This study presents a micro-level analysis of the intersecting inequalities that shape the socio-economic determinants and health vulnerabilities of tribal communities in the remote and ecologically rich landscape of Mahuadanr, Latehar, Jharkhand. Employing a mixed-methods approach, the research wove together quantitative data from household surveys and government reports with qualitative narratives from focus group discussions and interviews with community members, local leaders, and health workers. The findings reveal a profound cycle of disadvantage, where structural barriers and health challenges are deeply intertwined. Despite strong social cohesion and rich cultural heritage, these communities face persistent economic marginalization, constrained by a reliance on subsistence agriculture, inadequate market linkages, and underdeveloped infrastructure. These conditions translate directly into critical health vulnerabilities, with elevated rates of maternal and child mortality and a high prevalence of preventable diseases such as typhoid and malaria. A central insight from the study is the stark implementation gap that perpetuates this cycle. Despite the existence of government welfare programs, geographical isolation and systemic hurdles consistently impede effective service delivery, leaving remote communities without essential support. The research concludes that breaking this cycle requires a fundamental shift toward integrated, multi-sectoral interventions and advocate for targeted policies that are both culturally sensitive and community cantered, designed to simultaneously promote sustainable economic empowerment, enhance access to education and healthcare, and actively engage tribal populations in shaping their own development. Such an approach is essential to foster inclusive and sustainable well-being while preserving the cultural integrity of Jharkhand’s tribal communities.
Tribal Communities, Socio-economic Determinants, Health Vulnerabilities, Implementation Gap, Sustainable Well-being.
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