journalistsagainsttb

Fusing journalism and TB – telling the stories as they are

A slice of life – unimagined!

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I finally reached Arandonk… I had very precise instructions from my friend Roeland Scholtalbers of the Insititute of Tropical Medicine (where I was spending three weeks learning how to write …

Source: A slice of life – unimagined!

Written by JournalistsAgainstTB

January 16, 2017 at 6:03 pm

Posted in TB and Media

A life set on hold for two years…The wait was worth it…

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Two years ago…

A’s father holds a picture of a vibrantly lovely girl in his hand and looks at it with a tinge of sadness in his eyes. The girl sitting opposite him is the same, but she is now merely a shadow of what she was in the picture.  A (24) is so wasted that the several layers of woolens she wears hang loosely on her frame. Her bones are thinly covered by skin and she completely signifies the proverbial ‘skin and bone’ simile. Her speech is interrupted by pauses, as she becomes short of breath very often. When she changes position, she grimaces because each limb of her body protests with pain.She doesn’t smile as radiantly, or so often anymore.  She has been diagnosed with drug resistant tuberculosis and has been on DOTS Plus for two months…

Today…

31.12.2016

Two years is a long time to set life on hold, as A has done. Over the last two years, while most of us were living lives full of change and activity, achievements and excitement and maybe trials and tribulations too, for this young girl from a small town of Karnataka in Southern India, time had stood still. Her days and nights stretched endlessly before her and she couldn’t quite see the road ahead because she was living in a hazy world of pain, suffering and hopelessness.

Her days seemed endlessly monotonous. Day after day, for over two years, she woke up to pain, toxic medication, suffering and side-effects. When she slept, she wasn’t sure of a night’s rest as she woke up most nights wanting to douse herself with cold water, so harsh were the side-effects of the medication she was taking for MDR-TB. “My body feels like it is on fire,” she said to me more than once. She was often on the brink and wanted to give up on the treatment and take her chances with death. But her parents, her ORW-turned-friend Nagarathna (who was always on call, be it day or night), and a few trusted persons she reached out to, ensured that every time she felt like giving up, she actually persevered.

One step at a time, slowly, aided a great deal by her own will to overcome, she gritted her teeth and went on… Till the day her doctor announced she was cured. It had been two years and a few months. She had gone from a mere 29 kgs to her present 40.5 kgs. Her appetite had picked up and suddenly, she found she wasn’t feeling so hopeless anymore.

‘A’ was bubbling over with happiness when I called to seek her permission to wish my readers through her story! She shared with me that she had begun working again, albeit from home; was riding her scooter; giving tuition from home and frenetically making up for lost time. She was eager that I appeal to others like her not to lost hope and to stay with treatment, however difficult it was as the end would be happy! She has also assured me that she will be available to speak to people who wish to know what she went through and how she overcame.She had access to and adopted the 4 point TB cure mantra!

TB Poster final_Page_2

Developed with support from Lilly MDR-TB Partnership

WISH YOU ALL A HAPPY AND HEALTHY YEAR AHEAD!!

FROM ‘A’, A YOUNG 26-YEAR OLD, WHO HAS COME BACK TO LIVE LIFE WITH RENEWED VIGOUR AFTER BEING ON MDR-TB MEDICATION FOR OVER TWO YEARS!

If you wish to know more about A, mail me: bharathiksg@gmail.com

Bharathi Ghanashyam

 

Written by JournalistsAgainstTB

December 30, 2016 at 3:27 pm

Posted in TB and Media

You give us life – now teach us how to die – an open letter to the medical fraternity

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Dear Members of the Medical Fraternity,

Greetings from JATB and the GR Initiative!

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This is the last post of this year from JATB. As the year draws to a close, as part of my (a lay person’s) commitment to preventive health I want to lay a few questions and dilemmas before the medical fraternity.

