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It's heartening that a prestigious medical institution, CMC Vellore, has organized a national conference about one of the most important determinants of health - 'equity'. Experts from multiple fields, diverse representations from/for the marginalized, professionals from organizations working for rural/tribal health for decades and young professionals genuinely concerned about health - all came together on 22, 23 and 24 Nov 2023 at the Equity in Health conference at CMC - www.cmcmac.com .
It is doubly heartening that DoctorNet India got an opportunity for a poster presentation and also awarded for the same.
We presented how DoctorNet is bridging the information and empathy gaps in healthcare. This is a huge recognition for the work done by every volunteer of DoctorNet. As always, our sincere gratitude to our supporters, associate organizations and doctors.
Six of us from DoctorNet who attended the conference are all grateful for the learning opportunities, meaningful connections and more importantly, the inspirations!
Nov 2023
Five years of DoctorNet India
Sep 2022
We celebrated five years of our non profit organization, DoctorNet India (doctornetindia.org) on 17th Sep 2022 in which 170 people came together. It was very fulfilling at multiple levels
We've great respect for organizations like Payir, Gudalur Adivasi Hospital, Tribal Health Initiative at Sittilingi, Primary care center at the KC Patty, Palani hills for their impactful work in rural and tribal health. It gave immense pleasure and encouragement that health professionals from these organizations attended the event. It was a privilege that Dr. Rajkumar Ramasamy who is considered one of the best in primary care and family medicine took his time to be with us and spoke about social justice in health.
The purpose of the event was not to report the statistics and to quantify our impact in the past 5 years. Because, the statistics and few testimonials can be conveyed in the report https://youtu.be/z-N2Q0Po2c0
It was about strengthening the wonderful community we have built to make access to health better for the disadvantaged people across Tamil nadu. The community is the grassroots organizations across Tamil nadu, the core volunteers who provide the emotional support to the patients, the empathetic health professionals, psychologists and well wishers. All this was built virtually over phone in the middle of pandemic - for a common cause.
Many people in our network shared what DoctorNet meant to them. It was genuine and warm. Many who've been interacting over phone for a long time shared their love and gratitude in person to one another.
The event was about creating a sense of an organization, a sense of a belonging and purpose for all the people in the network.
The whole is beginning to feel like more than the sum of the parts!
With heartfelt thanks to all the people who are part of the cause. 🙏
We are looking for interns/volunteers. Please whatsapp 9944622570 if interested.
With great joy, sharing the story of how a disadvantaged, differently abled girl got her dream college seat, despite several constraints.
Mr. S. is a daily wage weaver in a small village in Tamil nadu. Ms.A. is the eldest of his three daughters. In 2019, Ms. A. met with a train accident and her left hand was crushed beneath the wheels. She was treated at Ganga Hospital, Coimbatore. The condition of the left hand was so bad that the lower part had to be amputated below the elbow.
Ms. A. aspired to pursue Agriculture in Tamil Nadu Agriculture University (TNAU), Coimbatore, the number one institution for Agriculture studies in Tamil nadu.
In 2021, she secured very good marks in 12th standard and applied for admission to TNAU under the differently abled quota. To be eligible for admission in professional institutions, she needed to get an eligibility certificate from the District Government medical board. Unfortunately, she was declared ineligible for pursuing Agriculture studies – due to the absence of clear guidelines on eligibility criteria for persons with upper limb disability and ambiguity in the eligibility certificate template.
She sought the assistance of Dr Madhu Periasamy, her treating surgeon. Being very empathetic and conscious about the rights of the disabled, he wanted to ensure that Ms.A. gets the right education she deserved. He directed Ms. A. to seek guidance from DoctorNet India. We got involved along with well wishers to guide Ms. A.
We helped contest this case in the Court of State Commissioner for Persons with Disabilities.
After multiple hearings of all involved parties, Ms.A. was considered to be eligible to pursue her dream course. In the meantime, she was also guided by Ganga Hospital to get a good quality imported prosthetic hand through the Tamil Nadu Chief Minister Health Insurance Scheme.
