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ORIGINAL ARTICLE Table of Contents   
Year : 2019  |  Volume : 44  |  Issue : 5  |  Page : 57-61
Comparison of health-care utilization pattern and its correlates among the tribal and nontribal population of Kerala


1 Health Action by People; Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
2 Health Action by People, Thiruvananthapuram; Department of Community Medicine, Government Medical College, Thrissur, Kerala, India
3 Health Action by People, Thiruvananthapuram; Department of Community Medicine, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
4 Health Action by People, Thiruvananthapuram; Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kochi, Kerala, India
5 Health Action by People; Department of Community Medicine, Dr. Somervell Memorial CSI Medical College, Thiruvananthapuram, Kerala, India

Correspondence Address:
Dr. Antony Stanley
PhD Scholar, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_46_19

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Background: The isolation from mainstream development activities, together with poverty and inaccessibility to health facilities made the tribal communities specifically vulnerable to various health problems. Objectives: This study aimed to compare the utilization of antenatal care, immunization, and supplementary nutrition services by tribal and nontribal mothers and its correlates in the selected districts. Materials and Methods: The study was a comparative cross-sectional study. The study population comprised tribal and nontribal mothers utilizing antenatal care, immunization, and supplementary nutrition services. A multi-stage cluster sampling strategy was employed for the study. The Chi-square test was used to assess the association between antenatal care services utilization, utilization of immunization services, supplementary nutrition services utilization and sociodemographic variables, and other service characteristics. Results: Effective utilization of antenatal care services was not seen in 5.6% of tribal mothers. The incidence of low-birth weight (≤2500) was significantly more among tribal mothers (31%) when compared to nontribal mothers (15%). The proportion of tribal children receiving complete immunization without delay was 74%, and among nontribal children, it was 78%. Effective immunization coverage was significantly lower among children of tribal mothers with education below high school level. Receipt of take-home ration was reported by nearly 90% of tribal and nontribal mothers. 90% of tribal mothers felt that quality of take-home ration that they received was of good quality. Conclusions: The comparison of health-care utilization restricted to the domains of antenatal care, immunization services, and supplementary nutrition suggests that the tribal mothers and children had a relatively comparable utilization pattern in most of the indicators measured.


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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007