Jhabua

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By Caitlin McQuilling

Over a year ago Ganesh Kamath was shocked to read about the staggering malnutrition rates in India.  A native of Kerala who has lived in California for over 50 years, Ganesh knows India well, but was shocked to find out that almost half of all Indian children are malnourished.  He started to research the problem some more and was moved by the grim tales of malnutrition coming out of the media in India.  He and friends, who all felt that malnutrition should not exist in India, formed a group to look into this issue and explore ways in which they could do something.  After a year of research and bouncing ideas back and forth Ganesh volunteered to go to India on behalf of the group to see firsthand what the problem was and what could be done.  After contacting various NGOs working in India, they decided that Real Medicine Foundation was a good place to start and sent Ganesh out on a fact finding trip to see the reality on the ground.

Ganesh arrived in Jhabua after a grueling few days of travel but, notebook and camera in hand, was ready to start right away.  Over the 5 days he was here Ganesh joined RMF India on our daily routine in the field, in the office handling 10 things at once, in the NRC, and at the Bhil Academy.  Ganesh handled it all with enthusiasm, interest, and respect for the work going on.  We spent three days out in the villages on spot checks to see our CNEs in the field and to check on NRC follow up cases.  One day after over an hour in a jolting car ride we had to walk about 2 miles in the heat of the day to reach an anganwadi center buried in a remote village.  This up and down hill walk through fields and across streams wore out me, and I’m a runner, but Ganesh was right there with us.  He was able to see first -hand the scope of RMF’s work, the challenges we’re up against, and to meet the women who make this all happen.  Now that’s due diligence!

Ganesh will now head back home and report to his group about what he’s seen here in India.  He has many great ideas on how he can help out RMF and some of the individual children he met here.  Ganesh plans on giving talks to local groups about the program and approaching his friends and neighbors about how they can contribute to ending malnutrition in India one child at a time.

RMF thanks Ganesh for coming halfway across the world to see malnutrition in India and what RMF is doing to stop for himself.  It was a pleasure to host such a compassionate and caring individual for the past five days.  We look forward to working with you and your friends to eradicate childhood malnutrition in India.

For more information about RMF’s Malnutrition Eradication Program in India, click here.

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Very good article published in Sunday’s New York Times about the malnutrition and food crisis in India.  This focuses specifically on the crisis in Jhabua and Madhya Pradesh where our Malnutrition Initiative and Team India are based.

Link to New York Times article here.

There’s even a photo featured in the article of the treatment center (NRC) that we support in partnership with the Jeevan Jyoti Hospital.   Photo here.

To see our photos of the inauguration of our treatment center at the Jeevan Jyoti hospital :  Slideshow on our website

More information on our Malnutrition Initiative in Jhabua: Malnutrition Eradication Initiative, Madhya Pradesh

To contribute to this or any other of our efforts, please click the Donate button below or directly through our website at realmedicinefoundation.org

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By Sharon Levy

This May I had the privilege of volunteering as a Registered Nurse for the Real Medicine Foundation’s Malnutrition Eradication program in Jhabua, India. Jhabua is located in Madhya Pradesh, one of the poorest states in the sub-continent.  60 per cent of children under the age of 5 are malnourished in Madhya Pradesh.  RMF’s program targets this age group to be assessed for severity of malnutrition, need for inpatient treatment, and family education to decrease the incidence of malnutrition.

Working with Michael Matheke- Fisher, RMF’s Regional Programs Coordinator in South Asia, Caitlin McQuiling, Director of Programs for RMF in India, and Community Nutrition Educators, (local women hired and trained by RMF) I went on several follow up home visits to see children who had been recently treated at one of RMF’s Nutrition Rehab Clinics (NRC) The NRC provides 14-21 days of medically monitored feedings of micronutrient rich food for children with severe acute malnutrition. In addition to weight gain, other ailments such as respiratory illnesses, infections, and diarrhea are treated as well. A pediatrician and a specially trained group of nurses follow each patient.   While there the family member who stays with the child, usually the mother, is given education about helpful ways to add protein and calories to the child’s food as well as clean food handling practices.

As May is the hot, hot, dry season in central India, the villages/farms we went to were barren. It was easy to see the great challenge faced by these families to feed their children when nothing of substance could possibly grow in that heat.  In fact, a few of the children we attempted to visit were not there as their families had migrated to other areas of the country for their father to find work.

One of the children we did see for follow up had been ill with vomiting and diarrhea. He was dangerously underweight.  The Community Nutrition Educator informed the mother of the importance of getting him to the doctor. With no transportation and limited resources, RMF was able to provide the family with what was necessary for the child to be seen and evaluated by a doctor.

