Wednesday, July 9, 2008

And it continues...sigh!

Looks like this issue is getting enough media attention as well...
As many as 90% medical students give ther rural stint a miss...how are we ever going to improve the public health system of India if this continues.
The article explains it all...I dont need to say no more!

Monday, July 7, 2008

The power of BIG!

I am a person full of contradictions and today I discovered another such contradiction about me! When I have a story to tell, I can go on and on about it (of course digressing through the way) and ensure that the others present in the conversation do not get a chance to talk and are listening to every single detail and responding. Of course, I do not want to discuss how entertaining some of my stories can be(…modesty ;))! So literally, I make a mountain of a molehill.

But when it comes to articulating any professional communication, I have the power to make even a big thing sound miniscule and irrelevant. And this goes back to my engineering days, where after putting in 5 months of relentless efforts on my final year project, both Anjali and I were incapable of justifying our efforts in the report. And that’s when we realized how we both lacked the capability to use “flowery language”. Basically, modesty becomes operational at all the wrong times in life.

The reason I choose to blog about this is because, during the internship, I felt challenged by this incapability yet again. This, to the extent of my mentor telling me “why do u underplay everything…use big words…the impact is always better that way”. This is something that I am sure will remain at the back of my mind at least for sometime. Another incident occurred today that brought this issue to the fore. In the past couple of communications between the Cerebration team and potential case sponsors, I have realized that Amruta does a brilliant job of glorifying the event. While the thoughts have been resonated by all of us at different occasions through different mediums, this particular mail by Amruta blew me away. And knowing her…I know that its not one of those “creative high” days. It’s just that she has the talent.

As I decide to embark on this journey to enter the big Consulting Arena, I realize that this is a weakness I have to overcome. Consultants are paid to tell you things that at most times is already known. It’s the job of a Consultant to send the message across in the most effective way. Sometimes, it’s about making you come to terms with reality. At other times, it requires them to tell you “we are there for you”. Whatever be the case…it was never achieved through “being modest”. As Shyam puts it…”Its all about Marketing and PR”! And I agree! It’s the power of making things sound BIG! So my next KPI is to be told by someone…“you sound like such a consultant”!!!! :)

Monday, June 30, 2008

Education for All

Well another social issue which is quite the double edged sword. As most Indians must be aware, the government has a program called “Sarva Shikshya Abhiyan (SSA)” or “Education for All”. The government has made primary education compulsory in the country and provides the same either free or at nominal cost (with special focus on girl’s education :)). The aim is obviously to increase the literary rate in the country. And as we have seen in the past few years, Indian “minds” are becoming quite the hot property world over. Like I have said in many of my previous posts, in a country as diverse as India with wide socio economic disparity, cultural disparity (and sometimes even baseless theories), this move deserves kudos and it is bearing fruit. The literacy level in the rural area has been increasing at a greater rate than the urban literacy rate.

But there was an issue that gained a lot of media attention a couple of years ago. In a Delhi school comprising of children belonging to the higher middle class and the “Page 3” of society, the parents raised a hue and cry over the government of India’s rule that each of these schools should include a minimum number of students belonging to the poor sections of society. Parents cited the reason as the negative effect such kids would have on the students of this “crème de la crème” of society.

From the point of view of parents and students studying in the school, this is a perfectly valid point. One pays a premium fees at private schools to provide excellent education for their children. Of course the environment and fellow students have a big role to play in providing the “excellent” education. So parents are bound to get anxious when their children are put in the same environs as students from poor families. Since bad habits are easy to pick-up, these environs are bound to affect the language, the behaviour and sometimes even the thought process of these students. At the same time, the poor kids are bound to experience an inferiority complex giving rise to “the evils of complexity”.

