Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India

Background India’s health sector witnessed some major policy changes in 1990s that aimed at making health services more accessible to the population. Methods In this paper, I tried to present some preliminary results of the significant changes that occurred between 1995/6 and 2004, especia...

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Main Author: Soumitra Ghosh
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2014-04-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/pdf_2829_367061e7f2bbdf96de5d3bd05caa9258.html
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author Soumitra Ghosh
author_facet Soumitra Ghosh
author_sort Soumitra Ghosh
collection DOAJ
description Background India’s health sector witnessed some major policy changes in 1990s that aimed at making health services more accessible to the population. Methods In this paper, I tried to present some preliminary results of the significant changes that occurred between 1995/6 and 2004, especially in relation to the question of access to healthcare for the poor and rural population using data from 52nd (1995–6) and 60th round (2004) of National Sample Survey Organization on ‘morbidity and healthcare’. Results The analysis suggests that overall utilization of healthcare services have declined and the odds of not seeking care due to financial inability has further increased among the poor and rural population during the period of reforms. Results of the multivariate logit regression model indicate that the non-poor, middle and above educated people were having greater likelihood of using services from private health care provider. Conclusion Interestingly, poor and rural residents were more likely to have used healthcare from public facilities in 2004 than in 1995–6, suggesting that the shift from private to public sector is encouraging, provided they receive good quality health care services at public facilities and do not face catastrophic health expenditures.
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spelling doaj.art-cc1c43a193704ddf85799782c4d9fac52022-12-22T01:12:13ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392014-04-012312513010.15171/ijhpm.2014.32Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in IndiaSoumitra Ghosh 0Centre for Health Policy, Planning and Management, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, IndiaBackground India’s health sector witnessed some major policy changes in 1990s that aimed at making health services more accessible to the population. Methods In this paper, I tried to present some preliminary results of the significant changes that occurred between 1995/6 and 2004, especially in relation to the question of access to healthcare for the poor and rural population using data from 52nd (1995–6) and 60th round (2004) of National Sample Survey Organization on ‘morbidity and healthcare’. Results The analysis suggests that overall utilization of healthcare services have declined and the odds of not seeking care due to financial inability has further increased among the poor and rural population during the period of reforms. Results of the multivariate logit regression model indicate that the non-poor, middle and above educated people were having greater likelihood of using services from private health care provider. Conclusion Interestingly, poor and rural residents were more likely to have used healthcare from public facilities in 2004 than in 1995–6, suggesting that the shift from private to public sector is encouraging, provided they receive good quality health care services at public facilities and do not face catastrophic health expenditures.http://www.ijhpm.com/pdf_2829_367061e7f2bbdf96de5d3bd05caa9258.htmlUntreated MorbidityChoice of HealthcarePoorRural PopulationHealth Sector Reforms
spellingShingle Soumitra Ghosh
Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
International Journal of Health Policy and Management
Untreated Morbidity
Choice of Healthcare
Poor
Rural Population
Health Sector Reforms
title Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
title_full Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
title_fullStr Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
title_full_unstemmed Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
title_short Health Sector Reforms and Changes in Prevalence of Untreated Morbidity, Choice of Healthcare Providers among the Poor and Rural Population in India
title_sort health sector reforms and changes in prevalence of untreated morbidity choice of healthcare providers among the poor and rural population in india
topic Untreated Morbidity
Choice of Healthcare
Poor
Rural Population
Health Sector Reforms
url http://www.ijhpm.com/pdf_2829_367061e7f2bbdf96de5d3bd05caa9258.html
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