On 23rd Feb 2022, she got admission in B.Sc. Agriculture in the TNAU. The family is delighted with this news as her education will transform their socio-economic status.
Through this note, DoctorNet India, on behalf of Ms. A,’s family, profusely thanks all the people involved in enabling the upward social mobility of the family.
Mr. Johny, Respected Law Officer, State Commissioner for Persons with Disabilities (https://www.tn.gov.in/department/35), for handling this case with great empathy and sensitivity.
Respected Dean, TNAU – Coimbatore, for ensuring the admission of disabled persons into TNAU – proving that TNAU is forward looking and inclusive that ensures fair and equal treatment of students of all sections of society.
Dr. Raja Sabapathy and Dr. Madhu Periasamy of Ganga Hospital (http://gangahospital.com) for going several miles extra beyond their primary duty of health care, despite a very busy schedule.
Mr. Senthil Gopalan / Dr. Preethi Xavier of Payir organization (http://www.payir.org) for timely guidance in reaching out to the government authorities concerned.
This note is also to create awareness about the rights of the disabled and about the hassle-free judicial system – the Office of State Commissioner for the Persons with Disabilities.
There is a huge shortage of well trained doctors in rural India. The doctor-patient ratio in rural India is 4 times lower than urban India. Corporatization of medical entrance test coaching and the medical profession and the inevitable “pressure” to pursue specialization pose the risk of moving away from the community and patient centric care.
On 28th Nov 2021, DoctorNet India organized a webinar for doctors with the title of “Why work in rural”. Dr. Regi from Tribal Health Initiative, Dr, Nandakumar and Dr. Shylaja from Gudalur Adivasi Hospital and Dr. Rajkumar from KC Patty Primary Care shared their stories. These are experts in improving the health of the tens of thousands of tribal people in remote hills of Tamilnadu for several decades.
The webinar’s intention was to let the attendees know about the inspiring work done by them.
The overwhelming attendance of 90 doctors is a testimony to the wonderful work being done by these experts. After the webinar, several attendees ranging from UG NEET aspirants to experienced doctors mentioned to DoctorNet that they were (understandably) inspired and also intend to visit or volunteer.
Our next step is to arrange a similar program inviting young doctors from rural community health centers to share their stories. We plan to invite final year medical students as well in addition to the practicing doctors.
We believe this may inspire at least few doctors to volunteer or work in the areas where healthcare is still inaccessible. This will also give better perspective of wholistic health, health seeking behavior of the disadvantaged, and the importance of empathy and sensitivity in healthcare practice. These are missing in the conventional medical education system and also in several big corporate hospitals.
In the long run, we hope these efforts make a small dent in the health inequity in India.
(Posted on 5th Dec 2021)
Community Health Learning Program
Over the past few years, we (Aravindan and Abirami - founders) have visited several organizations in rural and tribal areas across Tamil nadu and a few places in Kerala. This is to understand the socio-economic conditions of patients being referred to DoctorNet and also about health systems in rural regions.
We visited several wonderful community health hospitals like Tribal health Initiative at Sittilingi, ASHWINI adivasi hospital in Gudalur, Christian Fellowship Hospital in Oddanchathram, Sri Vivekananda Memorial Hospital, Saraguru and a model PHC in K.C.Patty in Palani hills. These visits and interaction with ethical doctors helped us to improve our understanding of health.
During COVID first wave, we organized free tele-counseling services in Tamil nadu for people with pandemic related fear, stress and anxiety - in association with SOCHARA. In few months, 400 distress callers were guided by 24 volunteer psychologists. This has taught us the importance of mental well-being.
We've experientially understood that health is a complete physical, social and mental well-being and not merely absence of disease - as defined by the WHO. Being from a non-medical background, it's essential for us to broaden our understanding of health.
We're excited about being enrolled in the one year online course Community Health Learning Program (https://www.sophea-sochara.org/ ) offered by the experts associated with SOCHARA.
Objectives of the program:
To sharpen analytical skills and to deepen the understanding of the social paradigm of community health.