A few weeks after my departure from Jhabua, RMF opened a new NRC in partnership with Jeevan Jhyoti Hospital.  This unit has successfully treated over 20 children to date and 123 have been treated at other NRC’s in the last 6 months thanks to the tireless efforts of Michael, Caitlin, and their staff.  I hope to return to Jhabua in the future to assist with the program. Until I am able to go back I am committed to spreading the word and raising funds for the magical work that RMF does in India

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The Real Medicine Foundation (RMF) and NYU’s prestigious Capstone program have announced a partnership and three graduate students have arrived in Jhabua, Madyha Pradesh to assist with RMF’s malnutrition program.
An estimated 60 million children under the age of five are estimated to be malnourished India. The state where RMF is concentrating, Madhya Pradesh, has the country’s highest malnutrition burden, with 60% of its children under-five malnourished. Of the six million malnourished children in the state, 1.3 million of them have severe acute malnutrition (SAM) and one million have moderate acute malnutrition (MAM).
Children with MAM are able to recover with careful diet regulation and nutritional supplements, and generally do not require hospitalization. SAM presents itself in two general forms: complicated and uncomplicated. Complicated SAM entails outlying medical complications such as hypothermia and pneumonia. Both forms of SAM require a minimum stay of 14 days in a hospital.
RMF’s comprehensive approach to eradicating malnutrition focuses on the entire continuum of care from identification to treatment and prevention. The students will be conducting 14 days of field research to gather information on malnutrition knowledge, prevention activities, and treatment in government facilities throughout Jhabua and Alirajpur districts. Their research will help provide RMF with baseline analysis for new districts and with information about communities and facilities that are in need of assistance, as well as identify obstacles and problems faced by malnutrition field workers when working with local communities.
We will be taking the students to all 5 Nutritional Rehabilitation Centers in Jhabua and Alirajpur to assess the centralized treatment of SAM. In addition, the students will be going to village Anganwadi Centers, both rural and town, to interview Anganwadi workers about their needs, knowledge, and any recommendations they may have into improvements that could help children.
The RMF team here is excited to have the students, and is very much looking forward to their help and insights!
capstonephoto

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RMF and friends paint rural MP

 butterfly

This past weekend 12 artists volunteered to travel overnight via train from Mumbai, Delhi, and Bhopal to spend the weekend in Jhabua helping RMF transform our new Nutrition Rehabilitation Center at Jeevan Jyoti Hospital from a dull hospital ward to a work of art.

This weekend, deemed the Wall Project MP, was the first collaboration between the Wall Project and RMF and was an astounding success!  The Wall Project is a group, founded in Mumbai, of artists (amateur and professional) who get together and create murals and public art displays across the cities.  They volunteered to help us transform the drab hospital walls of our NRC to a bright, cheerful place for children.

Having colorful walls isn’t just about the aesthetics of our NRC: Color and shape are also important for the children’s mental recovery as well.  A child who has a bright, interesting, and stimulating environment will have better neurological recovery and development than children in dull settings. 

The Caretaker dvd The walls and the volunteers who painted them far exceeded our expectations!  Over two full days of painting, our volunteers brought life, love, and color into our NRC.  One children’s ward was turned into a sky themed room, with billowing clouds, kites, and rainbows; another was turned into a circus with cartoon animals roaming the walls.  The exam room was transformed into a celestial adventure and the entranceway, a beautiful field of flowers.  The training and play rooms were filled with snakes and ladders, Hindi alphabet fish, and a woman being uplifted by breastfeeding her child.  The creativity, light, and laughter of our new NRC reflect the generous personalities of our Wall Project volunteers and new lifelong RMF friends.flower column 2

The volunteers’ enthusiasm also sparked interest and involvement from the community surrounding the hospital and RMF staff.  Ajana, RMF’s nutrition training coordinator, employed her mendi skills for creating vines and flowers creeping up columns.  Caitlin and Fabian tried to color in the lines.  The German volunteers employed their math skills for snakes and ladders and Jimmy created a village scene on the walls.  Nyamat documented the whole weekend and will showcase the work later this week on CNN.  Local school kids helped in filling in designs and created amazing murals of their own. 

Miserables, Les download

Thank you to everyone who came out!  We hope to repeat this again and again, helping other health centers and schools in our region transform into places where children can play and mothers can learn new infant and young child feeding best practices in colorful, inviting environments.

For more information on the Wall Project, please check out their website, www.thewallproject.com and join the Facebook groups, the Wall Project, and our new spin off, the Wall Project MP.  Photo credits:  Neetha Thomas and Utsav Kedia

Lesser of Three Evils rip

Charley Varrick dvd best wall

Gone Baby Gone

download Deterrence dvd

circus roomcuteneetha

download Better Things dvd  

Away from Her ipod

Joy Ride: End of the Road trailer

snakes and ladders 2

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Jhabua, Madhya Pradesh, India

The Art of War dvdrip Tyler Chernin and Matt Oertli are both Harvard Medical School students who are working with RMF in Jhabua, India, on HIV/AIDS prevention and care programs

Whirlwind dvd

, teaching English and Science in a local school, and monitoring the students’ health. They share their experiences here.

South Park: Bigger Longer & Uncut movie download

Baby on Board buy

We left Delhi on Friday night, heading to the ridiculous Delhi train station to catch our overnight train to Jhabua. Dr. Fabian Toegel accompanied us, thankfully, because we would not want to navigate that place on our own.

The Land Before Time movie download The Meaning of Life video Think crowds, piles of bags, cat-sized rats and filth (I guess the MTA isn’t that far off). We boarded our first class ‘sleeper train’ with overly high expectations. Erase any images of the orient express you might have right now!

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