My questions have a context. I remember the day his oncologist called me aside, and with a smile on his face (he was probably too pained to do anything else), told me that my brother had terminal stage lung cancer, and was not expected to live beyond six months or so. And then he left. Just like that, leaving me to cope with this news. My brother was in his room, but ten steps away, and I did not know how to go back inside and tell him what the doctor had said.  Instead, I went into the lawns of the hospital, alone, and (scarcely worried about who was looking) loudly uttered the word death several times,  till it sat easily on my tongue. Next, I said to myself (loudly again), that my brother was dying. I said this again and again, till it did not cause my heart to flutter and breath to come in short gasps. Because I knew surrender was inevitable. And then, I walked into my brother’s room and lied to him about what the doctor had said. When in actual fact, he was the one person who had a right to know the truth.

Life and health, or the lack of it are not like riches or privileges or position. These do not discriminate or favour but a few. Every living being born on this earth ages by the minute, by the second, and the millisecond. And every living being dies. Death is the only non-negotiable truth in the lives of living beings. All else is negotiable. And yet, this is the subject we run away from, all the time. Death is discussed in hushed tones, or not at all, even by the medical fraternity.

When my brother was steadily progressing towards what is the logical end to every life, we realized how under-prepared we were, and how hard we all, his team of doctors included, were refusing to accept the inevitable. I ask now, is it not the duty of the medical fraternity to teach us lay persons how to ‘learn to die’ in a sense? Was it enough for them to tell us, those around him, that he was dying and then continue to try to make him live? Should they not have prepared my brother for a smooth exit? After all, it is only they who knew the extent of the truth. Only they knew how close he was to the brink.

It is doctors who know to interpret reports, determine how good or poor the prognosis is going to be, and how near the end is. And in reality, it is they, who most often are in denial. I have reason to believe they go into denial when faced with a case they know is hopeless. And I empathise with them. It can’t be easy to walk into the room of a person who is fully conscious, and yet, dying. It can’t be easy to look into hopeful eyes that are waiting for reassurance and throw up empty hands that have nothing to offer that can justify that hope. So they stopped walking in when they knew he was going. We only had junior interns or on-the-verge of retirement doctors who came to his room. His questions got only vague replies and every doctor who spoke to him only hedged and made him even more anxious.

But is it that impossible? Is it so impossible to face this spectre of death? For a moment, can science not step back and humanities take over? Can there not be a marriage of the two? After all death is an enemy that has never been defeated. EVER. It has, on the other hand, defeated kings and conquerors, rich and poor, young and old, wise and otherwise. No one can claim victory against this force. So why is the medical fraternity constantly at odds with this force? Cannot doctors be ‘taught to teach about death’? Has science become so arrogant about its own achievements and invincibility that it has forgotten how to surrender to an adversary as strong as death?

This is not a rant; above all it is not an attempt to lay blame on the doctors who treated my brother. On the other hand, I am grateful to them for making him as comfortable as they could. I even saw tears lurking in the eyes of his oncologist on the last day that he had the courage to walk into his room, days before my brother died.

Then what am I attempting to say? I’m probably appealing that death be made a part of the process of healthcare itself. I’m probably asking that death be a part of discussions on life and life-giving processes. And that we, the affected, be part of these discussions. I’m probably asking that doctors be put through short capsules in medical college itself which teaches them that they are going to confront death at every corner and they need to be able to face it. They need to be the bridge between death and the dying or the survivors left by the dying.

Will these questions seem earth-shaking and new to the medical fraternity? Not in the bit I know. Then what will be new? Probably the demand that we stop running away from it and look death in the eye and say, come get me, I’m ready. My doctors have readied me to face you.

Yours as always,

Bharathi Ghanashyam (purged for ever from questions that were dying to be asked)

P.S. If I asked this during the festive season, there is a reason. Death, I reiterate is something to be celebrated, and not dreaded or feared, or shied away from. The day we do that, we’ll stop being scared of death! Who better to help society do that, than the medical fraternity?

Merry Christmas and a Happy New Year!

