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Opinion

Helping more in India stand on their own feet

Esther Dyson looks at two projects, part of a growing trend to address root causes of problems

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Last month, I visited the Jaipur Foot clinic in New Delhi. The Jaipur Foot is both an invention - a prosthetic foot made from cheap materials costing about US$45 (versus US$8,000 for a similar device in the US) - and an amazing, low-cost network of clinics around the world that has served more than 1.3 million people with new limbs, calipers and crutches.

I was expecting something like a hospital; instead, I found a hole in the wall. A group of people, some missing limbs, sat waiting to be served; others were limping or walking from one small room to another - from assessment to fitting and testing. Overall, there were roughly 50 customers (who paid nothing).

Lost limbs are a huge problem in India. Most cases result from traffic accidents. But there is also the effects of polio, diabetes, civil strife and other causes - 10 million people in all.

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Earlier in my trip, I had visited a team developing a curriculum for plumbers. So now, I wondered, why not provide training for those amputees who have no careers? Perhaps in the six months between the amputation and the new limb, someone could arrange for them to learn a new trade, such as plumbing.

Such a scheme would be consistent with the growing attention in India nowadays to addressing root causes, rather than just dealing (ineffectively) with bad outcomes.

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Indian businesses and other institutions are beginning to see opportunity in addressing their country's problems - which brings me back to plumbing. The training programme I have in mind is part of a broader initiative at Amrita University.

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