DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181685

Utilization of public health care facilities in Lucknow district

Vinita Shukla, Monika Agarwal, M. Z. Idris, Naim Ahmed, Pratibha Gupta

Abstract


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.


Keywords


Health, Public, Private, Health care facilities, Utilization

Full Text:

PDF

References


WHO: Health Aspect of Human Rights, WHO, Geneva, 1976.

Park K. Park's Textbook of Preventive And Social Medicine. Health Care of the community. Chapter 21. 24th ed. Jabalpur: Banarsidas Bhanot. 2017: 927-957.

WHO: Health for All, Sr No 4, 1981.

National Population Policy, 2002.

NFHS-3 National Family Health Survey -3, 2005-2006.

Dalal K, Dawad S. Non Utilization of public health facilities examining the reasons through a national study of woman in India. Rural Remote Health. 2009;9(3):1178.

Arya SB. A Comparative Study of public and private health services in Mumbai Region –Availability and Utilization pattern, 2012.

Vargese S, Mathew P, Mathew E. Utilization of public health services in a rural area and an urban slum in Western Maharashtra, India. Int J Med Sci Public Health. 2013;2:646-9.

WHO. World Heath Statistics, 2012.

Chirmulay D. Factors affecting heath seeking and utilization of curatve heath care.BAIF Development and Research Foundation, 1997.

Rick K, Homan KR. Thankappan: An Examination of Public and Private Sector Sources of inpatient care in Trivandrum district, Kerala, 1999.