Oxford’s Fierce Compassion – Series of Student Insights to the Skoll World Forum 2016.
MBA student and Skoll Scholar, discountRitesh Singhania gives his perspective on the Skoll World Forum seminar session ‘Healthcare as an Engine for Social Transformation’.
Is healthcare about disease management or delivering health?
While it is so important to provide quality affordable healthcare to communities at the bottom of the pyramid, can healthcare alone improve the lives of the people?
This is how we began the session with Gary Cohen, co-founder Healthcare Without Harm; Tyler Norris, VP Total Health, and Rebecca Onie, Co-founder Health Leads. It was very thought provoking to start the session broad, with questions that make us challenge our own thinking about the fundamental role that healthcare can play in the lives of local communities.
It is difficult to set up a medical clinic in the middle of a village community in rural India and expect the community to grow. Illness treatment or disease management in segregation can only have a limited impact in the lives of the people. To give an example – most of the women in rural India still use firewood for their cooking energy needs, leading to massive amounts of smoke within the four walls. This smoke is inhaled by just not the women of the family, but also by their children. As Annie Griffiths, from Ripple Effect Images highlighted during her fantastic opening plenary at the Skoll World Forum, that more children (under the age of five) die due to breathing problems, than diarrhoea, dengue and pneumonia together. Thus, while setting up a medical clinic in a remote village definitely has value addition for the community, it is important to understand the needs of the community and set up a cross-sectoral relationships with other areas of development for a healthier life-style of people.
I would like to share a small example from my days back in India, where we used to set up small scale power plants in the Indian Himalayas to generate clean electricity and cooking charcoal (by-product) from flammable pine needles. We would employ local women in the villages to collect pine needles and remunerate them both in the form of cash and cooking charcoal. Women in the villages are normally responsible to meet the energy needs of the family and spend the entire day gathering firewood. By employing them to collect pine needles, for the first time we were not only empowering them with money, but also offering a cleaner source of cooking fuel so that they do not have to go but down trees, in the fragile Himalayan eco-system. Thus, trying to create an impact at every step in the value chain by not only offering cleaner electricity to people, but also a cleaner cooking fuel and employment.
Similarly, healthcare offerings in the local communities have to be integrated with the needs of the community so that we can actually see a difference in the lives of the people – better, healthier people for a brighter future.