PDF(Pubmed)
Abstract：
UNASSIGNED: The tribal culture views health care practices differently from the mainstream. Infertile tribal women practice treatment-seeking behaviour that reflects the community\'s cultural access to and availability of treatment as well as customs to meet their health care needs. In the environment of rising awareness of infertility and numerous treatment options, this study aims to highlight the infertility treatment-seeking behaviour of tribal communities.
UNASSIGNED: The study employed a mix methods approach to collect data from 153 tribal couples suffering with infertility (interview schedule) and the community (in-depth interviews-14 and focus group discussions-12). The data was analyzed using Stata 13.0, and NVivo 10. Results of the quantitative data were triangulated with qualitative data for writing.
UNASSIGNED: Many treatment options were available for infertility in the community. Generally, traditional healers (98.7%) were preferred over modern healthcare practitioners (35%). Community members usually guided infertile couples for choosing providers. Treatment practices were very different among primary infertile women than sub-fertile. Women frequently discontinued treatment and switched between providers because of unaffordability, poor connectivity, distance, travel time, time constraints, and non-supportive circumstances. The couples were advised to consume herbs, and eat or avoid certain food items, were given massage, burns on the abdomen (dagani), removed black blood (phasani) and other various rituals to appease spirits, get rid of ghosts while offering animal sacrifice, and conducting shidwa ritual. The mean expenditure on treatment was INR 18,374. If treatment did not yield any result, couple resorted to add another wife, divorce, accept childlessness and foster a child.
UNASSIGNED: Local authorities should strive to work towards the socio-economic development of the tribal communities and provide good healthcare services at their doorstep. The infertility problem needs to be understood in the context of poverty, tribal beliefs, and unequal access to healthcare resources.
UNASSIGNED: The study employed a mix methods approach to collect data from 153 tribal couples suffering with infertility (interview schedule) and the community (in-depth interviews-14 and focus group discussions-12). The data was analyzed using Stata 13.0, and NVivo 10. Results of the quantitative data were triangulated with qualitative data for writing.
UNASSIGNED: Many treatment options were available for infertility in the community. Generally, traditional healers (98.7%) were preferred over modern healthcare practitioners (35%). Community members usually guided infertile couples for choosing providers. Treatment practices were very different among primary infertile women than sub-fertile. Women frequently discontinued treatment and switched between providers because of unaffordability, poor connectivity, distance, travel time, time constraints, and non-supportive circumstances. The couples were advised to consume herbs, and eat or avoid certain food items, were given massage, burns on the abdomen (dagani), removed black blood (phasani) and other various rituals to appease spirits, get rid of ghosts while offering animal sacrifice, and conducting shidwa ritual. The mean expenditure on treatment was INR 18,374. If treatment did not yield any result, couple resorted to add another wife, divorce, accept childlessness and foster a child.
UNASSIGNED: Local authorities should strive to work towards the socio-economic development of the tribal communities and provide good healthcare services at their doorstep. The infertility problem needs to be understood in the context of poverty, tribal beliefs, and unequal access to healthcare resources.
摘要：
■部落文化对医疗保健实践的看法与主流不同。不孕的部落妇女实行寻求治疗的行为，这反映了社区在文化上获得和获得治疗以及满足其医疗保健需求的习俗。在人们对不孕症的认识不断提高和众多治疗选择的环境中，这项研究旨在强调部落社区寻求不孕症治疗的行为。
■该研究采用了混合方法方法，从153对患有不孕症的部落夫妇（访谈时间表）和社区（深入访谈-14和焦点小组讨论-12）收集数据。使用Stata13.0和NVivo10分析数据。将定量数据的结果与用于书写的定性数据进行三角测量。
■在社区中对于不孕症有许多治疗选择。一般来说,传统治疗师(98.7%)优先于现代医疗从业者(35%).社区成员通常指导不育夫妇选择提供者。原发性不育妇女的治疗方法与未生育妇女的治疗方法有很大不同。由于负担不起，妇女经常停止治疗并在提供者之间切换，连通性差，距离,旅行时间,时间限制,和不支持的情况。建议这对夫妇食用草药，吃或避免吃某些食物，被给予按摩，腹部烧伤（dagani），去除黑血（phasani）和其他各种仪式来安抚精神，在提供动物祭品的同时除鬼，进行shidwa仪式。平均治疗支出为18,374卢比。如果治疗没有产生任何结果，夫妇求助于增加另一个妻子，离婚,接受无子女并抚养孩子。
■地方当局应努力促进部落社区的社会经济发展，并在其家门口提供良好的医疗服务。需要在贫困的背景下理解不孕问题，部落信仰,以及获得医疗资源的机会不平等。
■该研究采用了混合方法方法，从153对患有不孕症的部落夫妇（访谈时间表）和社区（深入访谈-14和焦点小组讨论-12）收集数据。使用Stata13.0和NVivo10分析数据。将定量数据的结果与用于书写的定性数据进行三角测量。
■在社区中对于不孕症有许多治疗选择。一般来说,传统治疗师(98.7%)优先于现代医疗从业者(35%).社区成员通常指导不育夫妇选择提供者。原发性不育妇女的治疗方法与未生育妇女的治疗方法有很大不同。由于负担不起，妇女经常停止治疗并在提供者之间切换，连通性差，距离,旅行时间,时间限制,和不支持的情况。建议这对夫妇食用草药，吃或避免吃某些食物，被给予按摩，腹部烧伤（dagani），去除黑血（phasani）和其他各种仪式来安抚精神，在提供动物祭品的同时除鬼，进行shidwa仪式。平均治疗支出为18,374卢比。如果治疗没有产生任何结果，夫妇求助于增加另一个妻子，离婚,接受无子女并抚养孩子。
■地方当局应努力促进部落社区的社会经济发展，并在其家门口提供良好的医疗服务。需要在贫困的背景下理解不孕问题，部落信仰,以及获得医疗资源的机会不平等。
