Kumar M Mohan, Pathak Vineet Kumar, Ruikar Manisha
Department of Community and Family Medicine, Medical College Building, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
J Family Med Prim Care. 2020 Feb 28;9(2):508-512. doi: 10.4103/jfmpc.jfmpc_992_19. eCollection 2020 Feb.
India with 8.6% of tribal population is finding it difficult to bridge the gap that exists between tribal and non-tribal population in regards to healthcare. Tribal population suffers triple burden of disease; in fact it is quadruple, namely, communicable diseases, non-communicable diseases, malnutrition, mental health, and addictions complicated by poor health seeking behavior. With increasing needs, an Expert committee on Tribal health has given recommendations with the goal to bridge the current gap in the health status of tribal people latest by the year 2027. An entirely parallel health system has been proposed with key focus areas, governance, and financing. To summarize and report the present scenario in terms of disease burden, health-seeking behavior, healthcare delivery system, and a roadmap for the future along the importance of primary healthcare in achieving it. Mere establishment of more health facilities cannot overcome the poor health of tribal population and so the role of trained manpower to deliver quality healthcare, in which case the role of traditional healers, local Tribal boys and girls comes in handy. It is high time and states should act swiftly to assess the needs, priorities of their own tribal population and set goals, targets to achieve the same through proven public health strategies.
印度有8.6%的部落人口，在弥合部落人口与非部落人口在医疗保健方面存在的差距方面面临困难。部落人口承受着三重疾病负担；实际上是四重负担，即传染病、非传染病、营养不良、心理健康以及因不良就医行为而复杂化的成瘾问题。随着需求的增加，一个部落健康专家委员会已提出建议，目标是最迟在2027年弥合目前部落人民健康状况方面的差距。已提议建立一个完全平行的卫生系统，重点关注关键领域、治理和融资。总结并报告当前在疾病负担、就医行为、医疗服务提供系统方面的情况，以及沿着初级医疗保健在实现这一目标方面的重要性制定未来路线图。仅仅建立更多的卫生设施并不能克服部落人口健康状况不佳的问题，因此受过培训的人力在提供高质量医疗保健方面的作用就显得尤为重要，在这种情况下，传统治疗师、当地部落男孩和女孩的作用就会派上用场。现在是时候了，各邦应迅速采取行动，评估本邦部落人口的需求、优先事项，并设定目标，通过经过验证的公共卫生战略来实现这些目标。