Written by JournalistsAgainstTB

December 22, 2016 at 1:46 pm

Posted in TB and Media

TB and CSR – a perspective from Mumbai Mission for Tuberculosis (TB) Control, India

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Dr Daksha Shah, TB Officer, TB Control Programme, Mumbai Mission for TB Control, met JATB on the sidelines of the 47th Union World Conference for Lung Health. She gave valuable insights into the ef…

Source: TB and CSR – a perspective from Mumbai Mission for Tuberculosis (TB) Control, India

Written by JournalistsAgainstTB

November 21, 2016 at 5:13 am

Posted in TB and Media

TB and CSR – a perspective from Mumbai Mission for Tuberculosis (TB) Control, India

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Dr Daksha Shah, TB Officer, TB Control Programme, Mumbai Mission for TB Control, met JATB on the sidelines of the 47th Union World Conference for Lung Health. She gave valuable insights into the efforts made by the Mumbai Mission to raise CSR funds from corporates for TB Control. The TB sector is well aware of the challenges associated with doing this, given the competing priorities for CSR funding, from other, equally compelling social causes. Mumbai Mission has seen considerable success in this area and Dr Shah shares how they did it. The audio clip below gives valuable insights for entities seeking to raise funds from corporates for TB control. As JATB, an entirely voluntary initiative has consistently reiterated, the contents are more important and not the vehicle through which they are delivered. The audio clip might suffer marginally from quality issues because the interview was conducted through a simple mobile phone. Reader/listener cooperation is anticipated.

Bharathi Ghanashyam (grateful acknowledgements to Jasvinder Sehgal for help with audio enhancement)

 

 

TB and CSR – a perspective by Dr Daksha Shah, TB Officer, Mumbai Mission for TB Control

Written by JournalistsAgainstTB

November 20, 2016 at 11:35 am

Posted in TB and Media

HAPPY DIWALI FROM JATB

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HAPPY DIWALI FROM JATB!

Narsayya and his wife are the real people of India. The real aam admi. When I met him three years ago in North Karnataka, he was suffering from TB and was on medication. He and his wife have two children, both severely disabled and when I met him, he was unable to work and earn and didn’t know where his next meal was coming from and yet,  he and his wife posed for my camera, their faces beaming. I do hope he is alright now. This greeting goes out to all readers of JATB in his name and it’s symbolic that I should be posting this from Liverpool where the world has come together to find solutions to problems that he and others like him have experienced. I hope they succeed, I hope we all succeed!

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Written by JournalistsAgainstTB

October 29, 2016 at 8:29 am

Posted in TB and Media

Mr Modi, I’m tempted to say,”We told you so.”

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India has had more than a few “I told you so!” moments at the 47th Union World Conference on Lung Health. For years now, the TB sector in India has been cautioning the government on the dangers of neglecting, or providing inadequate support, or even ignoring implementation gaps in TB control in India. The Government of India, much in the way of an impetuous, headstrong teenager, has ignored all these warnings. It has sat back complacently, happy it has a TB control programme in place and the budgets for it, regardless of how it is working on the ground. And today, on the world stage, it’s all in the open. The gaps are rearing their ugly heads for the world to see. The figures are not important; they are oft quoted. But they are also not healthy. The recently released Global TB Report 2016 strengthens the argument.

Every session at the conference be it the opening ceremony, the plenaries, or the side events, have invariably reminded us Indians in the audience that we need to do something about the very unhealthy figures for TB in India. It doesn’t  matter that arguably the biggest star in the world today, Mr Amitabh Bachchan made an impassioned plea (through a video message which was played at the inaugural) for TB control, and made us all proud for the passion he infused into it. We were reminded we had the most TB infected people in the world. It doesn’t matter we are one of the fastest growing economies and the back office of the world for the banking, insurance, healthcare and other sectors. We were reminded we have the largest number of people dying of TB in the world. It doesn’t matter we have demonstrated commitment by providing budgets for a TB control programme, provided for MDR-TB patients to get free medication and said and done all the right things. We were constantly reminded that we were contributing to the reasons for why TB was not ‘going away’ fast enough. The world cried SHAME!

Should we be bothered? I think yes. It doesn’t matter how rich we are or how productive we are as a nation. If we are contributing to death and disease and avoidable suffering in the world, and in our own country, we need to cry SHAME as well.Why, I want to ask, is our Health Minister not here to reassure the world that we are as worried about TB in India as they are? Why has he not carried a national commitment that we will pursue TB control with the same passion that we pursue the ‘Make in India’ programme or the climate change agenda or any other? To make all these possible we need a healthy population and it begins with public health.

