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  • Local villagers gather after work near the Khori Bijasan Devi Temple in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0607.JPG
  • Women seen at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0371.JPG
  • Women work at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0119.JPG
  • Local villagers seen working at the NREGA site at Nakrasar village in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas06022011-nrega-rajasthan-0962.JPG
  • Local villagers seen working at the NREGA site at Nakrasar village in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas06022011-nrega-rajasthan-0920.JPG
  • Personal possessions of the labourers seen at the NREGA site at Nakrasar village in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas06022011-nrega-rajasthan-0932.JPG
  • Local villagers gather to talk at the village centre in Ramdevra village  in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas05022011-nrega-rajasthan-0695.JPG
  • Women return back home after working at the Gobra Ki Nari Mein site near the Khori Bijasan Devi Temple in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0591.JPG
  • Women work at a site as part of NREGA at Gobra Ki Nari Mein site near the Khori Bijasan Devi Temple in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0424.JPG
  • A maith (contractor) checks the work of women who work at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0274.JPG
  • Women work at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0120.JPG
  • Women work at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0097.JPG
  • Elderly villagers work at a site as part NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0030.JPG
  • Women work at a site as part of NREGA at Nazir ka Mandir in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0061.JPG
  • Local villagers seen working at the NREGA site at Nakrasar village in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas06022011-nrega-rajasthan-0837.JPG
  • Local villagers gather to play cards at the village centre in Ramdevra village  in Churu district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas05022011-nrega-rajasthan-0756.JPG
  • Women work at a site as part of NREGA at Gobra Ki Nari Mein site near the Khori Bijasan Devi Temple in Karauli district of Rajasthan, India. The National Rural Employment Guarantee Act (NREGA) that has created a source of additional income for families living below the poverty line by providing a minimum 100 days of employment assured under the Act. Photo by Sanjit Das
    sdas04022011-nrega-rajasthan-0476.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-35.JPG
  • Local villagers attend a street theatre act organized by Fakirana Sisters Society as part of their programme to educate the rural population on sanitation and health care in Arnahwa Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • Pregnant women, their children and other village women are seen waiting in the Anganwadi centre (Integrated Child Development Services) to meet the rural health worker  of the Fakirana Sisters Society in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • Pregnant women, their children and other village women are seen waiting in the Anganwadi centre (Integrated Child Development Services) to meet the rural health worker  of the Fakirana Sisters Society in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-38.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-33.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-31.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-27.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the State Govt. to provide health care facilities to geographically and socially excluded people living on these tiny islands. Beginning with just one boat, C-NES now has ten such floating clinics in Dibrugarh, Dhubri, Dhemaji, Morigaon, Tinsukia, Barpeta, Jorhat, Nalbari, Sibsagar and Sonitpur. C-NES has a partnership with the Government under the National Rural Health Mission (NRHM). The infrastructure is provided by C-NES and the technical support by the Government. Each boat has space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    doctor-on-call-34.JPG
  • A government official is seen checking and matching the names of the voter ID holders before they cast their votes in a polling booth in Ghoma village in Rural Ahmedabad, Gujarat India. About 49 per cent of the 3.65 crore electorate today exercised their franchise in the single phase polling in the state's 26 Lok Sabha constituencies on April 30th 2009.
    sdas20090430_3rdpahsepolling_gujarat...jpg
  • A government official is seen checking and matching the names of the voter ID holders before they cast their votes in a polling booth in Ghoma village in Rural Ahmedabad, Gujarat India. About 49 per cent of the 3.65 crore electorate today exercised their franchise in the single phase polling in the state's 26 Lok Sabha constituencies on April 30th 2009.
    sdas20090430_3rdpahsepolling_gujarat...jpg
  • A government official is seen checking and matching the names of the voter ID holders before they cast their votes in a polling booth in Ghoma village in Rural Ahmedabad, Gujarat India. About 49 per cent of the 3.65 crore electorate today exercised their franchise in the single phase polling in the state's 26 Lok Sabha constituencies on April 30th 2009.
