Follow the leader…

The auditorium at Tumkur was abuzz with expectation. The district and sub-district health officials from the government health services had congregated for a training session organised by Swasthya Karnataka on administrative procedures. The resource person for the day was Dr. P K Srinivasa, the lead consultant to the Government of Karnataka on implementing the National Rural Health Mission. The expectations of the participants was not so much because a senior official from the state was coming. It was because of who the resource person was; in this case, a respected and established clinician, administrator, mentor and leader within the health services.

Dr. Srinivas had started his career as a doctor trained from Karnataka’s oldest medical colleges, Mysore Medical College. He had joined the state health services early and had worked in remote primary health centres as a doctor and later in hospitals. He had risen up the long ladder stretching form a PHC medical officer to the level of a Project Director of Reproductive and Child Services for the State of Karnataka more recently. After retirement, his rich experience would not be wasted; the state continuing his services as a consultant to help implement the most important initiative these days, the NRHM. Among the lively discussions between the participants and him, was one important aspect of leadership – by example.

Dr. Srinivasa spoke of the fundamental nature of organisations; of adopting the values and principles of the leader. While most people are sincere in their work inherently, many others are fence-sitters, as he called them. They adopt the values of their leader. He also quoted from experience. It is critical for government services to produce such leaders, for in adopting these values of service and dedication, not only would they be transforming the way in which they work, but they would be transforming their entire institution.

Such is the case of the district hospital in Tumkur. The district hospital in Tumkur is an ancient one. It is one of the older large hospitals in the state of Karnataka, having been established a year after independence in 1948. By a strange quirk of fate, the then Maharaja of Mysore, Sri Jayachamarajendra Wodeyar, who was to inaugurate the hospital abruptly left the venue, for the day the hospital was inaugurated was the day that Mahatma Gandhi was assassinated. The inauguration stone that marked the occasion today lies within the walls outside the office of the District Surgeon. The hospital caters to over 2 million people in Tumkur district, and what a responsibility to manage a hospital of such a size given such a task….

Dr. Pratap Surya is the District Surgeon, the man who is at the helm of affairs at the hospital. He has indeed a mammoth task on his hands. Being the head of a large 250-bedded hospital that sees over 1000 people a day is no joke. A random sample of the patients reveals the enormous service that the hospital renders – one of the patients from Midagesi, a distant town in the taluka of Pavagada had come in search of the ENT surgeon for the chronic infection afflicting his adolescent son. He was a landless labourer from there, nowhere else to go for him; the bus charge from his place to Tumkur and back, and the wage loss resulting from a loss of one day’s work together added to quite a burden. There was another person from the town of Madhugiri, an old man who had come hoping to improve his vision by getting rid of the haze that had recently developed in his eye, a cataract. The hospital in Tumkur has an ophthalmologist and an ENT surgeon to cater to both of them. I ran into the gynaecologist, Dr. Diwakar in the corridor. He had just finished a caesarean surgery to save the life of a mother and the newborn. In this case, the newborn was positioned transversely in the mother’s uterus, thus not being able to be delivered normally; a classic indication for a caesarean section. If the mother had not reached the hospital in time from the distant village beyond Madhugiri town, the physiological process of childbirth could have been fatal for both the mother and the child. In her case, thankfully, the newly launched service of 108 had promptly brought her in time for the procedure. The woman being from a family that is below poverty line, like almost all of the patients that obtain service at the hospital had undergone the procedure completely free of cost.

The old man from Madhugiri will have his vision soon. The ophthalmologist scheduled his surgery for the upcoming batch. The ENT surgeon, who single-handedly manages the entire department will soon see the adolescent boy from Midigesi, in time for him and his father to catch the evening bus back home; he cant miss another day of daily wage. The taluka of Madhugiri could rest easy, avoiding its tryst with yet another maternal mortality, thanks to 108 and the gynaecologist at Tumkur. This was yet another routine day in the government hospital in Tumkur.

Yet, it is not automatically so. A lot of effort has gone into managing the hospital. It is but easy to target government hospitals for their poor quality of care and negligence. Easier still to say “privatise”. But, when one sees the segment of people who these hospitals cater to, we understand the importance of strengthening them; and it is not for lack of effort by the local staff that these ills plague the government system. People like the present District Surgeon, Dr. Pratap Surya are the foot soldiers of health care to the masses. Neglect and carelessness in the leader could easily have a cascading effect on the staff. But, Dr. Pratap Surya, by sending the right signals of integrity, service-mindedness and discipline – he leads by example.