To broaden the understanding of socio-economic, political, cultural and ecological inter-linkages to health and health systems
To strengthen personal motivation, interest and long-term commitment to community health
In addition to learning from the facilitators, we are looking forward to the cross-learning opportunities from co-learners. It's a healthy heterogeneous mix of varied educational qualification (MBBS/MD/BDS, social work, technology, public health, nutrition, science) and community work experiences across India.
Being in the first week of the course (as of 15th June 2021), I already think we couldn't have found a better place to broaden our perspectives. We are hopeful that this program will help DoctorNet India to do better health intervention for the people to whom health is inaccessible.
-- Aravindan/Abirami, 15th June 2021
Our experience in the tribal regions
Mrs. Sathya (45), a frail tribal woman, had a surgery for cancer six years ago. She was asked to followup after a year. She says, "I didn't do hospital followup in the past 5 years for the fear of current shock". By 'current', she means the radiation treatment. Her pain is back now. But, still reluctant to go to a hospital.
Mr. Prakasam (60) was a very active daily wage labourer till two years ago. He says "I was the best in roofing work in this village" . Over the past two years, his knees are frozen in 90 degrees, making him immobile. The cause is not known yet as he has not consulted any doctor. He strongly believes that this is due to a planned curse ("seivinai" in Tamil) of few people in his village.
Mrs. Nancy (25), a pregnant lady, was asked to go to Coimbatore GH suspecting a cyst. She did go there but returned back home before the treatment completion. Unless the cause of the cyst is diagnosed/treated, the delivery may get into complication.
On 22nd Sep 2019, these are the few tribal people we came across in the beautiful remote village Gundri near the Sathyamangalam tiger reserve - about 110 km from Coimbatore. This region is inhabited mostly by the 'Urali' tribe. The people from 22 villages part of Gundri Panchayat have to travel 17 km to Kadambur Primary Health Center for their healthcare needs.
This Hindu article prompted us to visit Gundri. The National Child Labour Project staff Mr. Sathish accompanied us. And, introduced us to the enthusiastic locals like Anganwadi worker Mrs. Kathrina and ASHA nurse Mrs. Maheshwari. We explained how DoctorNet can make healthcare accessible to the patients like above. We'll connect the above patients with the right hospital/doctor and guide till treatment completion. And, will collaborate with Sathish, Kathrina and Maheshwari on long term basis.
Similar to Gundri, we've visited/associated with organizations working in the tribal areas over the past two years. Few are: Athikadavu near Coimbatore, Thiruththani, Vridhachalam, Marayoor in Kerala, Anamalai region near Pollachi and non-tribal villages around Palani and Kodaikanal . Despite Tamil nadu being among the top states with good health indicators, most of the poor hesitate to go to hospitals for serious illness.
Reasons, based on our experience, include:
Ignorance about healthcare options and government schemes
Intimidation of navigating big hospitals.
Daily wage loss during hospitalization
Lack of monetary help and communication skills
Acceptance of the suffering as their destiny
For most of the preventive and basic healthcare needs, their traditional knowledge works. For serious illness, there is a huge distance between poor patients and treatment providers - both literally and metaphorically. DoctorNet reduces that distance by being the bridge between such patients and empathetic doctors.
Aravindan
23rd Sep 2019
On 27/28th July 2019, we organized a ‘Health awareness meet’ to 40 field workers of our associate organizations from Tamil nadu and Kerala. The objective is to provide practical health education for the field workers so that they are better informed when guiding the poor.
We thank Dr. Arun Kumar, Dr. Susheenth, Dr. Meera, Dr. Thangarathi, Dr. Ramasamy, Dr. Bhargavi, Dr. Neeethirajan, and Dr. K. Abirami for the wonderful awareness sessions on functions of body, Ayurveda, Homeopathy, heart, kidney, cancer, orthopedics and women/children health.
We also thank Mr. Senthil/Dr. Preethi of Payir for sharing their perspective, Mr. Suresh of SOCHARA for a fitting concluding session, all the volunteers and Mr. Raveendran for providing RAAC office as the venue.
It was a wonderful learning opportunity for all of us!
How do we identify patients?
We work with individuals/organizations/networks who already do excellent interventions to the under privileged people in remote areas. They refer patients. Some of them are:
India Nirman Sangh, Kodaikanal and Palani.
