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WORLD ANTHROPOLOGICAL UNION

CONGRESS 2024​

Paper

Healthcare delivery and healthcare-seeking behaviour in tribal areas of India: Reflecting upon inadequacies on the demand and supply sides

presenters

    Nishant Saxena

    Nationality: India

    Residence: India

    ICMR National Institute of Research in Tribal Health, Jabalpur

    Presence:Face to Face/ On Site

Keywords:

healthcare-seeking behaviour, tribes, health, medical anthropology

Abstract:

India is the second most populous country in the world when it comes to the population of indigenous groups (tribes). At the same time, the diversity in these tribes is remarkable both on the socio-cultural and biological fronts. The numbers say it all: there are 705 ethnic groups recognized as Scheduled Tribes or STs whose population is more than 104 million and of these 75 tribes are recognized as Particularly Vulnerable Tribal Groups (PVTGs). Almost all tribes have their traditional medicine system revolving around the “healer” in the community who are the custodians of the oral traditional knowledge and wisdom about preventive and therapeutic aspects of dealing with health issues and also possess excellent know-how about the rich flora and fauna around them. These traditional tribal healers (TTHs) are often the first responders for health issues and exigencies in tribal areas. The report of the Expert Committee on Tribal Health (2018) elaborated in detail 10 major health problems in tribes. It emphasized the issue of poor healthcare-seeking behaviour in tribal communities, i.e., on the demand side. Concomitantly, it highlighted the attitudinal and perceptual differences on the supply side, i.e., among healthcare providers. To our understanding, inadequacies exist in healthcare delivery in tribal areas and it is essential to address them to optimize the uptake of healthcare services in these communities. The current paper is a modest attempt to start a discourse in this direction, especially because the Ministry of Tribal Affairs' planned Tribal Health Action Plan, 2019 has not yet been accepted. The paper also draws from the research being conducted on similar lines among the Baiga tribe (a PVTG) in Madhya Pradesh, India supported by the Indian Council of Medical Research.