Jarhyan P, Singh B, Rai S K, Nongkynrih B
Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi, India.
Rural Remote Health. 2012;12:1953. Epub 2012 Aug 29.
Despite a widespread public health system, the private healthcare sector is the major provider of health care in rural India. This study describes the profile and medical practices of private rural health providers (PRHPs) in rural Haryana, India.
A cross-sectional study was conducted among PRHPs practicing in the villages of Comprehensive Rural Health Services Project (CRHSP) at Ballabgarh block located in the Faridabad district of Haryana State. The CRHSP is an Intensive Field Practice Area (IFPA) of the Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi.
Eighty PRHPs participated in this study (response rate 93%). The majority (96%) did not possess a qualification in any formal system of medicine. Half of the PRHPs had a separate space (private area) for the examination of patients. Almost all had stethoscopes, thermometers and blood pressure apparatus. The PRHPs were involved in a wide range of practices, such as dispensing medicines (98.7%), providing injections (98.7%) and intravenous fluids (98.7%), and conducting minor surgery (78.5%). Dumping biomedical waste was a common practice among these practitioners. Some PRHPs (8.7%) were involved in national health programs.
Unqualified PRHPs provide substantial outpatient healthcare services in rural Ballabgarh, India. Their biomedical waste disposal practices are inadequate. There is a need for training in waste disposal practices and monitoring of safe injection techniques among PRHPs. Consideration should be given to utilising PRHPs in important public health programs such as disease surveillance.
尽管印度拥有广泛的公共卫生系统，但在印度农村地区，私立医疗保健部门却是医疗保健的主要提供者。本研究描述了印度哈里亚纳邦农村地区私立农村医疗服务提供者（PRHP）的概况和医疗行为。
在哈里亚纳邦法里达巴德区巴拉加尔街区综合农村卫生服务项目（CRHSP）村庄执业的PRHP中开展了一项横断面研究。CRHSP是新德里全印度医学科学研究所社区医学中心的一个强化现场实践区（IFPA）。
80名PRHP参与了本研究（应答率93%）。大多数（96%）没有任何正规医学系统的资质。一半的PRHP有单独的空间（私人区域）用于检查患者。几乎所有人都有听诊器、温度计和血压计。PRHP参与了广泛的医疗行为，如配药（98.7%）、注射（98.7%）和静脉输液（98.7%）以及进行小手术（78.5%）。倾倒生物医疗废物是这些从业者中的常见做法。一些PRHP（8.7%）参与了国家卫生项目。
在印度巴拉加尔农村地区，不合格的PRHP提供了大量门诊医疗服务。他们的生物医疗废物处理做法不当。需要对PRHP进行废物处理做法培训和安全注射技术监测。应考虑让PRHP参与诸如疾病监测等重要的公共卫生项目。