However, from the point of view of the government, this issue should be seen in a different light. The government of India is answerable to every section of society and every individual of the country. Through this move, they are trying to improve the standard of living of the future generation. Now this is a way of the government to ensure that every child receives an education. But for the poor families, it’s about giving their child a better education with the hope that one day they will be able to change their future for the better. It’s about making an opportunity equally and fairly available to every child.

Which parent would not like to see their son or daughter to grow up to be a young confident person who does not see any limits in life and who thinks big! While I am not saying that a public school education is incapable of helping achieve this dream, the chances are generally perceived to be higher in a private school.

This is where I feel the school plays a very key role in integrating both these sections of society together and ensuring equal opportunities to all. It is actually the task of the teachers, staff and faculty to bridge this divide and at the same time ensure that the students are taken care of especially emotionally. I am proud today that I went to a convent school which provided subsidized and free education to a few students every year. I did have some classmates who belonged to not very financially stable families. But once in school in our uniforms, there was no divide and no discrimination. While I am not anyone to comment on the positive effect we had on them, I am happy to say that to a great extent, my school has been responsible to a great extent in shaping the person I am. One not only learns to be sensitive to the differences in society, but more importantly becomes a more balanced and reasonable person. The family obviously has an equal role to play in this.

While this is not exactly relevant to the previous case, two other interesting articles in the paper in the last two days got my attention to this topic. That of children born with autism and ‘Down syndrome’. Both articles had a similar theme. These children can grow up to lead a good and independent life if they receive an education at regular school along with other “normal” kids. Studying with children in a regular school (as opposed to receiving an education from a special school), these children learn faster, learn how to deal with everyday situations, learn what to say and when to say it, learn to appreciate their own success and that of others. This is because they learn a lot through imitation. There are regular schools in USA that have special integration programmes for students with ‘Down syndrome’ and autism.

This is good not only for students with special needs but even for people like you and me. These children don’t need our sympathy (and I hate it when somebody calls them “bechara”). They need our support and they need to know that they are equally capable. If there is anyone who needs special attention, its “normal” people who get uncomfortable in their presence and don’t know how to behave. Its principals, faculty and parents of schools who refuse to admit such students. It’s people who look at this world in monotones. So really, it is us who need special attention and education!

Democratic evils and the silver lining…

Well this one is a sequel to the previous post. I didn’t expect to write on this subject so soon again. But there have been some developments and stories in the news yesterday that are worth the mention here!

The National AIDS Control Board (NACB) has recently announced that it will provide free second line ART treatment for AIDS in four cities of India – Delhi, Kolkata, Ahmedaba and Hyderabad. In addition, it will launch this program in four more states from December. Several doctors from these states will be sent to Thailand for training on how to properly administer this treatment. Btw, Brazil provides the second line ART treatment for free in a national move to help contain the spread of AIDS and AIDS related deaths in Brazil.
For more, you can read the same on:
http://timesofindia.indiatimes.com/HealthSci/Second-line_drug_free_to_combat_AIDS/articleshow/3170106.cms

But that was the good part. There was also an article in the paper that reaffirmed the ironic state of medical education. Private medical institutions are sprouting up all over the country. Rural stint is not mandatory if graduating from a private institute. Since one ends up coughing a sizeable amount for medical education from these private institutes, graduates are in hurry to receive their return on investment as soon as possible. Therefore, such students end up seeking jobs with private hospitals and do not prefer the public hospitals which typically pay less than most private hospitals. Fair enough.

Additionally, another news article stated that resident doctors in hospitals are highly susceptible to tuberculosis due to lack of hygiene and sufficient protective gear and sanitation. Given these conditions, how can we expect these doctors to consider public hospitals? And for those who are currently working there, it is absolutely dangerous to put them through these unhygienic working conditions. Not only are we putting them through danger, it is also dangerous for the other patients.

So the question arises, that while there are some silver linings in our public healthcare system, are we equipped for this? Have we reached a point where so much damage has been done that it will be very difficult for us to address this issue? Well the optimist that I am, I don’t want to believe that there is no way out. But sometimes, Reality Bites!

