Structure and Utilisation of Health Services: An Inter-State Analysis

Baru, Rama

doi:10.2307/3517917

Cited by 5 publications

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“…Given this situation, the poor/ working classes would either have to avail of private services, if they are available and/or if they can afford them, or not be covered at all, leading to a deterioration in their health status (Baru 1994;Kunhikannan and Aravindran 1996). There is also evidence to show that the introduction of user fees in public hospitals perpetuates the marginalisation of the poor (Baru 1994). Iyer (1995) believes that the present incidence and resurgence of communicable diseases will be reinforced by falling living standards due to decreasing real wages; freezing of employment opportunities; dipping nutrition levels; breakdown of sanitary measures; and debilitated public health services, all under the auspices of the SAP.…”

Section: Factors Impinging On India's Health Situationmentioning

confidence: 98%

“…Infrastructural problems are compounded by state and urban-rural differentials in public sector infrastructure in distribution (Baru 1994;Duggal 1998;Duggal et al 1995aDuggal et al , 1995bFRHS 1993FRHS ,1994FRHS ,1995 and by gender bias in approach. The public sector views women as mothers.…”

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confidence: 99%

“…Since there are considerable interstate variations in health sector allocations (Duggal 1995a;Duggal et al 1995aDuggal et al , 1995bRao et al 1993) and infrastructure (Baru 1994;Duggal et al 1995aDuggal et al , 1995bFRHS 1993FRHS , 1994FRHS , 1995, the role of these factors in explaining state-wise health status differentials cannot be overlooked. As was mentioned earlier, across the Indian states health expenditure and infrastructure are closely linked to health status.…”

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confidence: 99%

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Which Way to Turn? Inadequacies in the Health Care System in India

D’Cruz

Bharat

2001

Journal of Health Management

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The public, private and voluntary health sectors together contribute towards the provision of health care in India. All these play significant roles in influencing the health status of the Indian population. But their contribution is not without shortcomings. Indeed, it is largely their inadequacies that account for the limited improvements in the health status of the Indian people. Unfortunately, the chances that the recognition of these pitfalls and their implications will be translated into action and change are very few, given the present influence of the structural adjustment programme on the social sector. On the contrary, the situation is expected to worsen. This paper provides a perspective on India's health care system in the post-independence period In describing India's public, private and voluntary health sectors, it highlights some of the reasons behind the marginal improvements in health status in the country. The health care system embraces a multitude of services provided to people by agents of health services or health professionals from the public, private and/or voluntary sectors for the purpose of promoting, maintaining, restoring and monitoring health. Health services have to be organised such that they are comprehensive, acceptable, accessible, available and affordable, and that they cater to the needs of the entire population, and cover the full range of preventive, curative and rehabilitation requirements. Despite widespread agreement that health services should reach the entire population and that they should be optimally utilised, in reality the scope of the health care system varies widely from country to country, and is influenced by various country-specific issues, ideologies, needs and resources. As a consequence, it is possible that health care services may fail to fulfil their mandate, with adverse effects on the health status of the population. At the same time, given the central role that health plays in the life of human beings and the

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Section: Factors Impinging On India's Health Situationmentioning

confidence: 98%

mentioning

confidence: 99%

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confidence: 99%

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Which Way to Turn? Inadequacies in the Health Care System in India

D’Cruz

Bharat

2001

Journal of Health Management

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“…Another disturbing dimension is the spiralling cost of health care delivery, resulting in government facing the problem of apportioning the scarce public resources among the competing demands of the public on one hand, while on the other, there is the alternative of private health providers who mainly operate without adhering to regulations and are comparatively more expensive. Studies have shown that among people there is very poor image of government health services (Antia 1989;DCruz and Bharat 2001;Purohit and Siddiqui 1994) which has resulted in proliferation of private sector providing almost 75 per cent of health services in the country (Baru 1994). In the rural areas, only 10-20 per cent of the villagers utilize government health services and those who do so are dissatisfied with them due to non-availability of medicines, impersonal behaviour of health functionaries, insufficient time and attention given by health personnel etc.…”

Section: Introductionmentioning

confidence: 99%

People’s Perception Towards Health Providers in Rural Punjab

Mehra

Nanda

2012

Journal of Health Management

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Accessibility to quality health care becomes a significant factor in improving the quality of life especially in developing countries. In spite of having a good health care infrastructure, the efficiency, quality and heavy cost of health care services is very weak in rural India. In such a scenario, the study attempts to analyze the availability, reach and spread of health infrastructure in rural areas of Punjab by examining the people's choice and the factors governing their choice in health providers. The study is based on a random sample survey done in Ramdas sub-tehsil of Amritsar district and the results indicate that in the border district of Punjab more than 76 per cent of respondents preferred private providers, even quacks due to factors like easy availability of health providers, fee charged by them, free medicines dispersed, monthly income of respondents etc. while only the very poor went to public providers.

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“…9 These two surveys were conducted by Kerala Shastra Sahitya Parishad (KSSP), a nongovernment organization (Kannan et al 1991), and the Department of Economics and Statistics of the Kerala government. On the energetic activities of the private medical sector in Kerala, also refer to Baru (1999). Comparable to Kerala in this respect are the three states of Gujarat, Maharashtra, and Andhra Pradesh, but Kerala is unique in the sense that the private sector is active in rural areas as well (Baru 1999, pp.…”

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confidence: 99%

Social Security and Well‐being in a Low‐income Economy: An Appraisal of the Kerala Experience

Satō¹

2004

The Developing Economies

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The State of Kerala, which is considered to have attained a level of social well-being comparable to that of advanced countries despite its relatively low income standard, is widely known as an example of "welfare by public intervention" in developing economies. This paper, focusing on the four areas of food provision, health services, elementary education, and pension schemes, and paying attention to the participation of the private sector as well as the activities of political parties and labor unions, points out that in Kerala, the private sector and organized activities have played a vital role, in addition to "public intervention," in the betterment of public welfare.

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Structure and Utilisation of Health Services: An Inter-State Analysis

Cited by 5 publications

References 0 publications

Which Way to Turn? Inadequacies in the Health Care System in India

Which Way to Turn? Inadequacies in the Health Care System in India

People’s Perception Towards Health Providers in Rural Punjab

Social Security and Well‐being in a Low‐income Economy: An Appraisal of the Kerala Experience

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