Access to health care among rural population (original) (raw)
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Availability and Accessibility of health care facilities under NRHM in Rural Areas of Vijaypur
Accessibility of health care services is a major challenge to the rural community as the number of health care institutions is meager with their geographical distribution and also due to the different type's socioeconomic barriers. The degree of accessibility of health care institutions is one of the major significant indicators for measuring the efficiency of a health care service. Therefore NRHM/NHM was introduced in 2005 to ensure equitable provision of health care services in rural India. Thus the paper aims to study the availability of maternal health care facilities under NRHM in the study area. NRHM facility has improved the health care accessibility of rural people, especially poor women and children to equitable, affordable, accountable and effective primary health care. The majority of (72.55 %) Respondents said medical care available in PHCs for common illness from PHC at the time of pregnancy follow-ups and delivery. Remaining 27.45 % of the Respondents said medical care not available in PHCs for common illness. Hence with reference to the quality of health care the findings shows that, most of the respondents nearly about (58%) indicated that they experienced Poor and moderate Health Care. Findings observed there is an urgent call for developing facility-specific contextualized tools and implement those through appropriate training and supportive supervision for maintaining minimum required quality of health care. Introduction: In public health care sector, there has been an enormous shortage of human resources in the country. Now, Healthcare service delivery requires intensive human resource inputs. GOI extended public health care under NRHM/NHM scheme, these schemes are providing health human resources namely Medical Officers, Paramedics, Auxiliary Nurse Midwifes (ANMs), Staff Nurses, Public Health Managers and Programme Management staffs etc. Apart from NHM also focused on multi-skilling of doctors (MBBS doctors-trained in Emergency Obstetric Care (EmOC)), Life Saving Anaesthesia Skills (LSAS) and Laparoscopic Surgery. Similarly, due importance is given to capacity building of nursing staff and auxiliary workers such as ANMs. NRHM also supports co-location of AYUSH services in health facilities such as
National Rural Health Mission and Access to Health Services: Issues and Challenges
2008
People's health and well being are considered as one of the major indicators of development. In Jharkhand, if this indicator is used, then its level of development leaves much to be desired. The state is confronted with many grave challenges in the health sector. A sizeable share of population remains deprived of basic health care facilities despite the National Rural Health Mission (NRHM) and other health initiatives by the government and related agencies. The issues of availability, accessibility, acceptability, affordability and quality with regard to health care remain as serious concerns. 'Double burden of diseases' has further aggravated the problem together with escalating cost of health care and collapse of state support. The solution is to make the public health system accountable, affordable and accessible by improved management of resources and community action.
Access to Public Health Care in the Rural North-East India
Despite phenomenal economic growth over the last two decades, India has done lesser than expected to improve the health-care sector. Even though the National Rural Health Mission (NRHM), launched by the Government of India in 2005, has made significant progress in the health-care infrastructure of the country, the improvement has been quite uneven across regions, especially in the north-east, with large-scale rural-urban variations and limited accessibility to health-care services in rural areas. In this context, this paper critically examines and evaluates the current status of public health infrastructure in the rural areas of the northeastern region of India.
Quality health services and its access in a village: A case study
The study analyzes the awareness of healthcare facilities among rural people. The already existing infrastructure and various provision mechanisms of healthcare facilities are adequate but still require massive programs to educate rural people. There is also a need to make the ruralites awareness on Government health schemes, usage of natural remedies, self-treatment. The analysis sample consists of 80 subjects, aged between Materials and Methods: 20 to 90 yrs and living in a rural community in Narsampet mandal of Warangal district, India. Attendees queried for the availability of health services, and recorded in proforma prepared. The results showed the awareness about Results: availability of the medical facilities provided by the Government. Majority in numbers are unaware about existing Primary Healthcare Center (PHC) or physicians availability in selected rural area. The association between laboratory facilities and PHC was evident from the studies. One notable relief observed among villagers that many Conclusion: are not preferring self-treatments for their ailments with modern medicines.
