For the past year the RSP school has employed a DFN-trained healthcare worker, a smiling 23-year-old woman called Sarah (name changed to protect the individual). Sarah is now providing exceptional healthcare both to the Good Shepherd School and to the slum.
While there are twenty-five organizations providing healthcare in the area, the majority run expensive clinics and offer only infrequent community programs. DFN’s approach of having a healthcare worker available all week, visiting families in their homes, is unique and desperately needed. Sarah conducts awareness programs every Saturday about varied topics such as hygiene, nutrition, or prenatal health. These programs help to increase general awareness, and Sarah further supplements the teaching with regular home visits, where she can show people how to apply what they have learned. She visits homes three days a week, averaging about fifty homes a day.
Sarah also works in the school two days a week. She distributes daily vitamins to the students and measures their growth twice annually. She observes the students in their classes, treating them when necessary, and doing follow-up care. Sarah reports that the students are now always washing their hands before eating and having daily baths even in winter; this marks significant progress. Students are in turn teaching their families these new habits.
There are some health myths that Sarah is attempting to dispel. One belief is that pregnant women should not eat bananas or papayas, as they could be abortive. Sarah is encouraging expecting mothers to eat nutritious food, including fruit. Another obstacle is social stigma, which is particularly prevalent around HIV/AIDS. People will not admit to having this disease out of fear that their families and community will shame them; Sarah is working hard to combat these fears as well.
The most common illnesses the healthcare worker sees are malaria and typhoid, due to the current cold weather and the dirty environment. She reports that people routinely get treatment for these diseases, visiting a clinic or hospital for medication. If GSS students are ill she takes them to a clinic with which she has a partnership and where the students are treated at no cost. Sarah reports that the primary cause of death in the slum is accidents, not illness.
Sarah faces many challenges every day. While all the healthcare, training, and medicine she provides are free, this in fact poses a problem: since they have not paid, patients often feel no obligation to take medicine. Because of this Sarah consistently has to explain the importance of treatment and convince patients to take their pills. Also, while people’s homes are generally clean, the streets are filthy. Municipality street sweepers clear the lanes but pile all the trash into a large heap that only gets collected once weekly. Sarah identifies the slum’s biggest needs as increased health education and a DFN clinic, which will hopefully become a reality as soon as a suitable piece of land is found.
Despite the lack of health knowledge, there are certain admirable health practices that all slum residents adhere to. People drink good water, which is delivered by the government every other day; they only use the contaminated tap water for cleaning, bathing, and laundry. Every home has a toilet, which greatly helps hygiene. Most pregnant women deliver at a hospital and breast-feed their infants and as a result most babies are healthy. Each of these healthy practices is worthy of celebrating.
Already, DFN’s healthcare worker is having an impact on health in the slum and the school. People are very responsive to her teaching and Sarah says she is very well received in the slum. She attributes this to the fact that she works for the Good Shepherd School; the school and its teachers are so respected in the community that people welcome the healthcare worker openly. Because of the strong relationships the school has built with the surrounding community, they are able to do far more than just educate the children.
This is truly the mission of DFN: to transform entire communities. RSP is only one amazing story in progress in India. Thank you to each of you who sponsor a child at the RSP school or are involved in the work in some way. You are having a tremendous impact on many lives.