TB is a communicable, airborne disease and we  are ‘making’ a lot of it in India. And spreading it around. I don’t care for figures; they don’t make as much sense to me as the story of Kishanlal, who died of TB needlessly. He was the main protagonist of the play staged by the Axshya Project at the Community Common.

Kishanlal was a character in the play, and yet, he should not have died. So also thousands of others who are really  dying in India simply because we have not got our act together as yet. I am deliberately avoiding quoting data because I am tired of data. Show me some faces who have overcome. Show me some faces who got help when they needed it. Show me that every person who needed help to overcome TB got it! Come on India, you can ‘Make health in India’.

I am putting this responsibility at Mr Modi’s doorstep simply because he has shown us hope by not sleeping his way through his tenure. His enthusiasm enthuses me and I am sure that his personal intervention will make a difference to the TB situation in India. Am I thinking right Mr Modi? Will you come true on your promises, broken as they are for now?

Bharathi Ghanashyam

The views expressed here are solely of the author.

A THEATRICAL PLAY PERFORMANCE BY PROJECT AXSHYA

Written by JournalistsAgainstTB

October 28, 2016 at 8:35 am

Public + health = public health = public good and public well-being

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JATB is an initiative dedicated to advocate for better TB control. Over the years, my understanding has expanded and I am now able to see that TB control cannot be discussed or attempted in isolation and without a discussion on public health. Therefore JATB attempted to understand the linkages. Let’s begin with the definition of public health. The WHO definition of public health is as follows:

Public health refers to all organized measures (whether public or private) to prevent disease, promote health, and prolong life among the population as a whole. Its activities aim to provide conditions in which people can be healthy and focus on entire populations, not on individual patients or diseases. Thus, public health is concerned with the total system and not only the eradication of a particular disease. The three main public health functions are:

  • The assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities.
  • The formulation of public policies designed to solve identified local and national health problems and priorities.
  • To assure that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services.

In order to expand the discussion, JATB spoke to Werner Soors, Unit Equity & Health, Research Associate and Bart Criel, Associate Professor, Institute for Tropical Medicine, Antwerp, Belgium. What follows is a very insightful discussion on public health. The audio interview is reporduced below with a short introduction from Jasvinder Sehgal, a core member of JATB. The audio quality is poor in places; but we request your patience. JATB believes in using technology most easily available at hand and this recording was done on a humble mobile phone. It is however the content and not the container that matters.

But before that, some details.

The photographs below from left to right – (1) Bharathi Ghanashyam (2) Werner Soors (3) Bart Criel (4) Jasvinder Sehgal

IMG_0298Version 2   Criel Bart (2)jasvinder

 

 

 

 

Lets listen in:

Written by JournalistsAgainstTB

February 16, 2016 at 9:31 am

Posted in TB and Media

Mr Narendra Modi, TB control holds the key to progress in India

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Dear Mr Prime Minister,

I have heard a lot of good things about you. I have also heard that you are proactive and want progress for India. And that you have good advisors around you. Then, pray why have they not told you that India carries the highest burden of TB in the world? Did they think it is not important, or did they tell you that it’s not a big deal; TB is a disease just like any other? Did they also reassure you that we have a great TB programme which has been lauded as good over the world and that that alone is enough for us to eradicate TB? Did they also tell you that TB affects only the poor and the poor don’t matter as they cannot affect our progress and productivity?

I’m sure you don’t have the time to verify the correctness of these facts for yourself. I understand. But I am hoping this post will somehow reach you. I am told that you heed good advice, and I’m hoping you consider this good advice. Ambitious huh? But then, my people, your people deserve it, so here is my feeble attempt.

Contrary to what people told you Mr Modi, TB is not, by definition, a poor man’s disease.  TB is an airborne, droplet infection. Technically anyone who breathes in the bacteria can  get it. But TB does not infect everyone who inhales the bacteria. It affects the poor more severely because so much else is missing from their lives. It affects the immune-compromised. And those who do not have access to affordable primary health care, good housing, nutrition and healthy living and working conditions become immune-compromised. These are all very basic requirements I know, but the truth is they lack it. The inference therefore, and correctly so, is that TB is a reflection of social and economic conditions of a country or society. It is less about providing medication (important as that is for people who already have the disease), and more about providing the environment where TB cannot play havoc with lives.

