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| Dr Aquinas examining a patient on a streets |
Tribal
villages of Odisha where no medical help nor motor vehicle reached are now
getting the best treatment, thanks to Dr. Aquinas Edassery.
“If hundred patients come to see me at
the hospital, I know there are many more people out there who are not able to
make it to the hospital,” says Dr. Sr. Aquinas Edassery, who is out on her
mission to reach the most needy and the most unhealthy.
To find them, she’s going to places where there are no roads,
where the first four-wheeler that the people saw was the jeep that she came in,
where teenage mothers are dying during childbirth and where the death of
children under the age of five is heartbreakingly high.
She could
have chosen retirement or even a simpler task at the age of 61, but three years
ago Dr. Aquinas gave herself the most challenging task of her life. She chose
to work for the tribal people living in the forests of Thuamul Rampur Block in
the district of Kalahandi, considered to be an appallingly backward region in
Odisha.
“It was not
an easy decision to make, to move to a remote corner of the country that lacks
basic facilities, to gain the trust of the tribal people and work with them,
and not knowing the local language. People who get job transfers here consider
it to be a punishment transfer,” she says.
But Dr. Aquinas knew this is what she wanted to do because
this is where the need is the most.
Dr.Aquinas
with a boy who was brought back to life from the face of death. The boy was
left to die in the village square as the village ‘guru’ had pronounced his
imminent death. Dr. Aquinas and her team administered medicine to the boy. He
came to see her three days later, completely recovered.
Even while
she worked in St. Johns Hospital in Bangalore, she went beyond institutional
boundaries to reach out to the people of Kollegal in rural Karnataka. She and
her friends did dedicated groundwork in training grassroots workers on primary
healthcare. She got to see how maternal and child mortality dropped in those
years of work in Karnataka. Carrying this experience, she decided to dedicate
all her time and efforts to uplift a people who are in real need of this
service.
Her talks
with friends and colleagues and her research unfolded the Kalahandi chapter for
her. In Kalahandi’s Thuamul Rampur block, the primary health centre has just
one doctor and one nurse. Most of the women have unassisted deliveries at their
homes. The place is has rampant malaria cases — people do not know how it
spreads or that it can be cured. Tuberculosis is rampant too. Deaths are eerily
silent. “Someone had to step in and start doing things,” says Dr. Aquinas.
Dr. Aquinas
and her two colleagues Sr. Angelina Thomas, a senior lab technician, and Sr.
Biji Mery, a senior nurse, moved to Thuamul Rampur in 2014. They started their
NGO ‘Swasthya Swaraj’ with a small office in the town of Bhawanipatna. They set
up two medical centres in the region that are equipped to provide high quality
healthcare, 24/7 and has a laboratory to carry out primary investigations.
“But we cannot always sit in the clinic and expect patients
to walk over 50km to come to us. Especially, children and pregnant women cannot
travel, so we decided to go to them,” says Dr. Aquinas.
The team
goes out on two jeeps into the deepest tribal pockets of Kalahandi. Some places
are so remote that the jeep has to be parked at a place from where the team has
to walk five to six kilometres to reach the villagers. “In the monsoon seasons,
making inroads into the villages become all the more risky. But we are not here
to do half-hearted work. If we had not taken the effort, many children would
have died. All difficulties are all forgotten when we see are able to save the
lives of precious babies and young mothers,” says Dr. Aquinas.
The team is
always on the move, one village after the other. They use the help of postmen
to give them updates on the health of the villagers. If there are any medical
conditions that need urgent attention, the jeep with doctors rush to them. The
clinics have a one-day per week schedule of OPD and those days are a riot. “We
see 200 patients in a single day. Consultation, lab tests and reports, medical
advice – we are literally on our toes to get it all done before it is time for
the patients to catch the last buses to the villages,” says Dr. Aquinas.
“Apart from
non-availability of basic medical facilities, if you look at the larger
picture, literacy rate here is an abysmal 9%, people are ignorant, and girls
get married and become mothers in their teens. You need to see the problem from
a wider perspective. That’s why we spend 50% of our time in providing medical
facilities and 50% in creating awareness,” says Dr. Aquinas.
Dr Aquinas along with her team crossing watery lake to outreach distant villages
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One of the
main philosophies behind Dr. Aquinas’ work is to make the villagers
self-sufficient to handle their basic healthcare needs. That’s what the name of
her NGO, Swasthya Swaraj, stands for too. To make them empowered to handle
their own needs, she and her team are training 80 young tribal women to become
primary healthcare providers in their villagers. These women, mostly
illiterate, already know how to diagnose common illnesses, identify high risk
pregnancies early enough and alert the medical team.
A team of 20
young men have been chosen as healthcare communicators to educate fellow
villagers on how to stay healthy and control malaria, tuberculosis and leprosy.
Another programme, called Tulsi, is aimed at bringing a sense of empowerment to
adolescent girls.
On the whole, the villagers are getting empowered with the
knowledge through awareness. “That’s what we want. I tell the villagers in my
broken Kui, the tribal language, that we are outsiders. We will go away one day
and that it is their responsibility to empower themselves,” says Dr. Aquinas.
Dr. Aquinas
is hopeful that the tribal people of these villages will find themselves
awakened and empowered. “There is a certain kind of an awakening that is taking
place in the region. Many people are coming forward to support, people are
showing receptiveness and the government is helping too.” Around 14,000 people
of 76 villages, selectively picked based on their backwardness and remote
locations, are benefitted by the work of this 65-year-old doctor. “No, my age
is not what matters. As a doctor, it matters to me that people benefit from my
service.”
Dr. Aquinas’
NGO has no affiliations to any church nor is their service religion-based. But
there is one religion that she thinks that the world should follow and that is
something that she has learnt from the tribal people. “They worship mother
earth as god and do not destroy nature for their benefits.”
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