Healthcare tribe Rajesh_SSA.pdf

The progress of Indigenous people or the Scheduled Tribes (STs) on developmental indicators is much poor than expected, especially their status of health. They report the highest mortality and malnutrition, low level of obstetric care, and are also among the poorest users of healthcare services in the country. This study examines the prevalence of acute and chronic morbidities and treatment-seeking behaviour among the ST in India. Second wave of India Human Development Survey (IHDS-2) data, 2011-2012, has been used in the study. Considering that culture and religion shape the demographic and health outcomes of people, this article has tried to seek a deeper understanding on morbidity and health-seeking behaviour by categorising the ST into four tribo-religious groups: namely, Hindu ST, Christian ST, Indigenous ST and the rest along ethnicity and religion lines. The study found evidence of an early epidemiologic transition in tribal areas and associated increase in the incidence of chronic and lifestyle diseases such as hypertension, diabetes, asthma. Other emerging concerns are prevalence of high untreated morbidity, dependence on private healthcare providers and increasing dependence on pharmacists among the ST.

Journal of Humanities and Social Sciences Research, 2024

Purpose- This paper aims to investigate the health status, medical practices, and cultural perspectives on health among tribal communities in India with the aim of developing culturally sensitive healthcare interventions that integrate traditional wisdom with modern medical advancements. Design/ methodolo-gy: The sample contains 40 relevant papers that have used theories and were collected from the Pub Med and Scopus database. This study uses a systematic review technique. Findings-The review shows dire health conditions among Indian tribal populations, with prevalent diseases like goitre, yaws, and malaria. Poverty, inadequate healthcare, and reliance on traditional healing exacerbate these challenges. Integrating indigenous wisdom with modern healthcare is crucial for culturally sensitive interventions to enhance tribal well-being in India. This paper uniquely explores prevalent diseases, cultural beliefs, and traditional healing practices. Emphasizing the integration of indigenous wisdom with modern healthcare, it proposes holistic solutions for addressing health disparities among tribal populations in India.

https://www.ijhsr.org/IJHSR_Vol.13_Issue.9_Sep2023/IJHSR-Abstract25.html, 2023

Background: Despite significant advancements in the medical field, the health status of India's tribal population remains a concern, which was equally prevalent 25 years ago. Tribes still face numerous health issues, including malaria, infections, sickle-cell anemia, and nutritional deficiencies. Hence, this study tried to examine the morbidity status and treatment seeking behaviors of tribal communities. Method and Material: A primary survey was conducted among 300 rural tribal households in Bijadandi block in the Mandla district of Madhya Pradesh. The purposive sampling was applied to select the household for collecting information on morbidity treatment history, place of treatment and reasons for not treating. For this study a structured interview schedule was used in the studied field. The primary survey was conducted from August to November 2019. Result: The study found that nearly three-fifths had suffered from morbidities within the last 365 days prior to the survey which is higher experienced by 60 & above age groups, female, below primary schooling, farmer and housewife, and or widowed. Fever and cold cough prevalence were higher among tribes. Around 90 percent have received treatment during ill/sick. However, nearly two-fifths had received treatment from public healthcare centers while about three-fifth had received from private healthcare centers. Healthcare provider’s behavior was found to be not suitable for the tribes, with discriminatory practices reported at public healthcare centers. This has led to a lack of desire for public healthcare services utilization, which is a significant obstacle affecting government healthcare services utilization in tribal areas. The study also highlighted the emergence of intermediate diseases, such as paralysis, resulting from smoking and alcohol consumption. Conclusion: In general, the research indicates the importance of directing attention towards the health and socio-economic welfare, along with interpersonal interactions between healthcare service providers and tribal or vulnerable communities. Currently, tribes are expressing worries regarding their healthcare and medical care. Consequently, the central emphasis should align with the SDG (Sustainable Development Goals) principle of 'leaving no one behind,' placing a primary focus on enhancing the health and socio-economic well-being of both tribes and other susceptible groups.

BMC Public Health, 2012

Background: The objective of this study is to investigate the magnitude and nature of health inequalities between indigenous (Scheduled Tribes) and non-indigenous populations, as well as between different indigenous groups, in a rural district of Kerala State, India.

International Journal of Health Sciences and Research, 2024

Background: Tribal groups, who frequently live in isolated and disadvantaged places, have unique patterns of health-seeking that are influenced by their traditional customs and cultural beliefs. One commonality is the dependence on traditional medicine and ceremonies as well as other indigenous healing practices. The community's interconnection is important since decisions are made collectively, which affects the choices people make while seeking health care. One important factor is access to healthcare services; impediments including remote location, inadequate infrastructure, and financial limitations might cause formal healthcare to be delayed or underutilized. Because tribal people are unfamiliar with mainstream healthcare institutions, they may be reluctant to seek medical attention. For this reason, healthcare personnel must be culturally competent. This study was conducted to assess the health seeking behaviour among Schedule tribes (Valmiki Nayaka) of Kappatagiri hills of Gadag District. Objectives: To explore the health-seeking behaviours among scheduled tribes of Kappatagiri Hill's. Methods: A field-based cross-sectional study was conducted in the Kappathagiri village, Kadakol, Hosalli, and Murundi

