Undernutrition Among the Adult Tribal Populations of India: Review and Meta-analysis

Venkatramana, P.; Latheef, S.A.A.

doi:10.1007/978-981-19-7230-0_8

Cited by 2 publications

(3 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ST women often face multiple barriers that hinder their access to quality health services, leading to higher pregnancy-related mortality and morbidity in the community. Limited availability of healthcare facilities, inadequate infrastructure, geographical remoteness, cultural and language barriers, and socio-economic disparities contribute to this issue (28) Additionally, traditional beliefs and practices related to childbirth and limited awareness about modern healthcare further exacerbate the problem (29). Our study attempts to capture wealth-and education-related inequalities in the utilisation of RMNCH services within ST communities in the states of Odisha and Jharkhand in India, employing two rounds of NFHS data.…”

Section: Discussionmentioning

confidence: 99%

Inequalities in the Utilisation of Reproductive, Maternal, Newborn, and Child Health Interventions within Scheduled Tribes in India: An Analysis of Odisha and Jharkhand

Mohan,

Vaidyanathan

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The utilisation of Reproductive, Maternal, Newborn and Child Health (RMNCH) services remains lower among the Scheduled Tribes (ST) in India than among the rest of the country’s population. The tribal population's poorest and least-educated households are further denied access to RMNCH care due to the intersection of their social status, wealth, and education levels. The study analyses the wealth- and education-related inequalities in the utilisation of RMNCH services within the ST population in Odisha and Jharkhand. Methodology: We have constructed two summary measures, namely Co-coverage indicator and a modified Composite Coverage Index (CC), to determine wealth- and education-related inequalities in the utilisation of RMNCH indicators within the ST population in Odisha and Jharkhand. The absolute and relative inequalities with respect to wealth and education within the ST population are estimated by employing the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII). Results: The results of the study highlight that access to RMNCH services is easier for women who are better educated and belong to wealthier households. The SII and RII values in the co-coverage indicator and modified CCI exhibit an increase in wealth-related inequalities in Odisha between NFHS-4 (2015-16) and NFHS-5 (2019-21). Whereas, in Jharkhand, the wealth- and education-related absolute and relative inequalities present a reduction between 2016 and 2021. Among the indicators, utilisation of vaccination was high, while the uptake of Antenatal Care Centre Visits and Vitamin A supplementation should be improved. Interpretation: The study results underscore the urgency of targeted policies and interventions to address the inequalities in accessing RMNCH services among ST communities. A multi-dimensional approach that considers the socioeconomic, cultural and geographical factors affecting healthcare should be adopted while formulating health policies to reduce the inequalities in access to healthcare.

show abstract

Section: Discussionmentioning

confidence: 99%

Inequalities in the Utilisation of Reproductive, Maternal, Newborn, and Child Health Interventions within Scheduled Tribes in India: An Analysis of Odisha and Jharkhand

Mohan,

Vaidyanathan

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…The trial was conducted in 148 clusters (village and surrounding hamlets) in four blocks of Keonjhar district, Odisha, India. Keonjhar is a heavily forested landlocked district where 45% of the population belongs to historically disadvantaged groups, Scheduled Tribes, who endure high rates of poverty and undernutrition [13,14]. The UPAVAN study arms included: AGRI: Fortnightly women's group meetings using NSA participatory videos; AGRI-NUT: Fortnightly women's group meetings using NSA videos once per month and nutrition-specific participatory videos once per month; AGRI-NUT+PLA: Women's group meetings using participatory NSA videos once per month and nutrition-specific participatory learning and action meetings or videos once per month;…”

Section: Introductionmentioning

confidence: 99%

Feasibility, acceptability and equity of a mobile intervention for Upscaling Participatory Action and Videos for Agriculture and Nutrition (m-UPAVAN) in rural Odisha, India

Fivian,

Parida,

Harris-Fry

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

Addressing undernutrition requires strategies that remove barriers to health for all. We adapted an intervention from the ‘UPAVAN’ trial to a mobile intervention (m-UPAVAN) during the COVID-19 pandemic in rural Odisha, India. In UPAVAN, women’s groups viewed and discussed participatory videos on nutrition-specific and nutrition-sensitive agricultural (NSA) topics. In m-UPAVAN, weekly videos and audios on the same topics were disseminated via WhatsApp and an interactive voice response system. We assessed feasibility, acceptability, and equity of m-UPAVAN using a convergent parallel mixed-methods design. m-UPAVAN ran from Mar-Sept 2021 in 133 UPAVAN villages. In Feb-Mar 2021, we invited 1000 mothers of children aged 0–23 months to participate in a sociodemographic phone survey. Of those, we randomly sampled 200 mothers each month for five months for phone surveys to monitor progress against targets. Feasibility targets were met if >70% received videos/audios and >50% watched/listened at least once. Acceptability targets were met if >75% of those watching/listening liked the videos/audios and <20% opted out of the intervention. We investigated mothers’ experiences of the intervention, including preferences for m-UPAVAN versus UPAVAN, using in-person, semi-structured interviews (n = 38). Of the 810 mothers we reached, 666 provided monitoring data at least once. Among these mothers, feasibility and acceptability targets were achieved. m-UPAVAN engaged whole families, which facilitated family-level discussions around promoted practices. Women valued the ability to access m-UPAVAN content on demand. This advantage did not apply to many mothers with limited phone access. Mothers highlighted that the UPAVAN interventions’ in-person participatory approaches and longer videos were more conducive to learning and inclusive, and that mobile approaches provide important complementarity. We conclude that mobile NSA interventions are feasible and acceptable, can engage families, and reinforce learning. However, in-person participatory approaches remain essential for improving equity of NSA interventions. Investments are needed in developing and testing hybrid NSA interventions.

show abstract

Undernutrition Among the Adult Tribal Populations of India: Review and Meta-analysis

Cited by 2 publications

References 36 publications

Inequalities in the Utilisation of Reproductive, Maternal, Newborn, and Child Health Interventions within Scheduled Tribes in India: An Analysis of Odisha and Jharkhand

Inequalities in the Utilisation of Reproductive, Maternal, Newborn, and Child Health Interventions within Scheduled Tribes in India: An Analysis of Odisha and Jharkhand

Feasibility, acceptability and equity of a mobile intervention for Upscaling Participatory Action and Videos for Agriculture and Nutrition (m-UPAVAN) in rural Odisha, India

Contact Info

Product

Resources

About