Morbidity pattern among tribal farmers in a selected district of Tripura, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241182Keywords:
Framer, Tripura, India, Acute Disease, Chronic Disease, Tribal Farmer, Tribal HealthAbstract
Background: Tribal communities in Tripura comprise 31.76% of the state's total population. The tribal people of Tripura are primarily farmers, and in spite of concerns about their poor health and unfulfilled requirements, they continue to get healthcare in isolated locations where there are obstacles such as undernourishment, a lack of medical facilities, and a labor scarcity. The study's objective is to ascertain the morbidity pattern among tribal farmers in Tripura.
Methods: In 2021 after receiving approval from IIPS, Mumbai, selected farmers from Dhalai district were surveyed. We utilised cross-tabulation, chi2, PCA and straightforward logistic regression.
Results: Only 5.17% of the sample population had higher education, 54.1% overall was male, and 23.1% were smokers. Jhum (Hill) cultivation was used by 15.5%, while regular (plain) farming was used by 84.5%. Tribal farmers in Tripura were suffered by both acute and chronic diseases. Diarrhoea and fever amongst acute diseases seemed to have the highest prevalence rates (1.82% each), whereas jaundice and reproductive tract infections have the lowest levels (0.30 each). Asthma had the highest prevalence (3.65%) among the chronic diseases, followed by hypertension (2.74%). The morbidity rate decreased as education levels rose. Normal cultivators and the cultivators who worked more times were more likely to have both acute and chronic diseases than jhum cultivators.
Conclusions: It is possible to draw the conclusion that farmers didn't lead a healthy lifestyle and suffered from diseases. The study's findings could serve as a foundation for developing economic, educational, and medical plans for tribal farmers to safeguard them from health risks and workplace dangers.
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References
Negi DP, Singh MM. Tribal health in India: a need for a comprehensive health policy. Int J Health Sci Res. 2019;9(3):299-305.
Das S. Rural health status and health care in north-eastern India: a case study. J Health Manag. 2012;14(3):283-96.
World Health Organization. Towards a common language for functioning, disability and health, International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland, 2002. Available at: https://cir.nii.ac.jp/crid/1573668925447490176. Accessed 05 February 2024.
United Nations. Guidelines on indigenous peoples' issues (Vol. 16). United Nations Development Group, 2009 Available at: https://www.un.org/development/desa/indigenouspeoples/publications/2009/08/undg-guidelines-on-indigenous-peoples-issues Accessed 05 February 2024.
Anderson I, Robson B, Connolly M, Al-Yaman F, Bjertness E, King A, et al. Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study. Lancet. 2016;388(10040):131-57.
Raushan R, Acharya SS. Morbidity and treatment-seeking behaviour among scheduled Tribe in India: A cross-sectional study. J Soci Inclu Stud. 2018;4(2):325-40.
Balgir RS. Tribal health problems, disease burden and ameliorative challenges in tribal communities with special emphasis on tribes of Orissa. In Proceedings of National Symposium on “Tribal Health”. 2006;20:161-76.
Census of India. Agriculture Sector in India. Register General of India. Government of India, 2011. Available at: https://agcensus.dacnet.nic.in/. Accessed 05 February 2024.
Tripura Tribal Areas Autonomous District Council. Tripura Tribal Areas Autonomous District Council. Government of Tripura, 2022. Available at: https://ttaadc.gov.in/people#:~:text=Tripura%20has%20rich%20cultural%20heritage,Garo%2C%20Khasia%2C%20and%20Lepcha. Accessed 05 February 2024.
Tribal Research and Cultural Institute. Welcome to Tribal Research and Cultural Institute. Government of Tripura, 2022. Available at: https://trci.tripura.gov.in/. Accessed 05 February 2024.
Karttunen JP, Rautiainen RH. Distribution and characteristics of occupational injuries and diseases among farmers: a retrospective analysis of workers' compensation claims. Ame J Industr Medi. 2013;56(8):856-69.
Rajsri TR. Occupational profile and morbidity pattern among farmers of Perambalur Taluk: a cross sectional study (Doctoral dissertation, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur. Tamil-Nadu. 2020. Available at: http://repository-tnmgrmu.ac.in/13797/1/201545520rajsri.pdf. Accessed 05 February 2024.
Spiewak R. Occupational skin diseases among self-employed farmers. Advan Dermatol Allerg/Post Dermatol Alergol. 2004;21(6):278-85.
Kumar MM, Pathak VK, Ruikar M. Tribal population in India: A public health challenge and road to future. J Fam Medi Prim Care. 2020;9(2):508-12.
International Institute for Population Sciences, ICF. National family health survey 5, 2020. Available at: https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf. Accessed 05 February 2024.
Singh AK, Maheshwari A, Sharma N, Anand K. Lifestyle associated risk factors in adolescents. Ind J Pediatr. 2006;73:901-6.
Rao VG, Aggrawal MC, Yadav R, Das SK, Sahare LK, Bondley MK, et al. Intestinal parasitic infections, anaemia and undernutrition among tribal adolescents of Madhya Pradesh. Ind J Commu Medi. 2003;28(1):26.
Donham KJ. Hazardous agents in agricultural dusts and methods of evaluation. Am J Indust Medi. 1986;10(3):205-20.
Croppenstedt A, Muller C. The impact of farmers' health and nutritional status on their productivity and efficiency: Evidence from Ethiopia. Econ Develop Cult Chan. 2000;48(3):475-502.
MN S, Patil P. Knowledge, attitude, practice and toxicity symptoms associated with pesticide exposure among farm workers in Jalgaon, Maharashtra, India. J Environm Res Develop. 2016;11(2):371-80.
Rahman SJ, Das BR, Nath G. Health seeking behavior of farming community in rural area of Titabor block in Jorhat district. Int J Commu Medi Publ Heal. 2017;4(10):3854.
Prasad S. Morbidity pattern and treatment in India. Annals Trop Medi Publ Heal. 2012;5(5).
Perry MJ, Layde PM. Farm pesticides: outcomes of a randomized controlled intervention to reduce risks. Am J Prevent Medi. 2003;24(4):310-5.
Hashemi SM, Hosseini SM, Hashemi MK. Farmers’ perceptions of safe use of pesticides: determinants and training needs. Int Arch Occupat Environm Heal. 2012;85:57-66.
Kumari PL, Reddy KG. Knowledge and practices of safety use of pesticides among farm workers. J Agr Veter Sci. 2013;6(2):1-8.
Oztaş D, Kurt B, Koç A, Akbaba M, İlter H. Knowledge level, attitude, and behaviors of farmers in Cukurova region regarding the use of pesticides. Biomed research international. 2018;2018.
Lakshmi Singh A, Rahman A. Malaria and related environmental issues in India: a case study of Aligarh city. Geo Journal. 2001;53:89-99.
Moraes LR, Cancio JA, Cairncross S. Impact of drainage and sewerage on intestinal nematode infections in poor urban areas in Salvador, Brazil. Trans Roy Soci Trop Medi Hyg. 2004;98(4):197-204.
Zhou C, Roseman JM. Agriculture‐related residual injuries: prevalence, type, and associated factors among Alabama farm operators-1990. J Rural Heal. 1995;11(4):251-8.