Word: approaches
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...came from a deceptively simple premise. "We decided to listen to our patients," says Abhay. That may sound obvious, but in 1986, when the pair returned to their poor, central Indian hometown of Gadchiroli with master's degrees in public health from Johns Hopkins University, it was a novel approach...
Then, explains Abhay, 55, priorities for the developing world were decreed in abstract by the medical establishment. "For example, everyone said population control was the No. 1 priority and family planning the No. 1 solution," he says. That approach ran counter to principles Abhay learned growing up in Mohandas Gandhi's ashram at nearby Sevagram (literally, Service Village), which favored community and consensus over hierarchy and imposition...
...pair published their research in the journal Lancet. "Within a year or two, there was an entirely new approach to women's health worldwide," says Abhay. "The global population policy changed from looking at mere reproduction to the whole issue of women's reproductive health. That was our first experience of how powerful this approach could...
...took a radically different tack. Patients received free medication if they signed a contract pledging that they would finish their treatment; friends and family served as co-guarantors. Those in the program received nutritional supplements through the World Food Program. "Our whole approach from the beginning is that no one wants to be sick, no one wants their kid or wife to die," says Goldfeld, who visits the program several times a year from her base at Harvard. "If you give someone the education of how to be well, they'll do it." The World Health Organization was doubtful...
...with breast-feeding mothers, many of them HIV-positive, who were having problems feeding their children. "I would go home in the evening and look at my two healthy sons and count myself blessed," she says. "I just had to help these mothers." She takes a matter-of-fact approach toward HIV/AIDS that still surprises many Swazis. "I think what has worked for us is to have an attitude that it's not a special disease. We talk to a patient like you would if he or she had cancer or is diabetic," she says. "Once you introduce it like...