Revolutionizing Rural Health in a Tribal Village – “Research With the People”: Gadchiroli Experience
Imagine the power of problem solving in India, if our ethos for research are to “Go to the people, live among them, love them, learn from them, begin with what they know, build upon what they have”, says Dr. Abhay Bang. Dr. Abhay Bang and Dr. Rani Bang are Indian social activists and researchers working in the field of community health in the Gadchiroli district of Maharashtra, India. They have revolutionized healthcare for the poorest people in India and have overseen a programme that has substantially reduced infant mortality rates in one of the most poverty-stricken areas in the world. The World Health Organization (WHO) and UNICEF have endorsed their approach to treating newborn babies and the programme is currently being rolled out across India and in parts of Africa. The Bangs founded the 'Society For Education, Action and Research in Community Health' (SEARCH) – a non-profit organization, which is involved in rural health service and research. The Bangs are honoured for their leadership in community-based health care that is now helping to save the lives of millions of the most vulnerable newborns and children. During their careers, the Bangs have helped foster a renaissance in community-based primary health care. Home Based Neonatal Care (HBNC) model developed by Bang has resulted in reduction in infant mortality in the study villages of Gadchiroli. The home-based neonatal care interventions developed at SEARCH ignited worldwide interest and research on preventing neonatal deaths in high-mortality, resource-constrained settings. Prior to that, such deaths were considered nearly impossible to avert. As a result of their work, home-based neonatal care and community-based management of childhood pneumonia are now being implemented throughout the world in these settings. There are essentially three ways in which to conduct research ‘with’ the people: Research on the people Research for the people Research with the people Most of the research at SEARCH is for the people and with the people. This culture of research for problem solving can be powerful, but only if you follow certain ethics and ask the people. Ultimately you should ensure that the solution is transferred to the hands of the people. The research culture initiated and continuously practiced by the Bangs over 30 years leads the way for smart health care villages in India and around the world