Tracing the Disparity Between Healthcare Policy-Based Infrastructure and Health Belief-Lead Practices: a Narrative Review on Indigenous Populations of India

J Racial Ethn Health Disparities. 2024 Dec;11(6):3572-3583. doi: 10.1007/s40615-023-01810-3. Epub 2023 Oct 3.

Abstract

Most Indian tribes have limited access to healthcare facilities and rely heavily on traditional healing practices. This narrative review aimed to identify the disparities in the implementation of healthcare services and in accessing and availing these services by the indigenous population in India. We also have tried to throw light on the plausibility in strengthening the efficiency and efficacy of the public health system, by utilizing the available resources to its maximum potential, so that there will be a measurable outcome in the health status of these populations in India, coherently with the relevant sustainable development goals (SDG). The evidence from published literatures supports the fact that the disparity exists in the health status of indigenous populations in India as compared to the general populations. It emphasizes the need to address the key determinants such as the lack of knowledge, traditional healing practices and poor utilization of healthcare services provided to them. Various factors such as accessibility to healthcare resources, traditional healing practices, lack of awareness regarding healthcare services and schemes provided by the government, insufficient data regarding their issues and challenges and cultural and language barriers worsen the health status of indigenous people. However, our review reiterates that a well-structured and sustainable policy with reframed infrastructure and administration of healthcare system might bring a positive change in the health status of indigenous population in India.

Keywords: Culture; Health policy; India; Indigenous people; Practices; Scheduled Tribes; Utilization.

Publication types

  • Review

MeSH terms

  • Health Knowledge, Attitudes, Practice
  • Health Policy*
  • Health Services Accessibility
  • Health Services, Indigenous / organization & administration
  • Health Status Disparities
  • Healthcare Disparities* / ethnology
  • Humans
  • India / ethnology
  • Indigenous Peoples* / statistics & numerical data
  • Medicine, Traditional / statistics & numerical data