Community Programs and Social Service
Despite his busy clinical service and academic commitments, Professor Misra has done remarkable work for poor people in urban slums, for enhancement of health status of women, and for healthy life for children, and for children suffering from crippling form of diabetes not only in Delhi but for whole of India.
Dr Misra has carried out several health camps and health education programs for economically disadvantaged people in slums, in which free dietary advice and treatment was given. In particular elderly women were targeted for health intervention.
Dr Misra is conducting three large-scale intensive health education programs (“Chetna”, “Marg”, “Teacher”) for schoolchildren in Delhi and several cities of north India. The children are given correct diet and physical activity advice, and made aware of various diseases which are due to incorrect lifestyle. This program is covering 15 cities in north and west India, and more than 500,000 children, their parents and teachers. The program has been extensively appreciated and lauded nationally and internationally.
Dr Misra has initiated a health education program focusing on women with the help of a grant from Department of Science and Technology in 8 cities in India. In this initiative, women in the age >35 years are targeted for proper nutrition and lifestyle advice and early detection of various diseases.
Dr Misra has disseminated awareness regarding early detection and proper treatment of diabetes in general public as well as in nurses and doctors throughout India by several lectures and interviews. He has organized several diabetes health camps for poor people at Delhi, UP and Haryana and given medicines and insulin free of charge.
Dr Misra is planning country-wide intensive health education program for children with type 1 diabetes, their parents and sibling, doctors, dieticians, paramedical workers and general public. This program aims to be first such program in the world, and would be of immense help to these often disadvantaged and socially isolated children.
Health Education for Low Economic Stratum
Health Education and Treatment of People Belonging to Low Socio-Economic Stratum
Dr. Misra initiated a project in urban slums in South Delhi. In this project, several health camps and health education programs were carried out, in which free dietary advice and treatment was given. His team also profiled health of the population and highlighted that even these people are suffering from obesity, heart diseases, diabetes and hypertension. These observations have been presented in various scientific conferences as well as highlighted in the press.
Health Education and Treatment of Post menopausal women of Low Socio-Economic Stratum
Dr. Misra carried out a similar program for post-menopausal women in urban slums. The initial survey indicated that these women are suffering from a number of problems: osteoporosis, hypertension, diabetes, anemia and heart disease. Health education was given to these women and they were treated free as appropriate. .
Health Education Children and Adolescents Regarding Nutrition and Physical Activity
Obese children and adolescents are at an increased risk for the development of early-onset type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). Childhood obesity and obesity-related co-morbidities are increasing in urban Indian cities. This phenomenon is accelerated by nutritional westernization and sedentary lifestyle. Not only the students, but teachers and parents are often unaware of correct nutrition and lifestyle behaviors. Unfortunately, no cohesive intervention strategies to reduce adiposity and risk for T2DM and CHD have been formulated. It is of immediate and urgent importance that a project focusing on the primary prevention of obesity and inculcation of healthy diet and lifestyle practices be started for Asian Indian children residing in urban Indian cities.
The projects outlined below aim to be a major public health initiative dealing with children in north India. Importantly, the activities of the project have been devised to make it self-sustainable. Hopefully, this project would initiate changes in nutrition and lifestyle of children and would lead to prevention of T2DM and CHD. Also, it is expected that this health initiative would snowball into a major health movement.
Three intensive health education programs (“CHETNA”, “MARG”, “TEACHER”) for schoolchildren in Delhi and several cities of north India are currently being conducted. The children are given correct diet and physical activity advice, and made aware of various diseases, which are due to incorrect lifestyle. This program aims to cover almost 100,000 children in next five years. The program also includes education of schoolteachers and parents of the children to so that they are able to give right nutrition and physical activity advice to children.
Countrywide Health Education Programs
A Countrywide Health Education Program Targeted at Women
Dr. Misra initiated a health education program focusing on women with the help of a grant from the Department of Science and Technology in 8 cities in India. In this initiative, women in the age >30 years are targeted for proper nutrition and lifestyle advice and early detection of various diseases.
Awareness Initiatives on Diabetes and Heart Disease in India
Dr. Misra has also attempted to create awareness regarding early detection and proper treatment of diabetes in general public as well as in nurses and doctors throughout India by several lectures and interviews. He has organized several diabetes health camps for poor people at Delhi, UP and Haryana and given medicines and insulin free of charge.
A Countrywide Health Education Program Targeted at Patients with Type 1 Diabetes
Type 1 diabetes mellitus (T1DM) presents a score of challenges and also opportunities in India. The initial approach and subsequent management of T1DM is rendered vastly difficult in India due to lack of proper education regarding diabetes in affected patients, resource constraint, social issues, inadequate health education, support, and management from general practitioners, and, most importantly, lack of trained diabetes educators. An unaware patient, ignorant family, inadequate medical treatment and unsupportive community, as often seen in India, leads to premature mortality and morbidities in T1DM patients. Worse, the family turns towards cheaper and ineffective alternative therapies while stopping insulin at the cost of diabetic ketoacidosis and even death.
A proposal designed to provide comprehensive, practical, culturally, socially, and resource sensitive health education for T1DM in India was initiated by Dr. Misra. The project was carried out in eight major cities in north India over a period of three years. Health education and awareness program for T1DM was aimed towards patients, their families, physicians, nurses, and general public. Each subgroup was educated using specific health education modules including ‘hands on’ workshops. Innovative and locally appropriate education strategies were used for the intervention.
The project was a major public health initiative dealing with T1DM in India. Importantly, the activities of the project were devised to make it self-sustainable.