Socio-Economic and Programmatic Factors Affecting the Institutional Birth among Tribal Population of India: A Cross-Sectional Study

MD ARMAN, Sambodhi Research and Communication Pvt. Ltd.
Shilpa Ravi, Piramal Swasthya Management and Research Institute
Sowmya Garigipati, Piramal Swasthya Management and Research Institute, Bangalore, India
Kirthana V, Piramal Swasthya Management and Research Institute
Piyush Kumar, Sambodhi Research and Communication Pvt. Ltd.
Aakriti Jasrotia, Sambodhi Research and Communications Pvt Ltd
Anuradha Katyal, Sambodhi Research and Communications Pvt Ltd

Introduction: India has made significant progress in promoting institutional deliveries through popular schemes like Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK). Yet unreached tribal women face socio-economic and cultural barriers in accessing health services. Method: Cross-sectional survey data were collected from a representative sample of 3628 tribal tribal lactating mothers (with children 0-23 months) in rural areas of 26 tribal concentrated districts across 6 states. We analysed data using a multivariable logistic regression model to examine associations between socioeconomic and programmatic factors affecting Institutional delivery. Results: After adjusting for confounders, awareness of JSSK among lactating mothers was significantly associated with institutional delivery (95% CI 1.40 to 2.60). The wealth quintiles show significant associations with institutional delivery but have large confidence intervals (95% CI 6.02 to 44.9). We are conducting a sub-tribe analysis and collecting qualitative insights to strengthen the findings. Conclusion: The findings of this paper reiterate the need for increasing awareness of tribal women and their families for institutionalizing birthing. Policy implications would be discussed for strengthening health service delivery for tribal women. This paper aims to contribute to the existing body of evidence by examining the factors influencing institutional delivery among tribal populations.

Keywords: Sexual and Reproductive Health and Rights, The Demography of Indigenous Populations

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