Health of Tribal Population in India: A Glimpse of the Current Scenario

Angel Ivy Linda, Debkumar Pal, N. Murmu, Manish Taywade
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Abstract

Article 366(25) of the Indian constitution refers to indigenous people as “scheduled tribes,” which constitute 8.6% of the country’s population. For decades, the health of the tribal people had remained neglected and incorporated in rural health care because of incorrect assumptions of their similar health needs to that of the rural population. An expert committee coordinating with the Ministry of Health and Family Welfare and the Ministry of Tribal Affairs provided a detailed report on the current scenario and recommendations related to tribal health in India. They considered the health-care needs of the tribal population, highlighted their specific health problems, and gave a roadmap of best approaches. The tribal population has a unique and higher burden of health problems than the mainstream population, influenced by their health-seeking behavior, lack of awareness and education, sociocultural and magico-religious beliefs, customs, and practices. The current health-care system incorporates their health needs with approaches such as differing population norms in tribal areas, nonmonetary incentives to staff, mobile medical units, identification of high-priority districts, and the emergence of the “Swasthya” portal. However, tribal health is transitioning as with the rest of the population. Moreover, the present health-care services are unable to address this. Legal recognition of indigenous peoples’ rights to self-determination, their land, natural resources, and their knowledge is a need of the hour.
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印度部落人口的健康状况:现状一瞥
印度宪法第 366(25)条将土著人称为 "在册部落",占全国人口的 8.6%。几十年来,部落人民的健康问题一直被忽视,并被纳入农村医疗保健,因为人们错误地认为他们的健康需求与农村人口相似。一个与印度卫生和家庭福利部及部落事务部协调的专家委员会提供了一份详细报告,介绍了印度部落健康的现状并提出了相关建议。他们考虑了部落人口的保健需求,强调了他们的具体健康问题,并给出了最佳方法路线图。与主流人口相比,部落人口的健康问题具有独特性且负担更重,这是受其寻求健康的行为、缺乏认识和教育、社会文化和魔法宗教信仰、习俗和惯例的影响。目前的医疗保健系统将他们的健康需求纳入其中,采取的方法包括部落地区不同的人口规范、对工作人员的非货币奖励、流动医疗单位、确定高度优先地区以及 "Swasthya "门户网站的出现。然而,与其他人口一样,部落卫生也在转型。此外,目前的保健服务也无法解决这一问题。从法律上承认原住民的自决权、土地权、自然资源权和知识权是当务之急。
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