A study of common health problems and utilization of healthcare facilities among self-employed street vendors of Chandrapur district of Maharashtra

Authors

  • Sonu R. Meher Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India
  • Pushkar S. Ghatole Research and Innovation Hub,Capgemini Technology Services, India Limited, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20203015

Keywords:

Common health problems, Public healthcare facility, Private healthcare facility, Street vendors, Utilization of health care facilities

Abstract

Background: In India, more than 90% of the workforce is engaged in the informal sector for their livelihoods. About 2-2.5% of the total urban population is involved in street vending, and out of the total urban population in the informal sector 14% is constituted of street vending. Unlike legalization, economic and working conditions of street vendors, there are little studies conducted to understand the health problems faced by them. Authors sought to study the common health problems and utilization of health care services among street vendors of Chandrapur district.

Methods: It was a cross-sectional quantitative study. A total of 200 street vendors were purposively selected from four tehsils of the Chandrapur district and face to face interviews were conducted.  

Results: The common health problems among street vendors observed under this study were respiratory tract infections (32%), musculoskeletal problems (54.4%), gastrointestinal problems (18%), generalized weakness (12.7%), non-communicable diseases including hypertension, diabetes (26.6%). Among those who had suffered from these health problems, the majority (68%) utilized private healthcare facilities and 21% utilized public healthcare facilities.

Conclusions: Though street vendors earn on daily basis, they seek healthcare services mostly from the private providers. This results in out-of-pocket expenditure for them. Therefore, it is essential to improve the overall quality of public healthcare facilities for curtailing the out of pocket expenditure. The study findings can be utilized to draw the attention of policymakers, in strategic planning the health care services for such low-income group.

Author Biographies

Sonu R. Meher, Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India

MPH-Health Administration (TISS Mumbai)
Monitoring and Evaluation Expert
Empowering Communities and Families for Responsive Caregiving”-
-UNICEF supported project
Dr. Sushila Nayar School of Public Health, (Incorporating the Department of Community Medicine)
Mahatma Gandhi Institute of Medical Sciences (MGIMS)
Sewagram, Wardha 442102

Pushkar S. Ghatole, Research and Innovation Hub,Capgemini Technology Services, India Limited, Mumbai, Maharashtra, India

Capgemini Technology Services, India Ltd., Mumbai, Maharashtra, India.

References

Ministry of labour and employment. Report on employment-unemployment survey. Available at https://labour.gov.in/sites/default/files/Report%20%20Vol%201%20final_0.pdf. Accessed on 28 January 2016.

International labour organization. Women and men in the informal economy: a statistical picture. Second Edition, 2013. Available at https://www.ilo.org/wcmsp5/groups/public/dgreports/stat/documents/publication/wcms_234413.pdf. Accessed on 14 August 2019.

Bhowmik S. Legal protection for street vendors. Economic Political Weekly. 2010;45(51):12-5.

Pick WM, Ross MH, Dada Y. The reproductive and occupational health of women street vendors in Johannesburg, South Africa. Social Sci Med. 2002;54(2):193-204.

Adhikari D. Income generation in informal sector: a case study of the street vendors of Kathmandy metropolitan City. Economic J Develop. 2011;14(12):1-14.

Centre for Urban Equity. Vendors and informal sector a case-study of street vendors of Surat City, 2011. Available at https:// cept.ac.in/ UserFiles/ File/CUE/Working%20Papers/Revised%20New/15CUEWP15_Vendors%20and%20Informal%20Sector%20-%20A%20Case-Study% 20of% 20Street% 20Vendors% 20of%20Surat%20City.pdf. Accessed on 19 January 2016.

Saha D. Working life of street vendors in Mumbai. Indian J Labour Econom. 2011;54(2):301-25.

Mathur N. The street vendors bill opportunities and challenges. Economic Polit Weekly. 2014;49(10):22-5.

Sharma P. Bacteriological analysis of street vended fruit juices available in Vidarbha. Int J Current Microbiol Applied Sci. 2013;2(5):178-83.

Wadhai V, Khobragade K. Evaluation of microbiological safety of indian chutneys: a case study of Chandrapur City, India. Science Res Reporter. 2012;2(1):56-8.

Bhowmik S. Street vendors in Asia: a review. Economic Polit Weekly. 2005;12:2257-64.

Jhabvala R. Roles and perceptions, 2000. Available at https:// www. india-seminar. com/ 2000/4 91/491% 20r.%20 jhabvala. htm. Accessed on 15 February 2016.

Ogunrinola I, Fadayomi T, Amoo E, Sodipe O. Occupational health and safety for informal sector workers: the case of street traders in Nigeria. Int Academy African Business Develop. 2012;15;186-228.

Chattopadhyay O. Safety and health of urban informal sector workers. Indian J Community Med. 2005;30(2):46-8.

Ministry of Statistics and Programme Implementation. Available at https:// pib. gov. in/ newsite/ printrelease. aspx? relid=145814. Accessed on 8 April 2020.

Bakeera S, Wamala S, Galea S, State A, Peterson S, Pariya G. Community perceptions and factors influencing utilization of health services in Uganda. Int J Equity Health. 2009;8(1):25.

Kumar C, Prakash R. Public-private dichotomy in utilization of health care services in India. J Sustainable Develop. 2011;5(1):25-52.

Sreeramareddy C, Sathyanarayana T, Kumar H. Utilization of health care services for childhood morbidity and associated factors in India: a national cross-sectional household survey. PLoS One 2012;7(12):44-9.

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Published

2020-06-26

How to Cite

Meher, S. R., & Ghatole, P. S. (2020). A study of common health problems and utilization of healthcare facilities among self-employed street vendors of Chandrapur district of Maharashtra. International Journal Of Community Medicine And Public Health, 7(7), 2782–2789. https://doi.org/10.18203/2394-6040.ijcmph20203015

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Original Research Articles