    sdas20090430_3rdpahsepolling_gujarat...jpg
  • A camel cart walks past the NREGA site in Nakrasar village in Churu district in Rajasthan, India. Photo by Sanjit Das
    sdas06022011-nrega-rajasthan-0779.JPG
  • Women and children wait for their turn for vaccinations while another health worker registers them at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_040.JPG
  • The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store.
    sdas200911-boat_doctors-assam_026.JPG
  • The boat clinic is seen on the banks of river Brahmaputra in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_048.JPG
  • The boat assistant looks for shallow ends of the river while navigating the boat clinic through river Brahmaputra in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_047.JPG
  • Local villagers read the posters while they wait for their turn for registration and doctors' appointment at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_042.JPG
  • Women and children wait for their turn for doctor's appointment at the boat clinic during a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_041.JPG
  • Women and children are seen registrating at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_039.JPG
  • Medical goods are offloaded to set up a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_032.JPG
  • The engine room of the boat clinic. .The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_030.JPG
  • Medical waste and other kinds of garbage is dumped on the banks of river Brahmaputra in Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_017.JPG
  • A dog walks past the idols of Hindu God and Goddess after they are abondoned on the banks of river Brahmaputra in Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_016.JPG
  • Local residents living by the river use the river water for all purposes, here a young girl with her grandmother are seen brushing their teeth using river water in Dibrugarh, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_004.JPG
  • Wood loggers read prayers by the bank of the river Brahmaputra at the crack of dawn in Dibrugarh, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_003.JPG
  • Boats commonly known as bhotbhottis ferry around residents and their goods from one island to another on river Brahmaputra in Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_022.JPG
  • Local villagers on Brahmaputra river in Assam, India
    sdas200911-boat_doctors-assam_049.JPG
  • After a long day of medical camp, 48 year old Ramchandra Majhi (right) navigates the boat clinic through river Brahmaputra in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_046.JPG
  • Reflection of women and children is seen on the boat while they wait for their turn to meet the doctor at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_045.JPG
  • Women and children wait for their turn for vaccinations at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_044.JPG
  • Doctors check the patients on the boat clinic during a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_043.JPG
  • Tablets and vaccines are seen at the make-shift medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_038.JPG
  • Women wait with their children as the health workers set up a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_034.JPG
  • Women and children wait for their turn for registration at a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_037.JPG
  • Health workers put up posters and help setting up a medical camp in Laxmisuti Boro village area in Assam, India. The boat clinic was first started in 2005 by a non-government organisation, Centre for North-East Studies and Policy Research (C-NES), under public-private partnership with the government to provide health care facilities to geographically and socially excluded people living on these tiny islands. These boats conduct regular camps organised through a network of community health workers and organizers in every  district. On board are fully fledged medical teams of two doctors, three nurses as well as lab technicians and pharmacists, and have space for an out-patients department, doctor's cabin, medicine chest, kitchen, toilet and a general store. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_033.JPG
  • A woman is seen waiting with a fishing line on the shallow end of river Brahmaputra, North east state of Assam in India. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_027.JPG
  • Boats commonly known as bhotbhottis ferry around residents and their goods from one island to another on river Brahmaputra in Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
