scholarly journals Factors affecting health care facility utilization in rural areas of Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1766
Author(s):  
Vinita Shukla ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Rural Areas ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Public And Private ◽  
Background Population

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.

scholarly journals Assessment of health seeking behaviour among fishermen community in Puducherry

2021 ◽  
Vol 8 (2) ◽  
pp. 732
Author(s):  
Rajarajeswari Neethiselvan ◽  
Gayathri S. ◽  
Shanmughapriya P.
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Care Facility ◽  
Health Care Facility ◽  
Public Health Care ◽  
Special Focus ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Late Night

Background: Fishermen community are involved in dangerous and complex profession and have diverse and untold constrains like work overtime in sea- nightshifts and late- night return from sea which worsen their morbid conditions.  Objectives were to explore the health seeking behaviour and challenges faced by the fishermen community to utilize the health care facility in Puducherry.Methods: A community based cross-sectional study was conducted among 102 individuals in the selected villages of fishermen community in Puducherry based on convenient sampling during September 2019 to November 2019.Results: Majority 63 (62.4%) utilized government hospitals for various illness. Nearly one-third of people 35 (34.5%) visited private hospital for their ailments and another 4 (3.9%) preferred pharmacies for their illness. More than half of the study participants working as an active fisherman 59 (57.8%) had approached health care facility during their illness (p<0.037). Around 54 (52.9%) subjects belonged to lower middle class visited health facility during their illness (p<0.046). Free of cost, 24×7 services, and easy accessibility, were reported as the commonest reason for choosing public health facility. Doctors availability, less time consumption and quality of medical care were the reasons for preferring private practitioners.Conclusions: Strengthening of public health care services near the fishermen community area is required to promote their health seeking behaviour. Also, special focus to be given for appropriate transport facility and arranging specialized healthcare professionals for this community. 

scholarly journals Utilization of public health care facilities in Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1835
Author(s):  
Vinita Shukla ◽  
Monika Agarwal ◽  
M. Z. Idris ◽  
Naim Ahmed ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Waiting Time ◽  
Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Long Distance ◽  
Cross Sectional ◽  
Care Facilities

Background: Health has been declared a fundamental human right. Governments all over the world are striving to expand and improve their health care services. Though there is scarcity of health care resources in India, yet utilization of the Govt. Health care facilities reveal that their outreach was not only poor but even where they are within the reach of population they remained under utilization. In view of the facts stated above this study was planned to assess the extent of utilization of available health facility, the purpose of visit to health care facility and the reasons for non-utilization of public health care facility.Methods: Sample of 1024 was drawn from rural and urban population of Lucknow district. Cross sectional study was conducted in one-year period using the stratified multistage sampling. Data was analyzed using the stata software version -8 for windows.Results: Most of the respondents in rural (73.66%) and in urban (87.44%) visited the health facility for treatment of illnesses. Majority 55.28% in rural and 67.15% in urban area visited private health facility. The most common reason for non-utilization of public health facility in rural respondents (63.5%) was the long distance to health facility and for urban respondents it was long waiting time (56.46%).Conclusions: Most of the people prefer private health care facilities over public. The two most common reasons were long distance and long waiting time. These issues can be dealt by mobile clinics and strengthening the already existing health centres etc.

Spatial distribution of public health care facilities in rural areas of Nalanda district, Bihar

2020 ◽  
Vol 66 (4) ◽  
pp. 387-399
Author(s):  
Anand Kumar ◽  
◽  
Dhiraj Kumar Sharma ◽  
Satya Prakash ◽  
Ram Sakal Yadava ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Spatial Distribution ◽  
Community Development ◽  
Rural Areas ◽  
Graphical Representation ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Location Quotient ◽  
Care Facilities

At this critical juncture of time when the whole world is facing a health care emergency due to the occurrence of (SARS-CoV-2) pandemic. It becomes necessary to critically evaluate public health care facilities and their availability to common people to tackle the ongoing crisis rationally. In this regard, this paper tries to study the spatial distribution of public health care facilities and their availability in rural areas of Nalanda district. Location quotient, Lorenz curve and Gini's coefficient have been worked out to find unequal concentration, availability and distribution of public health care facilities across the study area. To show the concentration and distribution of health care facilities over space maps have been drawn on ArcGIS. MS Excel and Word have been used for showing the availability of health care facilities through graphical representation and for tabulation purposes. This paper concludes that community development blocks surrounding district headquarter have a higher concentration and larger availability of rural public health care facilities in comparison to peripheral community development blocks of the study area.

scholarly journals Evaluation of maternal mortality and their factors in GMCH, Aurangabad, India

2018 ◽  
Vol 7 (3) ◽  
pp. 879
Author(s):  
Ganesh Balasaheb Bharaswadkar ◽  
Murlidhar L. Kurtadikar
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Community Education ◽  
Tertiary Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Maternal Deaths ◽  
Infective Hepatitis

