Vaishnavi Jayakumar Profile picture
Jun 15, 2023 13 tweets 8 min read Read on X
THREAD : I only recently learnt that nearly all NTA tests are computerised.

This means that exam centres are dependent on computer labs of private colleges or on standalone online testing centres.

Elections have taught us, that any private institution, is bad news for access.. Plank of wood on 8 steps do...So called ramp in 3 unfaste...Karnataka polling booth ina...
Whether school or college, private organisations seem blissfully unaware that they're required by law to provide accessibility by 15-6-2022.
Private schools as polling booths have steadfastly refused to install permanent ramps despite a decade of advocacy
bit.ly/design4diversi…
So the Varanasi online testing centre (others weren't any better) had this steep incline masquerading as a wheelchair ramp last afternoon.

NTA was patient with our bombarding solutions by 4 architects for a temporary ramp before 3 pm today. So were Varanasi district officials. Front view of 6 riser stepp...Side view of 6 riser steppe...
Given paucity of time, we suggested any outdoor event pandal maker to put up a raised platform (covering the steps) with a ramp on the side. With our experience on the ground, with planks & poles this is doable. But 24 hours of relentless follow up yielded this alternate entrance Another entrance to the exa...Finished version of the alt...
It seems like we have not progressed in the last decade from thinking that a ramp for wheelchair use can be equated to steps smoothened into an incline.
Or any single wooden plank resting on steps.

You can have ramps at ridiculous inclines for cycles, motorcycles & trolleys ... 10 year old infographic mad...
But a ramp for wheelchair use cannot be steeper than a 1:12 gradient (if not 1:20, which is ideal for independent use by some spinal cord injured people).
That means for every foot height of step, 12 feet ramp length is needed.

A permanent cement ramp with grab rails is best..
But if there's no permanent ramp and the Disabled Indian's Freedom Day was 15-6-22, how is it we're not doing better with temporary ramps?
Casuarina poles & planks of the pandal maker are ubiquitous. This wedding had a ramp (with railings) to the stage for disabled wellwishers! A woman on a power wheelcha...
Unsecured planks propped on steps & built stair-ramps are an abomination in a nation proud of jugaad skills!
With metro work safety standards, surely scaffolding companies' supplies can be hired to provide safe, sturdy temporary ramps with adjustable jack props & grooved planks? Scaffolding company hires o...
Today's a year since the Disability Act's deadline to make India accessible to ALL Indians. Leading up to 15 June 2022, we'd planned a campaign for our freedom day - when spaces out of bounds for many with mobility disabilities could be transmogrified as free inclusive spaces...  Wheelchair symbol has 15 J...
The campaign was called 'Where is OUR Azadi' because the 75 years of Indian Independence @AmritMahotsav celebrations left disabled people behind again. The @MSJE_AIC flagship campaign has yielded many audit reports with little to no accessibility fixed on ground!
#WhereIsOURAzadi Drawing of a wheelchair use...75 years post Indian Indepe...
After the scary video (not at liberty to share) of @imlikaboota 's brother bravely going up the dangerous plank-ramp, I was reminded of the (luggage?) 'ramp' fiasco at Chennai's 400 crore spanking new Central Square - on the eve of our 'Independence' Day!
As for @DG_NTA? We hope to continue engaging - after the promising first meeting, they're on board with this letter's POA : drive.google.com/file/d/1IzWpqR…
With private sector unaware of its responsibilities, exam centre access is going to be an uphill task, given current understanding! On 14 June 2022, the eve of...
Finally, shout out to architects who struggled with 2 photos & 0 info, to make these designs that could be executed overnight & understood by local carpenters / contractors for 1 candidate in 1 exam centre in Varanasi.

(I'm still too embarrassed to show 'em final 24 hour ramp!) Architect's sketch of side ...Architect's drawing of ramp...Architect's illustration of...Architect's sketch of 1:12 ...

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More from @vjayakumar

Nov 1
🧵Social media outrage shouldn't surprise any longer, but enough already on Institute of Mental Health letter @U2Brutus_off @realitycheckind @GaneshKaladaran and other conspiracy theorists. 😡

What the TN Health Secretary seems to propose is change in FUNCTIONING not OWNERSHIP. I am of the firm view that given the challenges, the present organisational set up is not capable of handling the transformational change that is required at IMH. We need to bring several institutional reforms to ensure that IMH emerges as premier institution providing 'Gold Standards' of care for its inmates. This will require a complete 360-degree transformation.  Given the fact that the institute has huge opportunities to raise resources from national and international organisations as well as from the Corporate Social Responsibility (CSR) funds it needs a robust frame work to mobilise r...
What has been proposed instead of the current organisational setup is a FULLY OWNED GOVT company.

To distinguish from wholly owned govt COMMERCIAL companies like SIPCOT which are profit-seeking, it's stressed it should be a NOT FOR PROFIT company since it's not profit-seeking.
The term NON-PROFIT is sometimes conflated with NOT FOR PROFIT NGOS (whether NGO is society, trust or section 8 company), but here TN Govt is rightly retaining full ownership & responsibility of IMH's services. Just under a different type of govt entity, nothing to do with NGOs. Not for profit  IS NOT THE SAME  as Non-profits   All charitable NGOs are non-profits i.e. not for profit but All Non-profits ≠ NGOS  Many Govt enterprises can be not for profit too.
Read 8 tweets
Nov 10, 2023
🧵MDR-TB Drug shortage RTI response finally arrived, with some key information dodged. All information requested is available to anyone with access to Ni-kshay Aushadhi portal yet @TbDivision has ducked questions on the tender cancellation and delivery of late tender. Appealing.

