Dr Abhay Bang does not look like a pioneer. And yet ... this is the man who has revolutionised healthcare for the poorest people in India and who has overseen a programme that has sent infant mortality rates plummeting in one of the most poverty-stricken areas of the world. Medical experts now believe that Dr Bang's radical beliefs hold the key to tackling the myriad endemic health problems that blight the developing word. Instead of accepting the traditional hospital-based treatment model, Dr Bang has spent the last 26 years training up local volunteers in Gadchiroli, one of the most deprived districts in the Indian state of Maharashtra, to treat simple maladies at home. The World Health Organisation and Unicef have recently endorsed his approach to treating newborn babies and the programme is currently being rolled out to parts of Africa. In 1988, 121 newborn babies were dying out of every 1,000 births in the area. The newborn death rate in Gadchiroli has now fallen to 30 per 1,000 live births. Dr Bang's solution was simple: he trained a group of local women in the basics of neonatal care. They were taught how to diagnose pneumonia (using an abacus to count breaths), how to resuscitate children and how to administer some basic antibiotics. Instead of villagers having to walk for miles to get to the nearest hospital, these health visitors (called arogyadoots, which means health messengers") went to where they were most needed.
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