Ashish Satav, Kavita Satav, Vibhawari Dani, Dhananjay Raje, Shubhada Khirwadkar, Genevie Fernandes, Vitthal Pande, Manik Palaskar, Sukarai Jambekar
MAHAN Trust, Dharni, Amaravati, Maharashtra, India.
Usher Institute, University of Edinburgh, Respire, Edinburgh, UK.
J Glob Health. 2025 Jun 27;15:03020. doi: 10.7189/jogh.15.03020.
Tribal communities constitute around 9% of India's population, facing severe socioeconomic and health disparities. High maternal and infant mortality, adult mortality, malnutrition, infectious and non-communicable diseases, and addiction pose significant challenges. Limited health care access, long distances, inadequate infrastructure, and cultural reliance on traditional medicine exacerbate poor health outcomes. MAHAN Trust has addressed these challenges in the remote Melghat region since 1997 through culturally sensitive, community-driven health care interventions. Ethical and participatory community engagement has significantly reduced malnutrition and mortality in Melghat. These scalable, low-cost strategies can be adapted to improve tribal health outcomes in other low-resource settings globally.
部落社区约占印度人口的9%，面临着严重的社会经济和健康差距。孕产妇和婴儿死亡率高、成人死亡率高、营养不良、传染病和非传染性疾病以及成瘾问题构成了重大挑战。医疗保健服务有限、路途遥远、基础设施不足以及对传统医学的文化依赖加剧了健康状况不佳的后果。自1997年以来，MAHAN信托基金通过具有文化敏感性、由社区驱动的医疗保健干预措施，在偏远的梅尔加特地区应对了这些挑战。符合道德规范且具有参与性的社区参与显著降低了梅尔加特的营养不良和死亡率。这些可扩展、低成本的策略可加以调整，以改善全球其他资源匮乏地区的部落健康状况。
