|STUDY OF UTILISATION OF GENERAL HEALTH & TUBERCULOSIS
SERVICES BY A RURAL COMMUNITY
|Radha Narayan, Pramila Prabhakar, S Prabhakar, N Srikantaramu:
NTI Newsletter 1987, 23, 91-103.
National tuberculosis programme reaches people
through PHCs and sub centres. A study was conducted to find out
the perception of illness and utilisation of health facilities by
the community. This study was conducted in a random sample of 48
villages selected according to Probability Proportioned to Size
within 5 Kms of the selected PHIs in Kolar District using a Multi
stage sampling technique. Information on socio economic status,
availability of health services and their utilisation was collected.
13,323 individuals were interviewed. 706 were ill in a period of
two months prior to survey. 71.3% had taken allopathic system of
treatment. 69.1% had approached government hospital or PHC. 34 patients
reported to have TB. All had attended either DTC or PHC.
The study indicated that morbidity was perceived
much early and also followed by an action. Data indicates a high
percentage of preferring allopathic system in general and from peripheral
health centres and other Government hospitals in particular. Data
indicates that in spite of overall backwardness of the study area
and very limited economic resources people have utilised the PHC
to the maximum. The reason could be either high acceptance of PHC
or inevitability. But, there is an evidence of higher utilisation
of family welfare and MCH services. The data shows all tuberculosis
patients have had exposure to standard regimens, all of them have
approached either PHC or DTC for treatment. This confirms the felt
need oriented concept of National Tuberculosis Programme. Also high
level morbidity among children below 4 years of age and action taken
indicate an enhanced level of demand for health services.
|KEY WORDS: SOCIAL AWARENESS, MORBIDITY, UTILIZATION,
HEALTH SERVICES, RURAL POPULATION.