Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

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        Health | Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar    </title>
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-The Hindu

The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..."/>
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-The Hindu

The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..." />
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    <h1 class="cat-box-title">Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar</h1>
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		 Published on</span><span class="text-date"> Jul 30, 2018</span>
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                            <div align="justify">-The Hindu<br /><br /><em>The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves<br /></em><br />On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14 km. She gets a ride until the road is motorable, from which point she has to walk.<br /><br />Her job? She doles out healthcare advice to mothers and children in the remotest tribal hamlets in the Araku valley of Andhra Pradesh.<br /><br />Now heavily pregnant, Pramila has had to slow down, delegating tasks to her colleagues, Duridi Champa, Pangi Padma, Neraj Sunita and others. It&rsquo;s they who now walk through forests and up mountains visiting families to identify pregnant women and conduct basic tests for diabetes and anaemia, and connect them with a primary health centre (PHC) when necessary.<br /><br /><em>Vital interventions<br /></em><br />These young tribal women &mdash; for whom Pramila is the pioneer &mdash; are all trained auxiliary nurses, part of an experimental health project in Araku that aims to end preventable deaths during childbirth or infancy, run by Piramal Swasthya, a not-for-profit.<br /><br />The Araku valley is home to several nomadic tribes who live in small clusters of 70 to 150 homes nestled in rugged and inaccessible terrain, often undocumented in government records. Until a few years ago, these communities were unaware of government healthcare policies. The death of a child or a woman during pregnancy or childbirth was common and they were resigned to it.<br /><br />Today, 38 women like Pramila, drawn from these tribes, have broken social and cultural barriers to train as nurses and reach medical care to 1,179 hamlets across the Araku, Paderu and Chintapalli mandals. Since they are from these communities, the women have been able to forge trust in their families and neighbours about formal healthcare. As a result, these remote villages have now had the first childbirth in hospital, the first delivery by trained nurse, and the first mother to not lose a child.<br /><br />The nurses advise women on hygiene and nutrition, and convince them to visit the nearest health centres for further check-ups.<br /><br />The valley now has telemedicine centres with a medical officer for direct evaluation or a specialist for video conferencing. Malaria, dengue, anaemia and malnutrition are common, so these interventions become vital.<br /><br /><em>Common thread<br /></em><br />Padma lives with her mother, a retired anganwadi teacher, and four brothers who are farmers. Her family doesn&rsquo;t mind that she travels at odd hours or is in the company of male colleagues, which in her community was once taboo. They understand the value of her service, she says. One common thread among these young girls is that all their mothers have either worked in or taught at the village anganwadis, and they insisted that their daughters be educated.<br /><br />&ldquo;Initially, the people were cold and sceptical,&rdquo; says Padma, &ldquo;but over the past couple of years, attitudes have changed. They trust us, they have our phone numbers pasted on their walls so that they can reach out when they need to.&rdquo;<br /><br /><em>Traditional to modern<br /></em><br />Possibly the most important change these young women have brought to the valley is getting their tribes to move from traditional medicine to modern medicine. They repeatedly visited families, explained the need for better healthcare and hygiene, and taught them to eat well.<br /><br />The women earn between Rs. 10,000 and Rs. 18,000 a month based on their experience. A few of them went as far as Vishakapatnam to study, but chose to return home since working in the community was important to them.<br /><br />The outcome is evident in the figures. According to the 2011 census, the maternal mortality ratio in Araku valley was over 400 per 100,000 live births, more than double the national average. In the last two years, however, there have been no deaths during pregnancy or childbirth. While all these years, women gave birth in their homes, aided by the elderly in the family, or maybe a dai, the last two years have seen institutional deliveries reaching 68% of women.</div><div align="justify">&nbsp;</div><div align="justify">&nbsp;</div><div align="justify"><em>The Hindu, 28 July, 2018, please <a href="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true" title="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true">click here</a> to access </em><br /></div>                                                           
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        Health | Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar    </title>
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The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..."/>
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-The Hindu

