1/ #Vaccination#Adivasi#COVID thread; day begins with an orientation meeting to #Solega#Adivasi leadership on #vaccination at a hamlet; we address doubts and misconceptions; leaders criticise the stereotype of #Tribal Community as being hesitant and "running away";
2/ ask that officials & NGOs engage meaningfully and respectfully with their leadership at multiple levels; refuse the idea that they are ALL hesitant which often prevails among "others"; they explain what is the best way of engaging #Adivasi communities
3/ They offer to identify #COVID volunteers in each podu (hamlet); volunteers can be oriented in small groups & shall help with obtaining proper consent and participation of their elders;
4/ important that the vaccine is introduced into their community by them; build #trust; PDO and CEO of #ZillaPanchayat patiently listen to all leaders speaking, take notes, assure support for #CommunityEngagement & link to local livelihood opportunities #MNREGA
5/ They appreciate that the #ZillaPanchayat is able to have a special focus on #Adivasis; leaders stress that this is much needed because many of them being numerically smaller tend to get "left out"; ask for continued engagement till #vaccination completed
6/ All of us go to a nearby hamlet where #vaccination ongoing; a queue for testing (this is new because of trust built through #CommunityEngagement), 3 more test positive but feel safe that they will go to an exclusive #Adivasi facility set up recently;
7/ Sangha gathers and suggests the name "Adivasi COVID Seva Kendra" and thank the administration for taking this up; they discuss the formation of a committee that can oversee including Drs, ASHAs, officials, NGOs and #Solega community members
8/ 10 get vaccinated (many dont come); Leaders suggest that we brainstorm nearby; we find a tree; hours of careful strategising on how to proceed; training for COVID volunteers among #Solega youth proposed; planning done & rolling out day after tomorrow!
9/ PDO and President of local Panchayat join and willing to help; NGOs IPH & VGKK co-opted by the Sangha into operations and so begins the Sangha's efforts at securing #vaccination for the #Solega;
10/ we discuss how this too like their #ForestRights which they struggled for, is their right to receive #vaccine safely and in a timely manner; I see a resolve that the leadership commits to #vaccination on mission mode, but we worry abt supplies & app-related barriers?
11/ we discuss the difficulty that #CoWin imposes for registration and the Sangha decides to advocate for an appraoch that is better suited to their setting and they will take it forward
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2/ #COVID19 care needs to be rational & #evidence-based but also respectful & dignified; these are not aspects we have done well with in our #HealthSystem & hence need special attention;
3/ Dignified & respectful care requires an awareness of diverse socio-economic & cultural contexts at individual, household, neighbourhood & societal levels; we haven't substantively engaged with (#caste#gender#disability#sexuality#privacy )-aware care at systemic level
1/ Joining some wonderful people from what I am seeing as a diverse group of researchers at the #EditorialBoard of @PLOSGPH; journal has given itself the tall order of “addresses inequities in public health and makes impactful research accessible to all… (1/n) #Threads
2/ In words of @paimadhu "the journal will amplify the voices of underrepresented and historically excluded communities and prioritize equity, diversity, and inclusion at all levels"; I am highly skeptical of this,
3/ yet I am thrilled that a #PublicHealth journal would give itself such a vision; #Knowledge#Science#Evidence all reproduce the same kind of social hierarchies that drive unfair accumulation of resources in our society
PHC MO and other doctors address the gathering about the last one month experience of #Chamarajanagar and how situation is slowly improving; need to address hesitancy towards testing and vaccine; also not to become complacent about dropping numbers
PHC Dr frm #Gumballi patiently heard & clarified how these are stressful times for all #HealthWorkers; members demand at least one visit a month from #taluka officials; patient listening of complaints is an important function even if they are not immediately resolved;
I request this committee members:
- Please QUESTION Devi Shetty’s credentials to lead this
- Please hold to account #Manel#AllMale membership
- Please include #RuralHealth#CommunityHealth#PublicHealth
- Expertise is NOT only CLINICAL; also social; include grounded voices
Unfortunately no time & bandwidth; but putting this out there
We need:
- campaign for a DIVERSE expert committee including #Citizen#CommunityEngagement#Dalit#Adivasi voices
- Devi Shetty’s position as Chair is NOT tenable; appoint a #PublicHealth expert in his place
#Diseasecontrol strategies originate through endorsements by Governments/academia/authorities; they're often not field-tested robustly; even when they are, evidence is limited to one sector (cf. #OneHealth#Intersectoral approaches);
#publichealth approaches ought to be contextual & their effectiveness ought to be evaluated, yet strategies for disease control often spread through word of mouth and are sometimes untested;
Idea for holding ಮಹಿಳಾ ದಿನಾಚರಣೆ mooted by Mahadevamma who is a #Soliga woman leader and supported by the Sangha; initial discussions with the newly elected #Panchayat members drew support; they didn’t recall a gathering for this purpose before
Rangamma, a newly elected GP member from Seege Betta Podu agrees to preside; all GP members agree to attend and involve as many people from nearby settlements as possible; Muthugada Gadde & Hosa Podu girls throwball clubs formed under THETA intervention too involve themselves