This is an archive article published on September 17, 2024
In Nandurbar: Lack of knowledge, prevalence of traditional medicines leading cause of childhood pneumonia complications
Prashant Kulkarni, Behavioral Scientist at John Hopkins Center for Infectious Diseases in India and Anjali Kurane, Professor of Anthropology at SPPU had led the research which was conducted in Akkalkuwa taluka of Nandurbar.
A study conducted by the department of Anthropology at Savitribai Phule Pune University (SPPU) has uncovered inadequate healthcare and lack of outreach by grassroot level health workers as a major concern when it came to treatment of pneumonia among tribal children in the Akkalkuwa taluka of Nandurbar district. The study also showed that belief in traditional healers and concern over loss of income on parts of the parents are reasons for them to not seek medical help.
Prashant Kulkarni, Behavioral Scientist at John Hopkins Center for Infectious Diseases in India and Anjali Kurane, Professor of Anthropology at SPPU had led the research which was conducted in Akkalkuwa taluka of Nandurbar. One of the most remote areas of the district, the taluka is dominated by Bhil tribals, many of whom earn their living as daily wagers. The taluka has 13 Primary Health Care centres (PHCs), many of which are inaccessible due to the terrain. The study has reported that in the taluka, 40,784 of the population are children in the age group of 0-6 years which is 17% of the total population.
Childhood pneumonia has been a major concern of child mortality in the country and Akkalkuwa is no exception. “The tribal community of Akkalkuwa perceive cough, flu, fever and stomach upset/distension as commonly reported symptoms of pneumonia. Food ingestion, climate and heat-cold humidity have been reported as perceived causes whereas private doctors, traditional healers and herbalists were the highest source of help seeking for pneumonia. More than 90% stated that pneumonia could be cured, and more than one-third consider it as a serious illness,” the study said.
However, when it came to treatment, traditional healers, who brand the stomach of the child with a heated rod, massage the child with groundnut oil, and herbal medicines given by the local healer, were the first line of treatment. Interestingly, researchers said social anxiety of losing income to medicines was the first reaction among parents when their children were diagnosed with pneumonia. Grassroot level workers lacked knowledge about the cause, prognosis and treatment of the disease. Most delayed purchasing modern medicines either due to high cost or non availability. Delayed treatment for pneumonia can complicate cases among children.
Integration of traditional health care providers in the health system and extending knowledge among community health workers are major suggestions the researchers have put forth to improve the management of pneumonia among children in Akkalkuwa.
Partha Sarathi Biwas is an Assistant Editor with The Indian Express with 10+ years of experience in reporting on Agriculture, Commodities and Developmental issues. He has been with The Indian Express since 2011 and earlier worked with DNA. Partha's report about Farmers Producer Companies (FPC) as well long pieces on various agricultural issues have been cited by various academic publications including those published by the Government of India. He is often invited as a visiting faculty to various schools of journalism to talk about development journalism and rural reporting. In his spare time Partha trains for marathons and has participated in multiple marathons and half marathons. ... Read More