Did anyone tell you that TB is preventable, if the powers-that-be want to prevent it? But the prevention is not the kind that comes from vaccinations. History from developed nations has proved that improving living conditions has gradually driven TB away, because the contributing factors go away, people become healthier, their immune systems improve and they are not vulnerable to TB anymore. Incidences have reduced and some countries are close to eradicating it. Do you know for instance that Cuba, a small country in comparison with India, and a country that has traditionally faced blockades and isolation owing to its allegiance to the erstwhile USSR, has managed to bring down TB incidence to 6/1,00,000? How did they do it, and how did they do it in the face of such isolation and hardships? It is because they accorded health the highest priority in the development agenda. And they systematically improved living conditions for the people.

A paper entitled No one left abandoned”: Cuba’s national health system since the 1959 revolution by Dr Pol De Vos, Department of Public Health, Institute for Tropical Medicine, Antwerp, Belgium, points out, “In spite of the economic hardships during the 1990s, Cuba has achieved health indicators that are among the best in the world. Today, health care continues to be of high quality and free for all Cubans. It remains exclusively in the hands of the public sector, and privatization is not an option. This is exactly the opposite of what is happening in other parts of the world where public services are underfunded and people are made to believe that privatization is the only way to ensure high-quality care.”

No Mr Prime Minister, please don’t tell me that Cuba is a small country and hence things are easier for them. Big or small, things are never easy. In the face of great hardships, they found the money to improve the lives of their people. But we, in India, are currently facing cuts in health care budgets and cuts in budgets of other social welfare schemes. I am an ignorant person. Can you tell me Mr Prime Minister, how, in a country so full of illiterate and unskilled people, we can cope if social security schemes are suddenly curtailed? How can you abandon these people and expect them to do well?

As a final message I want to tell you Mr Prime Minister that TB actually holds a mirror to society. And it is currently reflecting a very ugly image of India. Do we have data on how many in India are victims of poor living and working conditions. We don’t, but common sense and anecdotal evidence tells us that the number is huge. It’s a question of whether the egg or the chicken came first. If you don’t improve living conditions, TB won’t go away; if TB doesn’t go away, you’ll have a sick and weak population who can’t anyway work to bring progress to India. Do you have a choice? And do you have a choice other than to improve the whole of India? You have just rolled our some very evocative programmes, Swacch Bharath, Beti Bachao, etc, etc. Please get your advisers to mainstream TB into all of them and to also analyse the linkages. Where do they all converge? Do they look at equity? Do the benefits accrue to all in India equally, regardless of caste and creed? If yes, we are in the right direction. If no, kindly do a rethink; there is still time, but not much. The world is hurtling forward and we can’t be left behind. I am not talking of the few who will anyway surge forward with you. I am talking of the multitudes like me, and those who are less fortunate than me. So please choose your priorities; our lives and fate lie in your hands.

For some additional reading material which your think tank can read and imbibe while framing policies, I attach this link: http://www.personcenteredmedicine.org/doc/2014_Geneva_Declaration_Released_May_27.pdf

Why did I not address this to the Health Secretary or Health Minister? Why you? Because Mr Modi, this needs intervetion from the highest levels and you are that highest level today. We deserve this Mr Modi, give it to us.

Yours, in solidarity with the people of India and with you,

Bharathi Ghanashyam

Antwerp, Belgium

Written by JournalistsAgainstTB

January 15, 2016 at 10:13 am

Posted in TB and Media

लचर है टीबी उन्मूलन का प्रयास !

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महीनेां लेट हो जातें है80प्रतिशत मरीज!

 Gorakhpur: हमारे देश में टीबी के रोगियोें की संख्या में उत्तरोत्तर बृद्धि हो रही है। यह तब हो रहा है जब दुनियां भर में इस बीमारी के उन्मूलन का प्रयास डाट्स जैसे प्रभावकारी ईलाज से किया जा रहा है। देश भर में कमोबेश टीबी के ईलाज व उसकी जानकारी तथा इस बीमारी से भेद- भाव की समस्या लगभग एक जैसी ही है। नेपाल की सीमा से सटे उत्तर प्रदेश के जनपद महराजगंज में श्यामदेउरवां न्यू पी एच सी पर टीबी के मरीजों का हाल समझने पहुंचे तो लगा कि अभी टीबी के प्रति लोगों को जिस तरह जागरुक रहना चाहिए वैसे नही हैं। यहाॅ इसे सर्दी -जुकाम से सम्बंधित मानते है । यहाॅ चिकित्सक काउंसलर व टीबी मरीज के परस्पर ब्यवहार में भी कमी देखने को मिली। ये वो मूलभूत बातें हैं जो देश के प्रत्येक गाॅव में समान रुप से देखने को मिलती हैं।

