Tribal health 1-2
As per wh0 health is a state of complete physical mental and social well being not just absence of disease.
Tribal health status. Nfhs 3 and 4 census 2011.
St vsAll India
Life expectancy 64 67
Infant mortality 44 and 40
Anaemia in women 60% and 53%
Child stunting 27% and 21%
Tobacco use 72% and 56%
Tap water 11% and 28%
Immunisations 56% 72%
Observations by Ajay bang 2018 and zaza report 2014
Types of diseases
Due to under development. Malnutrition, communicable diseases HIV and TB, child and maternal mortality
Specific to tribals. Animal bites, accidents and sickle cell anaemia.
Due to modernity. Hypertension alcoholism and drug abuse specially in North East.
- land alienation, exploitation and deforestation by Britishers, outsider's and govt apathy.
is poor in nutrition protein vitamin iron. Eg sahariya tribe.
Determinants of health -
Water and sanitation - poor
Health infrastructure, staff, medicines, Access to health centres. Faced by chenchus of Prakasam district.
Tribal participation in programs and schemes
Include local healers in healthcare system
Organised tribal health councils and annual health assembly
Robust database to monitor tribal health
So we need anthropological approach to improve tribal health.
Niehoff 1966. kalahandi case study. Small pox
Mgnrega ranchi jal mission