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projects: awareness
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outreach to the doctors and nurses

Doctors are busy people all over the world, but in India, that is especially true. An average pediatrician may see a hundred patients in one day. Five minutes is the most he can hope to spend with any one child. So it isn’t surprising if he doesn’t get a chance to ask searching questions, or time to notice signs and warnings that all might not be well. When a mother brings her baby in for an immunization, a good doctor can easily tell if the child has Downs Syndrome or Cerebral Palsy. But if the mother doesn’t bring it up herself, chances are that the doctor won’t either. He will give the baby the DTP injection, take the fee and call in the next patient.

It’s understandable. Asking the mother if she is worried about the baby, or if the child is developing according to schedule, may unleash a whole torrent of anxieties and concerns the mother has been holding in since the child was born. Who has the time to listen to it all, and to answer the inevitable questions she will have?

Part of our outreach to the medical community is to encourage doctors to build a little extra time into their busy schedules to address issues of developmental delay. Milestones posters and brochures can be made available in the waiting rooms so that parents can draw their own conclusions about how their baby is doing. We encourage doctors to refer babies to our Early Intervention Centre where we can provide the counseling and emotional support young parents so desperately need.

We also encourage them to rely more on their own staff. Junior doctors can take on the simple stuff like sore throats and coughs. Nurses can be trained to do more of the routine work to allow doctors to handle the complex issues of diagnosis and referral. This would mean paying support staff better salaries, of course, something many doctors are unwilling to consider.

It leads naturally to parent empowerment – to help parents find the courage to demand the care they are paying for, to insist that doctors answer their questions and to not leave until they do!

When a child has a problem of almost any kind, the first person parents go to for help is their doctor. How that doctor handles the situation can influence the family’s ability to accept what may be a lifelong challenge and an opportunity for growth.

For parents, a diagnosis that their child has a disability is cataclysmic. Nothing can adequately prepare them for that moment of truth, even if they have suspected it for weeks or months beforehand. How the doctor breaks the news is of particular importance. Years later, most parents can still recount, almost word for word, exactly what was said, exactly where they stood and what the light was like when they got the news that changed their world forever.

Busy doctors, distracted by the line of patients in the waiting room and over-burdened with pressing demands on their time, may not adequately appreciate the importance of what they say and how they say it. 

While an important focus of the awareness campaign is getting doctors to understand the crucial nature of early identification and intervention, an even more critical foundation goal is to help doctors think about the emotional turmoil disability creates in a family. Because early intervention is for parents too.

 

When a person has to be hospitalized, it is often the nurses she remembers best. While the doctors are important, it is the nurses who minister to a patient’s everyday needs. Frequently, in-between changing bandages, adjusting pillows and doling out medicines, they also find the time to listen to a person’s fears and worries. They counsel, reassure and explain. They carry messages to the doctor and then seek out the families to report what was said.

Here in India, nurses are still struggling to be seen and respected as professionals.  The Latika Roy Foundation, recognizing the important role that nurses can play both in education and in healing, has begun an outreach program to nurses in both private and government hospitals. In a series of on-going training seminars, we are working with nurses to increase their knowledge, confidence and self-esteem. Specifically, we want nurses to be quicker to spot developmental delays in children who come to immunization clinics and proactive in their approach to parents about the need for early intervention. But at the same time, we want to support nurses in their own struggle for equity and respect. Because the health care system can only deliver if its professionals are in good health themselves.

   
 
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Developed by: Latika Roy Foundation, 4/3A Vasant Vihar Enclave, Dehra Dun 248006, Uttarakhand, India
phone: +91 135 276 1014     email: contact@latikaroy.org     www.latikaroy.org