अस्पताल में काउंसलिग की हालत दयनी !
टीबी उन्मूलन की सबसे बड़ी बाधा अज्ञानता है। इसके अलांवां जिन्हें ज्ञान है उन्हें रसूख की चिंता है। जबकि टीबी ऐसी बीमारी है जो फ्लाइट जोन मे रहने वाले से लेकर सड़क पर भीख मांगने वालों में एक समान रुप से होती है। यहाॅ डीएमसी पर उपस्थित कर्मचारी शायद टीबी के समान दुश्परिणाम पर गौर नहीं करते तभी तो किसी गरीब को यह तक नहीं बताते कि उसे दवा किस बीमारी की चलाई जा रही है। बातचीत में बेलवां गांव की एक महिला ने अपनी समस्या से अवगत कराया कि जब डीएमसी पर बताया कि उसे दवा खाने पर उल्टी हो गयी तो वहाॅ इसे लापरवाही से सरकारी ओहदे का मिसयूज करते हुए उसे दवा शाम को खाने को कह कर उसे वापस भेज दिया गया। उसकी अधूरी या ये कहिए कि घटिया काउंसलिंग करके भेज दिया गया। महिला ने यह समझा कि दवा सुबह- शाम खानीं है, लिहाजा उसने एक दिन इसका पालन कर दिया संयोग कहिये कोई दुर्घटना नही हुई। पर ग्रमीण क्षेत्रों में काउंसलर की लापरववाही गम्भीर बिषय है। देश के स्वास्थ्य के लिहाज से अत्यंत सोचनीय भी।  इन गांवों मेे काम कर रहे एनजीओ सेफ सोसाइटी का प्रयास सराहनीय है उन्होंने क्योर पेसेण्ट की टीबी जागरुकता टीम बनाकर महत्वपूर्ण कार्य किया है। ये लोग मरीजों को न केवल सही जानकारी देतें हैं बल्कि नये मरीज को अस्पताल भी ले जातें हैं। फिलहाल हालत चिंताजनक है।

