Amte, Mandakini

India India

2008
An Indian medical doctor who, together with her husband Prakash, who set up rural hospitals for marginalized communities in remote India
  • PRAKASH and MANDAKINI performed surgery and treated malaria, tuberculosis, and dysentery, burns and animal bites. To conform to tribal sensibilities, they placed most of the hospital’s facilities out of doors, beneath the trees. They charged nothing.
  • In 1976, they opened a school. The Madia Gonds were reluctant to send their children but, in time, the school prospered and became a center for both academic and vocational education. PRAKASH and MANDAKINI’s own children were educated there.
  • Today, the AMTES’ hospital has fifty beds, a staff of four doctors, and treats forty thousand patients a year free of charge.
  • The RMAF board of trustees recognizes their enhancing the capacity of the Madia Gonds to adapt positively in today’s India, through healing and teaching and other compassionate interventions.

Hidden amid the dazzling human mosaic of India are millions of tribal people. For centuries, they have lived apart in remote highlands and forests. The Madia Gonds, for example, occupy 150 square kilometers of dense forest in eastern Maharashtra, bordering Andhra Pradesh and Chattisgarh states. In a thousand isolated villages, they survive by hunting and gathering and shifting cultivation. When PRAKASH AMTE and MANDAKINI AMTE arrived in their midst thirty-four years ago, the region had no modern services. Government officials considered it wild and served there only reluctantly. By contrast, the AMTES, both of them medical doctors, came by choice. 

PRAKASH AMTE grew up in Anandwan, an ashram and rehabilitation center for leprosy patients in Maharashtra founded by his father, the renowned Gandhian humanitarian Murlidhar Devidas Amte, or Baba Amte. PRAKASH was busy with postgraduate surgical studies in Nagpur when, in 1974, he volunteered to take over a new project begun by Baba Amte among the Madia Gonds. He and his wife MANDAKINI abandoned their urban practices and, in a leap of faith, moved to remote Hemalkasa. 

The young couple settled in a doorless hut without a telephone or electricity or privacy. They practiced medicine beside the road and warmed themselves by a wood fire at night. The Madia Gonds, shy people and suspicious of outsiders, spurned their help at first. Prakash and Mandakini learned their language and patiently gained their trust. The miraculous cures of an epileptic boy with terrible burns and a man near death from cerebral malaria turned the tide. “Once a patient is cured,” says PRAKASH, “he comes back and brings four new patients.” 

Beginning in 1975, Swissaid provided funds to build and equip a small hospital in Hemalkasa. There PRAKASH and MANDAKINI performed surgery and treated malaria, tuberculosis, and dysentery, burns and animal bites. To conform to tribal sensibilities, they placed most of the hospital’s facilities out of doors, beneath the trees. They charged nothing. 

Illiteracy had made the Madia Gonds easy prey for corrupt forest officers and other greedy outsiders. The Amtes helped them assert their rights and intervened to mediate disputes and rid the area of abusive officials. In 1976, they opened a school. The Madia Gonds were reluctant to send their children but, in time, the school prospered and became a center for both academic and vocational education. PRAKASH and MANDAKINI’s own children were educated there. 

The AMTES have used the school at Hemalkasa to introduce the Madia Gonds to settled agriculture-growing vegetables, fruits, and irrigated grains organically-and to encourage them to conserve forest resources. This includes wild animals, a tribal dietary staple. The AMTES’ popular animal orphanage at Hemalkasa promotes the survival of animals as part of nature’s balance. 

Simplicity and respect guide the AMTES’ work with the Madia Gonds. PRAKASH wears only a singlet and white shorts as he goes about his work, so as not to identify himself with “well-dressed” outsiders. Where applicable, the couple incorporates tribal cures in their medical practice. In school, children perform tribal songs and dances. 

Today, the AMTES’ hospital has fifty beds, a staff of four doctors, and treats forty thousand patients a year free of charge. It is a regional center for mother-child welfare and health education. Its “barefoot doctors” bring first aid to outlying villages. The AMTES’ school, meanwhile, has grown to six hundred students and is comprehensive. Among its graduates are the Madia Gonds’ first doctors and lawyers and teachers as well as officials, office workers, and police. 

“More than 90 percent of the students have come back to serve in the community, including my sons,” says PRAKASH, reflecting on his and MANDAKINI’s legacy. “Maybe it’s the way we have led our lives.” 

In electing PRAKASH AMTE and MANDAKINI AMTE to receive the 2008 Ramon Magsaysay Award for Community Leadership, the board of trustees recognizes their enhancing the capacity of the Madia Gonds to adapt positively in today’s India, through healing and teaching and other compassionate interventions.

The Honorable Chief Justice, Chairman and Trustees of Ramon Magsaysay Award Foundation, distinguished guests, fellow awardees, my dear brothers and sisters. 

I feel honored to be here to receive the Ramon Magsaysay Award, the highest of its kind in Asia. I come here as the representative of those amongst whom we chose to live and work. I would like to express my heartfelt gratitude to the Foundation for their recognition of our humble efforts to help Central India’s tribals live a life of dignity and self-reliance. We accept this award on behalf of all the volunteers of Lok Biradari Prakalp, without whose devotion and dedication to this cause we would not have been able to materialise the dream of my father-in-law, the late Baba Amte. 

When we set out to step into the interiors of Bhamragad’s dense forest, besides having studied medicine, our only opening balance was the inner urge to help the derelict of this region by educating them and running a healthcare centre for them. For a woman like me who hails from a middle class family and perfectly urbanised, it was a real challenge to come to roost in the jungle, where all the wild creatures had their claim first and next to them were the hostile natives. We looked like aliens to them who were half-clad and who lived on the natural forest produce. Far too distressing was their distrust and our inability to communicate with them. Moreover, they were uncivilized, uncared for and victims of extremes of weather, snake and bear-bites, cerebral malaria and many other disorders. 

We realised that the way to their hearts lay through the language. We picked up their tongue and communication became easier. We set up the dispensary, but to persuade them to go for modern medicine was not easy. . . In the course of time we won them over. They throng the hospital now. They come walking, sometimes fifty kilometers, at any hour of the day. There were other things to do too, to build up confidence. As there was scarcity of basic necessities, we used to buy various articles from nearby cities and provide these to them on a no-loss, no-profit basis. 

We guessed that without education it was impossible to put them on their own. Soon a residential school was set up to impart formal education to the young and create awareness about their rights. Over a period of time, a number of the tribal children have become doctors, lawyers, teachers, etc. Many donors came forward with their generous help which enabled us to serve the tribe better. We are grateful to all these benefactors. 

Though it is our pleasure and pride to see the tribal youth being aware of their capacities and rights today, to see them standing up for their brethren, we are far from being complacent and certainly wish to open many more doors for them in future. I must say this Award will help reinvigorate our faith in our work. We accept it with abiding faith in the essential goodness of the people on the other side. Thank you once again.