Health Status and Healthcare Services of Scheduled Tribes in Odisha: Challenges and the Way Forward

2021 ◽  
pp. 097370302110641
Author(s):  
Minaketan Behera ◽  
Preksha Dassani

Health is an essential aspect of human life, and good health significantly contributes to the social development and economic progress of a nation. The health practices are shaped by culture, economic life, and geographical and ecological conditions, among others. The Scheduled Tribes (STs) are socially and educationally backward. The government healthcare services have not optimally reached the tribal communities, and, hence, they are forced to depend on their traditional health practices. This article presents and critically evaluates the health status of STs in Odisha. It outlines the performance of various health indicators, health status and the factors influencing tribal health. The analysis is based on secondary data, including the National Family Health Survey-4 and Rural Health Statistics, 2019. The relevant indicators reveal that the nutrition and health status among the STs in Odisha is poor and is much lower than the national average.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Scohy ◽  
B Devleesschauwer ◽  
F Renard

Abstract Issue Monitoring population health is crucial for policymakers. In Belgium, health monitoring only existed at regional level, with no integrated view at country level. Policy/tool The Health Status Report (HSR) project developed a tool for centralizing key health indicators. The HSR aims to support policymakers in multiple ways: as a ’warning signal’, by contributing to the planning of health policies, and as an assessment tool for those policies. Rather than being exhaustive, the HSR selects key indicators to highlight important needs. These indicators have been identified through literature and consultations with experts and stakeholders. Topics include life and health expectancies, mortality, morbidity, and lifestyles, with an important focus on socioeconomic inequalities. Good results and health gaps are underlined with international comparisons, trend analyses, and comparisons with reference values. By disaggregating the data by sex, age, geographic level or socio-economic level, specific health needs are identified. Results The main outcome of the project is a continuously updated website: www.healthybelgium.be. The report highlighted that, although the Belgian health status is rather good, there is room for improvement: for some indicators Belgium lags behind other European countries; regional disparities remain important, with most indicators revealing a better health status in Flanders than in Brussels and Wallonia. Socioeconomic disparities also remain very important, and for some indicators even tend to worsen. Comparing the Belgian health status to that of the EU-15 results in more severe conclusions than in international reports. Conclusions We developed a new tool to support public health policy in Belgium through benchmarking and trend and disparity analyses of several health indicators. The tool will be expanded in the next years, integrating for instance the results of the Belgian national burden of disease study. Key messages We developed an online health status monitoring tool to inform policymakers. The rather good health status hides important regional and socioeconomic disparities in Belgium.


Author(s):  
Aristotle Jacob ◽  
◽  
Wakama Ateduobie ◽  
◽  

This study examine how covid-19 has induced social changes and criminality in Nigeria as a result of economic lockdown, restriction on inter-state movement, closure of international borders, restriction of religious worship, restrictions on all forms of marital rites, ban on all burial and funeral activities, suspension of all educational activities, and social interactions replaced by social distancing. Due to this alteration of the normal human life, and since survival is key, hence the issue of criminality. This paper examined cases of criminality in the country during lockdown, government interventions to mitigate the increase in criminality as a result of the pandemic, implication of covid-19 on fashion, determinant, forms and resistance to social change. The paper is qualitative in nature and relied principally on secondary data to achieved the scope of the study, these includes publications sourced from text books, bulletins, journals, government documents, newspapers and internet. The conflict and conspiracy theory of social change was adopted as the theoretical framework for the study. The findings in this study showed that the government with the aim to mitigate the spread of the pandemic in the country restricted the movement of its citizens with compulsory sit-at-home, thus affecting the normal life of its citizens, government intervention at the federal, state and local level is grossly inadequate to cushion the effect of the epidemic on the vulnerable citizens of the country, several structural factors helped triggered Nigeria’s current economic crises such as poor public health infrastructure, institutional corruption, weak and underdeveloped digital economy, lack of social welfare programme, leadership problem, over-dependent on oil sector of the economy, lack of saving culture and, high debt profile of Nigeria. The paper recommends that government should create an enabling environment to increase the standard of living of its citizens as poverty fuels criminality, the government should not politicalize the distribution of relief materials to victims in the face of emergencies, since the protection of the welfare and well-being of the people is the reason for governance, need for good governance and the rule of law, and government should improve capacity-building strategies for adequate security of life and property in Nigeria.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
M. H. D. Bahaa Aldin Alhaffar ◽  
Sandor Janos

