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2 result(s) for "Mishra, Shubhasmita"
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A systematic scoping review of health-seeking behavior and healthcare utilization in tribal communities of odisha, india: concentration on maternal and child health
Background Maternal and child health among tribal populations in Odisha, India, is significantly influenced by socio-economic, cultural, and infrastructural factors. Cultural practices, reliance on traditional medicine, and limited awareness of modern healthcare benefits shape health-seeking behavior. This scoping review synthesises evidence on health-seeking behaviour, healthcare utilisation, awareness of healthcare services, government policies, and barriers in tribal communities in Odisha, India. Methods This scoping review was conducted following the Joanna Briggs Institute guidelines. We followed the Arksey and O’Malley methodological framework and applied the PAGER framework (Patterns, Advances, Gaps, Evidence for Practice, Research Recommendations) for quality of reporting. Studies were identified through systematic searches of international and Indian databases, Indian journal websites, organisational websites, repositories, and registries, focusing on health-seeking behaviour and healthcare utilisation among Odisha’s tribal communities. Only English-language articles published between January 2011 and July 2024 were included. The methodological quality of the selected studies was independently assessed by two reviewers using the JBI Quality Assessment Checklist. Results A total of 39 studies, encompassing 36,613 participants, were included in the review. The findings highlight significant barriers to healthcare access among tribal communities, including poverty, illiteracy, cultural practices, geographic isolation, distance to healthcare centres, transportation availability and mistrust of government services. While some tribes have shown progress in adopting modern healthcare services, many continue to rely on traditional medicine and indigenous practices. Socio-cultural factors, such as patriarchal norms and religious rituals, further influence healthcare-seeking behavior. Government initiatives like the National Rural Health Mission and the Integrated Child Development Services have had some success in improving healthcare utilisation among tribal populations. However, strengthening community support, conducting village-level awareness campaigns, and implementing targeted educational interventions can play a transformative role in enhancing healthcare access and overall well-being. Conclusion Improving maternal and child health in Odisha’s tribal populations requires culturally sensitive approaches integrated with modern healthcare strategies. Enhancing awareness, infrastructure, and community health workers’ roles can bridge access gaps while respecting tribal traditions.
A preliminary one-dimensional crustal velocity model for Himachal Pradesh, India
A preliminary one-dimensional (1D) velocity model for Himachal Pradesh, India has been developed by utilising the P and S wave travel time data. A very steady and narrow velocity model was obtained with travel time inversion, and a range of velocity models were tested with earthquake locations to derive the best-fit velocity model. The 1D velocity model proposed for the study region has seven uniform layers with interfaces at depths of 0, 5, 10, 15, 20, 25 and 30 km with P wave velocity of 5.219, 5.314, 5.391, 5.392, 5.964, 6.071 and 6.073 km/s and S wave velocity of 2.998, 3.015, 3.134, 3.135, 3.441, 3.482 and 3.647 km/s, respectively. According to the proposed model, the Moho in this part of the Himalaya lies at 60 km depth on an average. For P and S waves, the station correction ranges from −0.88 to 1.50 and −0.58 to 3.59 s, respectively. This low variation in station residuals indicates small lateral velocity changes that confirm the accuracy and stability of the proposed 1D velocity model. Using the new derived 1D velocity model, the earthquake epicentres were relocated and we observe a shallow seismic activity in the region at <30 km depth that clearly describes the ongoing convergence of the India-Eurasia plates in the study region. This study also infers a new, highly active seismic window in the latitude range of 31.8 °N to 32.8 °N and longitude range of 76.8 °E to 78.8 °E in the study region across the Kaurik-Chango fault, a causative fault for the 1975 Kinnaur earthquake.