    sdas200911-boat_doctors-assam_023.JPG
  • A fisherman drags his nets in shallow water at dusk on the bank of river Brahmaputra in Dibrugarh city, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_012.JPG
  • Cyclists are seen in the distance as local teenage boys throws a line at dusk on river Brahmaputra in Dibrugarh city, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_011.JPG
  • Boats known as bhotbhottis ferry passengers around in Dibrugarh, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_005.JPG
  • Wood loggers seen taking the boat out on the river Brahmaputra at the crack of dawn in Dibrugarh, North east state of Assam in India..Photo: Sanjit Das
    sdas200911-boat_doctors-assam_002.JPG
  • Patients and their family members wait to meet the doctors during the OPD hours in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-44...jpg
  • Pregnant women wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-43...jpg
  • 20 year Sunita Devi, one of the pregnant women is seen in the maternity ward of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-40...jpg
  • 14 year old Latif Khan practices his Dholak skills with his father, Ghewar Khan in their house in Hamira village of Jaiselmer district in Rajasthan, India. Photo: Sanjit Das/Panos
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  • 45-year-old Manganiyar artist and Kamancha player, Ghewar Khan poses for a portrait inside his house in Hamira village of Jaiselmer district in Rajasthan, India. Photo: Sanjit Das/Panos
    sdas20120516-manganiyar-rajasthan-09...jpg
  • A mother reacts and covers her child's face as a nurse injects a BCG into the arm of her infant in immunization ward of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas07082010-legatum-raxaul-bihar-32...JPG
  • Local villagers get the infants vaccinated during the routine immunization drive in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • Meena is seen watching television in her house in village Godhari in Chattisgarh, India. Meena is educated and runs a small study centre in the village. Photo: Sanjit Das
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  • A Maria tribal woman is seen with her infant child in Godhari village in Orcha block of Chattisgarh, India. Photo: Sanjit Das
    sdas20090803_abhuj-maria_chattisgarh...jpg
  • Local fishermen wait for their family members to return after fishing at dawn in Maikhanotun village of Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
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  • On the eve of Buddha Purnima, a hindu festival, religious Hindu women and their families worship the sun and take a holy dip at the crack of dawn in river Brahmaputra in Dibrugarh city, North east state of Assam in India. Photo: Sanjit Das
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  • Young children play in the rain in Rajagaon village in Machreta block of Uttar Pradesh, India. The 4 month annual rainfall is crucial to summer sown crops as 60% of the farmlands are rainfed. North India experienced scanty rainfall in late june to july. Till August, rain in India has been 26% below 5 year average. Late rains moist the fields but it is not enough for rice, sugarcane, oilseeds and pulses. Late rains also damage the alternate crops that need less water.
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  • A cattle shed in village Rajagaon in Block Machreta of Uttar Pradesh, India. Most of the fertile farmland is lying barren and has small grass growing because of late rains. Villagers are happy for at-least there is grass for the cattle to graze. The 4 month annual rainfall is crucial to summer sown crops as 60% of the farmlands are rainfed. North India experienced scanty rainfall in late june to july. Till August, rain in India has been 26% below 5 year average. Late rains moist the fields but it is not enough for rice, sugarcane, oilseeds and pulses. Late rains also damage the alternate crops that need less water.
    sdas200908_laterains_UP0047.JPG
  • 55 year old Rama and her grand daughter Jyoti look on as Shiv Kumar  (foreground) speaks of his woes of late rain affecting his livelihood with no paddy production this season outside his house in Village Rajagaon in Block Machreta of Uttar Pradesh, India. The 4 month annual rainfall is crucial to summer sown crops as 60% of the farmlands are rainfed. North India experienced scanty rainfall in late june to july. Till August, rain in India has been 26% below 5 year average. Late rains moist the fields but it is not enough for rice, sugarcane, oilseeds and pulses. Late rains also damage the alternate crops that need less water.
