ArticleHealth research policy and systems2024
To leave no one behind: Assessing utilization of maternal newborn and child health services by all the 13 particularly vulnerable tribal groups (PVTGs) of Odisha, India.
Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Overweight/obesity clustering and wealth differentials among indigenous households in Eastern India.Scientific reports · 2026Article
- Socio economic vulnerability and forgone health care among tribal population: a cross-sectional study from a block of Nagpur district in central India.BMC public health · 2026Article
- A systematic scoping review of health-seeking behavior and healthcare utilization in tribal communities of odisha, india: concentration on maternal and child health.BMC public health · 2025Article
- Utilization rate and associated factors of ANC care services among Santhal tribe women of Jharkhand, India-A cross-sectional study.Journal of family medicine and primary care · 2025Article
- Women at the Heart of Tribal Healthcare: A Reflection from a Rural Medical Elective in Southern India.The Ulster medical journal · 2025Article
- Beyond Visit Counts: A Concept Analysis of Patient-Centered, Quality-Oriented Maternal and Child Healthcare Utilization.SAGE open nursingArticle
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10 authors.
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Abstract
backgroundIndigenous tribal people experience lower coverage of maternal, newborn and child healthcare (MNCH) services worldwide, including in India. Meanwhile, Indian tribal people comprise a special sub-population who are even more isolated, marginalized and underserved, designated as particularly vulnerable tribal groups (PVTGs). However, there is an extreme paucity of evidence on how this most vulnerable sub-population utilizes health services. Therefore, we aimed to estimate MNCH service utilization by all the 13 PVTGs of the eastern Indian state of Odisha and compare that with state and national rates.
methodsA total of 1186 eligible mothers who gave birth to a live child in last 5 years, were interviewed using a validated questionnaire. The weighted MNCH service utilization rates were estimated for antenatal care (ANC), intranatal care (INC), postnatal care (PNC) and immunization (for 12-23-month-old children). The same rates were estimated for state (n = 7144) and nationally representative samples (n = 176 843) from National Family Health Survey-5.
resultsThe ANC service utilization among PVTGs were considerably higher than national average except for early pregnancy registration (PVTGs 67% versus national 79.9%), and 5 ANC components (80.8% versus 82.3%). However, their institutional delivery rates (77.9%) were lower than averages for Odisha (93.1%) and India (90.1%). The PNC and immunization rates were substantially higher than the national averages. Furthermore, the main reasons behind greater home delivery in the PVTGs were accessibility issues (29.9%) and cultural barriers (23.1%).
conclusionOurs was the first study of MNCH service utilization by PVTGs of an Indian state. It is very pleasantly surprising to note that the most vulnerable subpopulation of India, the PVTGs, have achieved comparable or often greater utilization rates than the national average, which may be attributable to overall significantly better performance by the Odisha state. However, PVTGs have underperformed in terms of timely pregnancy registration and institutional delivery, which should be urgently addressed.
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