Pulmonary tuberculosis: a public health problem amongst the Saharia, a primitive tribe of Madhya Pradesh, Central India

Rao, V G; Gopi, P G; Bhat, Jyothi; Selvakumar, N; Yadav, Ramesh Singh; Tiwari, Balkrishna; Gadge, Vijay; Bhondeley, M K; Wares, Fraser

doi:10.1016/j.ijid.2010.02.2243

Cited by 55 publications

(77 citation statements)

References 6 publications

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“…There"s dearth of figures to support the hypothesis of low utilization rates amongst the indigenous population. Research on tribal health so far has predominantly focused on the prevalence of morbidity, illness profile and health provision coverage rather than people"s practices, knowledge, opinions of and attitude towards health provision in tribal areas (Jain et al, 2015;Yadav et al, 2010;Kerketta et al, 2009;Santhosam et al, 2013). This paper intends to compliment the previous literature and provide further insight into factors impacting health seeking behaviour in terms of utilization and barriers to utilization with the aim to influence policy formulation, decision making and targeted service provision planning for tribal population.…”

Section: Rationalementioning

confidence: 99%

Health seeking behaviour among particularly vulnerable tribal groups: A case study of Nilgiris

Gandhi¹,

Verma²,

Dash³

2017

J. Public Health Epidemiol.

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The article hinged upon exploring the patterns and determinants of healthcare utilization and financing amongst particularly vulnerable tribal groups (PVTG's) in Nilgiri district of Tamil Nadu. Three PVTG's viz Paniyas (P), Kattunayakans (KN) and Bettakurumbas (BK) are explored in the study. These groups have some quint essential features impacting the healthcare seeking behaviour e.g. Paniyas were subject to historical repression after they were brought over from Kerala as agricultural labourers culminating into their seclusion and accentuated patient provider wedge. Kattunayackans have their behaviour embedded in using magico-religious beliefs and indigenous medicines. Bettakurumbas are the other forest dwellers residing in Nilgiris biosphere reserve and contemporaneously seek institutional care. Mixed method approach (amalgamation of quantitative and qualitative) was adopted and the households were selected through two stage stratified random sampling. The health seeking behaviour was captured by running a Logit model and Blinder Oaxaca decomposition analysis was conducted to decompose the health gap amongst the tribal groups.

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Section: Rationalementioning

confidence: 99%

Health seeking behaviour among particularly vulnerable tribal groups: A case study of Nilgiris

Gandhi¹,

Verma²,

Dash³

2017

J. Public Health Epidemiol.

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“…As many as 705 groups are identified as tribal across 30 states, 75 have been identified as particularly vulnerable tribal groups (PVTGs) and Saharia population in Madhya Pradesh is one among them. It was reported that high magnitude of TB among Saharia tribe (1518/100000) [15,16]. Any development programme initiated by Government Of India will take time to reach this segment with limited access to health care services due to isolation, low social status and weaker economic position.…”

Section: Introductionmentioning

confidence: 99%

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Muniyandi¹,

Rao²

2016

Mycology

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Tuberculosis (TB) is disproportionately affects the most economically disadvantaged strata of society. Many studies have assessed the association between poverty and TB, but only a few have assessed the direct financial burden TB treatment and care can place on households. Patient costs can be catastrophic health expenditure for TB affected households in particularly vulnerable tribal groups (PVTGs). A survey of pulmonary tuberculosis (PTB) was carried out in Saharia dominated Pohri block of Shivpuri district of Madhya Pradesh state in central India during the period 2013 to 2014. Of 9964 surveyed, 280 PTB cases identified formed the study population for the present study. Among 280 TB patients identified, 220 (79%) cases interviewed at their residence by trained field investigators after obtaining written informed consent. This study demonstrates the economic burden in terms of direct, indirect and total costs for both diagnosis and treatment. In our sample, majority getting treatment free of costs and those who incurred costs, they faced catastrophic TB care expenditure amounted to 10%, which is the proportion of various costs in relation to annual family income. TB is a major cause of impoverishment, as it puts a heavy burden on the family budget, which can force families to absolute poverty. Our results suggest that policies to decrease direct and indirect TB patient costs are urgently needed to prevent chances of catastrophic payments to PVTGs. Also a high priority should be given to research that focuses on economic effects in different kind, in different time, in particular, among low-income groups.

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“…Numerous studies were reported at the context of disease epidemiology and genetics, upon various indian tribal communities, who are highly isolated both demographically and topogra phically, from the mainstream indian populations [4][5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Association of ACE <i>DD</i> Genotype with Hypertension among the Tribal Populations of South India

Paramasivam

Nandakumar

Arumugam

et al. 2016

ILNS

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The Renin-Angiotensin System (RAS) is an important regulator of the blood pressure(BP). The level of the vasoactive peptide Angiotensin-II, is mainly determined by the RAS enzyme, angiotensin converting enzyme-1 (ACE-1). Polymorphisms in ACE gene is reported to be associated with hypertension in various populations worldwide. We investigated the association of ACE I/D polymorphisms with hypertension among the tribal populations of South India. Samples were collected from hypertensive patients (n = 33) and healthy controls (n = 37). Genotyping was performed using Polymerase chain reaction (PCR) with allele specific primers. The DD genotype is significantly observed among the cases (OR = 1.0) . Specifically, the DD genotype is more evident among the females (OR = 0.705) than males (OR = 1.22) and is analysed to be associated with hypertension among the tribal populations of South India.

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Pulmonary tuberculosis: a public health problem amongst the Saharia, a primitive tribe of Madhya Pradesh, Central India

Abstract: The findings suggest that TB disease remains a major public health problem in the Saharia 'primitive' tribal community of Madhya Pradesh, Central India.

Cited by 55 publications

References 6 publications

Health seeking behaviour among particularly vulnerable tribal groups: A case study of Nilgiris

Health seeking behaviour among particularly vulnerable tribal groups: A case study of Nilgiris

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Association of ACE <i>DD</i> Genotype with Hypertension among the Tribal Populations of South India

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