Evidence map›Paper›PMID 40819166›Full record

ArticleBMC public health2025

A systematic scoping review of health-seeking behavior and healthcare utilization in tribal communities of odisha, india: concentration on maternal and child health.

N Siva, Kasturi Mohanty, Rashmipriya Rath, Shubhasmita Mishra, Monalisa Mishra, Krishna Samal, Sasmita Das, Navaneeta Rath

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

N SivaDepartment of Child Health Nursing, SUM Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneshwar, Odisha, India.ORCID http://orcid.org/0000-0002-4320-7904
Kasturi MohantyDepartment of Sociology, Sum Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneswar, Odisha, India.ORCID http://orcid.org/0009-0009-1874-0537
Rashmipriya RathDepartment of Medical-Surgical Nursing, Sum Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneswar, Odisha, India.ORCID http://orcid.org/0009-0008-7773-5618
Shubhasmita MishraDepartment of Child Health Nursing, SUM Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneshwar, Odisha, India.ORCID http://orcid.org/0009-0006-3017-0723
Monalisa MishraDepartment of Humanities and Social Science, Shiksha 'O' Anusandhan (SOA) University, Bhubaneshwar, Odisha, India.ORCID http://orcid.org/0009-0001-9457-7710
Krishna SamalDepartment of Humanities and Social Science, Shiksha 'O' Anusandhan (SOA) University, Bhubaneshwar, Odisha, India.ORCID http://orcid.org/0009-0002-0132-2418
Sasmita DasDepartment of Medical-Surgical Nursing, Sum Nursing College, Shiksha 'O' Anusandhan (SOA) University, Bhubaneswar, Odisha, India. sasmita.snc@soa.ac.in.ORCID http://orcid.org/0000-0003-1084-7304
Navaneeta RathDepartment of Sociology, Utkal University, Bhubaneswar, Odisha, India.ORCID http://orcid.org/0000-0002-5615-2770

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal and child health among tribal populations in Odisha, India, is significantly influenced by socio-economic, cultural, and infrastructural factors. Cultural practices, reliance on traditional medicine, and limited awareness of modern healthcare benefits shape health-seeking behavior. This scoping review synthesises evidence on health-seeking behaviour, healthcare utilisation, awareness of healthcare services, government policies, and barriers in tribal communities in Odisha, India.

methodsThis scoping review was conducted following the Joanna Briggs Institute guidelines. We followed the Arksey and O'Malley methodological framework and applied the PAGER framework (Patterns, Advances, Gaps, Evidence for Practice, Research Recommendations) for quality of reporting. Studies were identified through systematic searches of international and Indian databases, Indian journal websites, organisational websites, repositories, and registries, focusing on health-seeking behaviour and healthcare utilisation among Odisha's tribal communities. Only English-language articles published between January 2011 and July 2024 were included. The methodological quality of the selected studies was independently assessed by two reviewers using the JBI Quality Assessment Checklist.

resultsA total of 39 studies, encompassing 36,613 participants, were included in the review. The findings highlight significant barriers to healthcare access among tribal communities, including poverty, illiteracy, cultural practices, geographic isolation, distance to healthcare centres, transportation availability and mistrust of government services. While some tribes have shown progress in adopting modern healthcare services, many continue to rely on traditional medicine and indigenous practices. Socio-cultural factors, such as patriarchal norms and religious rituals, further influence healthcare-seeking behavior. Government initiatives like the National Rural Health Mission and the Integrated Child Development Services have had some success in improving healthcare utilisation among tribal populations. However, strengthening community support, conducting village-level awareness campaigns, and implementing targeted educational interventions can play a transformative role in enhancing healthcare access and overall well-being.

conclusionImproving maternal and child health in Odisha's tribal populations requires culturally sensitive approaches integrated with modern healthcare strategies. Enhancing awareness, infrastructure, and community health workers' roles can bridge access gaps while respecting tribal traditions.

Indexed as

Child HealthMaternal HealthPatient Acceptance of Health CareSouth Asian PeopleChildFemaleHumansIndiaChildHealthcare accessHealthcare policiesHealthcare utilisationHealth-seeking behaviourMotherOdishaSocio-cultural barriersTribal health

Identifiers

PMID40819166
PMCPMC12357398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.