Sahoo Kaberi, Nayak Soumya R, Khurana Priyanka
Department of Anthropology, Utkal University, Vani Vihar, Bhubaneswar, Odisha, India.
Indian J Community Med. 2023 Sep-Oct;48(5):696-701. doi: 10.4103/ijcm.ijcm_821_22. Epub 2023 Sep 7.
Social and economic position, environment, access to healthcare, ethos, and worldview are all important determinants of people's health-seeking behavior. Tribal communities in India oscillate between their emic rationale for the cause and treatment of health concerns on the one hand and affordable modern methods on the other. The present article is based on a study conducted among the Junag tribe of Odisha to understand their acceptance and preference for traditional or modern healthcare systems and the reasons for these choices.
Purposive sampling, a pre-structured schedule, an observation approach, case studies, and interviews with community members have been used to gather the primary data used in the study.
The study identified a diverse pattern of health-seeking behavior. From the four villages, 70% of respondents combined into cluster-1 preferred the traditional healthcare system, mostly for geographical and cultural reasons, as opposed to 95% of respondents from the villages in cluster-2, who preferred modern healthcare services because they were more easily accessible and involved modern healthcare providers.
In this research work, it has been found that the Juang tribe is in a transitional phase and uses a hybrid approach to health seeking. Moreover, it has also been discovered that important variables including cultural attitudes and the affordability of contemporary healthcare services have influenced people's decisions toward healthcare systems.
社会经济地位、环境、医疗保健可及性、精神特质和世界观都是人们寻求健康行为的重要决定因素。印度的部落社区一方面在对健康问题的病因和治疗的本土理论依据与另一方面可负担得起的现代方法之间摇摆不定。本文基于对奥里萨邦朱纳格部落进行的一项研究，以了解他们对传统或现代医疗保健系统的接受程度和偏好以及这些选择的原因。
采用了目的抽样、预先制定的时间表、观察法、案例研究以及与社区成员的访谈来收集研究中使用的原始数据。
该研究确定了一种多样化的寻求健康行为模式。在这四个村庄中，集群1中70%的受访者因地理和文化原因大多更喜欢传统医疗保健系统，而集群2中95%的村庄受访者更喜欢现代医疗保健服务，因为它们更容易获得且有现代医疗服务提供者参与。
在这项研究工作中，发现朱昂部落正处于过渡阶段，采用混合方式寻求健康。此外，还发现包括文化态度和当代医疗保健服务的可负担性等重要变量影响了人们对医疗保健系统的决策。