The Journal of Community Health Management
This review article focuses on community barriers among tribes living in different parts of rural regions in India and placed to find out the possible resolution/passion. The access to health care services has a very low coverage in rural region of the country especially in tribal communities. A systematic search was covered since last two decades from 2000 to 2020 of articles were extracted from Google Scholar, PubMed, Science Direct, JSTOR, WHO portal, Research Gate, Census 2011, etc. The health indicators of tribes were originated alarming status quo as widely held malnourished and sufferer from different disease and illness. Findings towards accessing quality health care services revealed that difficult geographical situation, communication in own language, financial constraint, low level of education, illiteracy, approaching traditional medicine and ancient culture as community barriers were remained constant. Low level of education, strong cultural believes and traditional cul...
Background There are many indicators and methods in use for measuring access to healthcare, much of which relate to physical access or utilization of services. This study measures unmet healthcare needs in a district with relatively good physical access and insurance coverage and discusses the relevance of our findings for the design and monitoring of progress towards achieving universal health coverage (UHC). Methods A multi-stage sampling survey identified and interviewed a sample of 3153 individuals from 598 households drawn from 13 villages and seven urban wards. In-depth qualitative interviews of five purposively chosen individuals from each village and urban ward, was also undertaken. The study examined access in terms of perceived healthcare needs and unperceived or latent healthcare needs and the proportion of such needs that utilized effective health care and the proportion that did not. Estimation of unperceived healthcare needs was limited to five tracer conditions- hyper...
Improving Access, Service Delivery and Efficiency of the Public Health System in Rural India
2009
3 Acknowledgements This book is the product of a request made by the Ministry of Health and Family Welfare, Government of India to an International Advisory Panel (IAP) on the National Rural Health Mission (NRHM) to undertake a mid-term evaluation of the functioning of the NRHM. The work leading up to this book was undertaken with the generous support of the Government of Norway and we gratefully acknowledge the Norwegian Government's support and the support we received from the Bill and Melinda Gates Foundation for convening seven IAP meetings in Delhi over three years. We would like to record our sincere thanks to the Honorable Dr. Manmohan Singh, Prime Minister of India for having given us the opportunity to work with him and his cabinet members over the last several years. It has been our profound privilege to collaborate with Dr. Singh and senior policy makers in the Government of India. We owe a special debt of gratitude to all IAP members for providing valuable insights d...
Patterns of health service utilization and perceptions of needs and services in rural Orissa
Health Policy and Planning, 2005
Despite emphasis on strengthening local health care provision, concern remains regarding the rates of utilization of state-provided services within Orissa. The reported study examined patterns of service utilization across the rural population of four districts of Orissa, with special reference to perceptions of the availability and quality of state services at the primary care level. Within the selected districts, 219 interviews were conducted across 66 villages. Households reported utilizing a wide range of health care providers, although hospitals constituted the most frequently–and primary health care centres (PHCs) the least frequently–accessed services. Private practitioners (qualified and unqualified) represented a major sector of provision. This included high rates of access by scheduled tribes and castes (running at approximately twice the rate of access to both local and PHC provision). Key factors guiding patterns of utilization were reputation of the provider, cost and physical accessibility. Local health provision through assistant nurse midwives and male health workers was generally perceived of poor quality, with the lowest rates of resolution of health problems of all service providers. The location of a subcentre base for assistant nurse midwives within a village had no demonstrable impact on access to services. Acknowledging constraints on broader generalization, the implications of the findings for informing health policy and programming within Orissa are noted. This includes support for current efforts to strengthen the capacity of PHC and sub-centre level provision within the state, and acknowledgement of the potentially growing role of effectively regulated private provision in meeting the needs of the rural poor.
Journal of Economic and Social Development, 10(1), 2014
The role of health of the people of a nation in economic growth is universally recognised. While a well developed health care infrastructure is the key determinant of good health, the health care infrastructure in India is quite unsatisfactory, especially in rural areas, even after the National Rural Health Mission (NRHM) launched in 2005 has emphasised on strengthening the rural health care infrastructure. In this light the present study examines the current status of health care infrastructure in the rural areas of north-eastern region of India. The paper specifically looks at the progress in physical infrastructure, available health care facilities, status of existing manpower, etc. and highlights the challenges faced by the rural health care sector in the region. We found that though there has been significant improvement in the health care infrastructure, especially health centres after the implementation of NRHM in 2005, but the condition of the states has been grim in terms of other aspects of health care infrastructure, especially in terms of availability of specialists and well trained manpower, quality of health care services and so on. The results suggest for the need for rigorous State policies to strengthen the rural health care infrastructure in the region.