A study to assess the utilization of health care services among fishermen communities in urban slums of Visakhapatnam city: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174260Keywords:
Urban slums, Utilization of health services, Fisher men communityAbstract
Background: In spite of an extensive primary health care system exists in India, yet it is inadequate in terms of coverage of the population, especially in rural areas and urban slums, and gross underutilization. Assessment of the utilization of health services is important for the health of a nation.
Methods: A cross sectional study was conducted during October 2012- September 2013 among 215 families residing in Kotha Jalaripeta fishermen community of urban slums of Visakhapatnam city. A semi-structured questionnaire was used to collect data and was analyzed using SPSS 20 and valid inferences were drawn.
Results: Majority (60.9%) of the slum dwellers preferred Government hospitals for adult health problems and (56.3%) for child health problems. Majority (82.4%) of them utilized Government Hospitals for maternal health services and (73.5%) for Inpatient care. Majority (80.9%) of them preferred Anganwadi centers for immunization services. Antenatal care utilization by slum women was found satisfactory.
Conclusions: This study revealed a relatively higher utilization of government health services for different health problems when compared to the other studies regarding various aspects and dimensions of health services. But still health problems exist to a great extent and there is an urgent need to improve health services in urban slums.
References
Calhoun C, Rojek C, Turner BS. The SAGE Handbook of Sociology. London: SAGE Publications; 2006: 1.
Judith K. Health-Care Utilization and Barriers to Health Care. Handbook of Social Studies in Health and Medicine. 1st ed. London: SAGE Publications; 1999: 1.
Bajpai N, Goyal S. Primary Health Care in India: Coverage and Quality Issues. Columbia: Working Papers Series. 2004.
The Registrar General and Census Commissioner (Government of India) Primary Census Abstract for Slum. Office of the Registrar General & Census Commissioner, New Delhi. 2013.
United Nations Human Settlements Programme (UN-HABITAT). State of the World’s Cities Report 2006/7. UN-HABITAT and Earthscan, Nairobi and London; 2006.
Moreno EL, Warah R. Urban and Slum Trends in the 21st Century. UN Chronicle. 2006;43:24-9.
Agarwal S, Satyavada A, Kaushik S, Kumar R. Urbanization, Urban Poverty and Health of the Urban Poor: Status, Challenges and the Way Forward. Demography India, 2007;36:121-34.
Agarwal S, Sangar K. Need for dedicated focus on urban health within National Rural Health Mission. Indian J Public Health. 2005;49(3):141-51.
Gupta I, Mondal S. Urban Health in India: Who Is Responsible? Int J Health Plann Mgmt. 2015;30:192–203.
Agarwal OP, Kumar R, Gupta A, Tiwari RS. Utilization of antenatal care services in peri-urban area of East Delhi. Indian J Community Med. 1997;22(1):29-32.
Biswas R, Biswas AB, Chatterjee S, Chowdhury G, Bhandari A. Study of the health status of an urban slum community at Calcutta. Indian J Community Med. 1991;16(3):126-9.
Sharath. Study of Availability and Utilization of health care services in urban slums of Belgaum city, A cross sectional study, 2006.
Taleb A, Uddin S. Location and utilization pattern of health care facilities, A case study of Chandpur Sadar Pourashava. ASA University review. 2012;6(2):271-85.
Singh D, Ramachandran M, Nair P. Nutritional and health status of fishing communities in the Uttan- Gorai area with special emphasis on women. Institute for Community Organization Research. Mumbai, 2011: 1-47.
Chabbra, Saraf. Reasons why reproductive health care seekers sought admission to tertiary level health care facilities in rural central India. Health Population Perspective Issues. 1997;20(2):80-8.
Gupta. Referral services in urban health care delivery system. Reliance publishing House, New Delhi, 1993:152.
Chattopadhyay A, Roy TK, Yelamanchili V. Are urban poor doing better than their counter part in India, A study of fertility, family planning and health. Demography India. 2005;34(2):299-312.