Screenshots of unanswere / improperly answered questions of RTI filed on 2023 MDR-TB Drug shortage in India. RTI reply can be read at https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit?usp=drive_link
Screenshots of unanswere / improperly answered questions of RTI filed on 2023 MDR-TB Drug shortage in India. RTI reply can be read at https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit?usp=drive_link
RTI reply denies communication to procure emergency supply locally while also stating that "States were requested to procure few drugs locally for a limited period by utilizing the approved budget under National Health Mission (NHM)."
Cost = ~8.65 crores. Potential loss 43 lakhs? Approximately 8.65 crores was spent by States National Health Mission Funds to meet the SOS requirements caused by tendering delays. Issue landing page = http://bit.ly/TB-or-not-2be  Spreadsheet chart derived from Annexure 4 of RTI response :  https://docs.google.com/spreadsheets/d/e/2PACX-1vRuFUfD2V65ZxmcD6e8WWIltdRGSmropG8LUbSAi9lwNPiWd4xHFArZY-O8ZN7_crYuRrB1DIKlNZGE/pubhtml?gid=1046679671&single=true
@ramyakannan @RupsaChak @ScienceTales @kalyanray30 @RemaNagarajan @pushpanarayan @Banjotkaur @tabassum_b @TbHivActivist @SpeakTB Stock at hand at CMSS warehouse & GMSD (c/o Union Govt) or State Drug Store is of no bearing to the patient. Last mile delivery starts with District Drug Store (DDS) which sends monthly drugs to TB Units & Peripheral Health Institutes. PHIs should also have 1 month reserve stock
Annexure 3 of RTI reply shows how the last level of supply chain is inadequate for MDR-TB drugs, especially Cycloserine which has less than a month's requirements from August 2023 at the DDS level. https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit#heading=h.sg7nejtvrr1i   Issue landing = http://bit.ly/TB-or-not-2be
Annexure 3 of RTI reply shows how the last level of supply chain is inadequate for MDR-TB drugs. Actual distribution only happens from the District Drug Store level which (particularly in the case of Cycloserine and at some points Linezolid) is barely 20 - 40 % of the total drug stock instead of vice versa.  https://docs.google.com/document/d/1a2i5l1yPd0B5DErffnRNrza56TZ_4qOE-UJL8he088M/edit#heading=h.sg7nejtvrr1i   Issue landing = http://bit.ly/TB-or-not-2be
Read 5 tweets
Sep 26, 2023
Thread : Collating 2023 India's MDR TB drug shortage reports (via social media) below.

TB Mukt Abhiyan, ya TB Maut Abhiyan?

Wake up @nppa_india ! There's an MDR / XDR TB #DrugShortage - stockouts at DOTS centres, as well as private.

#TBornot2be
#AccounTBility

#TeamISthmUS
Read 36 tweets
Jun 7, 2023
2500+ people endorsed overnight, the disability sector's representation to @MoHFW_INDIA minister @mansukhmandviya on restoring the suddenly dropped questions from the upcoming National Family Health survey NFHS-6. Read it @ bit.ly/question-of-in…

#NfhsDrops #QuestionOfInclusion Jigsaw of letters NFHS with...
Will be going through the NFHS-6 questionnaire compilation today.

And posting thoughts and doubts as I go along on this thread.

drive.google.com/file/d/1nVC-0a…

Starting with a term I've never heard of : GAUNA -
apparently rooted in child marriage customs as the 'consummation ritual '
indiatoday.in/india/story/ch…

So this send off to house of 'husband' after menarche for consummation / the start of actual married life is apparently a custom in some North Indian states.
In some cases gauna occurs only after legal age but pestering happens 😑

#NFHS-6 #ChildMarriage
Read 22 tweets
Jun 5, 2023
Baffled that public health policy organisations & professionals are mum about @IIPSMumbai dropping anemia ALTOGETHER from #NFHS-6, barring few voices below.

Why @jsa_india @SOCHARASOPHEA @PHMglobal @SNEHAmumbai @jan_arogya @CEHAT1 @napmindia @iphindia etc?

#QuestionOfInclusion Diagram of Prevalence of An...
2 decades of anemia data in NFHS dropped because ... What?

Here's the entire NFHS-6 set of schedules and manuals released quietly by IIPS after the disability sector made a noise :
drive.google.com/file/d/1nVC-0a…

References to anaemia still persist in the instructions to interviewers !
For 2 decades India (& the world) has been using capillary blood for demographic health surveys. IIPS made it clear that the data is not for diagnosis but estimates. If the evidence pointing to capillary blood Hb results being higher has been around for so long, why act only now?
Read 7 tweets
Oct 3, 2022
Ploughing through the 600 pages of Maharashtra Prison manual in prep for Fr Stan Swamy MSHRC hearing tomorrow.

It's so dated, it's mists of time.

Remembered Arun Ferreira's account of the absurd meal timings.

If the manual doesn't change, how can life?
beyondheadlines.in/2012/06/arun-f… Extract of prison routine f...Arun Ferreira article (link...
Why no dal on Sundays?

If you're prison labour you get more food, if you're not, rations get reduced?

29. It shall be the duty of the Supt to see that diet on the
highest scales is provided only to such prisoners as are employed bona
fide on hard labour & are doing full task.
While the Maharashtra prison manual has no caste based labour diktats , the Class I vs Class II prisoner terminology here is quite blatantly classist. During prison parade, one is Ek, do vs Attention, self shave vs barber, different diet, letter privileges etc
So this is telling: Maharashtra Prison Manual '...
Read 6 tweets

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