Frontiers in Public Health · 4 authors, 1 centre
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This narrative review synthesizes previous studies examining the high tuberculosis burden in the Saharia tribal population of India, identifying malnutrition, substance abuse, poor health infrastructure, low education, and inadequate sanitation as interconnected risk factors. The review calls for intersectoral coordination using a Health in All Policies framework to address these determinants and reduce TB in this vulnerable group.
This narrative review collates findings from prior studies on determinants of high tuberculosis (TB) burden in the Saharia particularly vulnerable tribal group (PVTG) in west-central India. Infrastructure gaps persist, with only 133 of 500 required PHCs and 31% IHHL sanitation coverage in Saharia-dominated areas. The Saharia tribe spends 10% of annual income on catastrophic TB care expenditure. The authors note that government schemes such as Nikshay Poshan Yojna and Ujjwala Yojana are not directly reaching the Saharia PVTG, and that studies evaluating the effect of these initiatives on TB reduction in this tribe are lacking.
