scholarly journals Rural Healthcare Infrastructural Disparities in India: a Critical Analysis of Availability and Accessibility

2017 ◽  
Vol 3 (2) ◽  
pp. 125-149 ◽  
Author(s):  
Mohd Taqi ◽  
Swati Bidhuri ◽  
Susmita Sarkar ◽  
Wani Suhail Ahmad ◽  
Padma Wangchok

Health and well being of human resource plays an important role in the economic as well as social development of the country. To ensure better health of the people an adequate healthcare infrastructure is of primary importance. Inadequate infrastructure generally leads to poor quality of health services which is positively dangerous to health and welfare of the community at large. About 68% of India’s population still lives in rural areas, yet healthcare infrastructures in these areas are in pathetic condition. There are very few government health centers and even those are devoid of most of the medical facilities and personnel’s. Although the National Rural Health Mission (NRHM), launched in 2005 has made significant progress in the healthcare infrastructure (mainly in physical infrastructure) in rural areas and has impacted the lives of rural masses to some extent but it has simultaneously failed to bring desired results because of lack of implementation. So the accessibility and availability of health facilities as well as delivery of quality services in the rural areas deserve considerable attention from planners, researchers and healthcare workers. In this context, the present paper critically examines and evaluates the disparities in availability as well as accessibility of health infrastructure in rural areas of India.

Author(s):  
Zahid Nazir Padder

India’s health sector is vast and it is present on every corner of the country. Rural India’s health infrastructure majorly rely on Government Sponsored Health and Well being centers. Most of the medical diagnosis equipment are sophisticated in nature and requires high quality of electricity. But these center often experience power outage and poor quality of power, which creates a challenges for diagnosis and treatment of patients On the other hand these areas received good amount of sun shine and these challenges can be eliminate by putting Solar PV with adequate storage battery. The present study aims to find out the feasibility of such scheme with its optimal size.


Author(s):  
Nick Bailey

One in three people in employment is not enjoying the inclusionary benefits usually associated with paid work: they are in poverty, in poor quality jobs or in insecure employment. People in this group can be described as being in ‘exclusionary employment’. The people most at risk of exclusionary employment are those who are younger, are lone parents, have a health problem or disability which limits daily activity, have few qualifications, are in semi-routine or routine occupations or are working part-time. Some industries have much higher concentrations of exclusionary employment than others, notably the Wholesale & Retail and Accommodation & Food sectors where more than half of all workers are in exclusionary employment. For those in semi-routine or routine occupations, the risks of exclusionary employment are high in all industries. People in exclusionary employment are much more likely to be excluded in relation to the other domains examined here: health and well-being, social relations and participation, and housing and neighbourhood environment.


2020 ◽  
Vol 14 (4) ◽  
pp. 627-632
Author(s):  
Isma Muthahharah ◽  
Agusalim Juhari

In health services, the quality of service places patients as the party who consumes and enjoys health services, including those that most determine the quality of health services. The Makassar city health office noted that the people served in 2018 reached 81.77% compared to 2017 which was only 81.71%. The data released by the health department have not shown specifically which districts had very good, pretty good, and poor health services during the Covid-19 pandemic. Therefore, we need a classification method, namely the ward's method. Health services in this study include hospitals, health centers, home care and telemedicine in 15 sub-district locations. Based on the results of the analysis formed 3 clusters, namely cluster 1 with members of the sub-districts of Biringkanaya, Bontoala, Makassar, Manggala, Tallo, Tamalanrea, and Wajo which have pretty good health services. cluster 2 with sub-district members namely Mamajang, Panakkukang, Rappocini, Ujung Pandang, and Sangkarang Islands which have very good health services, cluster 3 with members of Mariso, Tamalate and Ujung Tanah sub-districts which have poor health services.


2020 ◽  
Vol 8 (T2) ◽  
pp. 172-175
Author(s):  
Hafidah Amiruddin ◽  
Ansariadi Ansariadi ◽  
Sukri Palutturi ◽  
Wahidin M. Wahidin ◽  
Abdul Rahman Akmal ◽  
...  

