by Shiban Ganju
An update and gratitude is overdue to the readers and editors of 3QD who supported the NGO, ‘Save a Mother’ in its infancy. Years have passed. So, what’s new?
Nothing seems to have changed in ten years since I visited this village – a dusty swathe of land, home to over eleven hundred people, who connect with the world via a newly built, one car wide, winding road. Cracks, loose stones and chunks of matted mud straddle its tarred surface. A sign at its junction with the main road, two kilometers away, reads: “Prime Minister’s Rural Road Plan”; an adjacent sign announces the name of the local muscle man who claims the credit for the new road. It reminds: we are in Uttar Pradesh, a northern state of India, where muscle power grabs political power. The road ends near the village community hall – a newly built large concrete cube with dirty white walls showing new cracks. Our SUV stops. We have reached. The ride, after ten years, was a road show of frustrating pace of progress; change is imperceptible here – until we meet the women.
Over a hundred women, young and old, most draped in bright colorful Sarees, a few in black burqas without head cover, have walked from surrounding villages to participate in the review meeting. They look different: gone are the veils and bashfulness; they are vocal and animated. A twenty years old articulate college student, who is a trained health activist, conducts the meeting. She introduces herself and other health activists, who take turns to recount their experiences and of their neighbors. The embellish their stories with songs about preventive health – all written and created by them. And then they hang big paper charts on the wall displaying hand written numbers to buttress their claims: maternal deaths are rare, girls do not marry before the age of eighteen, contraceptive use has increased and they campaign for equal treatment for girls. This is new – not what I had seen ten years ago.
Then, I was not sure how we would convince the women to adopt a few simple steps to curb rampant maternal deaths. (Detox Body or Mind?) (Save A Mother). We were novices. We borrowed wisdom from a few rural doctors and took inspiration from social workers who had been pioneers in the field of maternal health. Their integrity, sacrifice and charisma had propelled their success. But these leadership qualities were not replicable. We wanted to develop a frugal model of maternal mortality reduction by working with the community, especially women but had no established theoretical scaffold to hold us steady.

