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1This Doctor Has Written Thousands of Postcards to Get Health Advice to India's PoorNanoratra karatry ny paositra an'arivony ity dokotera ity hahazoan'ny mahantra ao India torohevitra ara-pahasalamana
2Dr. Aaraveeti Ramayogaiah, a government doctor in the Indian state of Andhra Pradesh, says he wrote 27 thousand postcards about preventive medicine during his career.Nilaza i Dr. Aaraveeti Ramayogaiah, dokoteram-panjakana ao amin'ny firenena Indiana Andhra Pradesh fa nanoratra karatry ny paositra 27 000 miresaka fitsaboana fisorohan'aretina izy nandritra ny taona niasany.
3Credit: Rahul MSary: Rahul M
4This article and radio report by Daniel Gross for The World originally appeared on PRI.org on August 19, 2015, and is republished here as part of a content-sharing agreement.Ity lahatsoratra ity sy tatitra amin'ny onjam-peo nosoratan'i Daniel Gross ho an'ny The World ity dia nivoaka voalohany tao amin'ny PRI.org tamin'ny 19 Aogositra 2015, ary navoaka eto indray noho ny fifanarahana fifampizarana votoaty.
5High-tech hospitals are now commonplace in Indian cities.Efa toerana fandehanana mahazatra ao antanàndehibe Indiana ankehitriny ireo hopitaly mampiasa teknolojia avo lenta.
6But they're also expensive, putting them out of the reach of the poor.Saingy lafo be ihany koa ireo, tsy takatry ny fahefa-mividin'ny mahantra.
7Listen to this story on PRI.org »Listen to this story on PRI.org »
8So one Indian doctor found an ultra low-tech approach to delivering health care: writing postcards.Nahita fomba tsy mampiasa teknolojia avo lenta ny dokotera Indiana iray amin'ny fanomezana fomba fikarakarana ara-pahasalamana: manoratra karatry ny paositra (carte postale).
9Over the course of his career, Dr. Aaraveeti Ramayogaiah wrote about 27,000 postcards to patients and acquaintances.Nandritra ny fotoana niasany, nanoratra karatry ny paositra 27000 ho an'ireo marary sy olom-pantany i Dr. Aaraveeti Ramayogaiah.
10Most of them explained preventive health care practices, like washing hands and boiling water.Nanazava ny fomba fanao hisorohana ny aretina ny ankamaroan'izy ireo, toy ny manasa tanana sy mampangotraka rano.
11The postcards were intended to help thousands of people who couldn't afford or easily get to a physician.Natao hanampiana ireo olona an'arivony tsy manam-bola handehanana any amin'ny dokotera na tsy misy dokotera izany.
12In an interview with the Indian journalist Rahul M, Dr. Ramayogaiah said he came from a poor family and became a government doctor at the age of 27.Tamin'ny antsafa nifanaovany tamin'ny mpanao gazety Indiana antsoina hoe Rahul M no nilazan'ny Dr. Ramayogaiah fa avy amin'ny fianakaviana mahantra izy ary lasa dokoteram-panjakana teo amin'ny taona faha-27 taonany.
13“He started seeing how health in India was driven by the profit motive, which was largely linked to the pharmaceutical industry,” says Rahul.“Nanomboka nahita izy fa sehatra natao itadiavam-bola be loatra ny fahasalamana ao India, izay mifandray tanteraka amin'ny orinasa fanaovam-panafody”, hoy Rahul.
14The high costs of care inspired Ramayogaiah to take a different approach.Nanome tsirin-kevitra an'i Ramayogaiah hanatontosa paikady hafa ny halafosan'ny fitsaboana.
15He collected the postal addresses of thousands of patients and even strangers.Nanangona adiresy paositalin'ireo olona an'arivony marary hatramin'ny olon-tsy fantatra izy.
16In his postcards, he explained that some health issues - like diarrheal diseases - can be avoided without medical treatment.Ao anatin'ny karatry ny paositra no nanazavany fa ireo olana ara-pahasalamana sasany - toy ny aretim-pivalanana - dia azo sorohina tsy voatery mila fitsaboana.
17He argued that in communities where doctors are difficult to access, residents should focus on improving sanitation and the environment.Nilaza izy fa any amin'ny fiarahamonina lavitra dokotera, tokony hifantoka amin'ny fanatsarana ny fotodrafitrasam-pidiovana sy ny tontolo iainana ny mponina.
18His postcard campaign and editorials made headlines in Indian newspapers.Nivoaka tamin'ny lohatenim-baovaon'ireo gazety Indiana ny hetsika karatra paositrany sy ny lahatsoratra nosoratany ao anatin'izany.
19But he told Rahul that some outlets didn't take him seriously, because of his rigid stance against high-priced corporate hospitals.Saigy nilaza tamin'i Rahul izy fa misy ireo fampahalalam-baovao sasany tsy mandray azy ho matotra noho ny fijoroany manohitra mafy ireo hopitaly lafo saram-pitsaboana.
20A postcard addressed to the journalist Rahul M.Karatry ny paositra nalefa tany amin'ilay mpanao gazety, Rahul M.
21Credit: Rahul MSary: Rahul M
22Recently, Ramayogaiah's opposition to expensive health care became deeply personal.Vao haingana, nanjary tolona manokana ny fanoheran'i Ramayogaiah ny saram-pitsaboana lafo vidy.
23“He's suffering from cancer right now,” says Rahul.“Voan'ny homamiadana izy amin'izao fotoana izao,” hoy i Rahul.
24A brain tumor has left him bedridden and weak.Nahatonga azy ho malemy tsy afa-miala am-pandriana ny fivontosan'ny atidoha mahazo azy.
25Yet even in his poor health, Ramayogaiah remains skeptical of India's for-profit hospitals.Na dia eo aza ny olana ara-pahasalamana tao aminy dia mbola tsy resy lahatra hatrany amin'ny fitadiavan-tombombarotry ny hopitaly i Ramayogaiah.
26“He doesn't want to go to a good hospital to treat himself,” says Rahul.“Tsy te-handeha any amin'ny hopitaly tsara izy hitsaboany tena”, hoy i Rahul.
27“He has fought his whole life against the system of corporatization of health,” Rahul adds.“Niady mafy nanohitra ny fitantanana fanaovana ampihimamban'ny toera-pitsaboana nandritra ny fiainany manontolo izy,” hoy i Rahul.
28“Which is the only system that can help him extend his life a little longer.“Izay rafitra tokana ahafahany manalava kokoa ny androm-piainany.
29In some sense, for him, his principles were more important than life itself.”Amin'ny heviny hafa, ho azy dia manan-danja kokoa noho ny aina ny fitsipiky ny foto-pisainany. “