Of course, there are problems. Why do poor people have to travel for such a long distance for an ENT consultation? Why wasnt the mother with a transverse lie diagnosed well in advance, so that she need not have come at the nick of time to the district hospital? Moreover, why aren’t such services available at the sub-district level itself? Why is the district hospital so overcrowded?

Thankfully, the launching of the NRHM holds promise. The priority accorded to maternal and child health and the resulting strengthening of referral units to prevent infant and maternal mortality, upgradation of neo-natal ICU’s in Tumkur district hospital, and of course the leadership by example provided by people like Dr. Pratap Surya, one can see encouraging signs of improvement. Let us hope that the efforts of several people within the system like the district surgeon or Dr. Srinivas and many others among the Tumkur district health team will result in better quality service to the poor.

Why are my patients not happy with my hospital?

It is no measure of health to be well adjusted to a profoundly sick society.

Jiddu Krishnamurti

Gubbi, a Taluka headquaters in Tumkur district

Gubbi is a small town in Tumkur district in Southern Karnataka. Gubbi Veeranna, one of the well-known theatre personalities from Karnataka who started the first Kannada theatre hailed from here. Historically, the town was well-known for its local markets for cotton and areca nut. As early as in 1871, Gubbi was a municipality of its own. The Imperial Gazetteer of India in 1871 talks of the monthly ‘jaatres’ or fairs which were well known for the sale of cotton cloth, blankets, rice and other articles from as far as Malnad (the mountainous monsoon-fed wetlands to the west) to the dry areas of Rayalaseema and the low hills of Arcot to the east and South. Today, Gubbi is a taluka headquarters in Tumkur district and is one of the ten talukas in the district.

Gubbi is about 20 km from Tumkur and is situated along the highway to Honnavar from Bangalore, that passes through Tumkur. The taluka hospital of Gubbi is along the highway passing through the town. The Administrative Medical Officer, the doctor in the hospital tasked with managing this hospital is Dr. NL Dani. The hospital was a Community Health Centre earlier with 30 beds being upgraded now to a 100 bedded hospital.

Dani is one of the participants of the capacity-building programme organised by IPH and its partners in Tumkur. Dani is a paediatrician by training with three decades of experience. He is today managing a 100 bedded Taluka hospital. His hospital sees over 200 patients in a day, is severely understaffed and morbidly overloaded. In these days of panchayati raj, he is answerable not only to his superiors in the hallowed chambers of the directorate in Bangalore, but also to the representatives of the people in the narrow chambers of the Gubbi Taluk Panchayat.

Gubbi Taluka Map

The hospital provides out-patient services to nearly 300 people in a day. At a time when there is a beeline towards corporate hospitals and having busy evening practices, it is heartening to see Dani and his colleagues in Gubbi hospital providing services within the constraints they face; and these are many. Dani conducted a study in his hospital to understand patient satisfaction, as it bothered him that most of the people obtaining the services at Gubbi hospital were reporting that they were not happy with the services. Was there truth to this?

Dani approached it very scientifically. He did not take this for granted. Nor did he cursorily conclude on the reasons for patient dissatisfaction. He conducted a study consisting of exit interviews of through a structured questionnaire. Patients were recruited into the study randomly. He considered the following aspects in his questionnaire:

  1. Staff availability of patients
  2. Basic amenities like toilets, drinking water, ambulance services and drug availability
  3. Patient safety in hospital – infection control, physical safety of women and children
  4. Perceptions of cost
  5. Administrative and procedural problems

The questionnaire confirmed his hunch about dissatisfaction. Presenting the results in Tumkur, Dani also shared the possible reasons for this. On an average, each doctor in his hospital sees over 70 patients in a day. Many of these, of course are specialists who are supposed to be giving a lot more time than they can to these patients that are referred from primary health centres. However, these patients needing specialist care are clouded by many others who come here for routine health problems. There is no referral system in place.