Friday, June 27, 2008

Democratic Evils

A new post has been so long overdue that it’s beyond the point where I can make excuses about it. I have thought of a million topics I wanted to write a post but somehow, it never happened. And then just now I watched an ad on television which said “Stop Talking. Start Doing”. So I am going to do just that :)

I am currently working on a project with a global consulting firm in India on the healthcare sector of our country. Of course I cannot divulge details of the project (confidentiality issues of a consulting firm ;)). Now, I have been doing a lot of research on this subject and believe me it is an eye opener!! Here is my take on the sorry state of our healthcare sector. (Something you won’t find in our project ;))

Background:
Healthcare sector can be divided into pharmaceutical and medical sector. The medical sector in turn comprises of public healthcare sector and private healthcare sector. Your public sector typically consists of facilities and treatments provided by your central and state government. Private providers include NGOs, not-for-profit organizations and the for-profit organizations.

The cost of treatment in a public centre is highly subsidized and free in cases of some treatments. However, for the same treatment, you could end up playing 2 to 3 times more at a private hospital and almost 20 times at a private dispensary for common non-hospitalized ailments. Therefore, it is the duty of the government to provide affordable and accessible treatment to all sections of society. Their motto, of course, being “Health for All”.

Reality Bites:
Unfortunately, the true picture is not only alarming but also depressing to a great extent. 40% of the population in our country go under heavy debt due to a single hospitalized treatment. Most of them finance the same through borrowings from friends and family. But what is more surprising is that the most affected population is not the ones who are ‘Below Poverty Line’ (BPL) but the middle class segment that is the most affected. The reasons for this being (in short without divulging into too many details):

· Preference for better medical care and service which is unavailable at a public hospital. The perils of awareness and literacy!! (There is a brilliant statement in the report for this…but damn I cant use it).
· Lack of accessibility to public providers in our country.
· Perception (which is partially true too) that private providers have better doctors.

Isn’t it ironic, don’t you think?
While analysing the reasons for the same and reading up on the healthcare sector of the other countries of the world, what was ironic was that countries like China and Cuba (with all their economic problems like India) have excellent public healthcare system. The issues of accessibility, quality and affordability have been addressed there and they have truly provided health for all. The reason I think they have been successful at this…Socialist/Communist political system in these countries. And then I wonder, is democracy a deterrent for our country?

Funds are not an issue in our country. Both the central and the state government have enough funds required to provide quality healthcare. In fact, at many a times, funds are under-utilized in India. However, what is lacking in our country are the following:

· Lack of stable political system: In our country a lot of time is wasted in waiting for approvals and bills to pass through. Then if we are lucky to get these processed fast, the actual implementation gets delayed and sometimes even halted. While the Gujarat government has been successful in reducing this bottleneck, the question arises…why cant the rest of the country?

· Lack of qualified resources: Qualified resources are a scarcity in our country (please note, the government is not even adding the clause “good”. Just “qualified”). That’s the extent to which we lack qualified doctors and nurses. Cuba provides free medical education to all medical students and over and above that binds every student to a contract where they have to necessarily serve the public sector for three years or else pay a very heavy fine. While I am not advocating free medical education (in a country where you are expected to be a doctor or an engineer, this cannot exactly be implemented ;)), the mandatory public service should be implemented honestly. In fact, the migration of doctors outside Cuba not only reduced, but today there is a surplus of doctors in Cuba.

· Bribery and “working around the system”: Neha said something today to me that at the point seemed very funny but it’s so true. In India, if you need to get anything done, just be prepared to “shell out money and give it below the table…that’s it. Your work will be done!”. So this very easily gets you out of the compulsory public service.


China, Cuba and other developing and emerging countries are faced with situations very similar to India. Wide socio-income divides, poverty, illiteracy etc. But because of their communist and socialist outlook, they have implemented policies and no questions asked. No opposition parties, no unions. They “Stopped Talking and Started doing”.

