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Accessibility of Primary Health Care Services Essay.

Accessibility of Primary Health Care Services Essay.


Primary Health Care Centres are established with the purpose to supply accessible, low-cost and available primary wellness attention to the common people at their door measure, with specific focal point on the rural and vulnerable subdivisions. The success of PHC lies in the maximal use of its services by the people. But many studies ( NFHS-2, NSSO ) and surveies have pointed out that use of PHC services is low both in rural and urban countries, as it is influenced by legion factors. Unless these factors are identified and the steps taken, the end of “Universal Health Care and Health for All” may non be achieved.Accessibility of Primary Health Care Services Essay.


In this background the present paper efforts to analyze the degree of use of PHC services in rural countries and attempts to track the factors act uponing the handiness of PHC services. For this intent a Case Study of Kadakola PHC has been undertaken. For the interest of analysis, techniques like Dummy arrested development, Correlation and Chi-square have been employed. It is found that merely 82 % of people have entree to PHC. The major ground for non accessing PHC services are income degree, distance and instruction degree. The distance to the PHC is the major determiner to the entree of wellness attention services as it is found to be important at 10 % degree.

Cardinal words:Primary Health Care Centre, Health Care Services, Accessibility


Primary Health Care defined as an indispensable wellness attention which should be based on practical, scientifically sound and socially acceptable method and engineering ( WHO & A ; UNICEF 1978 ) . It should be universally accessible by the persons and the household in the community through full engagement. It is to be made available at a cost which the community and the state can afford to keep at every phase of its development in a spirit of autonomy and self-government ( Roy, Somnath 1985 ) .Accessibility of Primary Health Care Services Essay.

The World Bank Organisation Alma-Ata Declaration defined Primary Health Care as integrating healing intervention given by the first contact supplier along with promotional, preventative and rehabilitative services provided by multi-disciplinary squads of health-care professionals working collaboratively ( hypertext transfer protocol: // ) .

PHC is the first degree of contact of the persons, the household and the community with the National Health System, conveying wellness attention every bit near as possible to where the common people live and work.

Entree to Medical services has historically been used as a step of a just distribution. The construct of equality of entree to wellness attention is a cardinal aim of many wellness systems. It implies that persons should be given equal chance to utilize wellness services without respect to other features such as their income, ability to pay, ethnicity, or country of abode ( Sundar, 2009 ) .

“Access” word itself created much perplexity about its significance and measuring ; In this respect many treatments were held and legion definitions were proposed such every bit Access as Utilization of health care, Access as Maximum Attainable Consumption of Healthcare and Access as Foregone Utility Cost of obtaining Healthcare and so on. But it was found that entree in footings of a use of health care is the most often used definition of equal entree in empirical surveies ( Ibid ) .Accessibility of Primary Health Care Services Essay.

Reappraisal of literature

Polluste, Kallikorm(2011 ) in their cross-sectional survey titledSatisfaction with Access to Health Services: The Perspective of Estonian Patients with Rheumatoid Arthritisexplained the possible determiners of satisfaction with entree to wellness services in patients with arthritic arthritis ( RA ) . The consequences demonstrated that Estonian RA patients are satisfied with their entree to wellness services. Factors that had a negative impact on satisfaction included hurting strength, longer waiting times to see the physicians, every bit good as low satisfaction with the physicians. Transportation system costs to see a rheumatologist and higher rehabilitation disbursals besides affected the grade of satisfaction. Patients who could take the day of the month and clip at which they could see the rheumatologist or who could see their “own” physician were more likely to be satisfied than patients whose appointment times were appointed by a health care supplier. In add-on, the satisfaction with one’s Family Doctor and rheumatologist played a important function in people’s satisfaction with their entree to wellness services.

The survey byNteta,, . (2010 ) investigated the handiness and use of the primary wellness attention services in three community wellness attention Centres in the Tshwane of the Gauteng state, South Africa. It showed that in footings of distance, the clinics were accessible as most of the participants lived within 5km of such a installation, and the Tuberculosis ( TB ) clinic was the most often visited service. Further it stated that long waiting line, deficiency of equipments, staff deficit, slow service bringing and negative attitude of wellness attention staff were major restraints in use of Community Health Centres.

