| Literature DB >> 32787539 |
Chundankuzhiyil Ulahannan Thresia1, Prashanth Nuggehalli Srinivas1, Katia Sarla Mohindra2, Chettiparambil Kumaran Jagadeesan3.
Abstract
Despite South Asia's promising social inclusion processes, staggering social and health inequalities leave indigenous populations largely excluded. Marginalization in the South Asian polity, unequal power relations, and poor policy responses deter Adivasi populations' rights and opportunities for health gains and dignity. The ongoing COVID-19 pandemic is likely to result in a disproportionate share of infections and deaths among the Adivasis, given poor social conditions and exclusions. Poor health of indigenous people, inequalities between indigenous and non-indigenous groups, and failures in enforcing constitutional and legal provisions to reclaim indigenous land and cultural identity herald deeper structural and political fractures. This article unravels health inequalities between the Adivasis and non-Adivasi populations in their social context based on a critical review of secondary sources. We call for intersectoral policies and integrated health care services to address systemic inequalities, discrimination, power asymmetries, and consequent poor health outcomes. The current COVID-19 pandemic should be viewed as a window to pursue real change.Entities:
Keywords: COVID 19; South Asia; health inequalities; indigenous/Adivasi health; social determinants; subaltern populations
Mesh:
Year: 2020 PMID: 32787539 PMCID: PMC7611999 DOI: 10.1177/0020731420946588
Source DB: PubMed Journal: Int J Health Serv ISSN: 0020-7314 Impact factor: 1.663