Dinesh Kumar

Abstract

This review article focuses on community barriers among tribes living in different parts of rural regions in India and placed to find out the possible resolution/passion. The access to health care services has a very low coverage in rural region of the country especially in tribal communities. A systematic search was covered since last two decades from 2000 to 2020 of articles were extracted from Google Scholar, PubMed, Science Direct, JSTOR, WHO portal, Research Gate, Census 2011, etc. The health indicators of tribes were originated alarming status quo as widely held malnourished and sufferer from different disease and illness. Findings towards accessing quality health care services revealed that difficult geographical situation, communication in own language, financial constraint, low level of education, illiteracy, approaching traditional medicine and ancient culture as community barriers were remained constant. Low level of education, strong cultural believes and traditional culture norms are the strongest community barriers reflected their self-decision-making for not accessing the modern health care facility. An approach as creating effective awareness in harmonic way could be useful for bridging the gaps by involving existing medical resources and staffs, which can play a critical role in reducing the barriers. Thus, review findings suggest the need for implementing awareness programs can divert towards quality health care and thereby can “connect the unconnected” to stay healthy. Keywords: Tribes, Community barriers, Quality health care, Universal health coverage.

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Abstract

Background: India has the highest proportion of adolescents and the highest adolescent pregnancy and childbirth rate in the tribal segment of the population. Very few studies have focused on the use of sanitary pad and quality of health care as menstrual hygiene practices. Materials and Methods: The data was collected among ‘Bharia’ women who identified as one of the particularly vulnerable tribal groups (PVTGs) in Madhya Pradesh. Towards comparing the use, source, and components of menstrual hygiene practices among adolescents and adult mothers, the sample included adolescent (10-19 years) and adult women 20-49 years of age. The relevant information was collected by trained female investigator with designed questionnaire from the respondents. Results: Findings revealed that only 22.7% women are using sanitary pad during menstruation period in the studied tribe. It was seen the use of this absorbent (sanitary pad) for menstrual hygiene among the adolescents were found significantly higher (37.5%) than that of adult women (14.3%), whereas, the use of old cotton was found significantly higher (78.6%) among adult women. Awareness on menstrual hygiene about 50% adolescents and 64% adult women believed it is a curse of God. About 25% adolescents and 21.4% adult women believed menstruation is a natural process. Conclusion: The tribe has underprivileged menstrual hygiene practices owing to low awareness, illiteracy, and poverty. The special IEC education campaign with suitable strategy can be forced to optimum hygiene practices.   Keywords: Menstrual hygiene, Adolescent, Adult women, Bharia tribe, Patalkot valley

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Abstract

Maternal health research is vitally important required to find out the obstetric complications for effective treatment and strategy in support to enhanced women & child health. It is much essential in vulnerable tribal population which have less opportunity to avail health care facility due to illiteracy and poor socioeconomic condition. The complications during pregnancy and childbirth cause had more deaths and disability than any other reproductive health problems. A cross sectional study was carried out among the Baiga women in Dindori district of Madhya Pradesh during 2013 to 2016. A sample of 367 currently married who had experienced maternity during last three years were identified for pregnancy related complications. The information was collected by interview method after obtaining informed written consent. Out of 367 women, the multiple complications were found anemia (35.7%), night blindness (28.6%), blurred vision (10.9%), convulsion (21.3%), swelling (26.7%), excessive fatigue (4.6%) and vaginal bleeding (4.9%). The logistic regression analysis were done to estimate the level of correlation between socio-demographic factors and obstetric complications. The findings revealed that the night blindness, anemia and blurred vision complications were found significantly (p Keywords: Pregnancy, Complication, Logistic regression analysis, Vulnerable population, Central India.

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Abstract

Background: This article aimed to understand the menstrual acquaintance, practices and hygiene care of underprivileged women living in difficult terrine. The PVTGs tribes have low literacy and poor socio-economic condition. The study has focused to find out the existing personnel health hygiene by way of the use of sanitary pad and fronting with social stigmas during the menstrual period. Materials and Methods: Community based cross-sectional study was conducted in all three PVTGs Baiga, Bharia, and Saharia women of Madhya Pradesh. Data collection was done in 2019-20 in selected district Dindori, Chhindwara and Sheopur. A total 302 women were interviewed on menstrual hygiene practices and related issues who were in reproductive age (15-49 years). The related relevant information’s was collected by female trained investigators through structured questionnaire schedule by conducted interview method after obtained consent. Results: Care of menstrual hygiene as use of sanitary pad (absorbent) was found 11.2% among women. Inequality of the use of sanitary pad was seen lower (6%) in Baiga women in comparison considerably higher (17.6%) in Bharia and (10.4%) in Saharia women. Disposing the used absorbent at outside the village were found significantly higher (44.8%), (p Conclusion: Use of hygiene absorbent during menstruation period was found comparatively very low (11.2%) among tribal women in comparison to national average. The tribal women are having greater risk of own health and her forthcoming baby. Appropriate IEC campaign program on awareness for menstrual hygiene care among women and easily availability of sanitary pad will be upholding of superior menstrual hygiene which correlated to health of mother and reproductive care.   Keywords: Tribal women, Reproductive, Menstrual hygiene, Absorbent, Social restriction, Madhya Pradesh.

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