

    October 1, 2012 by Guest Bloggers

    Written by: Manisha Bhatia
    Team Members: Varshini Cherukupalli, Apas Aggarwal, Shreya Agarwal
    Location: Charniya, India
    Project: Project RISHI: Health and Lifestyle Analysis in Charniya, Hayana, India
    Fellowship: International Group Research Fellowship in Global Health

    The Project RISHI summer trip was mind-blowing. Each student involved dedicated so much time and effort into ensuring the project successful started its India trek with a bang. Before we even started planning the summer trip, the Research and Education committee started developing an extensive needs assessment to determine how we could help the community. The exec board and members worked tirelessly through Samosa fundraisers, disease presentations, and donation letters to raise funds and educate ourselves to prepare for the community.

    The community I am speaking of is Charnia, a village 45 minutes outside of Chandigarh. The village is comprised mainly of two populations: the farmers and the brick manufacture workers. After spending time in the village, however, we learned there were many other types of people there. We met people who worked on government projects while living in huts, construction workers who lived in sedentary homes, factory workers who lived in bricks stacked upon each other, and engineers who lived in beautiful permanent homes.

    We spent over 8 days surveying different parts of the community, and as much as I dreaded a full day of survey each morning, it was one of the best ways to get to know the diverse community.

    During my first day of the needs-assessment survey, I worked with another student, and as he asked questions, I recorded the families’ responses. The first house we visited seemed well-off; the family had a bed, electricity, a fan, and a sturdy building. They knew all of the answers to the infectious disease section of our survey which made me wonder if the population would benefit from our involvement. However, our next house showed the community’s need.

    The family of nine lived in a small one bedroom home that had an extended porch. They were Harijans in the Hindu caste system; they were the untouchables. While the other families we surveyed had the ability to move upward in society, the Harijans did not have that opportunity. The family answered our questions as best they could; however, their knowledge was lacking. The mother of the family constantly added to her husband’s answers, and she looked to me for approval.

    After the interview, we moved to the next house, a luxurious home with two foreign cars in the garage. During the interview, I could not stop thinking about the previous family. Just as we left the nice house, the woman from the previous house approached me and started talking about the treatment she received from the doctors and the below poverty card. I tried to note down as much as possible, but our community guide was hurrying us to the next house.

    I almost forgot about the woman, but then she appeared at the site of the health camp as we were setting up. She was wearing a sling on her right arm, and approached me with tears in her eyes. She told me she and her husband had been in an accident the day after we surveyed them and they did not have a way to receive proper medical attention. She looked to me as her advocate but, the best I could do was to tell her was to come to the health camp and physicians would examine her. Each time I spoke with the woman, I was surprised by how much she opened up towards me. During our first encounter, I had just said hello, and let my RISHI partner ask the survey questions. Yet the woman approached me outside of the next house. At the health camp set up, there were five of us working on the organization but the woman once again approached me about her accident. In our 20 minute survey, I made a connection with this woman who truly needed medical attention; just by being the community, our group of NU students made a real difference.

    The day of the health camp, however, was when we learned about all of the different medical issues the community faced. After meeting with the civil surgeon and numerous other doctors at the beginning of our trip, we learned the same practices applied to students – meaning, we were not allowed to do any invasive tests, including sugar and hemoglobin test. So, through our advisors, we found some MBBS students to volunteer their Sunday morning to help run this health camp.

    It was raining cats and dogs as we set up for the health camp. Once it started, the weather cooperated, and the chaos on the ground began. The community members were lined up and ready to start the process, so we had them go through multiple stations: sign in with height and weight; vitals: blood pressure, hemoglobin, and sugar levels; then they waited for their name to be called. The patients would then see the specialty doctors for whatever ailment was the most severe; some patients saw a couple of doctors to make sure everything was checked up. We had a variety of specialties, but the most amazing thing was seeing the doctors from different institutions and with different ties to the community work together. Everyone relied on one of the volunteers to direct the community members to the right specialty station, and then each of the doctors relied on the pharmacy, staffed with multiple doctors, to allot the right medications. I was impressed seeing such a mix of people, doctors, volunteers, and students, unite for the community.

