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Health and Social Security Needs of Rickshaw Pullers in Ranchi

机译：兰契人力车夫的健康和社会保障需求

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A significant number of "marginalized" population groups are denied their health rights, healthcare access, benefits of government health programs, and other health-related social security benefits. These population groups, particularly the rickshaw pullers of India, are vulnerable because of their poor social and economic status, migration history, lack of permanent settlements, lack of social capital, and so on. These reasons, coupled with other social-political reasons, lead to no or limited access to health services and poor health conditions. This study intends to explore and understand the context and health seeking behavior of rickshaw pullers in Ranchi, the capital city of Jharkhand state in India, with special reference to wider social determinants of health such as, access, affordability, and delivery of health services. The data was collected from 1,000 rickshaw pullers from 40 "rickshaw garages" in Ranchi. The findings of the study show that rickshaw pullers can't afford to "attach" much importance to their health due to various reasons and suffer from a variety of occupational and other illnesses. The health conditions of the rickshaw pullers are affected by poverty, negligence, illiteracy, lack of awareness and unavailability of affordable, quality health services. These are only a symptom of the larger structural issues affecting health. The study suggests that rickshaw pullers, being a marginalized and excluded population group, require special health and social security programs that include safe, affordable, and accessible services along with a special focus on health education, behavior change, and promotion of appropriate health-seeking behavior.
机译：大量“边缘化”人口群体被剥夺了其健康权，医疗保健机会，政府卫生计划的福利以及其他与健康相关的社会保障福利。这些人口群体，特别是印度的人力车运输者，由于其社会和经济地位差，移民历史，缺乏永久定居点，缺乏社会资本等而易受伤害。这些原因，加上其他社会政治原因，导致无法获得卫生服务或卫生条件差，或获得卫生服务的条件有限。这项研究旨在探索和理解印度贾坎德邦州首府兰契的人力车夫的背景和寻求健康的行为，并特别提及更广泛的健康社会决定因素，例如获取，负担能力和医疗服务的提供。数据是从兰契（Ranchi）的40个“人力车车库”中的1,000名人力车夫那里收集的。该研究的结果表明，由于种种原因，人力车夫无法承受对其健康的“重视”，并患有各种职业病和其他疾病。人力车夫的健康状况受到贫穷，过失，文盲，意识不足和无法获得负担得起的优质保健服务的影响。这些只是影响健康的较大结构性问题的症状。该研究表明，作为一个边缘化和排斥人群的人力车夫需要特殊的健康和社会保障计划，其中包括安全，负担得起的可及服务，同时特别关注健康教育，行为改变和促进适当的健康寻求行为。

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