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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More from @prashanthns

8 Jun
1/ Shared few insights emerging from community-based #COVID care that some communities have begun in #Adivasi populations in #Chamarajanagar with support from #ZillaPanchayat in live video interaction with #Karnataka #GramPanchayats thanks to @gokRDPR
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
Read 7 tweets
2 Jun
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
Read 12 tweets
31 May
Thread on #GramPanchayat task force chaired by #Rangamma frm #Soliga #Adivasi community #brhills #Chamarajanagar; praise for #HealthWorkers but frustration at lack of “higher officials” coming to GPs; @readingkafka @iphindia
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;
Read 8 tweets
27 May
Will we EVER learn about #PublicHealth?
3rd wave “expert” committee is nearly-ALL #Pediatricians (to keep Devi Shetty’s non-#evidence-based assertion on #children will be entirely affected), #AllMale #Manel, nearly-all #clinicians headed by #PrivateSector #Cardiologist
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
Read 6 tweets
8 Apr
A #thread on our recent paper in @PLOSNTDs examining ecological #evidence-base for #DiseaseControl management practices for #KyasanurForestDisease #AcademicTwitter #Scicomm #OneHealth; paper led by @SarahBurthe from @MonkeyFever_ consortium
#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;
Read 50 tweets
9 Mar
A #thread on #IWD2021 at #brhills at IPH field station in collaboration with the #brhills #Panchayat, Zilla Budakattu Girijana Abhivruddhi Sangha (Sangha; Dt. #Indigenous #Adivasi People’s Welfare Society) & VGKK #THETAProject; Main organisers: Mahadevamma, Susheela & Mahantesh Image
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
Read 21 tweets

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