Ekam Foundation - Across Tamil nadu
Grama munnetra Sangam - Pollachi, Anamalai region
Tamilnadu Women's Collective - Across Tamilnadu
Manida nalam trust, Cuddalore district
AID India - Across Tamilnadu
Anamudi forest development agency, Kerala
NMCT, near Coimbatore
How do we help patients meet treatment expenses?
We guide them to get admitted in hospitals that accept the government insurance scheme. This is applicable for people with yearly income less than Rs. 72,000. If the treatment is not covered in the insurance scheme, we source funds from donors who have pledged money (or) from crowd funding organizations and donate to them directly.
Kauvery hospital, Chennai does free surgery for new born babies with brain and spine problems
Ganga Hospital, Coimbatore treats patients with fire burns for free
Central government insurance scheme / ஆயுஷ்மான் பாரத் - மத்திய அரசு காப்பீட்டு திட்டம் - Dec 2018
* ஆயுஷ்மான் பாரத் திட்டம், நாட்டின் கிராமப்புறங்களைச் சேர்ந்த 8.03 கோடி குடும்பங்களையும், நகர்ப்புறங்களில் உள்ள 2.33 கோடி தொழிலாளர் குடும்பங்களையும் இலக்காகக்கொண்டு, அவர்கள் பயனடையும் வகையில் தொடங்கப்பட்டுள்ளது.
* ஏறக்குறைய நாடு முழுவதும் உள்ள அனைத்து இரண்டாம் நிலை தாலுகா மருத்துவமனைகள், மூன்றாம் நிலை மருத்துவமனைகளில் மருத்துவச் சிகிச்சையைப் பெறலாம். இந்தத் திட்டத்தின்கீழ் சிகிச்சை பெறுவதற்கு, குடும்ப உறுப்பினர்களின் எண்ணிக்கை, வயது, பாலினம் போன்ற எதுவும் தடையில்லை.
* ஆதார், வாக்காளர் அடையாள அட்டை, ரேஷன் கார்டு ஆகியவற்றில் ஏதேனும் ஒன்றைப் பெற்றுள்ளவர்களின் அடையாளத்தின் பேரில், இந்தத் திட்டத்துக்குப் பதிவுசெய்யலாம். இதன்கீழ் பயன்பெற, ஆதார் கட்டாயமில்லை.
* பயனாளிகளுக்கு மருத்துவமனையில் சிகிச்சை பெறும்போது ஆகும் செலவுகள் மட்டுமல்லாது, அதற்குப் பிறகு ஏற்படும் மருத்துவச் செலவுகளும் அளிக்கப்படும். மருத்துவமனைக்கு வந்து செல்லும் போக்குவரத்துச் செலவுகளும் குறிப்பிட்ட வரையறைக்குள் வழங்கப்படும். சிகிச்சைக்கான செலவு பரிவர்த்தனைகள் அனைத்தும் பணமில்லா பரிமாற்றமாகவே இருக்கும்.
* பயனாளிகள் அனைவருக்கும் பிரதமரிடமிருந்து தனிப்பட்ட கடிதங்கள் வரும். மேலும், QR கோடுகளுடன்கூடிய கார்டும் வழங்கப்படும். இதன்மூலம் பயனாளியின் அடையாளம் மற்றும் சிகிச்சைப்பெற தகுதியுடையவரா என்பது குறித்து சரிபார்க்கப்படும்.
* இந்தத் திட்டத்தின்கீழ் மத்திய சுகாதாரத் துறை அமைச்சகம் மூட்டுமாற்று அறுவைசிகிச்சை உள்ளிட்ட 1,354 சிகிச்சைத் திட்டங்கள் 20 சதவிகித விலை குறைவுடன் சேர்க்கப்பட்டுள்ளன.
* சிகிச்சை பெற விரும்புபவர்களுக்கு உதவுவதற்காக 14555 என்ற தொலைபேசி ( ஹெல்ப்லைன்) எண்ணும், mera.pmjay.gov.in என்ற இணையதளமும் தொடங்கப்பட்டுள்ளன.
