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<p>The present study tries to examine spatial health disparities between tribal and non-tribal districts in Odisha, identifying key socio-economic, infrastructural, and behavioural factors driving these inequities. Using a composite Health Deprivation Index based on thirteen health indicators the analysis draws on secondary data from NFHS-5 (2019–21), Annual Health Survey (2012–13), and HMIS (2017–19). The findings reveal severe health deprivation clustered in socio-economically marginalized, predominantly tribal, and geographically isolated districts like Balangir, Nabarangapur, Kandhamal, Malkangiri, and Nuapada. Transitional districts such as Koraput and Sundargarh show a dual burden of persistent tribal health inequities alongside rising non-communicable disease risks. The study highlights the inadequacy of uniform health interventions in addressing these disparities and calls for geographically differentiated, context and region specific strategies, prioritizing maternal-child healthcare, sanitation, female education, and culturally tailored behaviour change initiatives.</p>

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Unequal Health Outcomes and Deprivation: A Regional Analysis of Tribal and Non-Tribal Districts in Odisha

  • 期刊论文

  • 发表日期：

    2026年4月17日

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  • Priyabrata Sahoo,
  • Simpul Behera,
  • Soumyabrata Mondal

摘要

The present study tries to examine spatial health disparities between tribal and non-tribal districts in Odisha, identifying key socio-economic, infrastructural, and behavioural factors driving these inequities. Using a composite Health Deprivation Index based on thirteen health indicators the analysis draws on secondary data from NFHS-5 (2019–21), Annual Health Survey (2012–13), and HMIS (2017–19). The findings reveal severe health deprivation clustered in socio-economically marginalized, predominantly tribal, and geographically isolated districts like Balangir, Nabarangapur, Kandhamal, Malkangiri, and Nuapada. Transitional districts such as Koraput and Sundargarh show a dual burden of persistent tribal health inequities alongside rising non-communicable disease risks. The study highlights the inadequacy of uniform health interventions in addressing these disparities and calls for geographically differentiated, context and region specific strategies, prioritizing maternal-child healthcare, sanitation, female education, and culturally tailored behaviour change initiatives.