MATERNAL HEALTH AND INSTITUTIONAL DELIVERY AMONG TRIBAL WOMEN IN ODISHA: ANALYZING SOCIO- CULTURAL BARRIERS AND POLICY INTERVENTIONS

Sandhya Rani Dash; Sipra Sagarika

doi:10.29121/shodhkosh.v7.i9s.2026.7953

Authors

Sandhya Rani Dash Ph.D. Research Scholar in Sociology, P.G. Department of Social Science, Fakir Mohan University, Balasore, Odisha, India
Sipra Sagarika Assistant Professor (Stage –III) in Sociology, P.G. Department of Social Science, Fakir Mohan University, Balasore, Odisha, India

DOI:

https://doi.org/10.29121/shodhkosh.v7.i9s.2026.7953

Keywords:

Maternal Health, Institutional Delivery, Tribal Women, Odisha, Healthcare Access, JSY, JSSK, Maternal Mortality Ratio (MMR), Cultural Barriers, Health Policy

Abstract [English]

This study examines the critical public health challenge of maternal morbidity and access to institutional delivery for tribal women in Odisha, India. It identifies a complex interplay of structural, socio-economic, and cultural barriers—including geographical isolation, poverty, low literacy, and strong cultural beliefs—that severely limit healthcare access. Utilizing a mixed-methods approach across four tribal-dominated districts, the research reveals a paradoxical finding: while government schemes like Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK) have successfully increased institutional delivery rates to 76.5% among Particularly Vulnerable Tribal Groups (PVTGs), a significant disparity in maternal mortality ratios (MMR) persists between tribal and non-tribal populations. This gap is attributed to a critical awareness deficit, with 65% of tribal women unaware of maternal health schemes, coupled with inadequate infrastructure, nutritional deficiencies, and persistent home deliveries (23.5%). The discussion concludes that merely promoting institutional delivery is insufficient. Achieving equitable maternal health outcomes requires culturally sensitive, multi-faceted interventions that address deep-rooted structural barriers, enhance community-specific awareness, and improve the quality and accessibility of healthcare services in remote tribal regions.

References

Agarwal, S. (2013). Disadvantageous Situation of Tribal Women and Children of Orissa, India: A special Reference to Their Health and Nutritional Status. Journal of Community Nutrition & Health, 2:1.

Chakrabarti, S., Pan, A., & Singh, P. (2021). Maternal and Child Health Benefits of the Mamata Conditional Cash Transfer Program in Odisha, India. The Journal of Nutrition, 151(8), 2271–2281. https://doi.org/10.1093/jn/nxab129

Contractor, S., Das, A., Dasgupta, J., & Van Belle, S. (2018). Beyond the template: The needs of tribal women and their experiences with maternity services in Odisha, India. International Journal for Equity in Health, 17(1), 134.

Das, S. & Sagarika, S. (2023) Maternal Health Status of Indian Women: A Study of Issues and Challenges of Pregnancy in India, SODHAK: Journal of Historical Research, Volume- 53, and Issue 02, 28-38.

Dehury, R. K. (2021). Assessment of tribal healthcare infrastructure for delivery of maternal health program in Balasore district, Odisha, India. Asia Pacific Journal of Health Management, 16(3), 1999

Dhar, R.L. (2013). Community participation and empowerment for improved maternal health outcomes: Possible strategies for Indian tribal women. Journal of Health Management, 15(3), 431-442.

Hans, A. (2014). Scheduled tribe women of Odisha. Odisha Review, November, 26–39.

Mohanty, S., & Pathak, P. K. (2021). The burden of maternal health care and the role of demand-side financing programs in promoting institutional delivery among tribal women in Odisha, India. BMC Pregnancy and Childbirth, *21*(1), 1-14.

Panda, P. K., & Subudhi, C. (2020). Pattern and determinants of maternal and child healthcare services among tribals: With a special reference to tribal regions of Odisha. Journal of Development Policy and Practice, 5(2), 184–206.

Prusty, R. K., Gouda, J., & Pradhan, M. R. (2015). Inequality in the Utilization of Maternal Healthcare Services in Odisha, India. International Journal of Reproductive Medicine, 2015, Article ID 531485.

Madankar, M., Kakade, N., Basa, L., & Sabri, B. (2024). Exploring maternal and child health among tribal communities in India: A life course perspective. Global Journal of Health Science, 16(2), 31–47.

Mahapatro, M. (2015). Equity in utilization of health care services: Perspective of pregnant women in southern Odisha, India. The Indian Journal of Medical Research, 142(2), 183–189. https://doi.org/10.4103/0971-5916.164251

Marx, K. (n.d.). Capital: A Critique of Political Economy, Volume One. Vintage Books. Marx, K., & Engels, F. (2014). The Communist Manifesto (New edition). International Publishers Co. Millett, K. (2000). Sexual politics. University of Illinois Press.

Sagarika S & Das S. (2023). Understanding Changing Dynamics of Tribal Health Status in Eastern India: With Specific Reference to Maternal Health in Odisha, Journal of Foundational Research, Volume 31, Issue No 2 (H), 16-26.

Sagarika S. (2024). Globalisation, Indigenous Communities and Trafficking: An Analysis of their International ties. Desh Vikas, Volume: 11(1), 1-11.

Sagarika S & Sahoo K. (2024). Human Trafficking & Social Media: A Sociological Analysis of Its Intersectional Management, IPE Journal of Management, Volume 11, Issue 1, 1-13.

Sahoo, M., Som, M., & Pradhan, J. (2017). Perceived barriers in accessing the reproductive health care services in Odisha. Indian Journal of Community Health, 29(3), 229–238.

Satyajeet Singh Kosariya et al., Maternal Health and Nutritional Challenges among Tribal Women in India: A Review of Socio-economic and Healthcare Factors. Journal of Medicine & Health Sciences. 2024; 11(2):69–75.

Thapa, S., & Nayak, P. M. (2023). Women’s health status of Mayurbhanj district of Odisha. Journal of the Oriental Institute, 72(2), 11–14.

Thapa, S., & Nayak, P. M. (2023). Pattern of disease, health seeking behaviour and health insecurity among tribes. Shodhak: A Journal of Historical Research, 53(3), 183–188.