• BAMS TO WHO Success story • Guest Lecture By Dr.Tanmay Bagade on 12 March 16 • This is PPT of Dr.Tanmay Bagade’s Lecture on Scope to BAMS students ,to make their career in Public Health sector .Dr.Tanmay is a past student of Ayurved College Nigdi ,Pune 16 .After pursuing his BAMS from CARC & then MD in Ayurvedic Gynaecology ,he worked with NGOS in Nepal .Then after working in south Africa & for UNISEF ,he passed all tests of WHO & now working as Obstetric Consultant for WHO & now living in Australia .Prof.Deshpande took initiative to invite him for Guest Lecture ,for inspiring young generation . So to get benefit of his wonderful inspiring Lecture to every Ayurved student ,Prof.Deshpande is uploading his Lecture on Internet .Mail ID of Dr.Tanmay is tanmay0303@gmail.com • Visit – www.ayurvedicfriend.com Mobile – 922 68 10 630

1. Public Health
- an Unexplored Career option
Dr Tanmay Bagade
(BAMS, MS (Stree rog and Prasuti), MPH, MHM, Prince2
Practitioner)
Consultant Obstetrician, MCH Initiative
World Health Organization CC
Australia

2. We are the victims of ‘Herd Mentality’
imposed on us by the society

3. “Uddharet aatmana aatmaanam na
aatmaanam awasadayet”
Bhagwad Geeta 6.5
‘We have to work towards uplifting ourselves
using our strengths,
rather than degrading ourselves by criticising
the world’

4. After BAMS??
• Post Graduation (many times in subjects which
we get, not what we choose)
• Teaching job
• Modern Clinical practice & Surgery –
thousands of hurdles, restrictions, confusion in
laws??
• Ayurvedic Practice – Has more waiting period
than modern practice, so Needs Patience and
community which accepts ayurved.

5. Clinical Practice
Public Health

6. What is Public Health?
• WHO defines:
• All organized measures
– public or private
– to prevent disease,
– promote health,
– prolong life
– among population as a whole.
• Activities aim to provide conditions in which
people can be healthy and focus on entire
populations, not on individual patients or diseases

7. History of Public Health
• Charak Samhita – Introduced ‘Janpadodhwansa’
concept and several other philosophies related to
public health
• Organized public health programs were
introduced during world wars, mainly to reduce
the epidemics
• Now, each country has a separate public health
program guided by the UN and the individual
government and then implemented by several
stakeholders like NGOs, Private and Government
institutions, Media, Army, etc.

8. Activities which we know
• Government Health policies
• ‘Pulse polio’ Program and other vaccinations
• National TB, Malaria, HIV programs
• Leprosy campaign
• School health
• College Health
• Motor vehicle safety laws
• Safe motherhood program
• National family planning program
• ORS program

9. • Millennium Development goals (MDGs) – till
2015
• Sustainable development goals (SDGs) –
beyond 2015

10. Most successful public health initiatives
• Small pox eradicated
• Zero Polio cases since last year
• Reduction in Malaria, Leprosy, AIDS and Tb
cases
• Drastic reduction in Deaths due to
communicable diseases all over world
• Family planning coverage
• Control of Ebola and Zika

11. Public Health Vs Clinical practice

12. Public Health as a Career
• Government sector – Government jobs
• NGOs – Most of the NGOs around the world need
public health specialist
• Teaching
• Research - PhDs, Post Doc, Fellowships,
Demographic research, Epidemiology, Statistics
• Corporate social responsibility (CSR)

13. Some International Organizations which
constantly need public health workers
• UN – has own organizations which work for public health
(WHO, UNICEF, UNFPA, WFP, FAO, UNECOSOC,
UNDP, UNV)
• Mellinda-Gates foundation
• World Bank
• Clinton Initiative
• Save the children
• CARE
• Oxfam
• GAVI
• IRC
• Medicine Sans Frontiers
• Medicine du Monde

14. Benefits – Sky is the limit
• Happiness and satisfaction
• A positive Change in yourself
• Working for global issues
• Beyond monotonic life
• We get to know different cultures
• Monetary benefits: Good Salary, Pension plans,
medical insurance, Car, Housing allowance, travel
etc. etc…
• You are going to make a sick nation healthier for
the future generations…isn’t this motivating
enough?

15. “Sukharthaha sarwabhutaanaam, mataha
sarwaha prawruttaya|
Dnyanam-adnyanam visheshastu, Maarg-amarga
pravruttayaha|| “
Charak
• Every person seeks happiness. According to his knowledge
and understanding of his concepts of happiness, he chooses
the right or the wrong path to achieve it.
• Charak’s Philosophy and concepts about happiness is
beyond doubt applicable to everyone of us.