The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..." />
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    <h1 class="cat-box-title">Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar</h1>
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                            <div align="justify">-The Hindu<br /><br /><em>The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves<br /></em><br />On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14 km. She gets a ride until the road is motorable, from which point she has to walk.<br /><br />Her job? She doles out healthcare advice to mothers and children in the remotest tribal hamlets in the Araku valley of Andhra Pradesh.<br /><br />Now heavily pregnant, Pramila has had to slow down, delegating tasks to her colleagues, Duridi Champa, Pangi Padma, Neraj Sunita and others. It&rsquo;s they who now walk through forests and up mountains visiting families to identify pregnant women and conduct basic tests for diabetes and anaemia, and connect them with a primary health centre (PHC) when necessary.<br /><br /><em>Vital interventions<br /></em><br />These young tribal women &mdash; for whom Pramila is the pioneer &mdash; are all trained auxiliary nurses, part of an experimental health project in Araku that aims to end preventable deaths during childbirth or infancy, run by Piramal Swasthya, a not-for-profit.<br /><br />The Araku valley is home to several nomadic tribes who live in small clusters of 70 to 150 homes nestled in rugged and inaccessible terrain, often undocumented in government records. Until a few years ago, these communities were unaware of government healthcare policies. The death of a child or a woman during pregnancy or childbirth was common and they were resigned to it.<br /><br />Today, 38 women like Pramila, drawn from these tribes, have broken social and cultural barriers to train as nurses and reach medical care to 1,179 hamlets across the Araku, Paderu and Chintapalli mandals. Since they are from these communities, the women have been able to forge trust in their families and neighbours about formal healthcare. As a result, these remote villages have now had the first childbirth in hospital, the first delivery by trained nurse, and the first mother to not lose a child.<br /><br />The nurses advise women on hygiene and nutrition, and convince them to visit the nearest health centres for further check-ups.<br /><br />The valley now has telemedicine centres with a medical officer for direct evaluation or a specialist for video conferencing. Malaria, dengue, anaemia and malnutrition are common, so these interventions become vital.<br /><br /><em>Common thread<br /></em><br />Padma lives with her mother, a retired anganwadi teacher, and four brothers who are farmers. Her family doesn&rsquo;t mind that she travels at odd hours or is in the company of male colleagues, which in her community was once taboo. They understand the value of her service, she says. One common thread among these young girls is that all their mothers have either worked in or taught at the village anganwadis, and they insisted that their daughters be educated.<br /><br />&ldquo;Initially, the people were cold and sceptical,&rdquo; says Padma, &ldquo;but over the past couple of years, attitudes have changed. They trust us, they have our phone numbers pasted on their walls so that they can reach out when they need to.&rdquo;<br /><br /><em>Traditional to modern<br /></em><br />Possibly the most important change these young women have brought to the valley is getting their tribes to move from traditional medicine to modern medicine. They repeatedly visited families, explained the need for better healthcare and hygiene, and taught them to eat well.<br /><br />The women earn between Rs. 10,000 and Rs. 18,000 a month based on their experience. A few of them went as far as Vishakapatnam to study, but chose to return home since working in the community was important to them.<br /><br />The outcome is evident in the figures. According to the 2011 census, the maternal mortality ratio in Araku valley was over 400 per 100,000 live births, more than double the national average. In the last two years, however, there have been no deaths during pregnancy or childbirth. While all these years, women gave birth in their homes, aided by the elderly in the family, or maybe a dai, the last two years have seen institutional deliveries reaching 68% of women.</div><div align="justify">&nbsp;</div><div align="justify">&nbsp;</div><div align="justify"><em>The Hindu, 28 July, 2018, please <a href="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true" title="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true">click here</a> to access </em><br /></div>                                                           
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        Health | Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar    </title>
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-The Hindu

The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..."/>
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-The Hindu

The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves

On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14..." />
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                            <div align="justify">-The Hindu<br /><br /><em>The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves<br /></em><br />On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14 km. She gets a ride until the road is motorable, from which point she has to walk.<br /><br />Her job? She doles out healthcare advice to mothers and children in the remotest tribal hamlets in the Araku valley of Andhra Pradesh.<br /><br />Now heavily pregnant, Pramila has had to slow down, delegating tasks to her colleagues, Duridi Champa, Pangi Padma, Neraj Sunita and others. It&rsquo;s they who now walk through forests and up mountains visiting families to identify pregnant women and conduct basic tests for diabetes and anaemia, and connect them with a primary health centre (PHC) when necessary.<br /><br /><em>Vital interventions<br /></em><br />These young tribal women &mdash; for whom Pramila is the pioneer &mdash; are all trained auxiliary nurses, part of an experimental health project in Araku that aims to end preventable deaths during childbirth or infancy, run by Piramal Swasthya, a not-for-profit.<br /><br />The Araku valley is home to several nomadic tribes who live in small clusters of 70 to 150 homes nestled in rugged and inaccessible terrain, often undocumented in government records. Until a few years ago, these communities were unaware of government healthcare policies. The death of a child or a woman during pregnancy or childbirth was common and they were resigned to it.<br /><br />Today, 38 women like Pramila, drawn from these tribes, have broken social and cultural barriers to train as nurses and reach medical care to 1,179 hamlets across the Araku, Paderu and Chintapalli mandals. Since they are from these communities, the women have been able to forge trust in their families and neighbours about formal healthcare. As a result, these remote villages have now had the first childbirth in hospital, the first delivery by trained nurse, and the first mother to not lose a child.<br /><br />The nurses advise women on hygiene and nutrition, and convince them to visit the nearest health centres for further check-ups.<br /><br />The valley now has telemedicine centres with a medical officer for direct evaluation or a specialist for video conferencing. Malaria, dengue, anaemia and malnutrition are common, so these interventions become vital.<br /><br /><em>Common thread<br /></em><br />Padma lives with her mother, a retired anganwadi teacher, and four brothers who are farmers. Her family doesn&rsquo;t mind that she travels at odd hours or is in the company of male colleagues, which in her community was once taboo. They understand the value of her service, she says. One common thread among these young girls is that all their mothers have either worked in or taught at the village anganwadis, and they insisted that their daughters be educated.<br /><br />&ldquo;Initially, the people were cold and sceptical,&rdquo; says Padma, &ldquo;but over the past couple of years, attitudes have changed. They trust us, they have our phone numbers pasted on their walls so that they can reach out when they need to.&rdquo;<br /><br /><em>Traditional to modern<br /></em><br />Possibly the most important change these young women have brought to the valley is getting their tribes to move from traditional medicine to modern medicine. They repeatedly visited families, explained the need for better healthcare and hygiene, and taught them to eat well.<br /><br />The women earn between Rs. 10,000 and Rs. 18,000 a month based on their experience. A few of them went as far as Vishakapatnam to study, but chose to return home since working in the community was important to them.<br /><br />The outcome is evident in the figures. According to the 2011 census, the maternal mortality ratio in Araku valley was over 400 per 100,000 live births, more than double the national average. In the last two years, however, there have been no deaths during pregnancy or childbirth. While all these years, women gave birth in their homes, aided by the elderly in the family, or maybe a dai, the last two years have seen institutional deliveries reaching 68% of women.</div><div align="justify">&nbsp;</div><div align="justify">&nbsp;</div><div align="justify"><em>The Hindu, 28 July, 2018, please <a href="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true" title="https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true">click here</a> to access </em><br /></div>                                                           
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Young women from tribal communities are helping lower maternal mortality rates in the Araku valley -Swati Sanyal Tarafdar

