Without Her – is it possible ?
‘Garibi ke
karan khareed nahi pate hain. Humare ghar mein koi machardani mein nahi sota’. (we are unable to buy due to poverty. Nobody in our
house sleeps under a bed-net). Says a tribal woman of age above 50 years from Dumka
in Jharkhand.
Jharkhand is one
of the highly affected states from mosquito-borne diseases including Malaria, Filaria,
Japanese encephalitis, etc. Neglected Tropical Diseases (NTD) remain neglected as
they affect the poor, marginalized, and underserved sections of society the
most. However, the vector – the mosquito does its job of spreading the parasite
without any discrimination towards caste, community, or gender; therefore, it is
high time for us to recognize the burden of the disease that women carry
silently on their shoulders directly and indirectly.
At Project Concern
International we are working towards eliminating NTDs from India. When our team
reached out to interact with more than 80 tribal women in Dumka and Godda
districts of Jharkhand, to understand their level of awareness, usage of
preventive measures, and opinion about further prevention of mosquito-borne
diseases, it found that more than half of tribal women in these endemic
districts are aware of the dreadful short to long term impact of mosquito-borne
diseases on their families and community. Malaria is recalled as topmost among the
name of the mosquito-borne diseases followed by Filaria. Mass level activities
about the diseases have led to a high level of awareness among women (98%)
about the diseases, their cause, and potential ways to safeguard from the
diseases. However, point to be noted here that largely it is understood that
Kala Azar is also a mosquito-borne disease. Interesting to note the level of
clarity women have about such diseases.
Women are
conscious that, just one patient in the family startles their entire household.
They get in the role of attending to the sick members along with other regular
household chores; which not only adds to their workload but also their mental
stress and anxiety. Efforts of treatment for the ailing family members further
cause loss of daily income for the earning member and increased expenses if
they fall in the hands of the private health service provider. Women are then
left with running their families with a further diminished budget and probably
the least allocations are made for her health and wellbeing.
Having a bed-net
to safeguard from mosquitos is a luxury item for rural poor tribal families.
Even if the family has one, the preference is given to children and other
family members. The family continues to use that one bed-net, even if gets torn
till it becomes completely unusable and the ability to buy a new one seems to
be beyond the reach of most families.
All of the Women
with whom we interacted knew the reasons and sources of mosquito breeding near
to their houses. Regularly cleaning the area surrounding their houses was mentioned
as the most practiced preventive measure; however, nearly a third of the women have
a load of responsibility with the accountability of keeping the surroundings clean
singularly; whereas another 30% reported receiving some support from their
husbands. However, they are completely helpless when the sources of breeding
are in the public or community places like the area around public hand pumps,
big potholes on the roadsides, garbage dumps, and poorly maintained water
bodies of the villages. Women due to their limited agency at public spaces are
hardly able to raise their voices to demand management of such areas and men in
such families due to engagement in livelihoods, social dynamics, etc., hardly
care for such issues.
Have we ever
pondered what are the voices of women in this regard? What do they expect from
the government for their well-being whom they elect for the purpose every 5
years. It’s amazing to know that women demand – just three things - 1. Bed nets
so that all can have a good and fear-free sleep at night, 2. Clean surrounding
areas and locality. Can the system take a look at these demands and plan for
the well-being of those; to whom they are duty-bound and accountable.
Mosquito-borne
diseases have become part and parcel of their lives, it's like a normal for
these communities that they have learned to live with. Although the data from
the Mass Drug Administration, under the Filaria elimination program, shows that
there is no difference in preventive drug consumption by sex; however, women’s
ability and participation in decision making for the health of the people at the
community level is still short of expected levels. It’s not about who is
falling sick; it's about that least heard and most neglected woman who is
bearing the brunt of the disease – directly and indirectly.
Taking the
learning from COVID-19, it becomes more imperative that women share the table
for they are the lead contributors towards making India free from Mosquito-borne
diseases.
Sushmita Mukherjee
Director – Gender and Adolescent Girls
Project Concern International/India
(Content was developed based on the learning generated by a dedicated team of PCI)
Very well thought and nicely pointed out the basic need in rural tribal population. Empowerment of women can make significant changes in the health, nutrition and education status of the children and family members. Thanks to the writer to rightly highlight this very important aspect.
ReplyDeleteSushmita, Thnx as u find it to be meticulously & logically written , Charted out of the first hand experience of the most important part and yet neglected,,, WOMEN of every household ( and I feel, in recent times, it has risen..., )Who actually bears the brunt and, Yet has to live with it..
ReplyDeleteIt is high time , we go beyond the antics of suicides n religion victories, AND take tender loving care n hand over the rightful RIGHTS of the MOTHER and DAUGHTER to be safe first n Take care of the rest 🙌
Thnx n Stay blessed