When I first began working in rural India, I was often warned, “The women here don’t listen to our advice. They will stick to their old ways.” But when I returned in December 2024 for my next session, I was overjoyed to see that the advice I had given was not only heard—it was implemented.
Somehow, we—the so-called educated, urban people—carry the misconception that rural women may not fully understand what we try to tell them. But this is far from the truth. Rural communities are filled with bright, sincere, and active women. Often, just a little awareness and empowerment are enough to inspire lasting change.
One such woman is Sangeeta K., a 35-year-old farm helper. She came to me in July 2024, complaining of white discharge. We performed a VIA test (Visual Inspection with Acetic Acid), a simple screening method to detect precancerous changes in the cervix. Her biopsy revealed Stage 1 of a precancerous condition. Four precancerous stages typically precede cervical cancer, and it can take up to 10 years to progress to cancer. This gives us a long window of opportunity to detect and treat early. A simple test like ours revealed Sangeeta’s condition in time. There is now strong evidence that HPV (Human Papillomavirus) is the main cause of cervical cancer. Fortunately, the HPV vaccine can help the immune system combat the virus and prevent cervical and other HPV-related cancers. Sangeeta listened. Instead of panicking or seeking out a specialist who might have immediately suggested a hysterectomy, she trusted the process. She took the HPV vaccine and agreed to regular monitoring. Her response was calm, considered, and proactive. That same day, I also spoke to her about the importance of nutrition in building immunity. When I asked about her diet, she told me she rarely had the means to buy fruits or vegetables. I encouraged her to grow her vegetables near her home, explaining that fresh produce provides vital vitamins and micronutrients that protect the body from illness.
She listened to that too.
On my next visit, I was thrilled to see her proudly show me her flourishing kitchen garden. “I’m doing well,” she said with a smile. It was one of the most rewarding moments of my journey.
Trust and understanding in rural communities come when we explain things simply, clearly, and in their language. Even if the medical concepts are complex, using drawings and pictures helps bridge the gap. When they ask questions, it is a powerful sign—it means that they are engaging, thinking, and taking ownership.
At Streearogya Rural Foundation, we dedicate significant time and energy to educating and empowering women. We ensure they understand the nature of their illness before offering treatment options. Often, their fear stems more from anxiety than from the disease itself. And when possible, we opt for non-medical interventions before turning to stronger treatments like steroids or injections.
Most importantly, we remain present. By being physically close to where they live, we become part of their journey, not just healthcare providers, but trusted companions.
And in that trust, real change happens.
(Note: permission has been taken from the woman to post this story and her photo)