Dani in his study prepared hospital performance indicators for all departments – in-patients, specialities, CSSD etc. He identified issues in human resources, infrastructure and a few other issues as key reasons for the patient dissatisfaction. He found that staff motivation was poor. Also, he was working in a severely understaffed hospital. Recruitment to the hospital happen in Bangalore. While it is easy to upgrade the beds from 30 to 100, finding the requisite support staff and motivated doctors to work here is another story. The district is helpless to fulfill existing vacancies. In addition, he found that supervision was poor. The doctors and other senior staff could hardly devote time to supervise and hand-hold their non-clinical team. Where is the time for management of the hospital?

In addition to doctors not being available in good numbers, the amenities provided were also poor. Residential quarters were not available for all the staff. The hospital lacked good water and sanitation facilities. A reception counter itself was not there.

This was of course a small study done in a small taluka hospital, one among over a hundred taluka hospitals in the country. However, the issue Dani identified for his study, ‘patient dissatisfaction’ is a universal phenomenon in public health services in the country today. In India today, irrational health practices and expensive health care is becoming a feature rather than a problem. Government-provided health services is the lifeline for millions of poor, who depend on these, and for whom health expenditure is often catastrophic. The reasons Dani identifies through his study are also quite representative of hundreds of other taluka hospitals.

Doctors in government services work with many constraints. Staff are demotivated. There is always pressure from elected representatives, sometimes justified, and other times not. Teamwork is lacking and the work environment is not always cheerful or fulfilling. Yet, there are people such as Dani in many of the small hospitals in the country, whose toils go unheard, and whose stories go unsaid. Yet, we often see the glamour and glory that many a corporate hospital catering to a much smaller proportion of people get.

Here is a doctor who in the middle of taluka meetings, trainings, reviews and visits by superiors, also manages a busy clinic as a paediatrician and is expected to manage a 100-bedded hospital for a taluka. In the midst of this, he keeps his spirit alive and did a study to understand and document patient dissatisfaction. We hope that Gubbi finds more specialists and most importantly, committed people like Dani.

Crossposted on IPH India Blog

Ping is my birthright and I shall have it…

I have a dream….

If Martin Luther King were born in the forests of BR Hills in Southern Karnataka during the nineties, apart from perhaps running into Veerappan, he could’nt have expected more adventure. Nonetheless, I am sure he would still have had a dream.

His dream would have to do much more with owning a television and watching an action film. It may have been about having a bulb at home and a tap with water. It may have been about seeing the insides of a car or wearing colourful clothes. These are some dreams that a ML King look-alike, Ketha has in BR Hills.

Ketha from Gombegallu

Ketha from Gombegallu

Ketha is a Soliga tribal boy far removed from the realities that some of us take for granted. He does not have a facebook profile and the only tweets he hears are that of a a bird which shares his name, the Kethanakki, named after a tribal god’s coming that this bird announces promptly. He lives in a small hamlet within a wildlife sanctuary.

His life is a part of several debates in which he has no voice. There is for example the school of thought on development that wonders why indigenous tribal people are being ‘developed’. What about erosion of their culture? Another argues passionately that the fruits of development (Facebook and twitter included!) cannot be denied to them. The State refers to him as marginalised and has scheduled him.He is one of the 400-odd tribes in India constituting 8 per cent of our population.

Another group of people strongly believe that he and his kind living in protected areas are in fact the obstacle to the conservation of our forests. Wherever, man and wildlife have tried co-existance, some say has ended in a diasaster. Inviolate areas for wildlife are touted as a prerequisite for any conservation strategy. Others weave a more utopian reality for Ketha, suggesting that conservation of wildlife and human livelihoods can go together. Others nuance it further saying that this has definitely happened in some areas. Ketha, of course is blissfully unaware of such realities.

Where would he read these debates? In the textbooks….

Hardly….In the textbooks, Ketha finds references to events, he cannot understand even….such as September 9/11 terror attacks on the US. While, this chapter in the 9th Standard English textbook of Karnataka State Board makes a good effort at trying to convey to Ketha what a watershed these attacks were for global politics, it perhaps misses the boat on connecting with him on issues closer home such as tigers, tribal people or traditional knowledge.

What about the internet? Hardly. Ketha has no access to the internet. Having a local NGO run a school itself is such a privilege for him, when compared to his other tribal brothers in other areas.Perhaps, on the internet, Ketha could have participated in these debates that adorn journals and blogs.

