Towards Health Equity and Transformative Action on tribal health (THETA) study to describe, explain and act on tribal health inequities in India: A health systems research study protocol

Srinivas, Prashanth Nuggehalli; Seshadri, Tanya; Velho, Nandini; Babu, Giridhara R; Madegowda, C; Basappa, Yogish Channa; Narasimhamurthi, Nityasri Sankha; Majgi, Sumanth Mallikarjuna; Madhusudan, Mysore Doreswamy; Marchal, Bruno

doi:10.12688/wellcomeopenres.15549.1

Cited by 16 publications

(16 citation statements)

References 21 publications

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“…The health system failures aggravate the distresses. 92 In the process of nation-building in the region, Adivasis were consistently disadvantaged, with limited or no policies for addressing their uprooted life, despair, and ill health. Given the exploitative trajectories and often flawed legal and policy discourses, the Adivasis lost their rights, land, livelihood, capabilities, freedom, health culture, and democratic space for reclaiming cultural identity and health.…”

Section: Discussionmentioning

confidence: 99%

The Health of Indigenous Populations in South Asia: A Critical Review in a Critical Time

et al. 2020

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Despite South Asia’s promising social inclusion processes, staggering social and health inequalities leave indigenous populations largely excluded. Marginalization in the South Asian polity, unequal power relations, and poor policy responses deter Adivasi populations’ rights and opportunities for health gains and dignity. The ongoing COVID-19 pandemic is likely to result in a disproportionate share of infections and deaths among the Adivasis, given poor social conditions and exclusions. Poor health of indigenous people, inequalities between indigenous and non-indigenous groups, and failures in enforcing constitutional and legal provisions to reclaim indigenous land and cultural identity herald deeper structural and political fractures. This article unravels health inequalities between the Adivasis and non-Adivasi populations in their social context based on a critical review of secondary sources. We call for intersectoral policies and integrated health care services to address systemic inequalities, discrimination, power asymmetries, and consequent poor health outcomes. The current COVID-19 pandemic should be viewed as a window to pursue real change.

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Section: Discussionmentioning

confidence: 99%

The Health of Indigenous Populations in South Asia: A Critical Review in a Critical Time

et al. 2020

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“…(20) Based on this study, in 2017, the multi-method Towards Health Equity & Transformative Action on Tribal Health (THETA) study was taken up which examined the underlying drivers of inequities in adivasi health. (21) The current study is one of several components of a multicomponent and multi-disciplinary research centre on adivasi health being established through close partnerships with the community-based adivasi collective by researchers in order to respond to the speci c and neglected health problems that were reported by THETA study ndings.…”

Section: Introductionmentioning

confidence: 99%

CHIGURU Adivasi Birth Cohort Study: A Protocol for Examining the Effects of Parental Substance Use on Child Development in Southern Indian Adivasi Communities

Shriyan,

Basappa,

Babu

et al. 2024

Preprint

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Background: Children of parents who use tobacco and alcohol are at increased risk for a variety of adverse outcomes, including emotional, social, behavioral, and cognitive problems. Parental smoking and alcohol use can also lead to nutrient deficiencies in children, as well as poor birth outcomes such as restricted growth. Among adivasi communities, disproportionately higher malnutrition, and increasing substance use could be contributing to persistent and inter-generational developmental disadvantages. However, there is limited research on the long-term health implications of parental substance use on children after birth. The proposed study will examine the effects of parental substance use on child growth and developmental outcomes in adivasi communities in southern Karnataka. Methods: The research design involves a longitudinal cohort study, in which lactating/postnatal women and their partners along with other household members are recruited. This is the first large-scale adivasi birth cohort study to examine the effects of substance use among parents and other family members after delivery on infant growth and developmental indices. Information on the household socio-demographics, wealth index, diet, delivery information, depression, social support, morbidity status, substance use details, and child development with anthropometric details in baseline and follow-up visits shall be recorded. The study targets to recruit a sample size of 650 newborns and family members. The primary outcome is child growth parameters whereas the secondary outcome is early childhood development in terms of gross motor, fine motor, language, and social domain. The total duration of the study is five years (2021-2026). Discussion: The study offers a comprehensive examination of parental substance use and its effect on child development in an adivasi community in south India. This will help researchers identify significant risk thresholds and better understand the consequences of parental substance use on infant development utilizing the prospective adivasi family cohort. The study will also address the long-term under-representation and neglect of such studies among adivasi populations and enable a long-term research engagement with the community. The study could inform policy and practice related to addressing substance use disorders and their effects on children. The public health implications include prioritizing the issues of parental substance use, and identification of early interventions to prevent adverse health outcomes in children.

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“…In addition, ignorance of the tribal people and the inability to access health care is deteriorating health conditions. [ 3 ] Tribal people are a heterogeneous group, but they have one thing in common: poor health outcomes, high morbidity, high death rate, and very limited or no access to healthcare facilities. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Understanding the trends of tribal research in India through bibliometric analysis

Chinnaiyan¹,

Palanisamy²,

Sambasivam³

2022

Journal of Family Medicine and Primary Care

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Tribes are the most vulnerable, particularly in healthcare. Health research in a population helps to understand the trends of various diseases and other social determinants causing them. Our study aims to perform a bibliometric analysis of Tribal research in India from its status quo. Materials and Methods: Research articles on tribal health were retrieved from Scopus and analyzed using MS Office, VOS viewer, and Word Cloud generator from January 2000 to December 2020. The number of research publications published each year, the clustering pattern of contributing authors, the most popular journals, the leading publication, document type, domain research areas, and commonly used keywords were all considered in the study. Results: As a result of the search, 1249 research publications were found. According to our selection criteria, only 395 research papers were included in the analysis. Approximately 43 research publications were published in 2020, but only three articles were published in 2000. Almost 35.7% of articles were published in traditional medicine, and 15.7% and 14.7% of articles were published in nutrition and infectious diseases. Less than 1% of articles were published in Health Policy, and 1.5% were published in Health Systems. Conclusions: The study results showed that the research on tribes has now been improving in the following years. Research into tribal mental health and health care systems should be encouraged. Collaboration and funding may assist academic institutions in raising awareness of health issues in these populations.

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Towards Health Equity and Transformative Action on tribal health (THETA) study to describe, explain and act on tribal health inequities in India: A health systems research study protocol

Cited by 16 publications

References 21 publications

The Health of Indigenous Populations in South Asia: A Critical Review in a Critical Time

The Health of Indigenous Populations in South Asia: A Critical Review in a Critical Time

CHIGURU Adivasi Birth Cohort Study: A Protocol for Examining the Effects of Parental Substance Use on Child Development in Southern Indian Adivasi Communities

Understanding the trends of tribal research in India through bibliometric analysis

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