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Monday, July 21, 2008

Mangy Street Dogs!

The much anticipated blog entry is here. Over the past couple of months, I have taken many pictures of dogs we have encountered on the streets, in the villages, and on the road. Most do not have commentary, some of them are cute(ish), but they are all feral dogs.

Puppies

A crew from one of the villages. Sorry for all the limbs in the pictures.


Always looking for food.


Staying out of the heat. There were actually multiple dogs under this hut.


Pumba?

These dogs resemble my dog back home. She would be happy to know she's actually cleaner than another dog, a feat I thought to be impossible.

Another pumba-looking dog.



Randoms

This was the territory-marking dog. Picture taken before it peed on our van and I was the one who was yelled at (From a previous blog post).

Eating some left-overs and patiently waiting for left-overs.

The puppy was really cute, but I was a little too close. Mother = not happy


Watchdog.

Some mother dogs are obscenely full of milk.

Some rather rabid looking village dogs coming to check us out.

Friday, July 11, 2008

Marase

MARASE- TBA PROJECT

Marase is one of the villages on our Mysore taluk map and the experience in this village is worthy of a blog post. We arrived at the village, about 25 km outside Mysore City, and Praba met with some of her local contacts. The woman was so ecstatic to see us and informs us that there are three TBAs in the village, a gold mine for us! Praba and Sattya went to interview one woman, while Mercy and Fazila went to the another, and this left Rani and I to do the 3rd. One catch, they don't really know where she is, but they assure us we will find her in '2 minutes, no problem'. Rani, our village contact, and I head out to the fields to find this TBA.

Rani thinks she sees her, and the local woman concurs.



Somewhere by that big plume of smoke, I think.



The pictures do not quite grasp the wetness or the wildlife present in these fields. You guessed it, more snakes, my favorite. We finally reach the group of farmers, who are doing some 'slash and burn farming' and lighting fields of dry grass on fire.



Turns out the woman is not here and these people have not seen her recently. So, we're off for some more walking through the farm fields. Right next to these fields were some coconut and palm tree orchards. Very nice, but really muddy. Rani was wearing her nice shoes and was not at all happy.





As we were walking, the woman asked me if I liked sheep. I responded "Yeah, of course I like sheep, especially the small ones. So cute." After these words were out of my mouth, she took off towards a flock of sheep, and snatched one up for us. I did not know this is what she had in mind.



After some more walking, we finally reached the TBA. She was out tending to her flocks of sheep and goats, but she did not mind doing the interview out in the field.



The TBA was great, but has not done many deliveries recently. She was eager to answer our questions and gave some interesting responses. The data will be good, even though it may not be completely up-to-date.



Dogs and chickens were hassling Praba while she was finishing her lunch. I decided to 'protect' her with my stick. Don't worry, I didn't actually hit anything, but there is some truth to the saying 'Speak softly and carry a big stick'.



(This dog had a limp leg, so he was allowed to stick around. He would be embarrassed knowing there is a picture of him doing this on the internet.)

Sunday, July 6, 2008

Lorry Drivers, RHD update, and TBA questionnaire

Lorry Drivers

Monday was last day of HPV outreach. The PHRI crew was presenting to a father's group, mostly made up of lorry workers. From what I could tell, there was a leader of a local union that worked with Satthya to organize the group. Overall, there were about 60 men that attended the presentation.


The leader wanted to show us around the area. We were located on a main road, but there was a whole new 'world' right behind the buildings that line the street. A world with huge trucks, enormous bags of produce, and scores of men jumping on and off the vehicles.



Tomatoes, cucumbers, melons, and cauliflower are just some of the different produce they were shipping. It gave one a feeling of a 'farmer's market' back home, times 10 and I'm sure the prices are a bit more reasonable.



To be expected, there was also a fair amount of raw vegetable wastage. Naturally, a small herd of cattle keeps the wastage in check.



The lorry drivers have been in the news recently. There was a nation-wide strike among these workers, as a protest to rising petrol prices. The strike was on Wednesday, and the city was eerily quiet. Naomi and I went down to the market, a place normally crowded with people, cars, and animals, but found the streets close to empty. It is remarkable that the city could almost come to a complete halt on such a short notice.

You can read more here: http://news.bbc.co.uk/2/hi/in_pictures/7486984.stm

RHD study update

The preliminary chart review at Vikram is done. The next step is to contact the patients by phone, in order to gather data about their living conditions. Since I do not speak Kannada, I will be relying on some staff help with the interviews. In the meantime, I am going to begin doing the same chart review at KR Hospital, the local government hospital. We are interested to see if some neighborhoods have a higher incidence of RHD and have been using Google Earth software. Here is a map of Mysore, which is overlayed onto the satellite image of Mysore provided by Google. Pretty cool. (not sure if you can see with this resolution, but the two yellow pins in the upper left side of the map are Vikram and PHRI)


TBA Questionnaire


Over the past week or so, we have developed a beta version of the questionnaire that will be administered to Traditional Birth Attendants. The first day was a bit rough on everyone. We were editing the questionnaire right up until the time we left for the village. Since this was the first time the interviewers had seen the questionnaire, they needed to translate it into Kannada. Due to time constaints, we didn't finish this part. The interview took a little too long, and the TBA was a bit tired towards the end. Here is the TBA trying on a glove from the birthing kits we give each of them.


However, we were able to get some good information. Things could have gone better, but I will chalk it up to being the first time using a new questionnaire. Once the interviewers get accustomed to the questions, things will run a bit smoother. Here's the team!


Some cute kids from the village.



Karl took PHRI out to lunch the other day. It was nice to visit with everyone, and I think it was a lot of fun for everyone else. We'll have to get one more picture with Purnima, the director, once she comes on the 17th.