Community based sensitization to address maternal and child health problems in tribal population of India


  • Karan Shrikant Patil Department of Medicine, Apollo Hospitals, Belapur-Navi Mumbai, Maharashtra, India
  • Vaishali Lokhande Department of Medicine, Apollo Hospitals, Belapur-Navi Mumbai, Maharashtra, India
  • Bharat Agarwal Department of Medicine, Apollo Hospitals, Belapur-Navi Mumbai, Maharashtra, India
  • Manish Pendse Department of Medicine, Apollo Hospitals, Belapur-Navi Mumbai, Maharashtra, India
  • Anand Misra Department of Medicine, Apollo Hospitals, Belapur-Navi Mumbai, Maharashtra, India



Community partnerships, MCH, Tribal population


Background: India fights with substantial maternal and child health (MCH) concerns, accounting about one quarter of the global burden of maternal and childhood mortality. The current study was tried to assess the impact of community partnerships between medical students, community stakeholders (TBAs and local tribal girls) and general community members on their awareness levels about MCH care and services.

Methods: a community-based pilot interventional study was conducted at one of the rural blocks of Maharashtra state of India. Of 120, sixty (50%) first year undergraduate MBBS medical students (intervention group) posted at two months rural healthcare training programme’ participated in preparing MCH related health education material (HEM) in local language. Similarly local tribal girls, TBAs and general community people were trained about MCH and their knowledge levels were assessed.

Results: Pre and post training assessment scores of participants (students, TBAs, tribal girls and general people) indicated significant (p<0.05) differences in their knowledge about MCH. The used approach of community collaborations in this study upgraded the knowledge of stakeholders (TBAs, tribal girls) and common tribal people about basic aspects of MCH and associated welfare schemes. The study also reported positive attitudes of all participants about an intervention.

Conclusions: Productive and synergistic community partnerships can be created among health care providers, community health workers and other stakeholders to ensure commitment and engagement towards positive health.


Bhatia M, Dwivedi LK, Banerjee K, Bansal A. Pro-poor policies and improvements in maternal health outcomes in India. BMC Pregnancy Childbirth. 2021;21:1-13.

Kumar MM, Pathak VK, Ruikar M. Tribal population in India: A public health challenge and road to future. J Family Med Prim Care. 2020;9:508-12.

Madhivanan P, Kumar BN, Adamson P, Krupp K. Traditional birth attendants lack basic information on HIV and safe delivery practices in rural Mysore, India. BMC Public Health. 2010;10:1-6.

Amalba A, Van Mook WNK, Mogre V, Scherpbier AJJA. The perceived usefulness of community-based education and service (COBES) regarding students’ rural workplace choices. BMC Med Education. 2016;16:1-11.

Moucheraud C, Worku A, Molla M, Finlay JE, Leaning J, Yamin A. Consequences of maternal mortality on infant and child survival: A 25-year longitudinal analysis in Butajira Ethiopia (1987-2011) Reprod Health. 2015;12:1-8.

Lassi ZS, Aftab W, Ariff S, Kumar R, Hussain I, Musavi NB et al. Impact of service provision platforms on maternal and newborn health in conflict areas and their acceptability in Pakistan: A systematic review. Confl Health. 2015;9:25-8.

Benova L, Cumming O, Campbell OM. Systematic review and meta-analysis: Association between water and sanitation environment and maternal mortality. Trop Med Int Health. 2014;19:368-87.

Sengupta A. Maternal Health Status in Tribal India: A 5-Year Intervention Program and its Outcome. Indian J Community Med. 2020;45(2):189-93.

Shiferaw F, Zolfo M. The role of information communication technology (ICT) towards universal health coverage: The first steps of a telemedicine project in Ethiopia. Glob Health Action. 2012;5:1-8.

Galhotra A, Padhy GK, Pal A, Giri AK, Nagarkar NM. Mapping the health indicators of Chhattisgarh: A public health perspective. Int J Med Public Health. 2014;4:23-8.

Taneja G, Sridhar VS, Mohanty JS, Joshi A, Bhushan P, Jain M et al. India's RMNCH+A Strategy: Approach, learnings and limitations. BMJ Glob Health. 2019;4:1-8.

Shrivastava SR, Shrivastava PS, Ramasamy J. Implementation of public health practices in tribal populations of India: Challenges and remedies. Health Care Low Res Setting. 2013;3:6-10.






Original Research Articles