Health seeking behavior among interstate migrant workers in a northern district of Kerala

Abstract

Background

Throughout history, people have migrated for better opportunities, impacting political and economic landscapes.

Recently, there’s been more focus on internal migration challenges, especially in India, where states like Kerala

attract many interstates migrant workers. Despite their economic contributions, migrant workers face significant

health challenges and limited access to healthcare. This study aims to evaluate the health-seeking behaviour of

interstate migrant workers in a northern district of Kerala and identify influencing factors.

Methods

In this cross-sectional study, 400 interstate migrant workers who lived in selected municipalities in the Malappuram

district of Kerala were surveyed using a semi-structured interview schedule in the participants native languages with

the assistance of an interpreter, with an emphasis on health-seeking behavior, and sociodemographic information.

Data analysis utilized descriptive statistics and chi-square tests via SPSS software.

Results

The mean age of participants was 31.3 ±7.7 years. Most preferred was private healthcare (39.8%) and 32% utilized

government facilities. 54% are willing to visit a doctor or healthcare facility when ill, 35% use home treatments,46%

practice self-medication when sick. Socio-demographic factors such as age and income significantly influenced

health-seeking behaviors, with a preference for modern medicine (88.3%).

Conclusions

The study on interstate migrant workers in Malappuram district, Kerala, reveals crucial insights into their health

seeking behaviors and socio-economic conditions. The study identifies high incidences of inadequate healthcare

access and frequent reliance on self-medication and home remedies. The study highlights the impact of

sociodemographic determinants on health behaviors and access to care.