A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context
Summary: Background: Indigenous tribal communities in the state of Odisha, eastern India, face persistent health disparities driven by socio-economic marginalisation, geographical isolation, and limited healthcare access. The Odisha Tribal Family Health Survey (OTFHS) aimed to comprehensively asses...
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| Format: | Article |
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Elsevier
2025-07-01
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| Series: | The Lancet Regional Health - Southeast Asia |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772368225000824 |
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| author | Jaya Singh Kshatri Kavitha AK Tanveer Rehman Haimanti Bhattacharya Dinesh Bhuyan Asit Mansingh Uttam Kumar Sahoo Moushumi Nayak Swagatika Kanungo Debdutta Bhattacharya Sanghamitra Pati |
| author_facet | Jaya Singh Kshatri Kavitha AK Tanveer Rehman Haimanti Bhattacharya Dinesh Bhuyan Asit Mansingh Uttam Kumar Sahoo Moushumi Nayak Swagatika Kanungo Debdutta Bhattacharya Sanghamitra Pati |
| author_sort | Jaya Singh Kshatri |
| collection | DOAJ |
| description | Summary: Background: Indigenous tribal communities in the state of Odisha, eastern India, face persistent health disparities driven by socio-economic marginalisation, geographical isolation, and limited healthcare access. The Odisha Tribal Family Health Survey (OTFHS) aimed to comprehensively assess the health status, socio-demographic characteristics, and healthcare utilisation patterns of Odisha’s tribal populations. Methods: A community-based survey was conducted between July 2022 and July 2023, covering 9711 households across 389 clusters in 14 tribal-dominated districts in Odisha. The study included 30,292 participants from 53 notified tribal groups. The study included participants of all age groups (from neonates to the elderly, aged 0 years and above), with 56% of the sample comprising females. Individuals belonging to one of the notified tribes who were permanent residents and provided written consent were included, while bedridden individuals and those with recognisable cognitive impairments were excluded. Data collection involved the use of structured tools at the household and individual levels, anthropometric measurements, point-of-care tests (including blood pressure, random blood glucose, and haemoglobin levels, as well as haemoglobinopathy screening), and laboratory analyses of blood serum samples (for liver function, kidney function, and lipid and iron profiles). Findings: OTFHS revealed that 88.0% of children aged 12–23 months were fully vaccinated and over 40% of children younger than five years were stunted or underweight. Anaemia affected 71.3% of children aged 6–59 months, with prevalence remaining high among adolescents (76.1% of females, 56.9% of males) and adults (77.5% of women, 42.1% of men). 93.0% of women had bank accounts and 91.4% of births occurred in healthcare facilities. Gaps persisted in antenatal care (40.3% completed four or more visits) and hygienic menstrual practices (35.8% of women). Interpretation: OTFHS offers crucial disaggregated data, guiding targeted health improvements and policy reforms essential for bridging health equity gaps. The specific focus on Indigenous populations and a broader look at the social determinants alongside health indicators reflect the multi-dimensional nature of healthcare interventions needed for vulnerable groups. Funding: Scheduled Castes and Scheduled Tribes Research and Training Institute (SCSTRTI), Odisha, India. |
| format | Article |
| id | doaj-art-b3853d44316341fabffa0e902128eff3 |
| institution | OA Journals |
| issn | 2772-3682 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
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| series | The Lancet Regional Health - Southeast Asia |
| spelling | doaj-art-b3853d44316341fabffa0e902128eff32025-08-20T02:05:09ZengElsevierThe Lancet Regional Health - Southeast Asia2772-36822025-07-013810061110.1016/j.lansea.2025.100611A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in contextJaya Singh Kshatri0Kavitha AK1Tanveer Rehman2Haimanti Bhattacharya3Dinesh Bhuyan4Asit Mansingh5Uttam Kumar Sahoo6Moushumi Nayak7Swagatika Kanungo8Debdutta Bhattacharya9Sanghamitra Pati10ICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, India; Nodal Officer, Model Rural Health Research Unit, Sheragada, Ganjam, IndiaICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, IndiaICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, IndiaICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, IndiaKalinga