    There are a ton of things to be said about our trip. But, the one the only thing I am thinking about is how lucky I am to have been part of this entire journey. I went to India for 20 days and each day has taught me at least one new thing. We are setting up the groundwork for an amazing RISHI project, and each trip member has shown their dedication to the sustainability and effectiveness of the project.

    I am so thankful to have come on this trip with 10 other extremely driven NU students  who always prioritize the needs of the community. I am so impressed that after each of our long surveying days, the extremely tiring health camp, and even while we are site seeing, RISHI trip members are willing to discuss our project at length. Monday evening we drove to Amritsar to see the Golden Temple, slept less than 3 hours, shopped around the city, watched the changing of the guard, and made our way back to Chandigarh. Though everyone was exhausted, we managed to have a serious discussion about the progress of our projects. Once we started the discussion, everyone chimed in because these people, my Northwestern peers, these 10 other NRIs truly want to help the people of Charniya.

    I am looking forward to what the new RISHI generation will bring to Charniya!! This trip has really solidified our connection with the community, and as hard as we worked this past year, I know the Project RISHI members will work even harder, with a more defined goal this upcoming year. The diversity in Charniya begs us to look at the community with multiple lenses and slowly work with them on different solutions to their many problems.

    I am so thankful to have had this opportunity and am excited for more students to experience this!

  2. Strange Experiences, Changed Perspective: Research in Rural India

    September 26, 2012 by Guest Bloggers

    Prathyusha Chenji (WCAS 2015)
    Major: Asian Middle East Studies
    Location: Tirupati, India
    Project: The Effects of Religious Diets on Nutritional Anemia in Women
    Fellowship: Radulovacki Global Health Scholars Research Fellowship

    When I first found out I would be able to conduct my project abroad for the summer, I was more than a little excited. I usually try to avoid clichés, so I definitely was not expecting a trip that would change my entire perception of the world. But that’s exactly how it worked out.

    I wanted to study the effects of religious diets on nutritional anemia in women, specifically studying iron deficiency anemia in non-pregnant women of reproductive age. It’s common knowledge that anemia is determined by what you eat, but very few realize that in India, religion dictates your daily menu. Hindus do not consume beef or pork, some eating only white meat (poultry or fish) or choosing to be vegetarians because of their beliefs. Muslims refrain from consuming pork products, while Christians do not have any religious dietary restrictions, and I wanted to be able to compare these populations and see if their Hemoglobin levels (Hb, # of red blood cells count which determines anemia) differ. My location was Tirupati, India, which I chose because it was a holy town, the most popular pilgrimage site in India (the Hindu version of Mecca, of sorts); if religious diets played a significant role in causing anemia, I could find out there.

    But as soon as I arrived, I knew I had entered a whole new world. I wasn’t expecting a clinic with earthly hues on the walls and goldfish in the waiting area, but everything was so different from what I was used to. I remember being so shocked every time the door to the doctor’s office opened, because the patients would swarm the door, fighting each other to get in and treated first! It wasn’t until later I realized how far these people had come from just to see the doctor, how not all of them were privileged enough to call in and make an appointment beforehand and get a ride to the hospital. They had saved up for months for just this visit, and didn’t have all day or they would miss the public transportation taking them back to their hometowns. So they had a right to push through. Dr. Maddini treated hundreds of patients weekly in that small clinic, but few of them could pay the full cost of their visit. Yet she continued to treat them, and they always came back, and they looked at my mentor as though she was their angel. And no matter how many times I explained that I wasn’t a doctor, that I wasn’t even a medical student, the patients looked at me the same way because I was sitting across from my mentor and I was enthusiastic to talk to them about my research. I didn’t even know them and they had more confidence in me than I ever did, which I never got used to. Like I said, it was a whole new world.