BACKGROUND: Quality healthcare is the standard of care received by citizens who are entitled to guarantee their health status due to the poor quality of health care that affect the high mortality. AIM: This study aimed to determine the difference in counseling quality of pregnancy dangerous signs at the public health centers of urban and rural areas in Jeneponto regency. METHODS: The type of study was analytical observation with a cross-sectional study design. The populations of this research are all pregnant women in Jeneponto regency in October 2015–May 2016 at the work area of Urban and Rural Public Health centers. There were 278 respondents obtained by proportionate stratified random sampling. Data analysis used computer application of SPSS examined with the Chi-square test. RESULTS: The results indicate that 85.3% of counseling quality of pregnancy dangerous signs in the work area of urban and rural Puskesmas are categorized bad. There is a difference of counseling quality of pregnancy dangerous sign component of vagina bleeding (p = 0.000), severe headache (p = 0.000), visual problems/blurred sight (p = 0.000), swelling on face and hand (p = 0.001), and severe abdominal pain (p = 0.000), fetus movement is lacking or not felt (p = 0.000) and fever (p = 0.000). CONCLUSION: There is no difference in counseling quality based on age, education, job, and parities.


2020 ◽  
Vol 12 (4) ◽  
pp. 1360 ◽  
Author(s):  
Robert D. Brown ◽  
Robert C. Corry

More than 80% of the people in the USA and Canada live in cities. Urban development replaces natural environments with built environments resulting in limited access to outdoor environments which are critical to human health and well-being. In addition, many urban open spaces are unused because of poor design. This paper describes case studies where traditional landscape architectural design approaches would have compromised design success, while evidence-based landscape architecture (EBLA) resulted in a successful product. Examples range from school-yard design that provides safe levels of solar radiation for children, to neighborhood parks and sidewalks that encourage people to walk and enjoy nearby nature. Common characteristics for integrating EBLA into private, public, and academic landscape architecture practice are outlined along with a discussion of some of the opportunities and barriers to implementation.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anjali Bansal ◽  
Laxmi Kant Dwivedi

Abstract Background According to United Nations, 19% of females in the world relied only on the permanent method of family planning, with 37% in India according to NFHS-4. Limited studies tried to measure the sterilization regret, and its correlated factors. The study tried to explore the trend of sterilization regret in India from 1992 to 2015 and to elicit the determining effects of various factors on sterilization regret, especially in context to perceived quality of care in the sterilization operations and type of providers. Data and methods The pooled data from NFHS-1, NFHS-3 and NFHS-4 was used to explore the regret by creating interaction between time and all the predictors. Predicted probabilities were calculated to show the trend of sterilization regret amounting to quality of care, type of health provider at the three time periods. Results The sterilization regret was increased from 5 % in NFHS-1 to 7 % in NFHS-4. According to NFHS-4, for those whose sterilization was performed in private health facility the regret was found to be less (OR-0.937; 95% CI- (0.882–0.996)) compared to public health facility. Also, the results show a two-fold increase in regret when women reported bad quality of care. The results from predicted probabilities provide enough evidence that the regret due to bad quality of care in sterilization operation had increased with each subsequent round of NFHS. Conclusion Many socio-economic and demographic factors have influenced the regret, but the poor quality of care contributed maximum to the regret from 1992 to 2015. The health facilities have seriously strayed from improving the health and well-being of women in providing the family planning methods. In addition, to public facilities, the regret amounting to private facilities have also increased from NFHS-1 to 4. The quality of care provided in the family planning operation should be standardized in every hospital to strengthen the health systems in the country. The couple should be motivated to adopt more of spacing methods.


2021 ◽  
Vol 53 (5) ◽  
pp. 515-522
Author(s):  
P Raynham

Electric light in buildings may provide some health benefits; however, for most people these benefits are likely to be small. It is possible for electric lighting to cause health problems, if there is too little light or there is glare, but for the most part there is good guidance available and these problems can be avoided. The quality of the lit environment can have a psychological impact and this may in turn impact well-being. A starting point for this is perceived adequacy of illumination. Related lighting metrics are examined and a hypothetical explanation is suggested.


