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A grandmother's grief

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After the 2004 Indian Ocean earthquake and tsunami, cbm partners in the field of psychosocial health were able to help Paniyamma. They work for the long-term rehabilitation and inclusion of persons with disabilities in the communities affected.

The tsunami

Paniyamma, 65, was residing in Kottilpadu, in Colachel village, on the Kanyakumari coast, South India, with her large joint family celebrating Christmas on 26th December 2004. The Tsunami took away the lives of one in 20 individuals in Kottilpadu and along with that of her two daughters and two grand children.

Paniyamma was devastated and completely withdrew from life over the next two years. She refused to attend church, her prayer group and avoided all family occasions.


Engagement of client and grief management
We met up her in the throes of grief, in a socially, emotionally,  physically and financially disabled state. The community volunteer, Sahaya Leela, was able to recognise her need through the training she had received. She was able to sensitise Paniyamma to the need of help after multiple visits with her and her family.
 
The whole team, including the community volunteer, community coordinator, social workers and specialist psychosocial health professionals, put in an effort over the next year to draw her back into life step by step. She required a short course of drugs and investigations, all of which were provided without financial burden, thanks to cbm support. This was especially important as the society’s means of fishing was impaired due to community disruption, and loss of boats and equipment following the Tsunami.


The creation of a primary care system

 
The post-disaster work was embedded within care for all physical problems with the setting up of a community clinic at Colachel, so that her medical needs were also addressed. All the treatment for her psychosocial health problems was through this clinic, thus ensuring that no unwanted stigma was brought about. This linking of services is in line with WHO recommendations.

Eventually she started attending church and speaking to neighbours again. She attended a wedding in the village after one and a half years wearing a new silk sari with tears in her eyes.



Empowerment through self help and income generation
In the second phase of the intervention a more developmental approach was taken. Paniyamma became a member of our self help groups, which further helped to empower her and give her a platform for recovery. After a thorough assessment of needs and feasibility, Paniyamma and the team came forward with the idea of establishing a petty shop at her residence.
 
This phase of the work was possible because of the developmental focus taken by CBM and the institution. By this time she had relocated to a brand new colony, as it was unsafe to continue living near the coast as she had done earlier. She is able to provide essentials to her neighbours who drop in to make use of the shop and thus was able to contribute to the family income.
 
The smile and confidence are back on her face and we are proud to be keeping up with her.



Support for the carers


As the work involved in the post disaster scenario can be exhausting, slow to show returns and involve problems at engagement level with the community; measures to ensure that the volunteers and workers did not suffer from burnout were taken.

Regular sessions to support the volunteers - with 200-300 hours training, monitoring and planning, as well as one to one sessions with professionals to address burnout issues and bring meaning to their work - were undertaken.


Abiding principles
We were able to follow the abiding principles of treatment of emotional distress without added stigma at the community level itself, empowerment of the client while maintaining a participatory approach. Our work being long term in nature, for 5 years, followed Paniyamma through all phases of post disaster work - rescue, relief, rehabilitation leading on to recovery. This ensured that we were able to help her build her life back better.
 
The volunteers surprisingly found the work very rewarding as they were involved in the only intervention with such a broad, varied and long term focus in the area. It is often easy to ignore these disabling but often invisible wounds in favour of short term efforts which have high visibility and garner media attention. cbm and its partners have undertaken this difficult work with a true spirit of healing.
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