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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 5 Jan 2013

    In India 2 wks. Near father's village, major malnutrition. Locals say govt strategies work, but refused/not trusted by poorest. What to do?

    1:17 AM - 5 Jan 2013
    • 13 Retweets
    • 6 Likes
    • Bassem Jackie Broadbent Akash Shah Jon Guy Bill Gleason Karen Akilan Subramanian Sharma Gauri Kamath
    21 replies 13 retweets 6 likes
      1. SueletteD‏ @SueletteD 26 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Menzies has develop a Nutrition Critical Appraisal Tool, trialling in E. Timor -similar barriers. http://po.st/PJoRrZ 

        0 replies 0 retweets 0 likes
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      1. Credo Capital‏ @credocap 6 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Read something similar in the book Switch about malnutrition in Vietnam http://www.paulmiller.org/wicked-problems/ …

        0 replies 0 retweets 0 likes
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      1. Sania Nishtar‏ @SaniaNishtar 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande We have the same problem with #polio vaccination in #Pakistan. Mistrust leading to refusals by parents to vaccinate children

        0 replies 0 retweets 0 likes
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      1. Kamal Jethwani‏ @kamalj83 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande govt should route assistance thru nonprofits that have already built trust in these communities.

        0 replies 0 retweets 0 likes
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      1. Dr. Gia Sison‏ @giasison 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Indeed a challenge! Worth revisiting if trust is an issue.

        0 replies 0 retweets 0 likes
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      1. Ho Luong Tran MD MPH‏ @holuongtran 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande stay longer be with them and maybe will understand the mistrust@holuongtran

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Jill Kramer‏ @jillkramer415 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande @Michaelbolton Change is a stumper in all cultures. If it's AIDS we say, not me. If it's climate change, we say, not now!

        1 reply 0 retweets 0 likes
      3. Michael Bolton‏ @michaelbolton 5 Jan 2013
        Replying to @jillkramer415

        @jillkramer415 Yes, which is why Positive Deviance might be worth a try. PDs say "It IS me, and it IS now," setting examples. @atul_gawande

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. New conversation
      2. Michael Bolton‏ @michaelbolton 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Have you read /The Power of Positive Deviance/? It seems that it's an approach worth trying. Good in low-trust situations.

        1 reply 0 retweets 0 likes
      3. Jackie Broadbent‏ @JackieBroadbent 5 Jan 2013
        Replying to @michaelbolton

        @michaelbolton @atul_gawande He wrote the forward to the book ;)

        1 reply 0 retweets 0 likes
      4. Michael Bolton‏ @michaelbolton 5 Jan 2013
        Replying to @JackieBroadbent

        @JackieBroadbent Doh! I'd forgotten that. I thank a positive deviant for reminding me. Now heading to the bathroom to shave off some egg.

        0 replies 0 retweets 0 likes
      5. End of conversation
      1. Rafiki‏ @drsskale 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Dear Sir, will it be possible for you to address doctors of Aurangabad while you are here? All will be delighted, if you do..

        0 replies 0 retweets 0 likes
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      1. Rafiki‏ @drsskale 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Dear Sir, Will it be possible for you to address doctors of Aurangabad? We would be very happy if you could spare time. Thanks

        0 replies 0 retweets 0 likes
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      1. Dr Haryana Dhillon‏ @hagsie 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande worth referring to approach to #HPVvaccination in Pacific Islands. Open dialogue & respect for decisions. Keep door open.

        0 replies 0 retweets 0 likes
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      1. Pinak‏ @sab_bakwas 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande 2/2 gave incentive for parents to send kids to school, & did combat malnutrition. Sadly, beset by corruption in tenders.

        0 replies 0 retweets 0 likes
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      1. Pinak‏ @sab_bakwas 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande sir, a complex problem like every problem in Ind, since there is no data you can trust. The mid-day meals were quite effective

        0 replies 0 retweets 0 likes
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      1. carolin shining‏ @carolinshining 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande keep trying! Start with something small, or reinforce a good thing they are eating. Building trust is a two way street

        0 replies 0 retweets 0 likes
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      1. Nsansa‏ @nsansatweets 5 Jan 2013
        Replying to @Atul_Gawande

        @Atul_Gawande This is a recurring challenge. The mistake often made is to not treat them with respect & patiently unleash their self-agency

        0 replies 0 retweets 0 likes
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