16. What qualities as a person do you need?
• Compassion
• Passion
• Dedication
• NO EGO allowed
• Patience

18. Luck and Hard Work
• Charak’s concept again—
• If you are lucky, you don’t need hard work to
succeed; but
• If you work hard, the luck eventually turns into
your favor

19. What other qualities are needed?
• Excellent organization skills
• Communication skills
• Leadership and management skills
• IT skills
• Good teamwork skills
• Problem solving skills
• Decision making skills
• Financial knowledge
• Project management
• Innovativeness

22. Qualifications needed
• Bachelor’s degree
• Masters in Public Health from a reputed
university – no online or distance learning
courses.
• Short Project management courses – organized
by government

24. Where to start?
• Be knowledgeable
• Have an aim in life that leads to your
happiness
• Set goals – short term and long term and start
working towards that goals
• Change your negativity, do self analysis.
Public health needs people who are selfless
and passionate to change the world we live in.

25. Get experience
• Part time Volunteering at NGOs during your
graduation, post-grad
• Get documented proof of whatever you do,
each experience counts
• Establish your own network of self-less people
who inspire you, motivate you.
• Improve social skills and understand global
issues without any bias of religion, caste,
country, color, sex, region and language…

26. Where to work?
• Be ready to work anywhere in the world
• Most public health jobs are in Low-Middle
Income countries, but after certain experience,
you can get opportunities in developed
countries, but which are office based.

27. Work profiles
• Doctor (medical officer)
• Project/Program
manager
• Trainer
• Fundraising manager
• Public health specialist
• Capacity building
specialist
• Consultant
• Policy
• Team leader
• Epidemiologist
• Environmental health
officer
• Statistician
• Researcher
• Health promotion
officer

28. How to apply?
• Online applications are accepted by all
National and international agencies
• Jobs are posted on several websites
• Start applying only when you have deep
knowledge about the job description and
enough experience.
• CSR (Corporate social responsibility) – refer
to websites of major corporate companies
• Government jobs

30. Snapshots of what I did

31. Work
• Successful Private clinical practice till 2009-10
• IT firm
• Own NGO
• Worked with several NGOs as volunteer or
paid employee – Red Cross, French
Government, THET, WAHA, UNICEF, WHO,
DFAT (AusAid), Universities in Australia

32. • Maternal and Child Health Initiative of WHO
• Funded by Australian Government to help
reduce MMR and NMR in south pacific
countries
• Flexibility to do whatever I can to help.
• Clinical practice
• Clinical governance
• Capacity building
• WHO-Government partnership

33. Tasks other than clinical practice
• Work together with other NGO’s, give them
suggestions
• Improve referral pathways of referral hospital and
health centers, aid posts, etc.
• Opening functional health centers or re-establishing
closed health centers
• Train Local doctors in emergency obstetric surgeries
• Train nurses, midwives in EmONC (Emergency
Obstetrics and Neonatology course)
• Establishing Midwifery school
• Establishing Family support center to care for and
reduce Gender based violence cases
• Several other tasks

34. Perinatal death Rate over the years at St Mary’s Hospital, PNG
37.96 38.92
26
33.84
21.51
0
5
10
15
20
25
30
35
40
45
2011 2012 2013 2014 2015(till
June)
PNDR
PNDR
M
C
H
I
M
C
H
I
M
C
H
I

35. FSB-MSB-ND rates per 1000 in 2012 &2015 (till June)
18.38
10.39
14.77
6.68
5.77
4.45
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
20.00
2012 2015(till June)
MSB Rate
FSB Rate
ND rate
PNDR in 2012 = 38.92, in 2015 = 21.51 per 1000 live births

37. One of the referral hospitals
where I worked

38. Working with inspiring people
Dr Edna Adan Ismail

39. Nurses graduated from UNFPA program

40. Learning skills which I never could

41. Multiple roles

42. Traditional healers and birth attendants

43. Making Multinational friends who are more
dedicated than me

44. On my way to rural visits

45. Sustainable agriculture project site Visit

48. Fun during School health

50. Teaching
simple
hygiene can
save lives

51. Community Volunteers and HC staff from Gelagela and
SMH team who helped setting up the Labour ward

52. Source: PNG LOOP

53. Mixed team

54. Winning small prize for best project designs

55. Driving to health centers on islands

56. Seeing the beauty of nature

57. My wife-IT volunteering

58. I talk too much

59. Thank you