AbstractTen years of the Syrian war had a devastating effect on Syrian lives, including millions of refugees and displaced people, enormous destruction in the infrastructure, and the worst economic crisis Syria has ever faced. The health sector was hit hard by this war, up to 50% of the health facilities have been destroyed and up to 70% of the healthcare providers fled the country seeking safety, which increased the workload and mental pressure for the remaining medical staff. Five databases were searched and 438 articles were included according to the inclusion criteria, the articles were divided into categories according to the topic of the article.Through this review, the current health status of the Syrian population living inside Syria, whether under governmental or opposition control, was reviewed, and also, the health status of the Syrian refugees was examined according to each host country. Public health indicators were used to summarize and categorize the information. This research reviewed mental health, children and maternal health, oral health, non-communicable diseases, infectious diseases, occupational health, and the effect of the COVID − 19 pandemic on the Syrian healthcare system. The results of the review are irritating, as still after ten years of war and millions of refugees there is an enormous need for healthcare services, and international organization has failed to respond to those needs. The review ended with the current and future challenges facing the healthcare system, and suggestions about rebuilding the healthcare system.Through this review, the major consequences of the Syrian war on the health of the Syrian population have been reviewed and highlighted. Considerable challenges will face the future of health in Syria which require the collaboration of the health authorities to respond to the growing needs of the Syrian population. This article draws an overview about how the Syrian war affected health sector for Syrian population inside and outside Syria after ten years of war which makes it an important reference for future researchers to get the main highlight of the health sector during the Syrian crisis.


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Safrin Salam

Land is a place for human life and in the present context has become a primary need forthe Indonesian people. The presence of Land Registry and its cheap and affordableprinciples contained therein is one model of land reform, implemented by the government. This study aimed to analyze the procedure of granting tariff reception State Tax On certain Parties in speeding up the certificate of ownership of land and analyze ideally decide granting tariff setting state revenue tax on certain parties to be implemented according to the principles of land registration. This study uses normative legal research using secondary data in the form of primary legal materials and secondary materials. The results showed that the procedure of tariff setting state revenue Taxes On Certain Parties in speeding up the certificate of land ownership can be reached by Perma ATR / BPN No. 25 2015 effectively and efficiently that the applicant apply for tariff setting state revenue instead of taxes and then meet the requirements specified Perma ATR / BPN No. 25 Years 2015.sedangkan decide granting tariff setting state revenue tax on certain parties to be implemented according to the principles of land registration is with the issuance of a decree regulating the finance minister of land registration fee for a particular party are the responsibility of the State or are exempt from levy fees by the State , Suggestions from this study is the Ministry of Finance should immediately issue the finance minister about the costs that regulated Perma ATR / BPN No. 25, 2015 has been charged by the State then other ministries need to commit firmly on running a land reform program that has been mandated by Law No. 5 of 1960 on the Basic Regulation of Agrarian as a way to equalize land ownership in Indonesia by the whole society. Keywords: PNBP, Specific Parties, Certified Land


2020 ◽  
pp. 1-17
Author(s):  
Mohammad Zahid Siddiqui ◽  
Srinivas Goli ◽  
Anu Rammohan

Abstract The key challenges of global health policy are not limited to improving average health status, with a need for greater focus on reducing regional inequalities in health outcomes. This study aimed to assess health inequalities across the major Indian states used data from the Sample Registration System (SRS, 1981–2015), National Family Health Survey (NFHS, 1992–2015) and other Indian government official statistics. Catching-up plots, absolute and conditional β-convergence models, sigma (σ) plots and Kernel Density plots were used to test the Convergence Hypothesis, Dispersion Measure of Mortality (DMM) and the Gini index to measure progress in absolute and relative health inequalities across the major Indian states. The findings from the absolute β-convergence measure showed convergence in life expectancy at birth among the states. The results from the β- and σ-convergences showed convergence replacing divergence post-2000 for child and maternal mortality indicators. Furthermore, the estimates suggested a continued divergence for child underweight, but slow improvements in child full immunization. The trends in inter-state inequality suggest a decline in absolute inequality, but a significant increase or stationary trend in relative health inequality during 1981–2015. The application of different convergence metrics worked as robustness checks in the assessment of the convergence process in the selected health indicators for India over the study period.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Julia Grosse-Kleimann ◽  
Heiko Plate ◽  
Henning Meyer ◽  
Hubert Gerhardy ◽  
Corinna Elisabeth Heucke ◽  
...  

