As Odisha has a large percentage of tribal population and they spread in almost all parts of the state, health development of tribals in Odisha is not only important from the point of view of human development, but also to achieve inclusive development in the state. The paper makes use of both primary and secondary data to analyse the problems. The paper analyses health care services in the tribal areas of Odisha with respect to the accessibility to health facilities. It points out that about half of the villages do not have medical facilities within a distance of 5 km. The absence of transport connectivity in the tribal areas has created adverse condition in efficient health care delivery. Shortage of doctors and lack of other health infrastructure accentuate the problem. Malnourishment is a serious health problem. In some areas such as Banspal Block as much as 90 percent of children are malnourished. All these have translated into high infant and child mortality rate among the tribals. Malaria is endemic in the tribal regions of the state. Primary data collected from Jhumpura Block of Keonjhar district indicate that 80 percent of tribal people take the help of witchcraft method to cure diseases. Further, only 9.38 percent of the deliveries in these areas take place in hospitals as against the state average of 38 percent. A number of suggestions have been put forth in order to get rid of these woes. If adequate attention is focused on awareness creation among the tribals, proper monitoring and supervision of the health programmes, it can go a long way in providing efficient health care delivery to them. Though the PPP mode of health care can be relied upon, it should not put financial burden on the tribals.
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