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. 2019 Oct;44(Suppl 1):S57-S61.
doi: 10.4103/ijcm.IJCM_46_19.

Comparison of Health-care Utilization Pattern and its Correlates among the Tribal and NonTribal Population of Kerala

Hisham Moosan  1   2 , Antony Stanley  1   2 , Aslesh Ottapura Prabhakaran  1   3 , Krishnapillai Vijayakumar  1   4 , A K Jayasree  1   5 , Soumya Gopakumar  1   6
Affiliations

Comparison of Health-care Utilization Pattern and its Correlates among the Tribal and NonTribal Population of Kerala

Hisham Moosan et al. Indian J Community Med. 2019 Oct.

Abstract

Background: The isolation from mainstream development activities, together with poverty and inaccessibility to health facilities made the tribal communities specifically vulnerable to various health problems.

Objectives: This study aimed to compare the utilization of antenatal care, immunization, and supplementary nutrition services by tribal and nontribal mothers and its correlates in the selected districts.

Materials and methods: The study was a comparative cross-sectional study. The study population comprised tribal and nontribal mothers utilizing antenatal care, immunization, and supplementary nutrition services. A multi-stage cluster sampling strategy was employed for the study. The Chi-square test was used to assess the association between antenatal care services utilization, utilization of immunization services, supplementary nutrition services utilization and sociodemographic variables, and other service characteristics.

Results: Effective utilization of antenatal care services was not seen in 5.6% of tribal mothers. The incidence of low-birth weight (≤2500) was significantly more among tribal mothers (31%) when compared to nontribal mothers (15%). The proportion of tribal children receiving complete immunization without delay was 74%, and among nontribal children, it was 78%. Effective immunization coverage was significantly lower among children of tribal mothers with education below high school level. Receipt of take-home ration was reported by nearly 90% of tribal and nontribal mothers. 90% of tribal mothers felt that quality of take-home ration that they received was of good quality.

Conclusions: The comparison of health-care utilization restricted to the domains of antenatal care, immunization services, and supplementary nutrition suggests that the tribal mothers and children had a relatively comparable utilization pattern in most of the indicators measured.

Keywords: Health-care utilization; Kerala; immunization; inequity; tribal.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. msthapa.rgi. Primary Census Abstract for Scheduled Tribes, 2011 – Kerala. 2014. [Last accessed on 2019 Jul 18]. Available from: https://data.gov.in/resources/primary-census-abstract-scheduled-tribes-2... .
    1. Scheduled Tribe Data – Census 2011. India: [Last accessed on 2019 Jul 18]. Available from: https://www.census2011.co.in/scheduled-tribes.php .
    1. Bijoy CR, Raman KR. Muthanga: the real story: Adivasi movement to recover land. Economic and Political Weekly. 2003:1975–82.
    1. Bijoy CR. Adivasis betrayed: Adivasi land rights in Kerala. Economic and Political Weekly, 1999;34:1329–35.
    1. Anuradha RV. Sharing with the Kanis: A case study from Kerala, India. In Submitted to the Secretariat of the Convention on Biological Diversity. 1998