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Health care access among Dalits in India information


Dalit Community in India

Achieving Universal Health Care has been a key goal of the Indian Government since the Constitution was drafted. The Government has since launched several programs and policies to realize ‘Health for All’ in the nation.[1][2] These measures are in line with the sustainable development goals set by the United Nations.[3][4] Health disparities generated through the Hindu caste system have been a major roadblock in realizing these goals.[5][6][7] The Dalit (untouchables) community occupies the lowest stratum of the Hindu caste system. Historically, they have performed menial jobs like - manual scavenging, skinning animal hide, and sanitation.[8] The Indian constitution officially recognizes the Dalit community as ‘Scheduled Castes’ and bans caste-based discrimination of any form. However, caste and its far-reaching effects are still prominent in several domains including healthcare. Dalits (Scheduled Caste or SC) and Adivasis (Scheduled Tribes or ST) have the lowest healthcare utilization and outcome percentage.[9] Their living conditions and occupations put them at high risk for disease exposure. This, clubbed with discrimination from healthcare workers and lack of awareness makes them the most disadvantaged groups in society.[10]

  1. ^ Zodpey, Sanjay; Farooqui, Habib Hasan (April 2018). "Universal Health Coverage in India: Progress achieved & the way forward". Indian Journal of Medical Research. 147 (4): 327–329. doi:10.4103/ijmr.IJMR_616_18. ISSN 0971-5916. PMC 6057252. PMID 29998865.
  2. ^ "Understanding India's Healthcare System". International Citizens Insurance. Retrieved 11 October 2022.
  3. ^ "India's National Health Policy 2017 and 2030 Agenda for Sustainable Development - International Institute for Global Health". iigh.unu.edu. Retrieved 11 October 2022.
  4. ^ Gera, Rajeev; Narwal, Rajesh; Jain, Manish; Taneja, Gunjan; Gupta, Sachin (2018). "Sustainable Development Goals: Leveraging the Global Agenda for Driving Health Policy Reforms and Achieving Universal Health Coverage in India". Indian Journal of Community Medicine. 43 (4): 255–259. doi:10.4103/ijcm.IJCM_41_18. ISSN 0970-0218. PMC 6319280. PMID 30662175.
  5. ^ Kowal, Paul; Afshar, Sara (31 January 2015). "Health and the Indian caste system". The Lancet. 385 (9966): 415–416. doi:10.1016/S0140-6736(15)60147-7. ISSN 0140-6736. PMID 25706969. S2CID 3202649.
  6. ^ Thapa, Raksha; van Teijlingen, Edwin; Regmi, Pramod Raj; Heaslip, Vanessa (November 2021). "Caste Exclusion and Health Discrimination in South Asia: A Systematic Review". Asia-Pacific Journal of Public Health. 33 (8): 828–838. doi:10.1177/10105395211014648. ISSN 1010-5395. PMC 8592103. PMID 34024157.
  7. ^ "India's inequality in healthcare: the caste divide". Humanitarian Aid Relief Trust. 28 January 2016. Retrieved 11 October 2022.
  8. ^ Hays, Jeffrey. "DALITS (UNTOUCHABLES) | Facts and Details". factsanddetails.com. Retrieved 11 October 2022.
  9. ^ maria (13 August 2021). "India's health inequality severely affects Dalits". International Dalit Solidarity Network. Retrieved 11 October 2022.
  10. ^ Verma, Sonia; Acharya, Sanghmitra Sheel (4 May 2018). "Social identity and perceptions about health care service provisioning by and for the Dalits in India". Social Identities. 24 (3): 327–338. doi:10.1080/13504630.2017.1376280. ISSN 1350-4630. S2CID 148799934.

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