ArticleBMC public health2026
Assessing the knowledge, attitude, and practices of reproductive health schemes among tribal women in Jharkhand: A cross-sectional study.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWomen of reproductive age form a significant population in India, with Jharkhand's tribal communities facing acute maternal health challenges. Despite progress in reducing maternal mortality, service utilisation remains low, with high rates of anaemia and undernutrition. This study aims to assess the knowledge, attitude, and practices of healthcare schemes among tribal women in the reproductive age group.
methodsA cross-sectional study was conducted in East Singhbhum, Jharkhand (March-November 2024), using purposive, simple random, and stratified sampling. Two blocks and twelve villages were selected, with participants divided into early adolescents (10-14 years), late adolescents (15-19 years), and women (20-49 years) to avoid overlap. The final sample size was 745. Analysis employed descriptive statistics and chi-square tests. Knowledge, Attitude, and Practices (KAP) scores regarding eight reproductive health schemes were also analysed.
resultsMost tribal women (ages 20-29) were married housewives with limited education, while adolescent girls were primarily students. Among women (20-29years), 76.6% had partial awareness of health schemes; only 1.7% were fully informed. About 62.3% accessed benefits, and 55% appreciated incentives. Adolescents (10-14years) showed 72.8% partial awareness; the 15-19 group had 93% awareness and 86% utilization. Education and tribal identity significantly influenced KAP outcomes (p < 0.001), underscoring schooling's critical role.
conclusionThe study reveals notable gaps in knowledge, attitudes, and practices regarding healthcare schemes among tribal women and adolescent girls. KAP scores highlighted knowledge deficits, and the majority had a positive attitude. However, the practices related to the utilisation of reproductive health schemes were found to be more inclined towards the schemes with cash incentives.
trial registrationClinical Trial Registry India (CTRI) CTRI/2024/03/063824 [Registered on 08/03/2024].
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