Health Service Utilisation and Out of Pocket Expenditure Pattern in a Defined Rural Population of Tumkur, India
Keywords:
Health service utilization, out of pocket expenditure, Universe health coverage, rural population, IndiaAbstract
Introduction: Universal health coverage: The provision of, and access to, high-quality health services; and financial risk protection for people who need to use these services1. Through this study we want to assess where we stand in terms of health service utilization and out of pocket expenditure in view of universal health coverage. The research was conducted to study socio demographic profile of the population; to know health service utilization pattern of the population; and to assess the out of pocket expenditure towards health care.
Methodology: It is a Cross –sectional study conducted in Tumkur district of Karnataka 2014 -15. Structured questionnaire was used to collect the data by interview method. Data was entered in Microsoft Excel and analysed using Epi Info™ 7.1.1.14.
Results: The Private health services were one of the major sources of overall health services Mean out of pocket expenditure was 744 Rs. The mean out of pocket expenditure for Out Patient care , for chronic illness , In patient care was 135, 44 and 117 Rupees respectively. Medicines are the major part of out of pocket expenditure .
Conclusion: The Private health Care services were one of the major sources of health services followed by Government. Medicine was the major component for which the money was spent.
References
World Health Organization. Research for universal health coverage, Geneva: WHO;2013.
Kishore J. Five year plans.In National health Programs of India,11th(ed). New Delhi .Century Publications.2014.Pg no 64.
World Health Organization. The world health report: health systems financing: the path to universal coverage. Geneva: WHO; 2010. http://www.who.int/whr/2010/en/ - accessed 22 De-cember 2014
Ajay T, Lisa F, Rong L, Wei A Y. Reprioritizing govern-ment spending on health: pushing an elephant up the stairs? WHO South-East Asia Journal of Public Health ; 2014 : 3 (3–4).
Selvaraj S, Mukhopadhyay I, KumarP, Aisola M, et al.Universal access to medicines: Evidence from Raja-sthan, India. WHO South-East Asia J Public Health 2014; 3(3-4): 289–299
World Health Organization. The world medicine situa-tion. Geneva:WHO; 2004. Document No. WHO/ EDM/ PAR/ 2004.5.
Ajay M AK, Engelgau M. Health, Nutrition and Popula-tion (HNP) Discussion Paper. Washington, DC, USA: World Bank; 2010. The Economic Implications of Non-Communicable Disease for India.
Peters DH, Rao SK, Fryatt R. Lumping and splitting: The health policy agenda in India. Health Policy Plan. 2003; 18: 249–60.
Berman P, Ahuja R, Tandon A, Sparkes S, Gottret P. Government Health Financing in India: Challenges in Achieving Ambitious Goals. Washington, DC: World Bank Human Nutrition and Population; Discussion Pa-per 598862010.
National Family health Survey 3. Mumbai: International Institute of Population Sciences and ORG Macro; 2006. IIPS.
Shankar R D , Arlappa N. An Updated Prasad’s Socio Economic Status Classification for 2013 .Int J Res Dev Health. April 2013 ; 1(2) . www. ijrdh.com.
Government of India. Census of India, The Registrar Gen-eral & Census Commissioner , India, New Delhi .2011-12.www.data.gov.in
Jayakrishanan T, Jeeja MC , Kuniyil V, Paramasivam S. Increasing out of pocket health care expenditure in India- Due to supply or expenditure. Pharamcoeconom-ics.1:105.doi: 10.472/pe.1000105.
Government of India. house hold health care utilization and expenditure in India: state fact sheets. Ministry of health and family welfare India, New Delhi.2014.
Dodd W, King N, Humphires S, Little M et al.Self report-ed morbidity and health service utilization in rural Tamil Nadu, India. SocSci Med . 2016 Jul:161:118-25
Ponna S N, Upadrasta V P, Geddam B, Dudala S R. Re-gional variation in utilization of ante natal care services in state of Andra Pradesh. J Family Med Prim Care. 2017:6 (2):231-239.
Archana R, Sithanshu S K, K C Premarajan&Subitha L N. Out of pocket expenditure among the households of Ru-ral Puducherry, South India .J Nat Sci Bio Med. 2014 Jan- Jun;5(1) :135-38.
Debasis B, Sonalde D. Determinants of private health care utilization and expenditure patterns in India. Mu-nich personal RePEc Archive.2014. paper no.77220, online at https :// mpra.ub.uni-muenchen.de/77220
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