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The present study attempted to report the livelihood and coping strategies at the household level... more The present study attempted to report the livelihood and coping strategies at the household level during drought among Oraon tribe living in Sundargarh district of Orissa. The study is based on both quantitative and qualitative data collected from households and key-informants in the community. These data were based on the livelihood and coping strategies during the drought and lean period during the year 2002. The scanty of rainfall due to irregular monsoon in the current Kharif crop season has resulted in massive crop failure and subsequent acute drought condition. During this period, the Oraons of this area have implemented a range of livelihood and coping strategies to reduce their vulnerability. The present study reports some rituals that followed by Oraons to appease, the Lord lndra (the god of rain). In addition, some social support system to cope up during drought also existed in this tribe. At household level, reduction of food consumption and change in the pattern of food consumption are important strategies to cope up with low resources. Majority of people in this area changed their occupation, as agriculture is failed due to drought. Also many households either sold or mortgaged their lands and household assets. Some of the people, including young children migrated temporarily to other places for livelihood. Various studies from other drought prone areas were reviewed and discussed briefly in the light of present study results.
International Journal of Medical Science and Public Health, 2015
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2008
The present study aimed to identify the factors responsible for compliance and non-compliance of ... more The present study aimed to identify the factors responsible for compliance and non-compliance of mass drug administration (MDA) under the programme to eliminate lymphatic filariasis (LF) from Orissa, India. It was based on both quantitative (through household MDA coverage survey) and qualitative data (through semi-structured interviews with heads of compliant and non-compliant households) collected during an MDA held in November 2005 in two districts of Orissa. In these districts, 83% of the eligible population received the drug (coverage) and only 49.5% people actually consumed the drug (compliance). Seventeen percent of the population did not even receive the drug. The predominant reason for not receiving the drug at household level was that the drug distributor did not visit the household, while the fear of adverse reactions is the predominant reason for not consuming it. The qualitative data revealed that the major contributor to taking the drug was the awareness that drug protects them from LF. Motivation by health workers was another reason for compliance. In many endemic areas, the issues related to non-compliance were taken casually during implementation. Hence, it is imperative to make the programme more efficient by addressing the issues linked to low compliance.
PLoS Neglected Tropical Diseases, 2009
Background: Lymphatic filariasis (LF), a leading cause of permanent and long-term disability, aff... more Background: Lymphatic filariasis (LF), a leading cause of permanent and long-term disability, affects 120 million people globally. Hydrocele, one of the chronic manifestations of LF among 27 million people worldwide, causes economic and psychological burdens on patients and their families. The present study explores and describes the impact of hydrocele on sexual and marital life as well as on marriageability of hydrocele patients from rural areas of Orissa, an eastern state of India.
Journal of Public Health, 2008
Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude relate... more Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related to HIV transmission among migrant tribals living in the slums of a state headquarters city in India. Methods From four Santal tribe-dominated slums in Bhubaneswar City, Orissa, India, a sample of 113 respondents 15–40 years of age was recruited. Both quantitative and qualitative data were obtained through semi-structured interviews.
Journal of Public Health, 2008
Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related... more Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related to HIV transmission among migrant tribals living in the slums of a state headquarters city in India. Methods From four Santal tribe-dominated slums in Bhubaneswar City, Orissa, India, a sample of 113 respondents 15–40 years of age was recruited. Both quantitative and qualitative data were obtained through semi-structured interviews. Results In this migrant tribal community, the majority of women are sexually active at an early age. The mean ages at first sexual intercourse among men and women are 19.5 years and 15.8 years, respectively. A considerable prevalence of pre- and extra-marital sex among married and unmarried respondents is reported, in addition to unsafe sexual practices including not using condoms. Knowledge of using condoms and of the prevention, cure and cause of HIV is very poor. A low risk perception and negative attitude towards AIDS are also reported. There are no significant differences in these parameters between respondents reporting pre-/extra-marital relations and those without such relations. Conclusions There is a high prevalence of behavioural risk associated with ignorance and more vulnerability among these migrants. It results in a potential risk not only to these community members, but also to the counterparts living in their native places for rapid spread of HIV and other sexually transmitted infections, forming a vicious cycle. The results of the study show the need to study these groups across the country in order to design culture-specific intervention strategies.