Published on Jul 30, 2018   Modified on Jul 30, 2018

-The Hindu The Araku valley saw its first childbirth in a hospital, thanks to young nurses drawn from the tribes themselves On an ordinary workday, 27-year-old Pramila Bariki hikes up steep slopes, across fields, through ankle-deep rivulets, often walking up to 14 km. She gets a ride until the road is motorable, from which point she has to walk. Her job? She doles out healthcare advice to mothers and children in the remotest tribal hamlets in the Araku valley of Andhra Pradesh. Now heavily pregnant, Pramila has had to slow down, delegating tasks to her colleagues, Duridi Champa, Pangi Padma, Neraj Sunita and others. It’s they who now walk through forests and up mountains visiting families to identify pregnant women and conduct basic tests for diabetes and anaemia, and connect them with a primary health centre (PHC) when necessary. Vital interventions These young tribal women — for whom Pramila is the pioneer — are all trained auxiliary nurses, part of an experimental health project in Araku that aims to end preventable deaths during childbirth or infancy, run by Piramal Swasthya, a not-for-profit. The Araku valley is home to several nomadic tribes who live in small clusters of 70 to 150 homes nestled in rugged and inaccessible terrain, often undocumented in government records. Until a few years ago, these communities were unaware of government healthcare policies. The death of a child or a woman during pregnancy or childbirth was common and they were resigned to it. Today, 38 women like Pramila, drawn from these tribes, have broken social and cultural barriers to train as nurses and reach medical care to 1,179 hamlets across the Araku, Paderu and Chintapalli mandals. Since they are from these communities, the women have been able to forge trust in their families and neighbours about formal healthcare. As a result, these remote villages have now had the first childbirth in hospital, the first delivery by trained nurse, and the first mother to not lose a child. The nurses advise women on hygiene and nutrition, and convince them to visit the nearest health centres for further check-ups. The valley now has telemedicine centres with a medical officer for direct evaluation or a specialist for video conferencing. Malaria, dengue, anaemia and malnutrition are common, so these interventions become vital. Common thread Padma lives with her mother, a retired anganwadi teacher, and four brothers who are farmers. Her family doesn’t mind that she travels at odd hours or is in the company of male colleagues, which in her community was once taboo. They understand the value of her service, she says. One common thread among these young girls is that all their mothers have either worked in or taught at the village anganwadis, and they insisted that their daughters be educated. “Initially, the people were cold and sceptical,” says Padma, “but over the past couple of years, attitudes have changed. They trust us, they have our phone numbers pasted on their walls so that they can reach out when they need to.” Traditional to modern Possibly the most important change these young women have brought to the valley is getting their tribes to move from traditional medicine to modern medicine. They repeatedly visited families, explained the need for better healthcare and hygiene, and taught them to eat well. The women earn between Rs. 10,000 and Rs. 18,000 a month based on their experience. A few of them went as far as Vishakapatnam to study, but chose to return home since working in the community was important to them. The outcome is evident in the figures. According to the 2011 census, the maternal mortality ratio in Araku valley was over 400 per 100,000 live births, more than double the national average. In the last two years, however, there have been no deaths during pregnancy or childbirth. While all these years, women gave birth in their homes, aided by the elderly in the family, or maybe a dai, the last two years have seen institutional deliveries reaching 68% of women.     The Hindu, 28 July, 2018, please click here to access

The Hindu, 28 July, 2018, https://www.thehindu.com/society/young-women-from-tribal-communities-are-helping-lower-maternal-mortality-rates-in-the-araku-valley/article24529783.ece?homepage=true

Tagged with: araku valley Nomadic Tribes tribal anms Auxiliary Nurse and Midwife (ANM) Access to Healthcare Access to Health

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