ArticlePloS one2020
A qualitative study of the barriers to utilizing healthcare services among the tribal population in Assam.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed.
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- Multi-stakeholder perspectives on reproductive and adolescent healthcare schemes in tribal regions of India: A qualitative study.PloS one · 2026Article
- Evidence of secondary anopheline vectors in sustaining malaria transmission in Kokrajhar District, Assam, Northeastern India.Parasites & vectors · 2025Article
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- Empowering Healthcare Access: Ethnographic Insights into Sustainable Solutions for a Particularly Vulnerable Tribal Group (PVTG) in South India- a Qualitative Research.F1000Research · 2025Article
- Undiagnosed hypertension and associated factors among older adults in Gedeo zone, southern Ethiopia: A mixed methods approach.PloS one · 2025Article
- Catastrophic health expenditure of inpatients in emerging economies: evidence from the Indian subcontinent.Health research policy and systems · 2024Article
- Reproductive and child health transition among selected empowered action groups states of India: A district-level analysis.PloS one · 2024Article
- Health and social needs of older adults in slum communities in Ghana: a phenomenological approach used in 2021.Archives of public health = Archives belges de sante publique · 2023Article
- How to make services adolescent friendly? A cross-sectional study on awareness of adolescent friendly health clinics in Central India.Journal of family medicine and primary care · 2022Article
- Utilization of health services among the elderly in Iran during the COVID-19 outbreak: A cross-sectional study.Health science reports · 2022Article
- Epidemiological scenario of leprosy in marginalized communities of India: Focus on scheduled tribes.The Indian journal of medical research · 2022Review
- Decomposing the rural-urban gap in the prevalence of undiagnosed, untreated and under-treated hypertension among older adults in India.BMC public health · 2022Article
- Determinants of rural-urban differential in healthcare utilization among the elderly population in India.BMC public health · 2021Article
- Regional inequality in the Janani Suraksha Yojana coverage in India: a geo-spatial analysis.International journal for equity in health · 2021Article
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2 authors.
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Abstract
objectiveWe aim to explore the barriers to accessing modern healthcare services in two tribal populations in Assam.
methodsIn March 2018, we conducted qualitative research through 60 in-depth interviews with men and women aged 15 to 50 from Bodo and Rabha tribes in Udalguri and Baksa districts of Assam. We interviewed a group of health-service providers from public health facilities to understand the demand-supply balance in those facilities.
findingsOn the demand side, direct and indirect financial obstacles, distance to health facilities, poor public transportation, perceived negative behavior of hospital staff, and lack of infrastructure were the main barriers to utilizing healthcare facilities. On the supply side, doctors and nurses in government health facilities were overburdened by demand due to a lack of human resources.
conclusionsOur study highlights the barriers to utilizing health facilities; these are not always driven by factors linked to the patient's socio-economic status but also depend significantly on the quality of the health services and other contextual factors. Although the government has made efforts to improve the rural healthcare system through national-level programs, our qualitative study shows that these programs have not been successful in enhancing the rural healthcare system in the study area.
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