Journal of Immigrant and Minority Health, 2010
This paper reports the accessibility and utilization of the healthcare services among a migrant i... more This paper reports the accessibility and utilization of the healthcare services among a migrant indigenous community inhabiting slums of an eastern Indian city. It is based on data collected through semi-structured interviews conducted with heads of the households. The results indicated that the services of health personnel by visiting households are rare and the service provision was very poor. For curative services, the people heavily depend on private practitioners, including unqualified practitioners, by spending large proportions of their earnings. Due to migration, this community becomes more vulnerable to low utilization of healthcare services. This study warrants evolving a system of healthcare to cater the needs of vulnerable migrant groups in urban areas of India.
Transactions of The Royal Society of Tropical Medicine and Hygiene, 2008
The present study aimed to identify the factors responsible for compliance and non-compliance of ... more The present study aimed to identify the factors responsible for compliance and non-compliance of mass drug administration (MDA) under the programme to eliminate lymphatic filariasis (LF) from Orissa, India. It was based on both quantitative (through household MDA coverage survey) and qualitative data (through semi-structured interviews with heads of compliant and non-compliant households) collected during an MDA held in November 2005 in two districts of Orissa. In these districts, 83% of the eligible population received the drug (coverage) and only 49.5% people actually consumed the drug (compliance). Seventeen percent of the population did not even receive the drug. The predominant reason for not receiving the drug at household level was that the drug distributor did not visit the household, while the fear of adverse reactions is the predominant reason for not consuming it. The qualitative data revealed that the major contributor to taking the drug was the awareness that drug protects them from LF. Motivation by health workers was another reason for compliance. In many endemic areas, the issues related to non-compliance were taken casually during implementation. Hence, it is imperative to make the programme more efficient by addressing the issues linked to low compliance.
The present study attempted to report the livelihood and coping strategies at the household level... more The present study attempted to report the livelihood and coping strategies at the household level during drought among Oraon tribe living in Sundargarh district of Orissa. The study is based on both quantitative and qualitative data collected from households and key-informants in the community. These data were based on the livelihood and coping strategies during the drought and lean period during the year 2002. The scanty of rainfall due to irregular monsoon in the current Kharif crop season has resulted in massive crop failure and subsequent acute drought condition. During this period, the Oraons of this area have implemented a range of livelihood and coping strategies to reduce their vulnerability. The present study reports some rituals that followed by Oraons to appease, the Lord lndra (the god of rain). In addition, some social support system to cope up during drought also existed in this tribe. At household level, reduction of food consumption and change in the pattern of food consumption are important strategies to cope up with low resources. Majority of people in this area changed their occupation, as agriculture is failed due to drought. Also many households either sold or mortgaged their lands and household assets. Some of the people, including young children migrated temporarily to other places for livelihood. Various studies from other drought prone areas were reviewed and discussed briefly in the light of present study results.
International Journal of Medical Science and Public Health, 2015
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2008
The present study aimed to identify the factors responsible for compliance and non-compliance of ... more The present study aimed to identify the factors responsible for compliance and non-compliance of mass drug administration (MDA) under the programme to eliminate lymphatic filariasis (LF) from Orissa, India. It was based on both quantitative (through household MDA coverage survey) and qualitative data (through semi-structured interviews with heads of compliant and non-compliant households) collected during an MDA held in November 2005 in two districts of Orissa. In these districts, 83% of the eligible population received the drug (coverage) and only 49.5% people actually consumed the drug (compliance). Seventeen percent of the population did not even receive the drug. The predominant reason for not receiving the drug at household level was that the drug distributor did not visit the household, while the fear of adverse reactions is the predominant reason for not consuming it. The qualitative data revealed that the major contributor to taking the drug was the awareness that drug protects them from LF. Motivation by health workers was another reason for compliance. In many endemic areas, the issues related to non-compliance were taken casually during implementation. Hence, it is imperative to make the programme more efficient by addressing the issues linked to low compliance.