Abstract Background In Germany, animal welfare has become an increasingly important issue. Since 2006, German legislation demands self-monitoring of animal welfare by farmers, but there is a lack of prescribed indicators for governmental monitoring. Since recording of the health status through examinations on individual farms requires many resources, secondary data use is obvious. Therefore, this study deals with the overall evaluation and utilization of existing production data from the German pork production. Performance data and information on antibiotic usage and meat inspection were used for a benchmarking system of animal health in finishing pigs. Results Seven health scores and one total score were evaluated for 184 finishing pig herds on semi-annual basis between July 2017 and June 2019, based on the health indicators mortality, average daily gain, feed conversion ratio, treatment frequency, respiratory lesions, exterior lesions and animal management. In preparation, the selected health indicators were brought to the same scale and skewed data were transformed to build scores (MOR, ADG, FCR, TF, RESP, EXT and MANG). A differentiated analysis was carried out for three classes of initial body weight regarding to farmers’ fattening management strategies. Conclusions The present study shows that existing production data of German finishing pigs are usable for welfare monitoring. However, preparatory editing steps are crucial. The total score can only be an estimate of health status because partly bad or good performance could be disguised. It has also been demonstrated, that relative benchmarking is suitable for depicting temporary fluctuations in the investigated collective.


2018 ◽  
Vol 11 (1) ◽  
pp. 46
Author(s):  
Kadhung Prayoga

The world today has entered to the era of information society connected in a virtual world. Not only in urban areas, this phenomenon is also commonly found in rural areas. Farmers in the village have begun to take advantage of their use of information technology to meet their needs. The result is a response from the government to develop an extension system based on the use of information technology called cyber extension. Based on this phenomenon, it takes a study of the effect of what is caused by the existence of cyber extension and the theory behind it. The approach used is qualitative approach using descriptive method and discourse analysis. The data used are secondary data collected through literature study method. From the discussion is known that cyber extension has given many changes in the social structure and culture of farming communities. Changes that there are moving towards the positive but there is also a precisely cyber extension causing changes to the negative direction. However, the change is not because of the reason because according to Castell, the growing information technology such as cyber extension is present in order to provide a positive effect for human life. While Bourdeau view cyber extension as an arena in which there is a fight capital owned by farmers and extension workers. So as to form a new habitus and give birth to a different social practice prior to the extension activities conducted in the virtual space. Key word: information technology, cyber extension, extension, agriculture


2021 ◽  
Vol 11 (34) ◽  
pp. 227-236
Author(s):  
Dione Lúcia Prim Laurindo ◽  
Sabrina Da Silva de Souza ◽  
Ana Claudia da Cunha ◽  
Samara Eliane Rabelo Suplici ◽  
Katheri Maris Zamprogna