Background: Analysing the factors related to maternal mortality is very important as they reflect the socioeconomic status and health care facility availabilities of the country. This study is aimed to analyse the epidemiological aspects and different causes of maternal death and evaluation of preventable factors and unavoidable factors if any causing maternal death.Methods: The retrospective study was carried out at GMCH, Aurangabad during the period from February 2002 to January 2004. All the data related to epidemiological factors and causes of maternal mortality was recorded and analyzed.Results: There were 33 maternal deaths during the study period. The mean maternal mortality rate was 211 per 1,00,000 total births. Maximum maternal deaths were reported at the age group of 26-30 years (36.1%), in primiparous women (46.8%) and from rural areas (78.38%). Most of the deaths (37.5%) were reported within first 24 hours of hospital admission at postpartum stage (87.5%). 84.37% of maternal deaths were due to direct causes. And toxemia of pregnancy (39.5%) was major direct cause. Anaemia and infective hepatitis constitutes for 9.3% each for the indirect causes maternal death.Conclusion: Most maternal deaths can be preventable by multidisciplinary approaches involving mass community education, improving sanitation, early referrals to tertiary care centres and by providing health care facilities in rural areas.

Household Health Care Facility Utilization in the Philippines

1997 ◽  
Vol 9 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Gerard Russo ◽  
Alejandro N Herrin ◽  
Melahi C Pons
Keyword(s):  
Health Care ◽  
Private Hospital ◽  
Care Facility ◽  
Health Care Facility ◽  
National Health Survey ◽  
The Philippines ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Public And Private ◽  
Income Quartile

This paper presents probit estimates of household utilization of health care facilities in the Philippines. Using household data from the 1987 National Health Survey and supply data from the Department of Health, separate probit equations are estimated for each of the four major types of facilities in the Philippines: Public hospitals, private hospitals, major rural health units and barangay (village) health stations. The probability that a household will utilize services from these facilities is estimated as a function of socioeconomic, demographic and supply variables. The results indicate substantial differences in utilization patterns by income class. Households in the highest income quartile are approximately twice as likely (0.451 versus 0.236) to utilize private hospital services vis-à-vis households in the lowest income quartile, ceteris paribus. The results also indicate substantial substitution between public and private. services. An increase in the availability of private hospital beds significantly reduces the probability that a household will utilize government facilities.

scholarly journals Independent public healthcare unit as an entrepreneur – considerations based on the Act on Medical Activity

2015 ◽  
Vol 125 (3) ◽  
pp. 159-161
Author(s):  
Kamil Szereda ◽  
Jolanta Szymańska
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Legal Aspects ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Legal Person ◽  
Public Healthcare ◽  
Medical Activity ◽  
Legal Personality

Abstract An entrepreneur is someone that engages in a business activity on their own behalf. An entrepreneur might be a natural person, legal person and an organizational unit without legal personality, to which the legal capacity is given by a separate act. Regarding the current legislation, Supreme Court rulings and opinions contained in publications, the authors discuss the legal aspects of entrepreneur’s running an autonomous public health care facility. Since the act on medical activity has become law, both the status of health care facilities and the case law concerning their status as enterprises changed.

scholarly journals Epidemiological Analysis of the Occurrence of Tick-borne Diseases at the Independent Public Health Care Facility in Bielsk Podlaski

2020 ◽  
Vol 9 (2) ◽  
pp. 51-58
Author(s):  
Katarzyna Snarska ◽  
◽  
Ewa Chmur ◽  
Cecylia Dolińska ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Public Health Care ◽  
Medical Documentation ◽  
Good State ◽  
Study Results ◽  
Tick Borne Disease ◽  
Public Health Care Facility

Introduction. Ticks can infect people with numerous pathogens causing various infectious (viral, bacterial) or invasive (parasitic, fungal) diseases. Aim. The main objective of the present work included the epidemiologic analysis of the occurrence of tick-borne diseases at the Independent Public Health Care Facility in Bielsk Podlaski. Material and Methods. An analysis of medical documentation stored in the hospital’s IT database of patients hospitalized in 2016, 2017 and 2018 was performed. Sixty-six patients admitted to the Observation and Infectious Disease Ward diagnosed with tick-borne diseases, were qualified for the study. Results. Analysis of the data showed that Lyme disease was diagnosed most often. It affected mainly middle-aged and elderly men. The second most-often diagnosed illness was TBM characterized by its seasonality. No other ticktransmitted diseases were recorded. Although not all patients were aware of having been bitten by a tick, their symptoms allowed the diagnosis of tick-related illnesses. After treatment relevant to each ailment all patients were discharged in a good state of health. Conclusions. The completed retrospective analysis of the documentation of hospitalized patients shows consistency with the work of other authors both with respect to the frequency of tick-borne disease diagnoses and the most often reported symptoms. It also confirms an upward trend with respect to tick-borne disease hospitalizations. (JNNN 2020;9(2):51–58) Key Words: tick-borne diseases, epidemiology, various infectious, invasive diseases

scholarly journals Immunoreactivity of five antigens ofMycobacterium tuberculosisin patients attending a public health care facility in an area with high endemicity for TB

2008 ◽  
Vol 52 (11) ◽  
pp. 544-550 ◽  
Author(s):  
Vania Maria C Silva ◽  
Isabela Gama Sardella ◽  
Ronir Raggio Luiz ◽  
Antonio José Ledo A. Cunha ◽  
Aline H. Cavalcanti ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Public Health Care ◽  
Public Health Care Facility
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