Institute of Medical Science, KIIT Deemed to be University, Bhubaneswar, Odisha, IndiaMS Swaminathan Research Foundation, Jeypore, Odisha, IndiaScheduled Castes and Scheduled Tribes Research and Training Institute (SCSTRTI), Odisha, IndiaScheduled Castes and Scheduled Tribes Research and Training Institute (SCSTRTI), Odisha, IndiaScheduled Castes and Scheduled Tribes Research and Training Institute (SCSTRTI), Odisha, IndiaICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, IndiaICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, India; Additional Director General, Indian Council of Medical Research, New Delhi, India; Corresponding author. ICMR- Regional Medical Research Centre, Chandrasekharpur, Bhubaneswar, Odisha 751023, India.Summary: Background: Indigenous tribal communities in the state of Odisha, eastern India, face persistent health disparities driven by socio-economic marginalisation, geographical isolation, and limited healthcare access. The Odisha Tribal Family Health Survey (OTFHS) aimed to comprehensively assess the health status, socio-demographic characteristics, and healthcare utilisation patterns of Odisha’s tribal populations. Methods: A community-based survey was conducted between July 2022 and July 2023, covering 9711 households across 389 clusters in 14 tribal-dominated districts in Odisha. The study included 30,292 participants from 53 notified tribal groups. The study included participants of all age groups (from neonates to the elderly, aged 0 years and above), with 56% of the sample comprising females. Individuals belonging to one of the notified tribes who were permanent residents and provided written consent were included, while bedridden individuals and those with recognisable cognitive impairments were excluded. Data collection involved the use of structured tools at the household and individual levels, anthropometric measurements, point-of-care tests (including blood pressure, random blood glucose, and haemoglobin levels, as well as haemoglobinopathy screening), and laboratory analyses of blood serum samples (for liver function, kidney function, and lipid and iron profiles). Findings: OTFHS revealed that 88.0% of children aged 12–23 months were fully vaccinated and over 40% of children younger than five years were stunted or underweight. Anaemia affected 71.3% of children aged 6–59 months, with prevalence remaining high among adolescents (76.1% of females, 56.9% of males) and adults (77.5% of women, 42.1% of men). 93.0% of women had bank accounts and 91.4% of births occurred in healthcare facilities. Gaps persisted in antenatal care (40.3% completed four or more visits) and hygienic menstrual practices (35.8% of women). Interpretation: OTFHS offers crucial disaggregated data, guiding targeted health improvements and policy reforms essential for bridging health equity gaps. The specific focus on Indigenous populations and a broader look at the social determinants alongside health indicators reflect the multi-dimensional nature of healthcare interventions needed for vulnerable groups. Funding: Scheduled Castes and Scheduled Tribes Research and Training Institute (SCSTRTI), Odisha, India.http://www.sciencedirect.com/science/article/pii/S2772368225000824Indigenous healthScheduled tribesMalnutritionAnaemiaOdishaPublic healthcare |
| spellingShingle | Jaya Singh Kshatri Kavitha AK Tanveer Rehman Haimanti Bhattacharya Dinesh Bhuyan Asit Mansingh Uttam Kumar Sahoo Moushumi Nayak Swagatika Kanungo Debdutta Bhattacharya Sanghamitra Pati A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context The Lancet Regional Health - Southeast Asia Indigenous health Scheduled tribes Malnutrition Anaemia Odisha Public healthcare |
| title | A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context |
| title_full | A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context |
| title_fullStr | A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context |
| title_full_unstemmed | A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context |
| title_short | A comprehensive assessment of health indicators among tribal populations in Odisha, India (Odisha Tribal Family Health Survey): a community-based, cross-sectional studyResearch in context |
| title_sort | comprehensive assessment of health indicators among tribal populations in odisha india odisha tribal family health survey a community based cross sectional studyresearch in context |
| topic | Indigenous health Scheduled tribes Malnutrition Anaemia Odisha Public healthcare |
| url | http://www.sciencedirect.com/science/article/pii/S2772368225000824 |
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