An epidemiological study regarding availability and utilization of public health care services in slum in Amritsar city
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20192297Keywords:
Government health care, Slum, Utilization, UPHC, Medical campsAbstract
Background: Low level of education of the slum dwellers along-with poor socio- economic status and pathetic environmental conditions lead to their poor health indicators. Since the National Urban Health Mission (NUHM) was launched in 2013, the health services are still in their initial stages. Assessment of the availability as well as the utilization of health care services of the urban slums is the need of the hour.
Methods: The cross-sectional study was conducted in randomly selected slum in Amritsar city. All the houses were enumerated and visited by the interviewer herself. The eldest adult member of the family was selected as key respondent and written, informed consent was obtained. Predesigned questionnaire was used to collect the data which was then compiled and analyzed using statistical tests.
Results: Out of the total respondents, one third respondents had knowledge about the government health center nearby (statistically significant) while out of these, only one third utilized the services at the center (statistically non-significant). Almost half of the respondents had knowledge about the medical camps and out of these, two-thirds utilized the services at medical camps.
Conclusions: Overall utilization of services is poor. More respondents were aware of the medical camps than the static government health facility and utilization of medical camps was also more. So the static health services under NUHM need to be further strengthened.
References
About Slum Upgrading. Cities Alliance. 2011. Available at: http://citiesalliance.org/node/325. Accessed on 16 December 2016.
Ezeh A, Mberu B, Haregu T. Slum health is not urban health: why we must distinguish between the two. The Conversation. Available at: http://the conversation.com/slum-health-is-not-urban-health-why-we-must-distinguish-between-the-two-69939. Accessed on 22 January 2019.
NUHM. Available at: http://www.arogyakeralam. gov.in/index.php/programmes/nuhm Accessed on 18 December 2016.
Banerjee A, Bhawalkar JS, Jadhav SL, Rathod H, Khedkar DT. Access to Health Services Among Slum Dwellers in an Industrial Township and Surrounding Rural Areas: A Rapid Epidemiological Assessment. J Fam Med Prim Care. 2012;1(1):20–6.
Rathore R. Highlights: Census of India 2011 - General Awareness Study Material & Notes. Exam Pariksha. 2014. Available at: https://exampariksha. com/highlights-census-india-2011-general-awareness-study-material-notes/. Accessed on 02 November 2018.
Singhal A. Utilization of Maternal Health Services in Slums of Rajasthan. Int J New Tech Res. 2015:8:76-81.
Gupta I, Guin P. Health Status and Access to Health Services in Indian Slums. Health (N Y). 2015;7:245.
Singh S, Kalaskar S. Health care seeking behavior and utilization pattern in an urban slum of Mumbai: a cross sectional study. Int J Curr Res. 2017;9:49342–5.
Ministry of Health and Family Welfare, Government of India. Conducting Outreach Sessions in urban areas (NUHM). 2015. Available at: https://www.wbhealth.gov.in/NUHM/. files/.../Outreach_Sessions_in_Urban_Areas.pdf. Accessed on 22 January 2019.
Marimuthu P, Rao GN, Sharma MK, Pandian RD. Perceptions on Public Health Facilities by Slum Dwellers in the Metropolitan Cities of India. Health (N Y). 2016;8:93.
Garg S, Khokhar AM, Singh MC. Health care service utilization for kuslsus and diarrhoeal diseases: a study amongst slum dwellers in Delhi. Health Popul -Perspect Issues. 2003;26(2):59–66.
