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Nireekshana ACET: A Place of Confident Hope | ADVANCED | practice English with Spotlight

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The video introduces Nireekshana ACET, a medical clinic in Hyderabad, India, dedicated to treating patients with HIV/AIDS and leprosy. The name combines "Nireekshana," which means hope in the Telugu language, with ACET, standing for Action, Care, Education, and Training. When HIV/AIDS first emerged in the late 20th century, it caused widespread fear and stigma; people avoided those infected, believing they could easily catch the disease, while many patients died without access to proper treatment or doctors. Similarly, leprosy, an ancient disease affecting the skin and muscles, was met with terror due to visible lesions, leading to social isolation for sufferers. The story of Nireekshana begins with Dr. Sue Jay Sunitha and his wife, Dr. Luvanya Sunitha, who initially worked at a leprosy research center but noticed a surge in HIV cases among their patients. Moved by the plight of a young child born to HIV-positive parents, they decided to shift their focus to treating HIV/AIDS. Facing rejection from building owners who refused to rent space for such a clinic, the couple started operations in their own living room, using a sofa as an examination table and sharing meals with patients. This personal touch transformed their perspective, helping them realize that these individuals were no different from anyone else, fostering a sense of dignity and community among the sick. As the clinic grew, it moved from the living room to a guest room and eventually into a donated building filled with old machinery, which was cleaned up to serve as a proper facility. Nireekshana became one of the few places offering quality care when the Indian government lacked effective programs and many doctors were still afraid to treat HIV patients. The clinic provided not only medical treatment using affordable antibiotics like cotrimoxazole to prevent infections but also counseling, vocational training for women left alone by their infected husbands, and financial aid for school fees. Through these efforts, thousands of lives were changed, with many former patients becoming trainers themselves and seeing their children grow up healthy and educated. Today, Nireekshana ACET stands as a beacon of confident hope, reflecting a significant turnaround in the fight against AIDS in India. Statistics show that AIDS-related deaths have dropped by 81% since 2010, and new HIV infections have fallen by nearly 49%, placing India ahead of many other nations. The clinic embodies a special kind of hope that expects improvement rather than despair, offering patients the belief that they will live to see their children grow up. By combining medical expertise with deep compassion and practical support, Nireekshana has turned a crisis into a story of recovery and resilience, proving that love and action can overcome even the most daunting health challenges.
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[music] >> Welcome to Spotlight Advanced. I'm Gillian Woodford. >> And I'm Patrick Woodford. Spotlight uses a special English method of broadcasting. It is easier for people to understand, no matter where in the world they live. >> [music] >> India was dying. A disease was spreading. The more people got sick, the less others wanted to help. [music] No one wanted to get the disease. People died from it. Some who were sick never told anyone. They did not want to be avoided. They did not want to lose their friends and family. They died without getting treatment. Other people with the disease tried to get help, but there were not enough doctors, or the treatment was not good. India was in trouble. >> [music] >> Someone had to do something. Someone had to sacrifice. Someone had to act, even if he did not have all the answers. >> Today's Spotlight looks at Nireekshana ACET. Nireekshana means hope in the Indian language Telugu. ACET means Action, Care, Education, and Training. Nireekshana is a medical clinic in Hyderabad, India. The clinic treats patients with HIV, AIDS, or leprosy. >> HIV means Human Immunodeficiency Virus. It is a virus that attacks the human [music] body's immune system. The immune system defends the body against germs [music] like bacteria and viruses that can cause diseases. >> HIV and AIDS first appeared in the 20th century. For many years, HIV was not recognized. The first cases of AIDS were officially reported in the United States in 1981. >> If a person with HIV does not get treatment, the virus can lead to [music] AIDS. AIDS means acquired immunodeficiency syndrome. It is a disease that weakens the body's defense against [music] illness. It is the most advanced stage of HIV. People with AIDS who do not get proper treatment will die within 1 to 3 years. >> Leprosy is a disease that affects the skin. It leaves red patches or areas on the skin called lesions. Leprosy can weaken a person's muscles. It can also cause a person to go blind. Leprosy has been around for thousands of years. >> Both leprosy and [music] HIV are contagious. This means they can spread from one person to another. For many years, people were frightened of catching leprosy [music] from someone who had it. They were afraid of the strange lesions on the person's body. They did not want to look that way. >> When the first cases of HIV and AIDS were reported, people were scared. They believed they could easily get the disease from someone. AIDS killed many people. It took years for doctors to discover proper treatment to stop the disease from getting worse in a person's body. People did not want to be around someone with HIV or AIDS. They did not want to get the disease and die. >> In 2003, Dr. Sue Jay Sunitha was the director of a leprosy research center in Hyderabad. His wife, Dr. Luvanya Sunitha, was a scientist at the center. The doctors began seeing more patients with HIV at the leprosy center. These HIV positive patients could not find help anywhere else. >> Dr. Sunitha also saw the number of his leprosy patients decrease. He thought it was time to concentrate on HIV and AIDS patients. One day, a mother and father brought their little baby girl to Dr. Sunitha. The parents and their daughter were all HIV positive. Dr. Sunitha said, >> "My heart was drawn to that child. I carried her in my hand. I felt that I needed to make that change from leprosy to caring for people with HIV." >> [music] >> Dr. Sunitha and his wife were both followers of Jesus. They knew the Christian Bible teaches believers to help the sick and suffering. They left the leprosy center to start a clinic for people infected with HIV and AIDS. They continued to treat