Ketha and Pareto come to my mind as I read the recent guarantee of broadband internet access to every Finn as a fundemental right. I still remember joking about how I am waiting for the day when the Indian State will guarantee 2 Mbps per citizen with unlimited download as a fundemental right. Less than a year from my joke, a country that Ketha has never perhaps heard of, has guaranteed it. Recently, when Michael Moore made that wonderful ‘reality show’ called Sicko, he apparently removed scenes shot about the Norwegian health care system, because, nobody would believe it!

Anyways, my point is that there is today within Ketha’s lifetime, a country where broadband internet access has been granted as a fundemental right, while in Ketha’s country, we are still wondering how to give him and his kind a good primary education.

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Questionable Intelligence in Wildlife Crime Bureau

Bubbly, a tiger from Ranthambore recently relocated to Sariska

Bubbly, a tiger from Ranthambore recently relocated to Sariska

The website of the Panna Tiger Reserve greets you with the pug marks of a tiger on its homepage. It carries a nice news ticker about one of the many recent awards it got from the Ministry of Tourism of the Government of India for being the best maintained and tourist-friendly national parks of the country. With over 90 staff managing the Tiger Reserve and being on the tourism circuit, Panna is a fairly small park among the National Parks in the country. A park like Namdapha in remote North-east India has eleven field staff to manage nearly 2000 sq. km of difficult terrain. Even as the project tiger website proclaims 60 tigers in Namdapha Tiger Reserve, India’s largest Tiger Reserve, others who have actually worked there have their reservations. A recent paper in fact uses extensive camera-trapping data to estimate a maximum of TWO tigers in this park! But, it is easy to overlook news from such rarely and difficult-to-visit parks such as Namdapha. That is not the case with Panna though. It has been one of the sought after places to see tigers in the country. One would have thought it must be easier to manage a 500 sq. km well connected park in Madhya Pradesh with over seventy field staff and a smattering of IFS officers with sustained tourist presence and some radio-collared tigers. One is obviously wrong!

Last month, the media reported what has been doing rounds in wildlife circles and local villages near Panna Tiger Reserve; that the tiger whose marks the website bears, are not found in the park anymore. Following a survey conducted in December 2008 by the Wildlife Institute of India and several reports in March about the possibility of Panna doing a Sariska, the National Tiger Conservation Authority sent a team to investigate what the State Government had been attributing to natural deaths of tigers (not appearing unnatural to them that scores of tigers could be dying naturally!). All this even while the State Government denied all possibilities of tiger being locally extinct in Panna. It was only in June this year that the tigerlessness of Panna was officialised.

Day before yesterday, an article in the Pioneer enlightened us about the reason for the tiger deaths in Panna – Radio collaring! A report by the Wildlife Crime Bureau attributed the tiger deaths in Panna to radio collaring, the article said. It found that 80 per cent of tigers killed in Panna have met their deadly fate at the hands of poachers after they were radio collared, glossing over the fact that we could know about their fates ONLY because they were radio-collared. The article said that that the report termed itself “interesting”. Definitely, I must say – very interesting that the report makes a scapegoat of science. Radio tracking of wildlife is widely used for scientific studies, management and conservation of several species across the world – from birds to camels and from turtles to tigers, of course. In fact, critical questions on behaviour and ecology of large mammals are evident only through such methods. Tracking tigers by radio collaring has given us an understanding on important questions such as home ranges of tigers, carrying capacity of tigers in the continuously shrinking tiger reserves, causes of mortality and dealing with the reasons and consequences of conflict with people, especially so with elephants. These answers are exactly what a wildlife manager of a tiger reserve ‘should’ be looking for. And recent conservation literature from India has started answering such questions. While it is legitimate to further investigate the type of collars used and safety of tranquilizers used, it is quite an illogical conclusion that the WCB report seems to be coming to. Obviously, each and every tiger was not radio-collared. Shouldn’t scientists with experience in radio collaring have been involved in this exercise? Was there a thorough analysis on the equipment and data of radio-collaring in Panna and elsewhere done by the WCB? Of course, not. Irresponsibly declaring radio-collaring as a reason in a report belittles the report as well as the huge body of scientific literature about this technique worldwide.One only wonders if the intention of the report is to investigate the crime or blame the ones detecting and reporting the crime!