जिम्मेदार उत्तरदायित् र्निवहन की जरुरत
जिले की श्यामदेउरवां न्यू पीएच सी के अंतर्गत 45 गाॅव आते हैं जिनके ईलाज का जिम्मा सरकार ने इन्हे सौंपा है। इन क्षेत्रों में तीन तरह के सुलभ चिकित्सक कार्य करतें हैं मजे कि बात ये है कि इनके पास चिकित्सा क्षेत्र की कोई डिक्री नही है। पहले वो हैं जो गाॅव में फेरी लगातें हैं। किसी की तबियत खराब है तो इंजेक्सन व ईलाज तुरंत मुहैया करतें हैं। यदि इनसे नहीं बन पाया तो गुमटी में गाॅव के चैराहे पर दवाखाना वाले डाक्टर साहब उनके ईलाज का फिक्स तरीके में से एक है मरीज को लेटाकर ग्लूकोज की बाटल लटकाना। अब यहाॅ भी नहीं ठीक हुए तब ग्रमीण मुख्य चैराहे पर मेडिकल स्टोर से सम्पर्क करतें हैं। फिर वह बताता है कि किस डाक्टर को शहर में दिखाना है। टीबी जैसी बीमारी 15 दिन में अपना भारी असर दिखाना शुरु कर देती है जबकि गाॅव में मरीज महीनों फर्जी डाक्टरों के चक्कर में पड़ा रहता है। चिकित्साधिकारी डा0 ए0के0मणि त्रिपाठी बताते है कि यहाॅ 80 फिसद् टीबी मरीज बहुत हालत खराब हाने पर ही आता है। केवल 20 प्रतिशत ऐसे हैं जो सेफ सोसाइटी व सरकार के जागरुकता अभियान के कारण अब प्रथम आवस्था में ही पहुॅच रहें हंै। श्यामदेउरवा चिकित्साकेन्द्र से प्रत्येक गाॅव की दूरी जो इसके क्षेत्र में आतें है 2 किमी से ज्यादा नहीें है। सरकार के मुताबिक इलाज की सभी सुवधायें पी एच सी पर मौजूद हैं फिर भी यहाॅ मरीज नहीं आतें क्यों ! यह सोचनीय है। गोरखपुर- महराजगंज रोड पर महज 800 मीटर में फैले श्यामदेउरवां चैराहे पर क्षेत्र पंचायत कार्यालय, थाना ,बैंक के साथ साथ दो शराब की दुकान हैं। दुर्भग्य है कि ग्रामीण जरुरत के सभी संसाधन हाने के बावजूद चिकित्सा केन्द्र पर लोग दवा नहीं कराने आ पाते। यह सरकारी दवाखाने की कैसी विश्वसनीयता है! वैसे सरकारी रजिस्टर का टारगेट 35 से 40 मरीज प्रतिदिन तो रोज ही भर लिया जाता है लेकिन इसके उलट गुमटी वाले डाक्टर साहेब के पास प्रतिदिन वास्तविक मरीजों की संख्या 55 से 60 रहती है।
स्वास्थ्य की समस्या को केवल चिकित्सा विभाग के भरोसे छोड़ देना भी रोग से लड़ने के अभियान को कमजोर कर देता। गाॅव में सरकार के लगभग 29 विभिन्न विभगों के कर्मचारी काम करतें है। यदि इनको जिम्मेदारी दी जाय व सही मॅानीटरिंग हो तो बहुत हद तक अभियान सफल रहेंगे। दो दिन से हो रही बारिश के कारण गाॅवों के सम्पर्क्र मार्ग जलप्लावित हो गये थे। बेलवा व लालपिपरा गाॅव में मरीज जिनकी दवा चल रही है या क्योर हो चुके हैं उनसे बातचीत करने जाते समय मार्ग का बुरा हाल देखने को मिला। चिकित्सा केन्द्र तक मरीज का नही पहुॅचने का एक कारण ये भी है। लालपिपरा में हमें 2क्योर व एक रेगुलर दवा खा रहे मरीज मिले जबकि बेलवां में 6 मरीज मिले जिसमें से एक क्योर पेसेण्ट हैं। इन मरीजों के बीच पहुॅच कर पता चला कि बीमारी को लेकर ग्रामीण बहुत लापरवाह होते हैं उन्हे अगर आश्वस्त कर दिया गया कि यह बीमारी ठीक नही हो सकती तो वे मृत्यु की बेसब्री से प्रतिक्षा करने लगते हैं। हाॅ इस इलाके में बीमारी का इलाज ओझा- सोखा से नहीं कराते यह उपलब्धि हैै।
टीबी के इलाज को भयावह कभी न दर्शायंे क्योंकि मरीज के मन में इस बीमारी को लेकर हौवा बना रहता है। ऐसे मरीज में निराशा जल्दी घर कर जाती है। इन्हें काउंसलिग की जबरदस्त आवश्यकता है। सरकारी कर्मचारी हर मामलें में बजट का एलाटमेण्ट देखकर काम करतें है। यह सिर्फ एक काउंसलर की बात नहीं है जिलाधिकारी भी बजट की जानकारी पहले करतें हैं। यहाॅ बजट से अधिक उत्तरदायित्व व जिम्मेदारी महत्वपूर्ण होनी चाहिए। ग्रामसभा व ग्राम समिति को जितना सक्रिय कर सकें साथ ही सरकारी विभाग बीमार ब्यक्तियों की ग्रामवार जाॅच पड़ताल करते रहें जिससे बीमारी भी थाना व कचहरी के तरह सबकी जानकारी में पूरी तरह समाहित हो जाय।

Vaidambh Media

First published in Vaidambh Media. Views expressed are of the author.

Written by JournalistsAgainstTB

September 8, 2015 at 8:08 am

Posted in TB and Media

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