    sdas200908_laterains_UP0011.JPG
  • Patients and their family members sleep on the floor while they wait to meet the doctors during the OPD hours in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-45...jpg
  • Pregnant women share a lighter moment while they wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-44...jpg
  • Patients and their family members wait outside the pharmacy in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-44...jpg
  • Pregnant women wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-43...jpg
  • Pregnant women wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-43...jpg
  • Pregnant women wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-43...jpg
  • Pregnant women wait to meet the doctors during the OPD in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-43...jpg
  • A woman is seen sleeping outside the maternity ward of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-40...jpg
  • Pregnant women are seen in the maternity ward of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-40...jpg
  • 20 year Ramita Devi, one of the pregnant women is seen resting in the maternity ward of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-40...jpg
  • 75-year-old Manganiyar artist sits down to eat his lunch while a family member is seen seen sitting next to him inside their house in Hamira village of Jaiselmer district in Rajasthan, India. Photo: Sanjit Das/Panos
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  • 66-year-old Manganiyar artist and a Surnai player, Pempa Khan poses for a portrait inside his house in Hamira village of Jaiselmer district in Rajasthan, India. Photo: Sanjit Das/Panos
    sdas20120516-manganiyar-rajasthan-09...jpg
  • Dholak, a local Manganiyar instrument is placed for a photo in Hamira village of Jaiselmer district in Rajasthan, India. Photo: Sanjit Das/Panos
    sdas20120516-manganiyar-rajasthan-09...jpg
  • Nurses are seen giving medical care to the new born babies in the nursery of Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas09082010-legatum-raxaul-bihar-40...JPG
  • Geeta Devi of the Ashish Self Help Group poses for a photo with a bundle of incense sticks they manufacture in Village Belwatia of East Champaran district of Bihar, India. Duncan Hospital in collaboration with the Geneva Global empowers women and supports self help groups in establishing small scale industries and provides assistance. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas08082010-legatum-raxaul-bihar-37...JPG
  • Government nurses (2nd and 3rd from right) undergoing training look over the shoulder of a surgeon who operates a caesarean section on a woman at the operation theatre in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas07082010-legatum-raxaul-bihar-37...JPG
  • patients and family members wait outside the ward in Duncan Hospital in Raxaul of East Champaran district of Bihar, India. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas07082010-legatum-raxaul-bihar-33...JPG
  • Local villagers wait to get their infants vaccinated during the routine immunization drive in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • A woman kisses her infant grandson while waiting to get the infants vaccinated during the routine immunization drive in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • Local villagers get the infants vaccinated during the routine immunization drive in Loharpatti Village, in Bettiah of East Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas06082010-legatum-bettiah-bihar-2...JPG
  • 8 month pregnant woman, Suganti poses for a photo while waiting to meet sister mary Elise (not in picture) and consult on pregnancy issues as part of the health consultancy camp provided by Fakirana Sisters Society in Chanayan bandh Musahar Tola Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-2...JPG
  • Young boys pose for the camera in Manuka Tola Village, in Bettiah of West Champaran district in Bihar. Photograph: Sanjit Das/Panos for Legatum Foundation
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  • Local village women attend SHG (self help group) literacy programme organised by the Fakirana Sisters Society in Vishambarpur Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-2...JPG
  • Miriam Nasah poses with her blackboard in a classroom  where local village women attend SHG (self help group) literacy programme organised by the Fakirana Sisters Society in Vishambarpur Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-2...JPG
  • Sharda Devi poses with her blackboard in a classroom  where local village women attend SHG (self help group) literacy programme organised by the Fakirana Sisters Society in Vishambarpur Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-2...JPG
  • Manjali Devi, one of the local village women is seen attending the SHG (self help group) literacy programme organised by the Fakirana Sisters Society in Vishambarpur Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-2...JPG
  • Local village women attend SHG (self help group) literacy programme organised by the Fakirana Sisters Society in Vishambarpur Village, in Bettiah of West Champaran district in Bihar. Since 2008 the Foundation and Geneva Global have been investing in the training of medical staff to improve the lives of people living in 600+ villages in the region. The NGOs are delivering cost effective interventions to address treatment, care and prevention of diseases, disability and preventable deaths amongst infants, adolescent girls and women of child-bearing age. There is statistical and anecdotal evidence that there have been vast improvements and a total of 40-50% increased immunization for all children under 6 has meant that communities can be serviced and educated long term. Photograph: Sanjit Das/Panos for Legatum Foundation
    sdas05082010-legatum-bettiah-bihar-1...JPG
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