Posts Tagged ‘Gadchiroli’
The districts of Jalna, Osmanabad, Hingoli, Satara, Ratnagiri, Washim, Nandurbar, Gondiya, Gadchiroli and Sindhudurg in Maharashtra all enjoy a rural built-up to urban built-up ratio of more than 2 (where the built-up area of the district’s rural settlements are at least twice the area of its urban settlements).
In the chart, the light green bars show a district’s rural built-up area, the light maroon its urban built-up area. The number associated with the name of the district is the ratio between the two kinds of built-up area.
Such a comparison helps us understand the dependency of the two kinds of populations in a district, rural and urban, upon the natural resources (as classified by land types). The chart shows us that some districts (see Jalgaon, Sholapur, Satara and Ratnagiri) have total rural built-up areas of 150 square kilometres and above. But whereas the urban built-up areas of Jalgaon and Sholapur are more than 100 sq km each this is not so for the other two districts.
Districts may have similar ratios between rural and urban built-up areas – see Ahmednagar, Akola and Dhule – but whereas the built-up areas of both types are more than 100 sq km in Ahmednagar they are smaller in the other two districts. There are only three districts for which the total rural built-up area is less than 50 sq km: Parbhani, Hingoli ad Washim.
There are 15 districts in which there is at least 1.5 sq km of rural built-up area for 1 sq km of urban built-up and this indicates that in these districts the base of agricultural and allied activities is still strong and therefore needs continuous encouragement. There are 7 districts for which this ratio is between 1.5 and 1 and these therefore must be watched for signs of quickening urbanisation which will need to be curbed in the interests of sustainability and indeed of the provision of food.
I have taken the data from the land use and land change information for 2011-12 collected by the Resourcesat-2 satellite with land classification and calculation carried out by the National Remote Sensing Centre (NRSC), Indian Space Research Organisation (ISRO), Department of Space, under the Natural Resources Census Project of the National Natural Resources Repository Programme. It is available through Bhuvan, the geo-platform of ISRO.
Urban areas are non-linear built-up areas covered by impervious structures adjacent to or connected by streets. This class includes residential areas, mixed built-up, recreational places, public and private utilities, communications, commercial areas, reclaimed areas, vegetated areas within urban zones, transportation infrastructure, industrial areas and their dumps, and ash/cooling ponds. Rural built-up areas are the lands used for human settlement in which the majority of the population is involved in agriculture. These are built-up areas, small in size, mainly associated with agriculture and allied sectors and non-commercial activities. They can be seen in clusters both non-contiguous and scattered.
The last 4 districts – Nagpur, Nashik, Thane and Pune – have their urban built-up bars coloured differently to indicate that their scales are beyond, and very much above, the 150 sq km of the chart. Mumbai city and suburban is omitted entirely.
This book is as much about the lives and times of ordinary people as it is about social medicine. It is a doctor’s story about her practice, which lets her extrapolate about the realities of rural India for all Indians. Set in Gadchiroli, a district in central India, known for being an underdeveloped and backward area.
The introduction to ‘Putting Women First: Women and Health in a Rural Community’, tells us that this district is where Dr Rani Bang and her husband, Dr Abhay Bang, set up the clinic for the Society for Education, Action and Research in Community Health (SEARCH) and practised medicine that explicitly catered to the Raj Gond, Madiya Gond, Pardhan and Halibi, the dominant tribal groups, along with non-tribal poor people who live in the area.
This settlement goes back to prehistory and is a part of the ancient Dandakaranya forest mentioned in the Mahabharata and the Ramayana. Rani Bang’s research found that 92 percent of women in this region had no access to treatment for gynaecological disorders in the absence of women doctors. Such neglect was exacerbated by ‘development’ since rural families were, and remain, unprepared for the rapid changes wrought in the spheres of education, information, material enhancement and changes in lifestyle, which impact on relationships and health.
The book plays many roles: a commentary on the ‘chronic myopia’ of a planning process that refuses to see millions of Indians or to think of the ways in which their lives could be bettered; careful observations on the enormous social changes that impact on tribal society where traditional kinship and ecological systems being sorely stressed; and a logbook of case medicine.
In their own way, the Bangs have set in motion a type of revolution that equips people, communities and administrators with the tools to ‘build an indigenous expression of development, one in which the fundamentals of healthcare, interdependence and sustainable economics are paramount’. The last chapter of the book summarises the author’s views on recommendations for policy makers.
I was associated in a small way with the early work that went into ‘Putting Women First: Women and Health in a Rural Community’, and was then asked to write the foreword, a signal honour. I have extracted a few paragraphs of the foreword below, and you can read the full foreword [pdf] here. You can order the book directly from the publisher, Stree Samya, here.
From the foreword:
In shifting to another section of the Gadhiroli (and indeed of the rural Indian) canvas, ‘Putting Women First’ speaks sagely of the manifold aspects of the care our population needs: of regional disparities and critical gaps in the health care delivery system, of infant mortality, obstetric care, maternal and child health, of ‘dais’ and anganwadis, medical termination of pregnancy, and the desperate need for better-staffed primary health centres. “Meeting health needs of women through a system that is sensitive to the differential needs of men and women and their differential access to health care also needs to be taken into account,” recommended the National Commission on Population. Bang-bai’s clinic practices that sensitivity, day in and day out.
The differentials that Search grapples with routinely are daunting. The very premise of girls’ education, especially education of poor girls, is based on an understanding that education is critical to social development, that it leads to lower fertility rates and better child-rearing practices for example. On the one hand, the benefits of women’s education are compelling yet all too often, the struggle for the right of girls and women to education gets reduced to issues of access alone. In general, it has been easier for women’s groups and voluntary groups to work with girls outside the system of formal education, especially the government system of education which is notoriously inflexible.
If one was to describe a large circle around the Search campus, of say 50 kilometres, one would see in the nearby settlements of Aheri, Brahmapuri and on the Raipur road the assembly-line blocks that in rural India purport to be schools. What does it mean to be ‘schooled’ in one of these miserable containers? Conditions in these schools are hardly conducive to meaningful learning – none possesses the very basic set of facilities such as adequate classrooms, toilets and drinking water, teaching-learning materials and libraries. As is the case elsewhere in India, physical inaccessibility, irrelevance of curricula, repeated ‘failure’ and harsh treatment in schools contribute to children dropping out or never enrolling. According to a National Sample Survey Organisation survey (1998), about 26 per cent of those who had dropped out of government schools cited reasons other than poverty – unfriendly school environment, doubts about the usefulness of schooling and an inability to cope with studies. Among girls in rural areas these factors accounted for over 75 per cent of dropouts.