PLoS Neglected Tropical Diseases, 2009
Background: Lymphatic filariasis (LF), a leading cause of permanent and long-term disability, aff... more Background: Lymphatic filariasis (LF), a leading cause of permanent and long-term disability, affects 120 million people globally. Hydrocele, one of the chronic manifestations of LF among 27 million people worldwide, causes economic and psychological burdens on patients and their families. The present study explores and describes the impact of hydrocele on sexual and marital life as well as on marriageability of hydrocele patients from rural areas of Orissa, an eastern state of India.
Journal of Public Health, 2008
Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude relate... more Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related to HIV transmission among migrant tribals living in the slums of a state headquarters city in India. Methods From four Santal tribe-dominated slums in Bhubaneswar City, Orissa, India, a sample of 113 respondents 15–40 years of age was recruited. Both quantitative and qualitative data were obtained through semi-structured interviews.
Journal of Public Health, 2008
Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related... more Objectives The purpose was to identify the risky sexual behaviour, knowledge and attitude related to HIV transmission among migrant tribals living in the slums of a state headquarters city in India. Methods From four Santal tribe-dominated slums in Bhubaneswar City, Orissa, India, a sample of 113 respondents 15–40 years of age was recruited. Both quantitative and qualitative data were obtained through semi-structured interviews. Results In this migrant tribal community, the majority of women are sexually active at an early age. The mean ages at first sexual intercourse among men and women are 19.5 years and 15.8 years, respectively. A considerable prevalence of pre- and extra-marital sex among married and unmarried respondents is reported, in addition to unsafe sexual practices including not using condoms. Knowledge of using condoms and of the prevention, cure and cause of HIV is very poor. A low risk perception and negative attitude towards AIDS are also reported. There are no significant differences in these parameters between respondents reporting pre-/extra-marital relations and those without such relations. Conclusions There is a high prevalence of behavioural risk associated with ignorance and more vulnerability among these migrants. It results in a potential risk not only to these community members, but also to the counterparts living in their native places for rapid spread of HIV and other sexually transmitted infections, forming a vicious cycle. The results of the study show the need to study these groups across the country in order to design culture-specific intervention strategies.
Journal of Immigrant and Minority Health, 2010
This paper reports the accessibility and utilization of the healthcare services among a migrant i... more This paper reports the accessibility and utilization of the healthcare services among a migrant indigenous community inhabiting slums of an eastern Indian city. It is based on data collected through semi-structured interviews conducted with heads of the households. The results indicated that the services of health personnel by visiting households are rare and the service provision was very poor. For curative services, the people heavily depend on private practitioners, including unqualified practitioners, by spending large proportions of their earnings. Due to migration, this community becomes more vulnerable to low utilization of healthcare services. This study warrants evolving a system of healthcare to cater the needs of vulnerable migrant groups in urban areas of India.
Transactions of The Royal Society of Tropical Medicine and Hygiene, 2008
The present study aimed to identify the factors responsible for compliance and non-compliance of ... more The present study aimed to identify the factors responsible for compliance and non-compliance of mass drug administration (MDA) under the programme to eliminate lymphatic filariasis (LF) from Orissa, India. It was based on both quantitative (through household MDA coverage survey) and qualitative data (through semi-structured interviews with heads of compliant and non-compliant households) collected during an MDA held in November 2005 in two districts of Orissa. In these districts, 83% of the eligible population received the drug (coverage) and only 49.5% people actually consumed the drug (compliance). Seventeen percent of the population did not even receive the drug. The predominant reason for not receiving the drug at household level was that the drug distributor did not visit the household, while the fear of adverse reactions is the predominant reason for not consuming it. The qualitative data revealed that the major contributor to taking the drug was the awareness that drug protects them from LF. Motivation by health workers was another reason for compliance. In many endemic areas, the issues related to non-compliance were taken casually during implementation. Hence, it is imperative to make the programme more efficient by addressing the issues linked to low compliance.