Restoring Hope: How Timely Medical Camps Transformed Lives in Khairpur’s Villages

Thirty-five-year-old Hasina, from the village of Khuda Bakhsh Dasti in Khairpur, suffered from severe lower abdominal pain, backaches, a burning sensation in her urinary tract, and vaginal itching. Her husband had spent a substantial amount of money taking her to clinics in Hyderabad and Larkana. Despite paying what were described as nominal fees to doctors and purchasing expensive medications from the clinics’ pharmacies, nothing seemed to work, even after multiple visits.

In late February 2024, Community World Service Asia (CWSA) and the Disasters Emergency Committee (DEC) launched their first medical health camp in their village. Dr Tayyaba Iqbal recalls how about two hundred villagers swarmed their vehicle. Although the team had enough time to treat only around 50 patients on the day, Dr Tayyaba and her assistant, Lady Health Visitor Mumtaz Kahlon, managed to attend to 95 people. Many unwell or healthy villagers came out of curiosity to witness the new “hospital in a van”.

Among the patients was Hasina, who had nearly lost faith in doctors. The camp’s doctors guided her to take a urine test that revealed a urinary tract infection (UTI), while an ultrasound ruled out the presence of kidney stones. Hasina was sent home with the appropriate antibiotics, finally on the path to recovery.

Twenty-one days later, Hasina returned to the second health camp in the village to report that the medication had worked perfectly and she was feeling well. However, during her third visit during Ramadan, she complained that she experienced burning again due to fasting regularly.

Dr Tayyaba prescribed oral rehydration salts (ORS) and advised Hasina to drink plenty of water. She also explained that maintaining her health by staying hydrated was important and that missing fasts due to illness was permissible.

Dr Tayyaba noted that the most common ailments in the village were scabies, malaria, asthma, and respiratory tract infections, with the prevalence of scabies and malaria attributed to stagnant water left behind by 2023’s floods. In addition to these recurring diseases, she observed that most patients were anaemic, likely due to iodine deficiency in their diet.

After holding just three medical camps, each lasting a single day with three weeks between them, the number of out-patients had dropped to fewer than 50 per day. This reduction indicated that villagers were more confident accessing regular medical care. More importantly, the effectiveness of the treatment provided by the mobile facility stood in stark contrast to the high-cost private clinics they had previously relied on.

Rukhsar is another woman from the same village, with a similarly challenging story. When the CWSA health camp first visited the village in late February 2024, she struggled to reach the facility, walking with great difficulty while carrying her daughter, who was too young to be left unsupervised. Although Rukhsar said her daughter was eighteen months old, the child appeared no older than six months and was so weak that she couldn’t even sit up on her own.

By late March, Rukhsar was full-term pregnant with her third child and was experiencing severe bleeding. The doctor diagnosed her with vaginal bleeding, leukorrhea, anaemia, malnutrition, and lower abdominal pain. This had been ongoing for over a month, during which her husband, Ghaffar, had sacrificed two days’ wages to take her by motorcycle to a private health facility in Khairpur, a two-and-a-half-hour journey. The doctor charged the couple PKR 1,000 (Approx 3.6 USD) for an ultrasound, PKR 1,000 (Approx 3.6 USD) for her consultation fee, and PKR 1,500 (Approx 5.4 USD) for medication from the clinic’s pharmacy. Additionally, the motorcycle fuel for the journey cost PKR 600 (Approx 2.2 USD).

Strangely, the medication Rukhsar received was prescribed for only three days, and when the dosage ended, she felt no better than before. The couple then tried the government health unit in nearby Thari Mirwah, where she was given medication for five days. Yet again, it had no effect.

The night before this interview, Rukhsar’s discomfort worsened, prompting her and Ghaffar to visit the Thari health unit. Upon arrival, she was kept waiting for over an hour while the doctor tried to determine if her abdominal pain was due to labour. After the wait, they sent her home, informing her that the baby was not yet due.

Having modest means, both Rukhsar and Ghaffar were deeply concerned. If the delivery required a caesarean, despite her first two children being born naturally, they didn’t know how they would arrange such a large sum of money at short notice. Seeking clarity, they returned to Thari the next morning. Rukhsar was given a blood test, which cost PKR 800 (Approx 8.9 USD), only to be told that her haemoglobin level was dangerously low at just nine and that she needed urgent treatment. Speaking in a barely audible voice, Rukhsar expressed her frustration that neither private nor government doctors had ever explained her condition or answered her questions.

When she first visited the CWSA health camp in February 2024, Rukhsar informed the doctor that, despite being eight months pregnant, she felt very weak foetal movements. After a thorough examination, she was given a prescription that stopped both her vaginal bleeding and leukorrhea, and she was also provided with dietary supplements. Upon her return in late March, she reported that all her symptoms had been resolved. A follow-up blood test confirmed that her haemoglobin levels had improved.

As they were preparing to leave, Ghaffar disclosed that their sickly daughter, who looks much younger than her age, had been diagnosed with a heart condition. He did not know the specifics, only that she had “holes in her heart”. A doctor from Thari had advised him to seek help from a primary health care unit in Sukkur, but that visit yielded no results. Ghaffar wonders whether the CWSA health camp can help his daughter, but fears that her condition might be beyond the scope of the facility. 

Although Ghaffar still doesn’t fully understand his daughter’s illness, he feels relieved and optimistic now that his wife, Rukhsar, is doing much better. The improvement in her health has eased his worries. 

As for Hasina, the proper medication and thorough check-up helped her fully recover from her infections and she can once again support her husband in the fields. 

Both families are living examples of how timely, effective medical care can transform lives in communities deprived of such services.