    It’s actually insane how much I learned. Learning how to cross the street, for example, took me a few weeks (try no traffic rules, no traffic lights, side walks or stop walks, and people drive on the left side of the street! So confusing and scary!) There were days where I couldn’t go to the clinic because we were out of water (which seems insane, but we actually had to wait to buy it from a water truck before resuming daily tasks). I noted that the power goes out for four hours daily in Tirupati, from 8-10 AM and then from noon to 2 PM, because there was less supply than demand. I learned that jeans and blouses make local women intimidated, and I had to get traditional local outfits tailored in order to effectively communicate with patients. I had to accept that to be a doctor, or to be associated with a physician in rural India comes with respect, and everyone (from patients to staff) referred to me as “madam” even when I insisted to be called by my name because I was merely a student. Some patients would quickly answer questions, and practically run away from me after our conversations were over, while others would linger, asking me about my studies, life, trying to get a glimpse of the foreign nation I come from. Honestly, life back home seemed like a dream after just a few weeks abroad.

    After this trip, I realized that practicing medicine doesn’t necessarily mean owning fancy equipment in a large hospital, treating patients by appointment. It could also mean everything that my mentor, Dr. Maddini, is attempting to do. By using her profession to treat a primarily underprivileged population, she is improving the lifestyles of hundreds of patients weekly. Her secretary doesn’t need a visitor sign-in; she knows all the patients by name. And when patients call, they call Dr. Maddini directly on her cell, all their numbers in her phonebook along with her family and friends. People are confident they can get a hold of the doctor on the first ring, confident that they don’t have to go through nurses and appointments, don’t ever have to wait to see the doctor. And that’s the kind of doctor I want to be in the future. To be able to serve those who have the least, but have the most heart. It might be difficult, it might lack structure and order (which I desperately need), but it’s an unpredictable life that would benefit the patients the most.

    It seems crazy to me how differently things are run back home, how easy we have it even without realizing it. My life, to me, seemed ordinary, but my interactions with local people while conducting research have allowed me to see that my life seems extraordinary to them. For the first time, I feel I’ve acquired an alternate perspective of the world, that perhaps we are the lucky minority who can fret about petty things like classes and facebook while much of the world worries about getting food for the day, or conquering an minor illness. If not for these experiences, I never would have known what I wanted, and my future seems a little less fuzzy now. I’ve wanted to be a doctor since I was five, and back then my only reason was because I thought stethoscopes were cool! But I’ve broadened my perspectives, I feel I’ve opened doors to so many opportunities to help people in the future, and though I’m not sure where I’ll be, I know that this past summer will define everything I do for the rest of my life.

  3. Marching for “World Toilet Day” in Rajasthan, India

    April 14, 2010 by Janka Pieper

    In March 2010, a group of Northwestern University students traveled to Rajasthan, India for an intensive 10-day scholars program on Best Practices of Sustainable Development in Water Resource Management, in one of the most water-distressed regions of the world. Hosted by the Jal Bhagirathi Foundation (JBF), the aim of this exchange was for students and faculty to employ their first-hand experiences to develop sustainable water practices to tackle local issues on NU’s campus and work with JBF on international water advocacy.

    The Office of International Program Development sent Medill alumna Andrea Hart along the group of NU students to Rajasthan. Andrea is a journalist and writer for Circle of Blue WaterNews, a news source that offers up-to-date information and resources on the global freshwater crisis. Andrea just published her first article on the experience:  “Standing In A Long, Really Long Line: Toilet Queue Serves Indian Village Effort to Promote Sanitation Awareness“, outlines the events of Janadesar’s “World Toilet Day”. Organized by JBF, almost 900 residents of the rural Indian village Janadesar, located in the Marwari region of Northwest India, which is marked by long droughts and decreasing groundwater resources, came together to celebrate “World Toilet Day” and to compete for inclusion into the Guinness Book of World Records!