There have been successful initiatives in India in Tamil Nadu, Delhi and North east India. However, they have all been isolated initiatives and have failed in other parts of the country. There seems to be a lack of will on part of the state government and sometimes, a certain degree of helplessness. China has been the fastest growing developing nation in the world and as far as healthcare is concerned, it’s definitely not “Third World”. Cuba is a very high Human Development Index (comparable to developed nations) as far as healthcare is concerned.

While I am not advocating socialism or communism, I wonder that in a country as diverse as us with diverse economic and cultural disparity, would such a system have worked better. Would such a system address issues of disparity and inequitable distribution of resources? Would it truly provide “health for all”?

Tuesday, May 13, 2008

Look who is regressive now!

Along with the objective of being a way to finish saying what I want to (since all my friends shut me up half way through my conversation), today I am going to use this page to talk about something that has shown its ugly face a million times the last few days...Misconstrued ideas about Indians!

Yes we have arranged marriages...and it’s NOT STRANGE! As I see it, it’s prevalent all over the world including the "very progressive" USA. C’mon, how is it ok to go on a blind date set up by your friends but the moment your parents set it up...it’s an "arranged marriage"! India is changing and the boy and girl involved in the meeting have the right to speak their mind and decide if they want to marry the other person. And contrary to popular belief, there is generally more than one meeting involved!

Of course, here I am also going to be quick at pointing out that India is a country of extremities and has all classes of people living within this huge mass of land. And this is where cultural differences set in. And not to forget, there are also generational differences. So in bigger cities, the approach towards arranged marriages is different from how it is in smaller towns and villages. Literacy levels in the family matters to a great extent and so we have to take that into account. In some cases caste and religion comes into the picture. But that’s another story. Now I am not going to get into the dynamics of how they differ. The main point is: Families care about their children and want them to lead a happy life (and not a lonely life). Therefore, if one has not found a partner, they intervene to help find one.

Now the reason I bring this up is cause the other day I met someone who said that Indians were not open minded and based his entire opinion on three things: Arranged Marriages, Sikhism and its practices and the depiction of our Gods. (He definitely crossed the line on the last one).

Now when we talk about being open minded and when we start comparing our country to other countries in the world, we have to take culture into account (Like we do in any business organization as well). So we respect all the cultures and religions prevalent in the country. We respect the class divide and understand that there is a difference. We respect that Indians are going global and therefore, there are bound to be some changes in the lives of our loved ones. We are coming to terms with it. And by “we”, I am including people from all walks to life. Now that is being OPEN-MINDED!

We have a number of ways we depict God. Each has its own significance. We may not pray to a particular deity but we definitely don’t disrespect it. And we DONT make fun of any God. Cause it’s about people and their faith. Who are we to question it? Now that is being OPEN-MINDED!

Like every other religion prevalent in the country, Sikhism is one of them. They have certain beliefs and practices. Sikhism believes in leading a disciplined life. The long hair, the kadha and everything else in their culture is inline with their beliefs. So before, you make fun of any culture, read about it!

So now I come to the main point, interpretation of the word "Open Minded". Open Mindedness is not about live in relationships or even free love. Open mindedness is not demeaning cultural differences just because you cant handle it. Open mindedness is not passing judgement like Indians are loud be nature. Open Mindedness is not blaming inflating food prices on Indians “improved dietary needs” (Let’s get back to economics Mr. President!).

Open mindedness is about people and opinions. Open Mindedness is about accepting we all have our own understanding of right and wrong. Open Mindedness is accepting the person with his or her flaws. Open Mindedness is about moving away from the superficial things and accepting people for who they are. Open Mindedness is about questioning age-old beliefs and changing them if required. And India is very successfully doing that (Remember that Third Sex is official in Tamil Nadu in India).

