Ghosh B N, Mukherjee A B
All India Institute of Hygiene and Public Health, Calcutta.
Indian J Public Health. 1989 Jan-Mar;33(1):26-30.
Seven hundred rural families from different religious, economic, educational and occupational groups residing at different distances from the service health centre (PHC) were interviewed to study its service coverage and service bottlenecks. Acceptability, contact and effectiveness coverage, were respectively 64.8, 19.2 and 13.8 percent in case of medical care; 71.8, 28.3 and 27.2 percent in Maternal and Child Health Care Services; 45.7, 18.2 and 17.3 percent in case of Family Welfare Planning Services; and 64.4, 55.7 and 55.7 percent in immunization services. The higher income group utilized the services least 4.1 percent, compared to lower income group (17.7 percent). Utilization of the PHC services significantly declined with distance from the health centre. Less than 1/5th of the families (19.2 percent) utilized the medicare. Bottlenecks in service utilization were distance from PHC, and caste, education and income.
对居住在距离初级卫生保健中心（PHC）不同距离处、来自不同宗教、经济、教育和职业群体的700个农村家庭进行了访谈，以研究其服务覆盖范围和服务瓶颈。在医疗保健方面，可接受性、接触率和有效覆盖率分别为64.8%、19.2%和13.8%；在妇幼保健服务方面，分别为71.8%、28.3%和27.2%；在家庭计划生育服务方面，分别为45.7%、18.2%和17.3%；在免疫服务方面，分别为64.4%、55.7%和55.7%。高收入群体对服务的利用率最低，为4.1%，而低收入群体为17.7%。初级卫生保健中心服务的利用率随着与保健中心距离的增加而显著下降。不到五分之一的家庭（19.2%）使用了医疗服务。服务利用的瓶颈在于距离初级卫生保健中心的远近，以及种姓、教育程度和收入。