Two issues come to my mind as I read the developments at Panna, the lack of an information culture and poor scientific temper in State institutions. Take for example the case of infant mortality reporting in the health sector. It’s all a number game – blaming infant deaths on first line health workers results in under-reporting of infant deaths. Who would report infant deaths or tiger numbers truthfully it if retribution rather than help is what you receive from above? The net result of this is that the information reported through the public health system is so poor that if we were to rely purely on health centre data, we would have infant mortality rates of USA or UK! Similar is the case with the tiger numbers – if the usual reaction to smaller tiger numbers reported by scientists outside the system or from watchers on the field is going to be retribution, then we shall always have tiger numbers of the 18th century! Such an attitude in the bureaucracy destroys the innate nature of the field staff to truthfully report information and act on them. Instead, routine institutional data focuses merely on portraying a sense of status-quot or sometimes improvements rather than providing actionable information that should then feed back into management. The other issue of lack of scientific temper is quite evident in the WCB report, which has the audacity to term itself, ‘interesting’ while drawing vicarious temporal associations between tiger deaths and radio-collaring. Let’s face the facts –

Fact 1: Panna lost its tigers – not on the day when the Minister accepted it, but over months (or perhaps years) of poaching.

Fact 2: Radio-collaring as a technique for conservation and management with well-established safety guidelines is widely accepted.

Viewing the tiger extinction in Panna as yet another isolated event with simple reasons like an errant forest guard or radio collaring rather than understanding the socio-political, economic and biological reasons is the most illogical thing to do. For a tiger to survive in Panna like in most of India’s tiger reserves is the result of a complex inter-play between protection, human-animal conflict, irresponsible tourism, poverty and access to eduction, employment and health care in the villages around and not the least of all, political will. Transferring forest officers, suspending guards and blaming radio-collaring are non-solutions. Responsible tourism and conservation research in additon to bringing in revenue, awareness and greater understanding of conservation are also a way of having more eyes and ears in the forests. As long as we continue to produce poor quality data within the Government, it is only logical for the Government – be it health or forest, to encourage applied research and act quickly on the issues that the scientific community brings up. Unfortunately, the forest department is much more closed to science and research than any other department today. Permissions to work in protected areas on important conservation activities is rarely based on the merit of the proposal but on whether it will report poor tiger numbers or dwindling of habitat. And where researchers have been candid with their findings, they have only been faced with cancellation of permits! I am still waiting for the day when a young forest officer in a protected area is empowered enough to publicly discuss issues in his park and network strongly with the scientific community, rather than play hide-and-seek with numbers till there is no other option. We saw this with Sariska and now with Panna. And these are the parks we know about due to the reporting in media, not because they came up in any Government report where we should ideally have been reading about them.



Delhibirding at Okhla

I was in Delhi over the weekend on work and I was able to catch up on some Sunday birding with Delhibird members. Just thought of sharing my experience with them, this being my first birding outing in Delhi. Due thanks to Gopi Sundar, Anshu, KB Singh and a diverse group of members from Delhibird well represented in age, gender and profession!

A particularly hot Sunday morning, the stench of the Yamuna and the recent disquiet from yesterday’s tragic blasts did not deter the Sunday outing of Delhibird to Okhla Bird Sanctuary, geographically in Uttar Pradesh, but only about half hour drive from the national capital.

A chance meeting with Gopi Sundar who studies Sarus Cranes and a co-incidental phone call from Anshu of Delhibirds regarding the outing made it possible for me to join the group to Okhla. We left Delhi at 5.40 AM and reached Okhla at 6 AM. The twitching of the Lesser Whitethroat and the ammoniacal odours of the Yamuna welcomed us (For those who think I am overstenching the Yamuna, see quote of the day below). We parked within Okhla and walked down the trail with agricultural fields on one side and dry marsh land with tall grass on the other with the ‘pie’ of male bushchats every few metres apart. A lone Common Babbler on the trail ahead excited me quite a bit, we southerners not having this ‘common’ cousin of our babblers.
We reached the end of the trail overlooks the Yamuna waters with tall grass, a few settlements and stray cattle separating us from the water. Somebody pointed out a large bird perched at a distance and the day started. Even as the scope was being set up, several binocs went up and a tentative diagnosis of a hepatic female cuckoo was announced. The barring on the upper tail, its
large size and the very fine nature of the barring on the underparts was bringing Eurasian Cuckoo in my mind. The scope brought some clarity – the yellowish bill and the plumage indicated that it was a juvenile. The throat had relatively lesser streaking and the underparts were also quite dark with the fine barring. With a lingering doubt in everyone’s mind, we settled for juv. Greybellied Cuckoo. A few record shots from the photgrapher friends will settle the id soon perhaps.

