Yadav D K
School of Health and Allied Sciences, Pokhara University, Nepal.
J Nepal Health Res Counc. 2010 Apr;8(1):10-4.
Primary health care service is basic essential health care. Due to lack of access to quality health care services, many rural people suffer from various health related problems. The objective of this study was to assess how health care services are utilized by beneficiaries in two different villages in Dhanusha district of Nepal.
A descriptive cross sectional study was conducted in two Village Development Committees with sixty four households selected randomly from January 1, to February 27, 2008.
The study shows that 48 and 21 percent of population were utilizing local available health services respectively within and beyond 2 km from the health facility .It revealed that distance was significant indicator for utilization of health services. Study also shows that those in VDC 1 had availed maximum (67%) service of trained man power for delivery as compared to those in VDC 2, (20%) where most (80%) of deliveries were conducted by relatives and neighbours, the difference was significant.
Distance from the heath services is an important factor for utilisation of health resources. The utilisation of health facility was satisfactory but the quality of services were not satisfactory.
初级卫生保健服务是基本的必要卫生保健。由于缺乏获得优质卫生保健服务的途径，许多农村居民面临各种与健康相关的问题。本研究的目的是评估尼泊尔达努沙区两个不同村庄的受益者如何利用卫生保健服务。
于2008年1月1日至2月27日在两个乡村发展委员会开展了一项描述性横断面研究，随机选取了64户家庭。
研究表明，分别有48%和21%的人口在距离卫生设施2公里以内和以外利用当地现有的卫生服务。结果显示，距离是卫生服务利用的一个重要指标。研究还表明，与乡村发展委员会2（VDC 2）相比，乡村发展委员会1（VDC 1）中接受过培训的助产人员提供的服务最多（67%），而在VDC 2中，大多数分娩（80%）由亲属和邻居进行，差异显著。
与卫生服务的距离是卫生资源利用的一个重要因素。卫生设施的利用情况令人满意，但服务质量不尽人意。
