Social Disparity in Morbidity and Treatment Seeking Behaviour: A Macro-Level Study

Raushan, Rajesh; Prasad, Shatrughan

doi:10.1177/2394481120170105

Cited by 4 publications

(5 citation statements)

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“…This study looked at the health and treatment-seeking behaviors of tribes in the Bijadandi block of Mandla district in Madhya Pradesh. It found that 60.1 percent of the tribes in the area were suffering from morbidities between August to November 2019, with around 90 percent of them receiving treatment, which is close to the national average [29] . The prevalence of illnesses was higher among females, uneducated individuals, and those in specific occupations.…”

Section: Discussionmentioning

confidence: 52%

“…Additionally, inadequate health infrastructure, low ratio of healthcare service providers to population, poor connectivity, and limited political representation has resulted in compromised healthcare services. On the other hand, the high cost of private healthcare services and the unsatisfactory quality of public healthcare services make them vulnerable to poor health outcomes and limited access to healthcare facilities [16] . According to a study, over 50 per cent of the tribal population seeks treatment from private healthcare institutions, whereas nearly 40 per cent of them visit public healthcare institutions [17] .…”

Section: Introductionmentioning

confidence: 99%

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Health Status and Healthcare Care-seeking Behavior: A Study of Tribal Communities in Bijadandi Block in Mandla District

Prasad,

Raushan,

Tiwari

2023

Int J Health Sci Res

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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. Key words: Tribes, Morbidity, Medical Care-seeking Behavior, Madhya Pradesh, Mandla

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Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Health Status and Healthcare Care-seeking Behavior: A Study of Tribal Communities in Bijadandi Block in Mandla District

Prasad,

Raushan,

Tiwari

2023

Int J Health Sci Res

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“…Despite the positive changes, there have been noticeable differences on health outcomes other than access to healthcare services along caste and socio-economic line as evident from the studies (Acharya, 2013(Acharya, , 2018Baru et al, 2010;V. Borooah, 2010;Childers & Chiou, 2016;Kulkarni et al, 2020;Nayar, 2007;Prasad & Raushan, 2020;Raushan, 2020;Raushan & Acharya, 2018;Raushan & Mutharayappa, 2014;Raushan & Prasad, 2017;Subramanian, et al, 2006). This paper examined progress on child health indicators among different caste groups.…”

Section: Discussionmentioning

confidence: 96%

“…In the Indian context, socioeconomic status is a reflection of social stratification manifested through the caste system (Mishra, 2006) and caste has been considered broadly as a proxy for socio-economic status and poverty (Borooah, 2012;Childers & Chiou, 2016;Kulkarni et al, 2020;Subramanian, et al, 2006). In India, within the axis of socioeconomic and cultural dimensions, ethnicity is studied widely through social/caste groups, which play a significant role in shaping health outcomes (Acharya, 2013;Baru et al, 2010;Bora et al, 2019;Borooah, 2010;Nayar, 2007;Raushan, 2020;Raushan & Mutharayappa, 2014;Raushan & Prasad, 2017). Poor social and economic status of those castes lower on the caste hierarchy is bound to have an influential effect on health (Dommaraju et al, 2008;Kulkarni et al, 2020;Mohanty, 2011;Thorat & Madheswaran, 2018).…”

Section: Introductionmentioning

confidence: 99%

Caste and Socioeconomic Inequality in Child Health and Nutrition in India: Evidences from National Family Health Survey

Raushan

Acharya

Raushan

2022

J-CASTE

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This study is on caste inequality in child health outcomes: mortality, malnutrition and anaemia for the year 1998/99 to year 2019/21 and examines the association of socio-economic factors with outcomes. Disparity ratio (DR) and Concentration Index (CI) are computed to examine inequality in outcomes. The association of socio-economic factors was modelled using logit regression. The study finds marginalised group were more likely to have poor health outcomes. The disparity ratio found increased among SC and ST compared to Others during 1998-99 and 2019-21. The value of the concentration index was found high on U5MR among SC and ST. Among SC and ST, the child health outcome greatly varies for poorest and richest. Odds ratio is 40-60 per cent higher for SC and ST compared to children belonging to Others. On socio-economic factors; land ownership and wealth status contribute significantly but house ownership not so. Caste-based inequality is still impacting health and nutrition of children in the country. The more focused inclusive policy and clustering of marginalised groups at regional level can be helpful in improving health and nutrition of marginalised children concentrated in different regions with equity lens to push the SDG Goals.

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“…The treatment-seeking behavior among this tribal population due to the nonavailability of health care facilities suggests that most of the ailments either go untreated or are addressed through alternative means of treatments such as home remedies, witchcraft, and traditional health care practices. The treatment-seeking behavior also varies with region, populace, and social groups (Agarwal et al, 2016; Raushan & Mutharayappa, 2014; Raushan & Prasad, 2017). Another critical factor is that although modern medical facilities are still available, the studied tribal communities do not accept it because of cultural beliefs, not being aware, lack of health education, and socioeconomic conditions.…”

Section: Discussionmentioning

confidence: 99%

Common Health Problems and Health-seeking Behavior Among the Tribals of Odisha, India

Bindhani

Nayak

2021

The Oriental Anthropologist: A Bi-annual International Journal

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The present study aims to explore the common health problems and the health-seeking behavior among the tribal population in Koraput district of Odisha. In order to assess the common health problems and the treatment-seeking behavior, 300 tribal individuals from 173 households in the age group of 18–64 years and 24 health care staff were recruited for the study. Information regarding health facilities, their affordability, and morbidity status were obtained through pre-structured questionnaires. Data analysis was carried out using SPSS-20 and Microsoft Excel software tools. Anemia, diarrheal problems, cold, pneumonia, vaginal problems, skin infection, fever, malnutrition, and sickle cell anemia were the common health problems reported by the respondents. In addition, the study found that the majority of the respondents relied on traditional health care practices. The initiation of proper awareness can help in reducing traditional health care practices among the tribal communities. Furthermore, the involvement of modern health care practitioners would help to reduce the disease burden in tribal communities.

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Social Disparity in Morbidity and Treatment Seeking Behaviour: A Macro-Level Study

Cited by 4 publications

References 7 publications

Health Status and Healthcare Care-seeking Behavior: A Study of Tribal Communities in Bijadandi Block in Mandla District

Health Status and Healthcare Care-seeking Behavior: A Study of Tribal Communities in Bijadandi Block in Mandla District

Caste and Socioeconomic Inequality in Child Health and Nutrition in India: Evidences from National Family Health Survey

Common Health Problems and Health-seeking Behavior Among the Tribals of Odisha, India

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