|Palash amidst the all-pervading brown|
|The road to Ghated|
The Ghated clinic opened four months ago, and is staffed round the clock by three nurses, while a doctor visits once a week. Today I accompany the regular doctor to the clinic. Amidst a range of patients who attend, I meet and talk to Bhanwarlal who is 32, and suffering from tuberculosis.
The oldest of five children, he migrated to Ahmedabad as a teenager, working at polishing granite for nearly a decade before he fell ill and developed tuberculosis of the lymph glands and of the skin nine years ago. He tried treatment with various doctors, but did not find relief. As he got weaker, he started taking on lighter work to fund his treatment but now for the past five years he has been unable to work and has come back home. Last year he had some months of anti-TB drugs too.
|Bhanwarlal at the Ghated clinic|
The scars and wounds are disfiguring and Bhanwar comes to the clinic wrapped in a shawl in spite of the heat. He has been started on Anti-TB drugs but the chances that he has multi-drug resistant TB (MDR-TB) are high.
Two younger brothers are also in Ahmedabad as migrant workers - one polishes stones; the other works as a headloader at construction sites. The youngest brother is in college, and the family hopes he will get a better paying job than a labourer does. The youngest child, a 12 year old sister, also has swellings in the lymph glands of the neck now.
|The deforested Aravalli hills: one the way to Bedawal|
|Rajudi, 40, Devliya village|
40 year old Rajudi of Devliya village awaits me at the clinic, with cough and breathlessness. Her husband died of TB and she herself was treated six years ago with some drugs (unsure whether correct dose or duration). She too, like Bhanwar at Ghated, is wasted, weighing only 33.2kg at a height of 153 cm (BMI 14.2). She is severely anaemic and on examination I find evidence to suggest that part of her right lung has probably collapsed. It is difficult for me to make out whether her breathlessness is due to her anaemia or her collapsed lung. Her children too, like her husband, are migrant workers in Ahmedabad.
The senior health worker tells me her oldest son takes away her pension each month as soon as she gets it, and the neighbours feed her, depending on what they can spare each day.
This is the context in which the AMRIT clinics function.