leprosy patients, but HIV and AIDS cases were reaching record numbers in India. Millions of people were infected with HIV. Over 100,000 Indians died [music] each year from AIDS. >> Many building owners in Hyderabad were willing to rent rooms to the Sunithas for their clinic until they discovered it was for HIV and AIDS patients. Then they said no. Building owners did not want anything to do with HIV or AIDS. >> For 6 months, the Sunithas looked for a place where they could open their clinic. While searching, Dr. Sunitha worked at medical [music] camps all over Hyderabad caring for HIV and AIDS patients. [music] Finally, his wife, Lavanya, suggested they open the clinic in the living room of their home until they found a building. [music] They used their sofa as a medical examination table. They kept their medicines cool in their small refrigerator. They named their clinic New Ricks Shana Asset. >> More patients began visiting the Sunithas' home. Dr. Sunitha treated 150 people in his living room each month. Some of the children started asking their parents if they could eat with the Sunithas. Soon, the Sunithas were making lunch for all the patients. They were sharing their plates and glasses with HIV and AIDS patients. Dr. Sunitha had always believed that these patients deserved proper medical treatment and care. But it was not until he opened his home and shared meals with them that he looked at them in a new way. Dr. Sunitha said, "That is how God taught us. That is how we learned that these people [music] are no different from us." >> The Sunithas ran New Ricks Shana Asset in the living room of their home for a year. Then, a Christian organization helped them move the clinic upstairs to their [music] guest room. The Sunithas saw patients in their guest room for a year and a half. >> Finally, [music] a Christian minister from Korea visited the Sunithas. The minister wanted to help them. He found a building nearby that used to make audio cassettes. It was full of old machinery and broken cassettes. The minister told Dr. Sunitha, >> "This is the place you should move into, and I will pay [music] the rent for another 2 years." >> The Sunithas slowly cleaned up the rooms. They saw more patients. New Ricks Shana became popular in Hyderabad. It was one of the only places where patients with HIV and AIDS could get quality treatment. At the time, the Indian government did not have a good program to care for HIV positive patients. Many doctors were still scared to treat [music] HIV patients. Before long, Nireekshana Asset was helping 1,000 HIV positive patients [music] each month. Dr. Sunitha and his workers offered each patient time with a doctor. They offered counseling [music] for HIV positive patients. Other hospitals could not offer [music] each patient this type of personal attention and time. >> Dr. Sunitha's treatment was effective. He read that in studies in Africa, they had used a simple medication called cotrimoxazole. It was an antibiotic used to treat bacterial infections. By using cotrimoxazole, Dr. Sunitha was able to prevent over 20 infections in an HIV positive patient. Also, the medicine was not expensive. This medicine helped many patients' illnesses from developing into AIDS. It kept the disease in the HIV stage [music] where it was manageable. >> Nireekshana helped many women >> [music] >> whose husbands had infected them with HIV and then left them. The women were alone, sick, and had no way of making money. Workers at Nireekshana [music] Asset taught these women how to cook, make soap, and sew. They wanted the women to learn practical skills that they could use each day to live and make money. >> The clinic also began helping families who could not pay to keep their children in school. They provided enough money to [music] pay the school fees. Over the The 20 years, Nireekshana Asset helped at least 600 children receive an education. >> One of the many women Nireekshana Asset helped was named Lakshmi. Her husband would not stop drinking alcohol. He had HIV and gave it to Lakshmi. Their house was in very bad condition. Her husband would not help her. He later died of AIDS. Lakshmi thought about selling her body to make money to support her three children. She visited Nireekshana. Dr. Sunitha treated her. Lakshmi's health slowly improved. Nireekshana Asset's workers taught her how to sew. They taught Lakshmi how to feed her family better food. After several years, Lakshmi joined Nireekshana Asset as a trainer. She helped other women just as she had once been helped. >> Nireekshana Asset was also able to help Lakshmi's three children go to school. The workers at the clinic were able to watch Lakshmi's children grow up. Two of the children went to school and became nurses. The other child went to college and got a job in the financial industry. >> For years, Nireekshana Asset fought through the worst of the HIV AIDS crisis in India. Slowly, people got better. According to Anuja Jaiswal, senior assistant editor at The Times of India, Nireekshana Asset and other clinics and hospitals around India are now winning the war against AIDS. Jaiswal [music] wrote, >> "AIDS-related deaths have dropped 81% since 2010. This is one of the biggest drops globally. New HIV infections have fallen by almost 49%. This places India ahead of what is happening in the rest of the world. >> The word Nirikshana means hope. But it is a special kind of hope. It is the type of hope that expects things to improve. It is a confident hope. For the Sunithas and their faithful workers at Nirikshana Asset, they offer this hope to their patients every day. Their patients believe they will not die tomorrow. They will be healthy. They will live to see their children grow up. >> Have you ever known someone with HIV, [music] AIDS, or leprosy? Did you spend time with them? >> [music] >> Have you always felt comfortable around them, or did it take time to adjust? You can leave a comment on our website at www.spotlightenglish.com. You can also find us on YouTube, Facebook, TikTok, [music] Instagram, and X. You can also get Spotlight [music] episodes delivered directly to your Android or Apple device through our free official Spotlight English app. >> The writer of this episode was Peter Anderson. The producer was Michiyo Ozaki. The voices you heard were from the United Kingdom and the United States. All quotes were adapted for this episode and voiced by Spotlight. No AI or artificial intelligence was used in this episode. Spotlight episodes are written, voiced, and produced by real people for real people, no matter where in the world they live. This episode is called Nirikshana Asset, a place of confident hope. >> We hope you can join us again for the next spotlight episode. Goodbye. >> [music]