||Radha Narayan, Pramila Prabhakar, Prabhakar S &
||Study of utilisation of general health and tuberculosis
services by a rural community.
||NTI NL 1987, 23, 91-103.
NTP 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 TB 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 NTP. Also high level of morbidity among children below
4 years of age and action taken indicate an enhanced level of demand
for health services.
|KEYWORDS: SOCIAL BEHAVIOUR; SOCIAL ASPECTS; HEALTH
SERVICES, UTILIZATION; INDIA.