![]() Nutrition indicators though improving are proving slower to budge. The social gradient has also closed for antenatal and postnatal care and immunisation. ![]() The institutional delivery rate for Scheduled Tribes has risen from 11.7% in 2005e06 to 67.3% in 2011, and from 35.6% to 79.8% for all women. It identifies innovative and expanded provision of health services, reforms to the management and development of human resources for health, and the introduction of a number of cash transfer and entitlement schemes as contributing to closing the gap between maternal and child health and nutrition outcomes of Scheduled Tribes, and the Southern districts, compared to the state average. Conducted between 20 with the Departments of Health and Family Welfare, and Women and Child Development, the study reviewed a wide range of literature including policy and programme documents, evaluations and studies, published and grey material, and undertook secondary analysis of state level household surveys. Odisha has a population of over 42 million, high levels of poverty, and poor maternal and child health concentrated in its Southern districts and among Scheduled Tribe and Scheduled Caste communities. The paper presents a case study of how the Government of Odisha in eastern India is transforming the health system for more equitable health and nutrition outcomes. This study provides evidence of how health systems can be strengthened to improve health equity in a low-income state. Health equity is high on the international agenda. Conclusion: This study demonstrates that Baiga is one of the PVTGs residing in dense forest in central India have low awareness and underutilization of MCH services. Due to lack of transport facilities and poverty they felt seeking health care was difficult and costly. It was observed that few women are disclosing their pregnancy status to their family members after first trimester women have many wrong perceptions about safe delivery and abortions. Participants were identified through the Accredited Social Health Activists (ASHAs) residing in the same village. Results: Twelve FDGs were undertaken by trained investigators one in each village. Content and thematic analysis was used to identify common responses and ideas. Areas explored included disclosure of pregnancy status, access barriers, perceptions about existing maternal and child health (MCH) services and influencing factors for utilization of traditional health care facilities. Methods: Focus Group Discussions (FDS) were conducted among ever married women aged 15-49 years. Maternal and child health care practices observed to be poor among particularly vulnerable tribal groups (PVTGs) in India. Introduction: Health improvement for the tribal and their delivery system cannot be the same because of cultural pattern, lifestyle and health seeking behavior of tribal population. ![]() Based on the survey and critical appraisals, strategic approach required for speedy achievement of universal coverages discussed focussing on the India’s north-east. The concept of universal health coverage and challenges that India faces are briefly discussed at the outset to describe the context. This review outlines the state of health care infrastructure and availability of services including key health indices and sheds light on universal health coverage in the seven north-eastern states vis-à-vis national scenario using 2005 as the base year, the year in which National Rural Health Mission (NRHM) was launched, which is now renamed as National Health Mission (NHM). Given these complexities, health problems of the masses acquire extra dimensions different to the rest of the country. Natural disaster such as floods are of regular occurrences in many areas, which wipes out many developmental gains made previously. Economic development has been slow but there has been growth in recent times and many societies are going through a transitional phase. In addition, the region shares long international borders. Many areas within the region are difficult to access. India’s Northeast is a home to numerous and diverse ethnic communities, each with its own unique socio-cultural characteristics and over 80 per cent of the population live in the rural areas.
0 Comments
Leave a Reply. |