Siva N, Mohanty Kasturi, Rath Rashmipriya, Mishra Shubhasmita, Mishra Monalisa, Samal Krishna, Das Sasmita, Rath Navaneeta
Department of Child Health Nursing, SUM Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneshwar, Odisha, India.
Department of Sociology, Sum Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneswar, Odisha, India.
BMC Public Health. 2025 Aug 16;25(1):2801. doi: 10.1186/s12889-025-24079-z.
Maternal and child health among tribal populations in Odisha, India, is significantly influenced by socio-economic, cultural, and infrastructural factors. Cultural practices, reliance on traditional medicine, and limited awareness of modern healthcare benefits shape health-seeking behavior. This scoping review synthesises evidence on health-seeking behaviour, healthcare utilisation, awareness of healthcare services, government policies, and barriers in tribal communities in Odisha, India.
This scoping review was conducted following the Joanna Briggs Institute guidelines. We followed the Arksey and O'Malley methodological framework and applied the PAGER framework (Patterns, Advances, Gaps, Evidence for Practice, Research Recommendations) for quality of reporting. Studies were identified through systematic searches of international and Indian databases, Indian journal websites, organisational websites, repositories, and registries, focusing on health-seeking behaviour and healthcare utilisation among Odisha's tribal communities. Only English-language articles published between January 2011 and July 2024 were included. The methodological quality of the selected studies was independently assessed by two reviewers using the JBI Quality Assessment Checklist.
A total of 39 studies, encompassing 36,613 participants, were included in the review. The findings highlight significant barriers to healthcare access among tribal communities, including poverty, illiteracy, cultural practices, geographic isolation, distance to healthcare centres, transportation availability and mistrust of government services. While some tribes have shown progress in adopting modern healthcare services, many continue to rely on traditional medicine and indigenous practices. Socio-cultural factors, such as patriarchal norms and religious rituals, further influence healthcare-seeking behavior. Government initiatives like the National Rural Health Mission and the Integrated Child Development Services have had some success in improving healthcare utilisation among tribal populations. However, strengthening community support, conducting village-level awareness campaigns, and implementing targeted educational interventions can play a transformative role in enhancing healthcare access and overall well-being.
Improving maternal and child health in Odisha's tribal populations requires culturally sensitive approaches integrated with modern healthcare strategies. Enhancing awareness, infrastructure, and community health workers' roles can bridge access gaps while respecting tribal traditions.
印度奥里萨邦部落人口的母婴健康受到社会经济、文化和基础设施因素的显著影响。文化习俗、对传统医学的依赖以及对现代医疗保健益处的有限认知塑造了人们的就医行为。本范围综述综合了有关印度奥里萨邦部落社区就医行为、医疗保健利用、医疗服务认知、政府政策及障碍的证据。
本范围综述遵循乔安娜·布里格斯研究所的指南进行。我们遵循阿克西和奥马利的方法框架，并应用PAGER框架（模式、进展、差距、实践证据、研究建议）来保证报告质量。通过对国际和印度数据库、印度期刊网站、组织网站、知识库和登记处进行系统检索来识别研究，重点关注奥里萨邦部落社区的就医行为和医疗保健利用情况。仅纳入2011年1月至2024年7月发表的英文文章。两名评审员使用JBI质量评估清单对所选研究的方法质量进行独立评估。
本综述共纳入39项研究，涉及36,613名参与者。研究结果凸显了部落社区在获得医疗保健方面存在的重大障碍，包括贫困、文盲、文化习俗、地理隔离、到医疗中心的距离、交通便利性以及对政府服务的不信任。虽然一些部落在采用现代医疗服务方面取得了进展，但许多部落仍然依赖传统医学和本土做法。社会文化因素，如父权制规范和宗教仪式，进一步影响就医行为。诸如国家农村卫生使命和综合儿童发展服务等政府举措在提高部落人口的医疗保健利用率方面取得了一些成功。然而，加强社区支持、开展村级宣传活动以及实施有针对性的教育干预措施，对于改善医疗保健可及性和整体福祉可发挥变革性作用。
改善奥里萨邦部落人口的母婴健康需要将文化敏感方法与现代医疗保健策略相结合。提高认知、改善基础设施以及发挥社区卫生工作者的作用，在尊重部落传统的同时，可以弥合医疗保健可及性差距。
