Health care utilization and health expenditure in a tribal area of thane district
Journal Title: Medpulse International Journal of Community Medicine - Year 2017, Vol 3, Issue 2
Abstract
Background: The information about morbidity pattern, health care utilization preferences and expenditure on health care is essential to provide need based services to community. The present study was planned to analyses health care preferences of tribal community and economic burden of health expenditure on them. Objectives: 1) To know the morbidity pattern and utilization of health care services in community. 2) To estimate burden of healthcare expenditure on household. Methods: A house to house cross sectional study was conducted in the field area of a tribal PHC, Khardi in Thane district using a predesigned, pretested questionnaire. Households were selected using 30 cluster sampling, in total 210 households were surveyed from thirty different clusters. Morbidity is divided as acute morbidity in last one month, chronic morbidity of last one year and hospitalization of last one year. Results: About 210 households consisting of 1431 individuals were surveyed. There were 369 episodes of acute morbidities, 27 chronic morbidities and 12 episodes of hospitalization in surveyed population. Every fourth person was having an ailment. Fever was most common ailment. 78% of total morbidities were in very poor and poor population and 63% of acute illnesses were treated by private practitioners. Very poor people accessed private healthcare in 73% of episodes as compared to middle class who accessed it in only 37% of episodes. Average percent of total family income spent on health care was 4.7%. Conclusion: Private providers are an important source of health services not only for those who are better off but also for poor households. The costs for health care are substantial for households.
Authors and Affiliations
Yogita Bavaskar, Mohan Doibale, Purushottam Giri, Ganesh Lokhande, Abhilasha Nair
Keywords
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