Este estudo tem por objetivo avaliar a Cobertura de exames citopatológicos de Colo Uterino na população de 25 a 64 anos e sua relação com a cobertura populacional pelas equipes de Saúde da Família nos municípios de Santa Catarina. Estudo transversal que utilizou dados secundários do banco de dados oficiais do Estado de Santa Catarina dos indicadores de Cobertura de exames citopatológicos e cobertura populacional pelas equipes de Saúde da Família nos anos de 2017 e 2018. Análise descritiva incluindo média, desvio padrão, mediana, percentil 25 e 75, mínimos e máximos para todos os indicadores de estudo e correlação de Spearman.  O estudo confirmou a hipótese de que quanto maior a cobertura de Equipes de Saúde da Família (ESF) melhores são os indicadores de saúde, pois os municípios com melhor cobertura de ESF apresentaram melhor a razão de exames citopatológicos de Colo Uterino na população de 25 a 64 anos no período estudado.Descritores: Enfermagem, Citopatológico, Indicadores de Saúde Comunitária. Reason for cervical cytopathological exams in women aged 25 to 64 years in Santa Catarina: an ecological studyAbstract: This study aims to evaluate the coverage of cervical cytological examinations in the population aged 25 to 64 years and its relationship with population coverage by the Family Health teams in the municipalities of Santa Catarina. Cross-sectional study using secondary data from official databases of the State of Santa Catarina, indicators of coverage of cytopathological examinations, and population coverage by family health teams in the years 2017 and 2018. Descriptive analysis including mean, standard pattern, median, 25th, and 75th percentile, minimum and maximum for all study indicators, and Spearman correlation. The study confirmed the hypothesis that the greater the coverage of family health equipment (FHS), the better health indicators, as the municipalities with the best FHS coverage consider the ratio of cervical cytopathological examinations better in the population aged 25 to 64 years in the studied period.Descriptors: Nursing, Cytopathological, Health Indicators. Motivo de los exámenes citopatológicos del cuello uterino en mujeres de 25 a 64 años en Santa Catarina: un estudio ecológicoResumen: Este estudio tiene como objetivo evaluar la cobertura de los exámenes citológicos del cuello uterino en la población de 25 a 64 años y su relación con la cobertura poblacional por parte de los equipos de salud familiar en los municipios de Santa Catarina. Estudio transversal que utiliza datos secundarios de bases de datos oficiales del Estado de Santa Catarina, indicadores de cobertura de exámenes citopatológicos y cobertura poblacional por equipos de salud familiar en los años 2017 y 2018. Análisis descriptivo que incluye la media, patrón estándar, mediana, 25 y percentil 75, mínimo y máximo para todos los indicadores de estudio y la correlación de Spearman. El estudio confirmó la hipótesis de que cuanto mayor es la cobertura del equipo de salud familiar (FHS), mejores son los indicadores de salud, ya que los municipios con la mejor cobertura de FHS consideran mejor la proporción de exámenes citopatológicos del cuello uterino en la población de 25 a 64 años el periodo estudiadoDescriptores: Enfermería, Citopatológico, Indicadores de Salud Comunitaria.


Author(s):  
Inayatur Robbaniyah ◽  
Herman Cahyo Diartho ◽  
Endah Kurnia Lestari

The objectives of study were to analyze the performance of government spending in the education and health sector in Banyuwangi Regency; to analyze the exciting conditions of government spending in the education and health sector in Banyuwangi Regency and to analyze the strategy of the performance budget of the government spending on education and health sector in Banyuwangi Regency. This type of research uses descriptive research. Secondary data used in this study came from relevant agencies, including the Provincial and Regency / City Statistics Agency, the Office of Education, Bapeda and other relevant agencies. Data analysis method uses logframe matrix and SWOT analysis. Based on the results of data analysis, it can be concluded the following things: 1) the performance of government spending in the education sector and the health sector in Banyuwangi has experienced based on the achievement of education and health indicators that have exceeded the target set; 2) Exciting Conditions of Government Expenditure in the Education and Health Sector in Banyuwangi Regency are explained by changes in the design of the Banyuwangi Regency government logframe with the design of government spending based on work programs in the education and health sector; 3) government strategies include efforts to mobilize local revenue sources that arise as a result of increased economic activity as well as from various investment programs that have been implemented to improve the education and health sectors


2015 ◽  
Vol 63 (3) ◽  
pp. 283-290
Author(s):  
Gabriela Christiel Soto ROJAS ◽  
Fabiana de Lima VAZQUEZ ◽  
Jaqueline Vilela BULGARELI ◽  
Marcelo de Castro MENEGHIM ◽  
Antonio Carlos PEREIRA

Objective: Assess the oral health indicators in the Family Health Units (Unidades de Saúde da Família - USFs) with scheduled demand in comparison with Family Health Units with spontaneous demand in oral health care, in Piracicaba. Methods: 10 Family Health Units located in Piracicaba, were randomly chosen: 5 Units with spontaneous demand and 5 Units with scheduled demand. Secondary data in daily production spreadsheets were collected from the information system, from February to September 2013. These were organized into indicators: 1) access; 2) resolutivity; 3) ratio of dental emergency per inhabitant; 4) mean number of individual preventive and curative dental procedures; 5) ratio of dental extraction per dental procedure; 6) ratio of dental extraction per inhabitant; 7) mean number of supervised toothbrushing sessions. Data were compared and statistically analyzed with the BioStat 5.0 program, by applying the Student's-t test (p ≤ 0.05). Results: There were significant differences in the indicators of dental emergency, dental extraction per clinical procedure, and dental extractions per inhabitant, and these values were higher in Family Health Units with spontaneous demand. Conclusion: The model of scheduling the demand for dental care adopted by the USFs interferes in the number of users seeking dental emergency treatments and reasons for extractions.


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