Abstract

Background: This case study focuses on the indigenous health practitioners, the Dai (traditional birth attendant) and the Mitanin (community health worker), among the Bhunjia tribe in Chhattisgarh, India. The Dai assists in childbirth using traditional methods, while the Mitanin promotes institutional deliveries and provides prenatal and postnatal care. These practitioners are critical in areas with limited access to formal healthcare, playing a pivotal role in maternal health within the tribal community. Aim and Objectives: This study explores maternal healthcare practices in indigenous Chhattisgarh, focusing on Dai and Mitanin roles, barriers to modern care, perceptions of antenatal services, and improving healthcare access. Material and Methods: The study employed qualitative research methods, including interviews and case studies. Data were collected from six indigenous health practitioners (Dai and Mitanin) and mothers from the Bhunjia tribe of Chhattisgarh India. The focus was on understanding their experiences, practices, and the barriers encountered in maternal healthcare within the tribal context. Results: The findings highlight several barriers to accessing maternal healthcare: Transportation Challenges: Geographical isolation limits access to healthcare facilities. Cultural Beliefs and Practices: Misconceptions about iron and folic acid supplements and reliance on traditional remedies like plant-based decoctions. Socioeconomic Constraints: Competing household responsibilities and financial limitations deter women from seeking institutional deliveries. Despite improvements in health infrastructure, institutional delivery rates remain low. Traditional practices continue to be preferred due to the accessibility and trust associated with the Dai and Mitanin. Conclusion: The study emphasizes the need to integrate traditional health practices with formal healthcare systems to improve maternal health outcomes in tribal regions. Addressing misconceptions about antenatal care and enhancing access to healthcare services are critical steps. The Dai and Mitanin, with their deep-rooted connections to the community, play a key role in bridging the gap between traditional and modern healthcare, ensuring safer childbirth practices.

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