So if the message hasn’t reached you, it’s because u have been so happily sitting in your ignorant cocoon not caring about the world. So let’s talk…who is regressive now?

Sunday, April 6, 2008

My 80/20 Girl!

So here is my first blog for the month of April. And while I had thought that April 1st would have been a perfect day to start one…it never happened! OK as always I find the need to explain everything I say and so I am sorry to say but you have to bear with me while I explain what I mean by that (sorry that was a confusing statement). Though I can almost hear this voice inside of me (read “Everyone I know”) saying “Rohini, Please stop”. But like I always say it’s a condition and I can’t help it. :P

I had thought I would dedicate my 1st April blog to a fictional story revolving around real characters and people and resemblance to anybody or anything living or dead would be purely intentional. I had thought of an interesting plot and an even more interesting selection of characters. But sadly, the day has passed and so has the moment. So there you go, I have given my explanation and will put an end to this discussion.

Hey but I wont let you off so easy. It’s not one of your lucky days ;-). Recently, I had come across an interesting book at a bookstore that caught my attention, “The 80/20 individual: How to achieve more by doing less”. And it was one of those eye-catching titles that I could not miss. I immediately decided I wanted to read the book. So I went and borrowed the book today. Of course, the book talks about Oprah Winfrey (something I discovered only after borrowing it) and that makes it win some brownie points. And mentioning her early on in the book is always good luck :).

What I find more interesting is how the author throws light on the fact that Pareto Principle of 80/20 fits into almost every aspect of our lives. So let’s evaluate:
1. In examinations, maximum questions are from the last few tough topics of the course. The ones previous to that were merely laying the foundation. (And if you doubt that, I am more than willing to show you my Macroeconomics test I took yesterday).
2. Most defects in programming are found in 20% of the code.
3. Any newspaper article can give the whole story in just 20% of the article. The other portions are like stitches, holding the story together. Don’t get me wrong, the stitches are the most important part but it’s the design and fit that most people look at.
4. This is something chocoholics may be aware of but fail to admit - two to three bites of chocolate is enough, it’s the remaining 80% of the bar that leads to the “chocholism”.

And I am sure I can find at least a 100 more examples in the next one hour. Basically, the book shows how we are all 80/20 individuals and its up to us to use our creativity and our strength to find what we are really good at and how we can use it in almost every aspect of our professional and personal lives. Now this is not a book review, I promise I will give one when I finish reading it. I am more amazed at the subject of the book. Richard Koch first wrote the book, 80/20 Principle, that revolves around how corporations and organizations use 20% of their employees strategically that contributes to 80% of the corporations success.

Same old topic. Whole new approach. It’s about keeping an open mind! Its creativity.

The other day a friend of mine mentioned about some book he wanted to read (I forgot the name) cause he thought “It sounds interesting”. This is where I passed a stupid comment “You a judging a book by its title?!!?”. But then think about it, why not?

Title of the book it our first contact with the book. It’s the first thing we read and so if the title can engage us, we can hope the book would to. If the title cannot, the book is pretty much DOA (Dead on Arrival). Creativity needs to flow through all the aspects of the book and the title is definitely a major component of it. So next time you like the title of the book, please go ahead and read it! ;)

And since we are on the topic of creativity, I want to take this chance to talk about my friend Tonje. Tonje is one of the most beautiful people I have met in my life and I admire her so much. My interaction with her started in a course at school and I am so happy to have met her. She is one super mother of four. She has this infectious “never-say-die” attitude that you can’t ignore. She is full of ideas all the time. But what is more amazing, that she believes in even most eccentric ideas of hers and if you doubt it she will question…”Why not?”. If you can’t answer that, well then don’t question it. She comes up with these canny drawings and theories and makes you believe that it has potential to be something BIG. She makes me believe that “WE are the masters of our own destiny”. She knows her capabilities and knows how to leverage it to its maximum potential and more. She is my 80/20 girl! :) Way to go lady!!