A courageous group of delhibirders turned waders and waded through some water, vegetation and whatnot to reach the water. They were rewarded with Blacktailed Godwits, Ruffs and several other waterbirds. Just then, we all had seen a female Marsh Harrier and even as I was about to mention Migrantwatch, KB Singh informed me that he would be logging it into MW
today! The other group which stayed put were witness to an Rufousbacked Shrikes, an oriole in flight, red munias and black drongos. On the other bank, meanwhile were over a hundred terns, mostly whiskered with some river terns fishing. As we returned, Gopi scoped a few Spotted Owlets roosting in a Banyan tree nearby. A Greater Spotted Eagle and a Pariah kite circling
together as we walked back was another highlight of the morning.

It was a great opportunity to meet some birders from Delhi. It’s amazing how many of them have heard so much about BR Hills. The recent photographs from BR Hills had made it even more of a top destination for many of them. Between the harriers and the munias, the conversation moved from Migrantwatch to the top-ten photographers announced by Kolkatabirds and slowly strayed away to idlis and dosas, and at some point, we all dispersed
to Sagar restaurant in Noida, where I gulped down the most expensive idlis of my life. As all breakfast convos go, this one too was unmatched in its width of topics – conservation policy, judiciary, ethics, choice of ‘spirits’ and what not!

A morning well spent with delhibird members and I look forward to birding again with them whenever I visit Delhi.

Quote of the day (Heard over breakfast 🙂

“I saw a Small Blue Kingfisher once. It dived into the Yamuna…..it then turned Pied”

List of birds seen

1) Grey Francolin – Francolinus pondicerianus
2) Lesser Whistling Duck – Dendrocygna javanica
3) Spotbilled Duck – Anas poecilorhyncha – Hundreds!
4) Northern Shoveler – A. clypeata – 2 females among the spotbilled ducks
5) Green Bee-eater – Merops orientalis
6) Juv. Cuckoo – Possibly Greybellied?
7) Greater Coucal – Centropus sinensis
8) Roseringed Parakeet – Psittacula kramerii
9) Spotted Owlet – Athene brama
10) Laughing Dove – Streptopelia senegalensis
11) Eurasian Collored Dove – Streptopelia decaocto
12) Yellowfooted Green Pigeon – Treron phoenicoptera 3 different flocks of
approx 12-15 pigeons
13) Whitebreasted Waterhen – Amaurornis phoenicurus – heard only
14) Purple Moorhen – Porphyrio porphyrio
15) Ruff – Philomachus pugnax – 4 in flight
16) River Tern – Sterna aurantia
17) Whiskered Tern – Chlidonias hybridus
18) Pariah Kite – Milvus migrans
19) Marsh Harrier – Circus a. aeruginosus
20) Greater Spotted Eagle – Aquila clanga
21) Little Cormorant – Phalacrocorax niger
22) Little Egret – Egretta garzetta
23) Cattle Egret – Bubulcus ibis
24) Grey Heron – Ardea cinerea
25) Purple Heron – Ardea purpurea
26) Night Heron – Nycticorax nycticorax
27) Painted Stork – Mycteria leucocephala
28) Rufousbacked Shrike – Lanius schach
29) Rufous Treepie – Dendrocitta vagabunda
30) House Crow – Corvus splendens
31) Eurasian Golden Oriole – Oriolus oriolus – seen in flight
32) Black Drongo – Dicrurus macrocercus
33) Whirring call of Common Iora?? Aegithina tiphia – Not confirmed
34) Redvented Bulbul – Pycnonotus cafer – outnumbered its whiskered cousin
35) Redwhiskered Bulbul – P. jocosus
36) Ashy Prinia – Prinia socialis
37) Lesser Whitethroat – Sylvia curruca
38) Tailorbird – Orthotomus sutorius
39) Common Babbler – Turdoides caudatus
40) Purple Sunbird – Nectarinia asiatica
41) Red Munia – Amandava amandava
42) Silverbill – Lonchura malabarica
43) Scalybreasted Munia – L. punctulata