Abstract
This study explores the availability, accessibility, and usage of healthcare services among coastal fishermen in two selected districts of Kerala, India—Kannur and Alappuzha. Using the Multidimensional Poverty Index (MPI) and oneway ANOVA, the research investigates healthcare disparities, infrastructure differences, and the prevalence of lifestylerelated illnesses among 90 fishermen. Results reveal that Kannur offers relatively better access to primary healthcare facilities, while Alappuzha struggles with geographical and infrastructural barriers, despite both regions having public healthcare options. Interestingly, many fishermen in Alappuzha opt for private hospitals, perceiving them as providers of higher-quality care. The MPI analysis indicates a slightly higher level of multidimensional poverty in Kannur. Additionally, both districts report significant incidences of lifestyle diseases such as diabetes, hypertension, and osteoporosis, with Kannur showing notably higher rates. These health challenges are compounded by socio-economic limitations and varying levels of healthcare infrastructure. The study highlights the need for policy interventions that focus on improving healthcare infrastructure, promoting health education, and reducing financial burdens through subsidies and insurance schemes. It also suggests that future research include gender-disaggregated data and apply multivariate analysis to better understand the interrelations between poverty, geography, and healthcare outcomes. These insights are crucial for developing equitable healthcare strategies tailored to the unique needs of coastal fishing communities.
Keywords: Coastal Fishermen, Healthcare Accessibility, Healthcare Services, Lifestyle Diseases, Multidimensional Poverty Index (MPI)