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The first two were not possible for me due to many reasons, therefore, I decided to act on the third option and hence started to follow the PSBH1 - approach in my clinic.
Dr Barry H. Smith is an eminent neurosurgeon, development scientist and social work expert.
Dr Christopher Rose is a renowned scientist, development & social work expert from Glangors, UK. Although
the CCI-Programme does not exist anymore these two gentlemen are kind enough to consistently provide their moral support and guidance for our work.
Before starting the work, it was necessary to have some insight into the prevalence and magnitude of the most pressing health problems of women living in Shamsabad. Therefore, all the women attending my clinic for any reason were questioned about their (women's) health problems for one month and the following most pressing women's health problems were identified.
Later, some conclusions were drawn, from this data, in a very crowded free camp held in my clinic on the second Sunday of July, 2000.
The three main problems were:
1) Vaginal discharge
2) Unwanted pregnancies in married women
3) Breast Problems
4) Malnutrition
5) Menstrual disorders
Strangely, only a few indicated the lack of facilities for Antenatal care and problems caused by childbirth by traditional birth attendants who are uneducated and lack training. To make the list more real and practical, the problems were re-numbered as
follows:
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1) Lack of facilities for antenatal care and childbirth
2) Vaginal discharge
3) Unwanted pregnancies in married women
4) Breast Problems
5) Malnutrition
6) Menstrual disorders
Defining the Problem: The women's health problems were discussed during different workshops in Shamsabad which were attended by cross section of the community and the following were identified as aggravating
factors:
Lack of medical facilities,
Ignorance,
Lack of nutritional facilities,
Prevalent social environment,
Psychological factors,
Unemployment and Poverty
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