Krajewski,Hameed, ,( 2009 )in their paper “Access to exigency operative attention: A comparative survey between the Canadian and American wellness attention systems” tried to find the differences in entree to exigency operative attention between Canada and the United States. The consequences suggested that entree to exigency operative attention is related to Socio Economic Status ( income ) in the United States, but non in Canada. This difference could ensue from the concern over the ability to pay medical measures or the deficiency of a stable relationship with a primary attention supplier that can happen outside a cosmopolitan wellness attention system.

DeVoe, Baez’s( 2007 ) survey “Health Care: Typology of Barriers to wellness attention entree for low-income families” was designed to place the barriers faced by low-income parents when accessing wellness attention for their kids and how insurance position affects their coverage of these barriers. Consequence showed that households reported 3 major barriers i.e. , deficiency of insurance coverage, hapless entree to services, and unaffordable costs.Accessibility of Primary Health Care Services Essay.

Nair, Thankappan, Vasan( 2004 ) in their paper “Community Utilisation of Subcentres in Primary Health Care — An Analysis of Determinants in Kerala” tried to place the determiners of use of subcentre services. It found that about 30 per cent of the donees utilized services of the subcentres during the mention period. And the territory in which a subcentre was physically present had extremely correlated with its use.

The survey on “Distance and Health Care Utilization among the Rural Elderly”by Nemet, Bailey( 2000 ),explored the relationship between distance and the use of wellness attention by a group of aged occupants in rural Vermont. The consequences confirm the thought that increased distance from supplier does cut down use ; they strongly suggest that distance to supplier is a alternate for location in a richer web of dealingss between occupants and their local communities.

The above literature reappraisal confirmed that the use of wellness attention services is influenced by a figure of factors such as income degree, distance, location of Centre, high cost, medical staff, substructure, insurance coverage and so on. In this respect the present paper efforts to analyze utilisation form of PHC services and the factors act uponing the handiness of PHC services in rural country.

Aims of the Study

  1. To look into the handiness and use Pattern of Primary Health Care services in Study country.
  2. To place the factors act uponing the handiness of Primary Health Care centres in rural country.


  1. There is a important Use of PHC services in the topographic point where it is situated or physically found.
  2. Education degree is negatively correlated with entree to PHC.
  3. There is a important association between handiness of PHC services and Socio Economic Status ( Income degree ) .
  4. Distance is a important factor act uponing use of PHC.


By utilizing Simple random trying method 50 persons were interviewed severally in four subcentres of Kadakola PHC. Besides informal treatment was made with the Medical officer and Auxiliary Nurse Midwives and other staff of the PHC to cognize the current position of PHC and its history.

Data Collection

The present survey is strictly based on primary informations. The information is collected from good structured questionnaire semen agendas, where inquiries were asked about Age, Average income, Education, Awareness about PHC and authorities services, distance to PHC and other issues. In order to do the survey more representative, an effort was made to interview the persons indiscriminately from all the four subcentre countries, viz. Kadakola, Mandakalli, Sindhuvalli and Byathalli which come under Kadakola PHC.Accessibility of Primary Health Care Services Essay.

Tools for Analysis

Along with Cross check, Custom tabular arraies, Bar and Pie chart, Correlation, Chi-Square for independency and Dummy arrested development techniques have been used to analyze the collected information.

Scope of the Study

Kadakola is a small town in Jayapura hobli of Mysore taluk in Mysore territory of Karnataka province. It is about 15 kilometers off from Mysore ) . It is besides recognised as an of import Industrial Development country ( hypertext transfer protocol: // ) .

The present survey is related to Kadakola PHC, which is physically found in Kadakola small town. It has a history of 20 old ages. It was upgraded to 24*7 PHC in the twelvemonth 2010 and recognised as figure 1 PHC in Mysore Taluk.Accessibility of Primary Health Care Services Essay.

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