2021 ◽  
pp. 251660422197724
Author(s):  
Jashim Uddin Ahmed ◽  
Saima Siddiqui ◽  
Asma Ahmed ◽  
Kazi Pushpita Mim

India’s medical service industry is an emerging force in Southeast Asia, which should be recognized. A large portion of the country’s GDP is being earned through this sector. Paradoxically, India’s rural sphere has always been highly deprived of medical facilities even in rudimentary level. This huge imbalance was previously an issue for India to reach to a footing through innovation. India still being a developing country has majority of people living in rural areas where quality healthcare is not only difficult to avail but sometimes even hard to access. In such circumstances, an initiative like Lifeline Express (LLE) has provided the people with access to quality healthcare which has been crucially needed. It is a very simple idea but incredibly complex in terms of execution throughout the whole region. The LLE is a hospital which moves throughout rural India in a form of a fully equipped train. Since 1991, this initiative in India has generated some commendable projects through which it has served many rural Indians. Through this case, it will be comprehensible of how the train and the medical team function and will show the limitations and challenges healthcare in India is facing and how LLE has proved its fantastic ability to fight with the constraints and make healthcare reach the doorsteps of the rural people. Despite the challenges and limitations, it is also been revealed how the journey of LLE has grown from a three-coach train to seven-coach train where patients get treatment of many diseases from the early 1990s to this day.


Histories ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 69-84
Author(s):  
Tiasa Basu Roy

It was from the middle of the eighteenth century that discussions regarding the strategies taken up by the Protestant missionaries to propagate the Gospel generated the issue of healthcare and medical facilities among people in India. Medical mission, which hitherto was not considered, started to gain importance and reaped positive results in terms of curing individuals and its trustworthiness among tribes residing in the frontier regions. However, this developed a separatist religious identity among the population, which apparently did not appear lethal, but later culminated in the fragmentation and impeachment of solidarity among the adivais (tribal) and vengeance from the Hindu population. This article will show how the Canadian Baptist Mission, with its primary aim of spreading the Kingdom of God among the tribal Savaras in the Ganjam district of Orissa, undertook measures for serving health issues and provided medical facilities to both the caste Oriyas and the tribal Savaras. Although medical activities oriented towards philanthropy and physical well-being, medical mission was not limited to healing illness and caring for all, but also extended to spreading the word of God and influencing the people to embrace Christianity as well, which invited political troubles into the region.


2020 ◽  
Vol 2 (2) ◽  
pp. 87-97
Author(s):  
Jashim Uddin Ahmed ◽  
Saima Siddiqui ◽  
Asma Ahmed ◽  
Kazi Pushpita Mim

India’s medical service industry is an emerging force in Southeast Asia, which should be recognized. A large portion of the country’s GDP is being earned through this sector. Paradoxically, India’s rural sphere has always been highly deprived of medical facilities even in rudimentary level. This huge imbalance was previously an issue for India to reach to a footing through innovation. India still being a developing country has majority of people living in rural areas where quality healthcare is not only difficult to avail but sometimes even hard to access. In such circumstances, an initiative like Lifeline Express (LLE) has provided the people with access to quality healthcare which has been crucially needed. It is a very simple idea but incredibly complex in terms of execution throughout the whole region. The LLE is a hospital which moves throughout rural India in a form of a fully equipped train. Since 1991, this initiative in India has generated some commendable projects through which it has served many rural Indians. Through this case, it will be comprehensible of how the train and the medical team function and will show the limitations and challenges healthcare in India is facing and how LLE has proved its fantastic ability to fight with the constraints and make healthcare reach the doorsteps of the rural people. Despite the challenges and limitations, it is also been revealed how the journey of LLE has grown from a three-coach train to seven-coach train where patients get treatment of many diseases from the early 1990s to this day.


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