Palepu Sarika, Yadav Kapil, Ahamed Farhad, Goswami Anil Kumar, Nongkynrih Baridalyne, Pandav Chandrakant S
Senior resident, Department of community medicine and family medicine, All India Institute of Medical Sciences, Bhubaneswar.
Associate Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi.
Nepal J Epidemiol. 2018 Mar 31;8(1):716-724. doi: 10.3126/nje.v8i1.21140. eCollection 2018 Mar.
Rapid urbanization has resulted in increased burden of communicable and non-communicable diseases, especially among urban poor population. In the absence of a well-functioning three tier health care system in urban India, health needs of urban poor are rarely fulfilled. The objective of this study was to assess primary health care services utilization pattern and its associated selected socio-demographic determinants in an urban population of Dakshinpuri Extension, South-east district of Delhi.
A community based cross-sectional study was done from November 2013 to November 2014 with a sample size of 440 households through simple random sampling. Information was obtained regarding the socio-demographic characteristics and morbidity pattern of all the members of household in the preceding one year of the conduct of the present study through a pretested semi structured interview schedule. Association of various socio-demographic characteristics with primary and secondary health care facilities utilisation was studied with bivariate and multivariate logistic regression.
In this study, 42% of the household members suffered from acute illnesses and symptoms in the preceding one year. Secondary/tertiary health care facilities were approached mostly for seeking treatment. Majority of the household members sought treatment from private health care facilities. Significantly higher utilisation of secondary/tertiary health care facilities was found by head of households and household members who are married.
Primary health care system needs to be revamped to improve healthcare delivery among urban population. Strategies to decongest secondary/tertiary health care facilities in urban India needs focus.
快速城市化导致传染病和非传染病负担增加，尤其是在城市贫困人口中。由于印度城市缺乏运转良好的三级医疗保健系统，城市贫困人口的健康需求很少得到满足。本研究的目的是评估德里东南部地区达克辛普里扩建区城市人口的初级卫生保健服务利用模式及其相关的选定社会人口学决定因素。
2013年11月至2014年11月进行了一项基于社区的横断面研究，通过简单随机抽样选取了440户家庭作为样本。通过预先测试的半结构化访谈问卷，获取了本研究开展前一年中所有家庭成员的社会人口学特征和发病模式信息。采用双变量和多变量逻辑回归研究了各种社会人口学特征与初级和二级卫生保健设施利用之间的关联。
在本研究中，42%的家庭成员在前一年患有急性疾病和症状。大多数人寻求治疗时会选择二级/三级卫生保健设施。大多数家庭成员在私人医疗机构寻求治疗。户主和已婚家庭成员对二级/三级卫生保健设施的利用率明显更高。
需要对初级卫生保健系统进行改革，以改善城市人口的医疗服务提供。需要关注缓解印度城市二级/三级卫生保健设施拥挤状况的策略。
