During the course of examining patients in our health camps and health center, and interacting with the village folk, Chaupal has found a pattern of common illnesses that affect the rural population.
Nutritional deficiencies are prevalent in most villages covered by
Chaupal. The standard diet is wanting in terms of calories,
essential micronutrients, and the quality of food. For example,
most farmers sell the milk they produce leaving little for domestic
consumption. Respiratory illnesses abound due to the practice of
smoking hukka and consuming tobacco. Chaupal has initiated an
awareness campaign whereby it encourages villagers to forsake tobacco
and use the money saved to increase the intake of milk in their
diet. Anemia caused by nutritional deficiencies is observed to be
rampant across all age groups. This is largely due to inadequate
diet and poor hygiene conditions that lead to worm infestations and
blood loss. Chaupal health camps provide de-worming treatments and
also iron, vitamin, and calcium supplements. Allergies are
also frequently observed in the patient population, especially
allergy to parthenium grass that causes asthma and skin allergy.
Women in particular complain of bony diseases. This can be
attributed to frequent child births and inadequate milk and calcium in
the daily diet. However, joint pains mainly affecting knee
joints and back are observed in both men and women over the age of
45. This is largely due to the stress caused by poor posture
during farm and household work, thereby leading to early degenerative
joint diseases such as osteoarthritis. Conventionally,
lifestyle diseases are often associated with urban areas. However,
Chaupal team frequently meets patients with high blood pressure,
diabetes, and coronary heart disease. These can be attributed to
the combination of high incidence of hukka smoking and a
traditional diet rich in fats, such as ghee, with decreasing levels of
physical activity due to increasing mechanization of agricultural work.
Chaupal team has also found psychological health issues to be a
common problem as well. Women, more often than men, complain of
sleep disturbances and anxiety. Alcohol, drugs, and substance
abuse are swiftly climbing up the charts of social maladies in Haryana
villages. Chaupal has found these to be related to the
psycho-social burden inflicted on the newly rich and the poor by the
sudden inflow of wealth created by selling agricultural land
to development projects for large sums of money. The
addiction to drugs and alcohol is an especially serious problem among
the village youth many of whom are drop-outs from schools and
colleges. Chaupal camps also encounter social issues during their
interaction with the village population. The status of women
remains a matter of grave concern. Female feticide
is commonly practised as male children are preferred
to female. This is evidenced by the sex ratio of Haryana, one
of the lowest in the country. Chaupal's health education programs
combat this issue by driving home the message in local parlance
and promoting better health for women.