Landscaping of non-governmental organizations working to improve reproductive, maternal, neonatal, child health and nutrition services in tribal India: a scoping study

Authors

  • Ashish Giri Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India
  • Abdul Wassey Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India
  • Vishal Dogra Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20202467

Keywords:

Health service delivery, Landscape study, Non-governmental organizations, Reproductive maternal neonatal and child health nutrition, Tribal health

Abstract

Background: Nearly 104 million (9%) of the total Indian population live in tribal areas. For the tribal population, in the recent past, many organizations initiated health programs. However, there is little understanding of the work they do in the health and nutrition area. In this scoping study, the study aimed to review NGO based models of healthcare delivery with an emphasis on reproductive, maternal health, neonatal and child health, and nutrition (RMNCHN) related interventions in tribal areas of India.

Methods: A list of NGOs, in districts having 35% tribal population, was made. NGOs with functional websites, RMNCHN related interventions and registered with the Government of India online portal “NGO darpan” were selected using multistage search criteria. NGO types, their approaches for RMNCHN and intervention models were studied.

Results: A total of 1503 NGOs were working on tribal health in 115 districts having >35% tribal population. Out of these, only 103 NGOs had an active health intervention and provided information freely in open public access. Only 36 NGOs had a well-structured program in reproductive, maternal, child health and nutrition area. A compendium of good practices by 12 NGOs working in RMNCHN was prepared.

Conclusions: A limited number of NGOs in tribal India works on reproductive, maternal health, neonatal and child health, and nutrition issues. The health-related interventions are primarily at a small scale, community-based, lacks continuum of care and are present in districts with a lesser tribal population.

Author Biographies

Ashish Giri, Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India

Research Associate

Abdul Wassey, Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India

Senior Research Manager

Vishal Dogra, Department of Research and Analytics, Clinical Domain, Piramal Swasthya Management and Research Institute, Hyderabad, India

Chief Manager (Epidemiology & Biostatistics)

References

Census of India Website : Office of the Registrar General and Census Commissioner, India. Available from: http://www.censusindia.gov.in/2011census/ populationenumeration.html. Accessed on 5 November 2019.

The expert committee on tribal health. Tribal Health in India Bridging the gap and a roadmap for the future Executive summary and recommendations. India: Ministry of Health and Family Welfare Government of India Ministry of Tribal Affairs Government of India. 2018:39.

Nadu T, Systems H. Documentation and dissemination of best practice. Government of Tamil Nadu Tamil Nadu Health Systems Project Reaching Healthcare to the Tribal Population of Tamil Nadu. 2009. Available at https://darpg.gov.in/sites/default/ files/60.TribalHealthInitiatives.pdf. Accessed on 5 November 2019.

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” 19th-20th October 2006. October 20:161-176.

Das MB, Kapoor S, Nikitin D. A closer look at child mortality among Adivasis in India. World Bank Policy Research Working Paper. 2010;1:5231.

UNICEF, MAPEDIR fact sheet, Maternal and perinatal death inquiry and response 2009. Available at: www.unicef.org/media/files/India_Mapedir factsheet.doc Accessed on 30 Jan 2020.

International Institute of Population Sciences. National family health survey (NFHS-4) 2015-16. Mumbai: IIPS; 2017. Available at http://rchiips.org/NFHS/NFHS-4Reports/India.pdf, accessed on 7 September 2018.

Sabharwal NS. Caste, religion and malnutrition linkages. Economic and Political Weekly. 2011;10:16-8.

Rustagi P, Mishra SK, Mehta BS. Scheduled Tribe Children in India: Multiple Deprivations and Locational Disadvantage. UNICEF India Country Office. 2011. Government of India. Available at https://data.gov.in/catalog/rural-health-statistics-2017?filters%5Bfield_catalog_reference%5D= 4215201&format=json&offset=0&limit=6&sort%5Bcreated%5D=desc. Accessed on 22 August 2019.

Rustagi P, Mishra SK, Mehta BS. Scheduled tribe children in India: multiple deprivations and locational disadvantage. UNICEF India Country Office. 2011:26.

Bajpai V, Saraya A. Bhore Committee for a realistic assessment: a social, political and public health analysis of on behalf of: council for social development. Available at http://sch.sagepub. com/http://sch.sagepub.com/content/41/2/215. Accessed on 2 November 2019.

Das N, Kumar R. Role of non-governmental organizations in healthcare sector of India public health foundation of India. 2016.

Hart JT. The inverse care law. Lancet. 1971;1:405-12.

Hofmann B. Biases distorting priority setting. Health Policy (New York). 2019.

Simmons R, Fajans P, Ghiron L, Skibiak JP, Mijere P, Zama M. Expanding contraceptive choice and improving quality of care in Zambia’s Copperbelt: Moving from pilot projects to regional programmes. In: Simmons R, Fajans P, Ghiron L, eds. Scaling up health service delivery from pilot innovations to policies and programmes. Geneva: Expand net. World Health Organisation. 2007.

Salami S, Kayode I, Onayade A, Adesegun F, Soetan R, Connell F. Utilization of primary health care facilities: Lessons from a rural community in southwest Nigeria. Nigerian Journal Med. 2008;17:98-106.

Community-based Health Services: a vital part of Universal Health Coverage. Universal Health Coverage discussion paper 1: 2016. Available at http://www.searo.who.int/entity/health_situation_trends/discussion_paper_2016.pdf. Accessed on 2 November 2019.

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Published

2020-05-27

How to Cite

Giri, A., Wassey, A., & Dogra, V. (2020). Landscaping of non-governmental organizations working to improve reproductive, maternal, neonatal, child health and nutrition services in tribal India: a scoping study. International Journal Of Community Medicine And Public Health, 7(6), 2173–2179. https://doi.org/10.18203/2394-6040.ijcmph20202467

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Original Research Articles