|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.
|INADEQUACIES OF THE HEALTH INTELLIGENCE SYSTEM IN
INDIA AND SOME SUGGESTIONS FOR IMPROVEMENT
|SS Nair: NTI Newsletter 1977, 14, 20-24.
The Health Intelligence System has to provide information
for the planning, monitoring and evaluation of the Health Services
which are provided by the Health Care Delivery System in the country.
The Health Intelligence System should also be in a position to provide
information on the health needs and demands of the community so
that the Health Care Delivery System can plan to meet the unmet
demands and needs. Information available is quite often incorrect,
incomplete and out dated. Appreciable improvements can be effected
only on the basis of a critical appraisal of the system. Some of
the important reasons are lack of training, aptitude and
sense of involvement in the work by the staff, improper reporting
proformae, enforcement of targets, absence of discrimination between
routine and special health intelligence, quantitative and qualitative
data and lack of systematic & regular supervision by health
administrators particularly at the district level. Suggestions
for improvement are better utilization of collected data, simplification
of proformae, adequate training to the staff in health intelligence,
realistic variability of targets, integration of health intelligence
for various components of the health care delivery system, bifurcation
of data into two i.e., simple routine use and for use for special
purposes and regular and systematic supervision and make suggestions
for taking top level decisions. The major gaps and other problems
listed in this paper and the suggestions made to overcome these
are of such nature that these have to be considered at top levels
and decisions taken, preferably on the basis of the observations
and recommendations of a study group of experts set up for the purpose.
Until some basic changes are made, the Health Intelligence System
will continue to be thoroughly inadequate for proper planning, monitoring
and evaluation of the Health Care Delivery System.
|KEY WORDS: HEALTH INTELLIGENCE, HEALTH SERVICES.