Accessibility of primary healthcare services at primary health centre level in northern and central zones of Odisha

2021 ◽  
Vol 14 (4) ◽  
pp. 428
Author(s):  
Rachita Ota ◽  
Supriti Agarwal ◽  
Priti Ranjan Majhi
Author(s):  
Dr. Minutha. V

The accessibility of healthcare centers is one of the most important indicators for measuring the efficiency of a healthcare system. Accessibility is a complex indicator that reflects the number of health care institutions, their geographical distribution and the impact of different types of barriers social, Economic and culture (1). Primary health centre which acts as the first level of contact between the population and health centers. It acts has a cornerstone of rural health services. Primary healthcare is affordable, accessible and appropriate care for the particular needs of a given population especially in rural areas. The main objectives of the study are to study the spatial distribution pattern and delineation of service area of primary health centers; to identify the gap between the availability and accessibility of health services. The base map of study area has been geo-referenced and digitized using ARC GIS software. The Global positioning system (GPS) was adopted to take the coordinate of all the existing primary health centers in the study area. Simple Euclidean buffers are mapped and analyzed to define the service area, Thiessen polygon and Nearest Neighbour Technique was used here to identify the availability of health services in Mysore district. The results reveal that, the spatial variation in the distribution of PHC’s, which were not evenly distributed across the study area and there is scarcity in the availability of workforce among the study area.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e040749
Author(s):  
Shanthi Ann Ramanathan ◽  
Sarah Larkins ◽  
Karen Carlisle ◽  
Nalita Turner ◽  
Ross Stewart Bailie ◽  
...  

ObjectivesTo (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from LFTB and (3) assess the feasibility and outcomes from a retrospective application of FAIT.SettingThree Indigenous primary healthcare (PHC) centres in the Northern Territory, Australia; project coordinating centre distributed between Townsville, Darwin and Cairns and the broader LFTB learning community across Australia.ParticipantsLFTB research team and one representative from each PHC centre.Primary and secondary outcome measuresImpact reported as (1) quantitative metrics within domains of benefit using a modified Payback Framework, (2) a cost-consequence analysis given a return on investment was not appropriate and (3) a narrative incorporating qualitative evidence of impact. Data were gathered through in-depth stakeholder interviews and a review of project documentation, outputs and relevant websites.ResultsLFTB contributed to knowledge advancement in Indigenous PHC service delivery; enhanced existing capacity of health centre staff, researchers and health service users; enhanced supportive networks for quality improvement; and used a strengths-based approach highly valued by health centres. LFTB also leveraged between $A1.4 and $A1.6 million for the subsequent Leveraging Effective Ambulatory Practice (LEAP) Project to apply LFTB learnings to resource development and creation of a learning community to empower striving PHC centres.ConclusionRetrospective application of FAIT to LFTB, although not ideal, was feasible. Prospective application would have allowed Indigenous community perspectives to be included. Greater appreciation of the full benefit of LFTB including a measure of return on investment will be possible when LEAP is complete. Future assessments of impact need to account for the limitations of fully capturing impact when intermediate/final impacts have not yet been realised and captured.


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