* தகுதி வாய்ந்தவர்கள் அரசு மருத்துவமனைகள் மற்றும் பட்டியலில் இடம்பெற்றுள்ள தனியார் மருத்துவமனைகளில் சிகிச்சை பெறலாம். இந்தத் திட்டத்துக்கான செலவில் 60 சதவிகிதத்தை மத்திய அரசும், 40 சதவிகிதத்தை மாநில அரசும் பகிர்ந்துகொள்ளும்.
* இந்தத் திட்டத்துக்காக 8,735-க்கும் அதிகமான அரசு மற்றும் தனியார் மருத்துவமனைகள் பட்டியலில் இடம்பெற்றுள்ளன. நாடு முழுவதிலும் சுமாா் 15 ஆயிரம் மருத்துவமனைகளிலிருந்து இந்தத் திட்டத்தில் தங்களை இணைத்துக்கொள்ளுமாறு மத்திய அரசுக்கு விண்ணப்பங்கள் வந்துள்ளன. அவற்றில் 7,500 விண்ணப்பங்கள் தனியாா் மருத்துவமனைகளில் இருந்து வந்துள்ளன.
* ஆயுஷ்மான் பாரத் திட்டத்தை அமல்படுத்த 31 மாநிலங்கள் மற்றும் யூனியன் பிரதேசங்கள் மத்திய அரசுடன் புரிந்துணர்வு ஒப்பந்தத்தில் கையெழுத்திட்டுள்ளன. அதேசமயம் தெலங்கானா, ஒடிசா, டெல்லி, கேரளா, பஞ்சாப் ஆகிய மாநிலங்கள் இந்தத் திட்டத்தில் சேரவில்லை. ஆயுஷ்மான் பாரத் திட்டத்துடன் தமிழக முதலமைச்சரின் விரிவான மருத்துவக் காப்பீட்டுத் திட்டமும் சேர்க்கப்பட்டுள்ளதால், தமிழகத்தில் பயனாளிகளின் எண்ணிக்கை அதிகரிப்பதோடு, அவர்களும் 5 லட்சம் ரூபாய் வரையிலான சிகிச்சைப் பலனைப் பெற முடியும்.
Tamilnadu government insurance scheme / முதலமைச்சரின் விரிவான மருத்துவ காப்பீட்டுத் திட்டம்
We have noticed that many are not aware of the very useful insurance scheme by the Tamilnadu government. People with yearly income less than Rs. 72,000 are eligible for this. We have come across patients not proceeding with treatment because of lack of this knowledge.
As per their website..
இந்த திட்டம், குடும்ப ஆண்டு வருமானம் ரூ.72,000/- க்கு குறைவாக உள்ள குடும்பங்களுக்கு பொருந்தும். அவர்கள் கிராம நிர்வாக அலுவலரிடம் வருமான சான்று பெற்று குடும்ப அட்டையுடன் மாவட்ட ஆட்சியர் அலுவலகத்தில் உள்ள அட்டை வழங்கும் மையத்திற்கு சென்று முதலமைச்சரின் விரிவான மருத்துவ காப்பீட்டுத் திட்ட அட்டை பெற்றுக் கொள்ளலாம்.
குடும்பம் மற்றும் குடும்பத்தினரின் தகுதி விளக்கம் கீழே கொடுக்கப்பட்டுள்ளது.
1. தகுதியுடைய நபரின் சட்டப்பூர்வமான மனைவி/கணவர்
2. தகுதியுடைய நபரின் குழந்தைகள்
3. தகுதியுடைய நபரை சார்ந்த பெற்றோர்கள்
மேலே கொடுக்கப்பட்டுள்ள நபர்களின் பெயர்கள் குடும்ப அட்டையில் இடம்பெற்றிருத்தல் வேண்டும். மற்ற மாநிலங்களிலிருந்து தமிழகத்திற்கு புலம் பெயர்ந்து ஆறு மாதத்திற்க்கு அதிகமாக தங்கி இருப்பவர்கள் இந்த திட்டத்தில் இணைய தமிழ்நாடு தொழில் துறையிலிருந்து சான்று பெற்று சமர்ப்பிக்கலாம்.
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