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Indian Perspectives on Health and Populations Robinson Scholar Jillian Bauhs University of Kansas School of Nursing Robinson Scholarship Founded in living memory of Dr. David Robsinson, MD Dr. Mani M. Mani, MD Burn and Plastics specialist from Kerala, India Change-agent for the nations

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Indian Perspectives on Health and Populations

Robinson ScholarJillian Bauhs

University of Kansas School of Nursing

Vellore, India


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Robinson Scholarship

  • Founded in living memory of

    • Dr. David Robsinson, MD

  • Dr. Mani M. Mani, MD

    • Burn and Plastics specialist from Kerala, India

    • Change-agent for the nations

  • Christian Medical College (CMC)

    • Vellore, India


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Christian Medical Collegeest. 1900

  • 2,234 bed hospital

  • 9 campuses

  • 95 recognized programs for education in medicine, nursing, and allied sciences with additional growth to several post-graduate curriculums

  • On average, one day at CMC serves 4814 outpatients, 1787 inpatients, and 34 births.



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India’s population

  • Total population: 1,121,800,000

  • Nearly 40% of Indians are younger than 15 years of age

  • Only 2.4% of world’s land area supports over 15% of the world’s population.

  • 70% of the Indian population live in rural villages, the other 30% in 200+ towns

  • 18 official languages

  • 83% Hindu, one of the world’s largest Muslim communities numbering >120 million, plus a smattering of other religions: Christians, Sikhs, Jains, Buddhists, and Parsis.

  • Literacy rates: 65% Female, 80% Male


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India faces the continuing challenge of fighting infectious diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

Leading morbidities

Anemia

Respiratory infections

Undernourishment

Diabetes and Hypertension

Leading Causes of Mortality:

1-Bronchitis and asthma

2-Prematurity

3-Diarrhea

4-Suicide

5-Heart Attack

Morbidities and Mortality


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Immunization Clinics diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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Daily Stressors diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • Poverty

  • Malnutrition

  • Disease and illness

  • Employment

  • Family systems

    • Marriage at young ages

    • Wife leaves home to live with husband and the in-laws

    • Child-bearing young age


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Community diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • Cohesive and family-based

  • Large family units: parents, grandparents, children, extended family

  • Arranged marriages

  • Religion-supporting community

    • Hindu temples throughout a village

    • Muslim-based,Koran-focused schools

    • Mission hospitals sponsored by local and international churches


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Communication Stories diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • Blessed Interpreters!

  • Mobile phones

  • Tamil

    • Sarp ting la? Have you eaten?

    • Vonakkum. Welcome. Hello.

    • Vanga = come

    • Ponga = go

    • Une, rende, mune, nala, anje


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Crime and Safety diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • Petty crimes

  • CMC campuses are closely monitored, typically gated

  • Karma

  • Spousal abuse

    • common

    • Particularly toward women

  • Interventions

    • Female Police Station

    • CHAD’s newlywed classes


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Mental Illness and Disability diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • “Deaf and Dumb”

  • Program CODES provides opportunity for individuals who have rehabilitated from disability or attained job skills through training

    • One operation for CODES success stories are attendants in Phone Booths


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HOUSING diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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Availability and Condition of Housing diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • IF you have _________, then you are living above most of the rural population’s standard of living

    • Fire outside of home; even better if you have a gas stove

    • Television

    • Running water

    • Toilet/outhouse


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Water & Sewage: Health impact diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

  • H20 not safe to drink

  • Open drainage systems

  • Pollution HIGH, littering HIGH

  • Parasites, cholera, other GI complication

  • Population density magnifies problems

  • Other pollution problems: noise, animals and insects


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People relations diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

Smaller “personal space” bubble

i.e. bus and auto rides

Shared responsibility for care of children, animals, etc.

Paternalistic cultural tendencies

decisions are made by family unit, not individuals

Dowry system


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Food…mmm…my favorite! diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

Typical Thali meal


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Transportation diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

Buses, bikes, mopeds, motorcycles, bipedals, bullacarts, “autos”,


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My typical day diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.

6 AM-Up (unless it’s Pongal and then it’s usually 4:30 with the Temple!

7AM-Breakfast Johnson House (or the Canteen)

7:40AM-Staff bus picks all volunteers and visitors at North Gate

8:05AM-Arrive at CON (sometimes arrive earlier for presentations given by staff and grad students beginning at 7:30)

9AM-Bus departs to villages, Paired with a nurse—we’ll be going to conduct a morning antenatal clinic and afternoon home-visits

9:30-1PM—See more than 100 women at AN clinic, 2 are at term and are given instructions about delivery. Bathroom is constantly full with women giving urine samples…bugger I drank so much OJ for breakfast!

LUNCH!

2:00 Begin homevisits. Two post-natal visits and a hypertension patient.

4:00 Bus picks us up again to return to CMC and the CON.

5:30 Tea time with friends

6:30 Go to computer lab to begin homework, emails, etc.

8:00 Get texted by friend to arrange special Fudge cooking session next day!


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Friends diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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Past-times! diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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Workers diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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India diseases like malaria, tuberculosis and leprosy alongside increases in lifestyle related problems faced by the developed world, such as cancer, cardiovascular disease and diabetes.


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Thank you for coming! Please ask if you have any questions about the Robinson Scholarship or any other part about my presentation!


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