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Item No Dignity, No Rights but Filth Forever: Manual Scavengers in Photographs(2019) Naomi Barton; Photographer-Sudhakar OlweThis Photo essay documents the state of manual scavengers at 16 locations across the states of Bihar, Jharkhand, Madhya Pradesh and Uttar Pradesh with a specific focus on women. It shows the deplorable condition of women and families trapped in the stranglehold and vicious cycle of caste based occupation of manual scavenging. Besides, it depicts systemic disempowerment and how we have become insensate to modern day slavery of manual scavenging.Item Tuberculosis Story(2021) Mohit GandhiThis is a story of Jeetan and Ram from Bihar, Vaishali district who migrate to Mumbai in search of work and start working at a construction site there in the stone crusher section. It highlights social and occupational risk factors of Tuberculosis and HIV and their interaction with the public health care delivery system. The case story highlights the journey of Jeetan and Ram from the development and manifestation of symptoms of TB to challenges in seeking treatment. The case study is divided into 9 sections, each section highlights some pertinent issues along with pointers for duscussion and some reflections.Item Project Swaasthya: Primary Care for Migrant Workers using Telemedicine(2021-22) Daily Wage Worker Platform (DWWP)This case study documents how DWWP in collaboration with Smile foundation developed and implemented the idea of three-month emergency health package to provide basic essential health services to migrant workers at their doorsteps affected by pandemic, lockdown and monsoon. The project was implemented through telemedicine to prevent the spread of COVID-19. Patients who visited the mobile vans were screened by a nurse who connected them to doctors through phone and shared the prescription through WhatsApp. The services include screening, diagnosis, treatment, counselling and referrals. DWWP designed a health survey to collect primary data about migrants vis. a. vis. demographics, access to sanitary products, health profile and access to health care in 10 identified slums using a convenience sampling method. These findings were used to understand the disease profile of the residents and subsquently provide them with nescessary health care services. Community mobilizers were used to spread awareness about the mobile van OPD clinics. Impact of the project includes 60 OPDs with 3,847 beneficiaries with majority of them being women and children, 3000 hygeine kits were distributed in the community, 47 cases were referred to higher centres and 34 community meetings were conducted for generating awareness regarding COVID-19 and NCDs. Some of the learnings include importance of partnership where DWWP and Smile Foundation leveraged each other's strengths to reach the poor, use of telemedicine helped beat the lockdown and implementation of prevention and awareness program, behaviour change as a result of community outreach and use of generic medicines. This model can be used to provide low cost primary care to vulnerable, marginalized and unreached population where health care is sparse.Item Women in the Lead- Monitoring Health Services in Bangladesh(2103) Samina Afrin; Sarita Barpanda; Abhijit DasA Series of case-studies that shows community organized efforts to negotiate better health care services from the State and women's fight for their reproductive rights and address gender based violence. Besides, it highlights the efforts of WHRAP initiative of Naripokkho to strengthen health systems accountability through its three pronged strategy viz. community monitoring of health clinics, training functionaries of its partnership organization and working in collaboration with member of parliament, local elected representative and members of hospital management to create a participatory review and planning mechanism.Item In the Nilgiris, an Inheritance of Malnutrition(2020) Priti DavidThe case study is a story of two women Kanaka and Suma from the tribal community in Gudalur that shows rising alcoholism, vicious cycle of severe malnutrition among women and children and its intergenerational transmission among the community members. The case study, also demonstrates how quantitative data or statistics in silos could be misleading and has the potential to mask the stark inequalities that might exist while simultaneously there could be an overall improvement in the health indicators of a community.Item Counselling and Care on Call: The Story of the TB Careline(2020-21) Karnataka Health Promotion Trust (KHPT)This case study documents the journey of a free-of-cost phone-based TB Careline Program based in a modest office of single room in Dharward that counsels TB patients and provides information about the disease to those opting for the service. Besides, it links the patients back to treatment if they discontinue and provide feedback to the providers about their patient status. First part of the case study discusses the background and evolution of the TB careline program earlier known as' Mitra' that was born out of an intervention conducted under Strengthening Health Outcomes Through the Private Sector (SHOPS) in 2014. It also shows how the intervention has managed to sustain over a period of time and then goes on to discuss the impact it has created in terms of providing care to the TB patients. The process of counselling and care begins when a patient with a Careline card is instructed to give a missed call on +91 7349778223. A care line counsellor returns the call. First call is the introductory call, subsquently the first session begins. The TB careline has registered 15,989 patients between 2014 to 2020. During this period 7,241 patients have completed treatment and 2,552 patients are under active care. The service is flexible and adaptable to the needs of the patient and requirements of the health systems. One of the important learnings from the case study is use of technology to offer a personalized approach to prevention, care and support without removing the human connect and making it acceptable to the patient and caregiver. This type of interventions are especially important when treatment period is long with mandatory dosage and road to recovery is long and is made more difficult by socio-economic factors like poverty, malnutrition and stigmatization.Item The Long Road to the Sugarcane Fields(2017) M.N. ParthThe case study shows how agrarian crisis combined with lack of subsistence due to unavailability of work in villages of Beed District has induced mass migration of workers to seek work as an agricultural labourer in the Sugarcane fields. Besides, it highlights social disruptions and economic distress it has induced in workers lives and its consequences for their health.Item The Story of Selvi and Gopalan. The Last Resort: Why Patients with Severe Mental Disorders go to Therapeutic Shrines In India. From the Book- Restoring Mental Health in India: Pluralistic Therapies and Concepts(2009) Brigitte SebastiaThe case study explores various pertinent questions pertaining to people with mental disorders and the therapeutic route their family members choose. Besides, it explores when and why religious therapy is chosen for treatment of mental disorders and place of religious therapy. Why people visit therapeutic shrines and reasons for choosing religious therapy. The case study also deliberates upon the practice of Psychiatry and history of various treatment practices for patients with mental disorders involving double treatment combining religious therapy and medicine. It illuminates medical pluralism, stereotyping gender question, religion and science.Item Obesity Prevention in Children: Media Campaigns, Stigma and Ethics. (From the Book-Public Health Ethics: Cases Spanning the Globe)(2016) Erika Blacksher; D.H. Barret et al. (Edited)This case study raises issues of vulnerability, stigma, State coercion and intrusion in personal choices in designing media campain and strategies for prevention of obesity among children. It highlights ethical issues and challenges of health communication.Item Voluntary or Regulated? The Trans Fat Campaign in New York City(2012) Lisa ArmstrongThis case study explores the details of how decisions are made on a specific policy intervention. Who all are the actors and stakeholders involved in the process. It shows the interaction of science, ethics, politics and ethical issues in policy making. It also highlights preventive, promotive and curative aspects of chronic illnesses.