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Assessment of the inclusiveness of health services and challenges in the context of scheduled tribes in Kerala

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Original Article

Author Details : Shine Shaji, P. Mahendra Varman, N. Karunakaran*, R. Rema

Volume : 11, Issue : 4, Year : 2024

Article Page : 243-248

https://doi.org/10.18231/j.jmra.2024.041

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Abstract

This study investigates the health challenges faced by scheduled tribes (S.T.s) in Kerala, a state renowned for its progressive health indicators. Despite significant advancements in healthcare, S.T.s remains marginalised, with a population of 484839 as per the 2011 census. The paper aims to assess the inclusiveness of health services, explore the stagnation of health outcomes in tribal areas, evaluate the effectiveness of health policies, and examine the adequacy of existing health infrastructure. Employing a mixed-methods approach, the study reveals high illiteracy rates and limited access to employment as primary barriers to social and economic progress. Approximately 90 percent of the tribal population engages in seasonal, low-income labour, and around 80 percent live below the poverty line. Health issues prevalent among these communities include malnutrition, anaemia, and high rates of infectious diseases, exacerbated by inadequate sanitation and water facilities. The study highlights a concerning reliance on traditional practices, leading to underutilisation of available health services. Key findings indicate that maternal health and hygiene are critical areas needing intervention, particularly regarding menstrual health issues. The functioning of community health workers, such as ASHAs, requires enhancement to ensure timely access to healthcare information and services. Recommendations emphasise the need for targeted educational initiatives, improved employment opportunities, and better maintenance of health infrastructure to foster inclusivity and address the pressing health challenges faced by scheduled tribes in Kerala.

Keywords: Scheduled Tribes, Tribal Health Disparities, Healthcare Access, Kerala Public Health, Marginalised Communities

How to cite : Shaji S, Varman P M, Karunakaran N, Rema R, Assessment of the inclusiveness of health services and challenges in the context of scheduled tribes in Kerala. J Manag Res Anal 2024;11(4):243-248

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