Battling the Wave

Healthcare efforts fighting the COVID-19 crisis in rural India

24 May 2021
Kavita Kushwaha, 28 years old, left latex gloves filled with hot water next to her 80-year-old father Dadanram Kushwaha to soothe his bedsores. At the time, he was in the COVID-19 ICU run by Sangwari at the Government Medical College Hospital in Ambikapur, Chhattisgarh. He died later that night.
24 May 2021
Kavita Kushwaha, 28 years old, left latex gloves filled with hot water next to her 80-year-old father Dadanram Kushwaha to soothe his bedsores. At the time, he was in the COVID-19 ICU run by Sangwari at the Government Medical College Hospital in Ambikapur, Chhattisgarh. He died later that night.
Photographs and Text by Harsha Vadlamani
31 July, 2021

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              "text": "Belabai Dhurve, 42 years old, and Kalabai Maravi, 50 years old, both health workers trained by the JSS, stand outside a COVID-19 patient’s home during their door-to-door monitoring in Bamhani inside the core zone of the Achanakmar Tiger Reserve in Mungeli, Chhattisgarh.",
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              "text": "Binda Bai, 50 years old, holds a nebuliser for her 50-year-old husband Sankuram Uike. He was admitted to Shaheed Hospital in Dalli Rajhara in Balod, Chhattisgarh, after complications arising from the consumption of alcohol immediately after vaccination as well as a relapse of tuberculosis.",
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              "text": "23 May 2021",
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              "text": "Ashik Parvez, 28 years old, plays a prayer on his mobile phone for his father Nabi Khan, 50 years old, who was critically ill with COVID-19 and admitted to the ICU at the Government Medical College Hospital in Ambikapur.",
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              "text": "10 May 2021",
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              "text": "31 May 2021",
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              "text": "Dr Ashish Satav checks on a 60-year-old patient named Sonaji Savalkar, who tested positive for COVID-19 at the MAHAN Trust’s hospital in Utavali, Melghat. The plastic sheets used when Satav visited the patient were intended to prevent the hospital’s only senior doctor handling COVID-19 cases from catching an infection.",
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              "text": "An old woman, suspected of having COVID-19, was left with no medical attention in a room in Jakad Bandha in the Achanakmar Tiger Reserve. Health workers from the JSS convinced her son to bring her later that evening to the hospital, seventy kilometres away in Ganiyari, but the family decided to take her back after being told that her condition was serious. “We’re leaving it up to god,” they said.",
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              "text": "18 June 2021",
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            {
              "text": "Ruchika Behera, 26 years old, pins a black band on a fellow nurse, 35-year-old Sarita Yadav, as the medical staff at Shaheed Hospital joined a nationwide protest by medical professionals against attacks on them by patients and their relatives.",
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              "text": "27 May 2021",
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            {
              "text": "Members of a wedding band catch up on some sleep before their next event at a wedding outside Dindori in Madhya Pradesh. The state banned weddings in May, since they were believed to be a major reason for the spread of COVID-19 in villages. Local marriage-registrar offices were ordered to not issue marriage certificates for couples who married during this period and to even file cases against them.",
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              "text": " 15 May 2021",
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              "text": "Farmers returning from the fields, in Khargi Khurd, Bilaspur. The village was declared a containment zone after about eleven COVID-19-related deaths were reported from the village of three thousand five hundred people. The villagers said that only one testing camp had been conducted on April 15, where only symptomatic people were tested. The rest had to travel to Kota, ten kilometres away, for tests.",
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              "text": "11 May 2021",
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              "text": "A vehicle carrying a JSS medical team crosses the Maniyari River en route to Nivaskhar, deep inside the Achanakmar Tiger Reserve.",
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              "text": "30 May 2021",
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              "text": "Sojar Chintaram Bilavekar, from the Korku community, takes a ritual purification bath with neem, tulsi and bel leaves upon reaching home after spending 19 days in hospital in Melghat, Amravati. Sixteen of these were spent on oxygen support. Bilavekar first approached a quack in Kalamkhor, who misdiagnosed her with typhoid. But the fever did not subside after many days. She then went to the sub-divisional hospital in Dharni, where she was diagnosed with COVID-19 and admitted immediately.",
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              "text": "30 May 2021",
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              "text": "A 50-year-old prisoner from the Surguja district jail, admitted at the Government Medical College Hospital in Ambikapur with COVID-19 symptoms, is shackled to his bed in the isolation ward.",
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              "text": "11 June 2021",
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              "text": "A portrait of Shankar Guha Niyogi, the activist who unionised the mine workers of Dalli Rajhara, hangs in the operating theatre at the hospital in Dalli Rajhara in Balod, Chhattisgarh.",
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              "text": "The family members of 32-year-old Devaram Gurvekar, who was suspected of having contracted a fungal infection after COVID-19, listen as a doctor from the MAHAN trust’s hospital in Utavali advises them to take him immediately to Amravati for better treatment.",
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              "text": "Jogeshwar Vishwakarma, 21 years old, holds the dead infant of his 25-year-old sister Surekha Bai as they leave for their village of Gidhali from Shaheed Hospital in Dalli Rajhara in Balod, Chhattisgarh. The infant, delivered in a PHC closer to their village, was brought to the hospital with complications arising from drinking amniotic fluid but died before the family could arrange for money for a private ambulance to a better equipped hospital at Durg, 85 kilometres away.",
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“SAABUN HAI?”—DO YOU HAVE SOAP? Thirty-year-old Shyamkali Baiga, knew the drill. She brought out a bright-green bar of soap, held it close to her nose and confirmed that she could not smell it. Savni Baiga, a health worker, briefly took her eyes off the list of symptoms she was ticking off on a sheet and nodded in acknowledgement.

As the second wave of the COVID-19 pandemic swept through India, looking at the horrific visuals from Delhi and other cities, I wondered about the situation in villages. Rural India has been the focus of my reporting for the last thirteen years, and I knew its fragile healthcare systems would struggle to handle the pandemic. In early May, after fully recovering from the virus myself, I set out on a motorbike to document its impact on rural areas in Chhattisgarh and Maharashtra, through the work of doctors working in low-resource settings in those regions. My first port of call was the Jan Swasthya Sahyog hospital, a facility with a hundred beds and two operation theatres, in the village of Ganiyari, in Chhattisgarh’s Bilaspur district. Founded in 2000 by a group of doctors who quit their careers at the All India Institute of Medical Sciences in Delhi, to work on healthcare in the region, the hospital and its three sub-centres serve an estimated 1.5 million people in more than two thousand villages.

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