Indian Journal of Community Medicine, 2023

Introduction: Social and economic position, environment, access to healthcare, ethos, and worldview are all important determinants of people’s health‑seeking behavior. Tribal communities in India oscillate between their emic rationale for the cause and treatment of health concerns on the one hand and affordable modern methods on the other. The present article is based on a study conducted among the Junag tribe of Odisha to understand their acceptance and preference for traditional or modern healthcare systems and the reasons for these choices. Material and Methods: Purposive sampling, a pre‑structured schedule, an observation approach, case studies, and interviews with community members have been used to gather the primary data used in the study. Result: The study identified a diverse pattern of health‑seeking behavior. From the four villages, 70% of respondents combined into cluster‑1 preferred the traditional healthcare system, mostly for geographical and cultural reasons, as opposed to 95% of respondents from the villages in cluster‑2, who preferred modern healthcare services because they were more easily accessible and involved modern healthcare providers. Conclusion: In this research work, it has been found that the Juang tribe is in a transitional phase and uses a hybrid approach to health seeking. Moreover, it has also been discovered that important variables including cultural attitudes and the affordability of contemporary healthcare services have influenced people’s decisions toward healthcare systems.

Shanlax International Journal of Economics (Online), 2023

This paper examines the persistent disparities between the Scheduled Tribes (STs) of India and the rest of the population in health and well-being. Despite worldwide progress in healthcare and social development, ST communities struggle with persistent challenges hindering their overall welfare. Through desk research and a systematic literature review of tribal health disparities in India, this study discusses the various aspects that lead to these disparities and provides a comprehensive set of policy recommendations. It becomes clear that closing these gaps in health and well-being requires an integrated strategy that includes poverty alleviation, improved educational access, strengthened infrastructure for health care, and the preservation of tribal cultural heritage. Taking insights from several sources, this article emphasises the urgency of the matter. It highlights the need for concerted efforts to achieve equitable health outcomes for ST communities, not only in India but also in similar contexts worldwide.

India is home to 84.33 million people classified as Scheduled Tribes (ST), corresponding to 8.2% of the total population. There are 461 groups of tribes who are spread over 26 states and Union Territories. Included in these categories are 74 tribes who have been identified as “Primitive Tribal Groups” (PTG, now called Particularly vulnerable Group) characterized by pre agricultural level of technology, extremely low level of literacy and extreme poverty. In general, the Scheduled tribes (ST) live in isolated, scattered and difficult to reach terrain generally near hills and shrinking forests on which they depend for their livelihood. Despite rapid strides in the field of diagnostics and therapeutics, adequate health care has not been reaching them even after the completion of the tenth five year plan. There is a consensus among various governmental programs to pay special attention to the marginalized Scheduled tribe population, though, the actual state of health and health care in ST areas has not been adequately documented. Though there is data available for rural and urban areas, data for ST areas is very scanty. This study was born out of this urgent and felt need in the health sector to study comprehensively and systematically the health situation of the scheduled tribes in the country so that recommendations to strengthen the programmes of NRHM and improve the situation could be formulated. It was conducted by Swami Vivekananda Youth Movement (SVYM) a development organization founded in the year 1984, engaged in building a new civil society in India through its grassroots action in Health, Education and Community development sectors. Over the past two decades it has been addressing the various developmental issues of the marginalized scheduled tribe and rural population of H.D.Kote Taluk, one of the most backward ST dominated taluks of Mysore District, Karnataka. This study was conducted between 15th August 2008 and 15th September 2009 in selected ST dominated areas across 5 states (Jharkhand, Madhya Pradesh, Orissa, Maharashtra and Karnataka) which are home for 47% of the Schedule Tribes of the country. Among the states selected for this study, 3 belong to the high focus non-NE group (Jharkhand, Madhya Pradesh & Orissa), while two fall under the non high-focus large group (Maharashtra & Karnataka). It was supported by Government of India and World Health Organisation.

International Journal of Humanities and Social Science Research, 2016

Medical anthropology is a field that includes both biomedical and socio-cultural concerns to anthropologists. Its growing field considers the socio-cultural context and implications of diseases and illness in a cross-cultural dimension. In the present study, different ethnic groups and cultures recognize different illnesses, and symptoms and have developed different healthcare systems and treatment strategies. The health care system of tribal communities itself in general an individual is closely linked to the way he/she perceives various health problems, their meaning, and treatment with relevant institutions. The holistic concept as well as approach, as the present researchers attempted provides a valuable framework for analyzing the overall healthcare system under the purview of tradition and modernity

India is the second most populous country in the world and having rich indigenous knowledge and healthcare systems to cure the sickness and diseases. Despite having modern medical facilities, most of the rural and tribal dwellers used to avail traditional or indigenous healthcare as the modern medicine is locally available, homemade and cost effective too. The fact is that privatization of modern medical-care has become costlier as the hospitals act like money spinning machines for the corporate sectors, thereby, the poor is unable to access such treatment. As a result, the folk isforced to visit the local faith healers or medicinal man to get rid of their diseases or health problems. Religious cohesiveness and solidarity conventionally admonish to promote traditonal kind of healthcare and herbal medicine. The poor implementation of healthcare programmes, low income, illiteracy, peer pressure, locality and cost effectiveness are the leadingenticements for the acceptance and adaptation of indigenous medicine. In fact, the reverse-modernity and thenostalgic notion of the masses are also considerable factors to tune with traditional medicine. With this conceptual framework, the present study has been conducted in Karimnagar District of Telangnga State with a total of 2,396 sample respondents who were selected on the basis of thecomputerized random method of sampling. Different qualitative and quantitative methods and tools were used for the collection of primary data and the analysis was done by the descriptive statistics.