Sur Aditi, Paul Bobby, Bandyopadhyay Lina, Sahu Monalisha, Basu Rivu, Banerjee Ankush
Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
Department of Occupational Health, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
J Family Med Prim Care. 2024 Dec;13(12):5634-5642. doi: 10.4103/jfmpc.jfmpc_751_24. Epub 2024 Dec 9.
India is committed to achieving universal health care for all by 2030. The objective of social marketing is to promote public health and its goal is to improve health for all, but there are some challenges like irregular availability, quality issue, inadequacy of marketing causes under- utilization of the government supplied health consumables.
Present study aims to find out the usage pattern and assess the perceived satisfaction level of beneficiaries of using various socially marketed health consumables at government settings and explore the perception of healthcare personnel regarding barriers to its usage in a rural area of India.
A community-based, Mixed-Methods study (Convergent parallel design) was done in the service area of the Rural Health Unit and Training Centre (RHU&TC), Singur of Hooghly district, West Bengal, between January 2023 and December 2023, where the quantitative component was carried out by face-to-face interview among 150 beneficiary household respondents selected by two-stage cluster sampling; and qualitative component was done by 4 Key informant interviews (KII) among healthcare personnel (medical officer, public health nurse, pharmacist). Statistical data were analyzed by descriptive statistics using SPSS 16 version and Microsoft Excel for the quantitative part, and thematic analysis was done for the qualitative part. Institutional Ethics Committee clearance was obtained.
Ever use of government-supplied contraceptives like Chhaya (Ormeloxifene), Antara (Injectable contraceptive), emergency contraceptive pills, and intrauterine contraceptive devices (IUCD) was done by only 15.3%, 10.7%, 7.3%, 32% of eligible beneficiary households, respectively. The major reasons cited for irregular use were unawareness of availability of the products (Chhaya = 76.3%, Antara = 64.9%, EC pills = 46.7%), poor faith regarding quality (Male condom = 40%, Generic medicines = 70%), inadequate promotion (IUCD = 53.9%). The majority of users of male condoms (90%), IFA tablets (52.9%), ORS (51.1%), and generic medicines (55.7%) were not satisfied after using those products. Key informant interviews among healthcare personnel revealed avoidance of using modern contraceptive methods and frequent unavailability of some socially marketed health consumables were the predominant causes of reduced uptake of those products by beneficiaries.
Proper social marketing strategies, adequate promotion, regular awareness campaigns, and tailored training of field healthcare workers are required to improve the acceptability, availability, and marketing of these health consumables.
印度致力于到2030年实现全民医保。社会营销的目标是促进公共卫生，其目的是改善所有人的健康状况，但存在一些挑战，如供应不规律、质量问题、营销不足导致政府提供的卫生用品使用不足。
本研究旨在了解使用模式，评估政府机构中使用各种社会营销卫生用品的受益者的满意度，并探讨印度农村地区医护人员对其使用障碍的看法。
2023年1月至2023年12月期间，在西孟加拉邦胡格利区辛古尔农村卫生单位和培训中心（RHU&TC）的服务区开展了一项基于社区的混合方法研究（收敛平行设计），其中定量部分通过两阶段整群抽样选取的150户受益家庭受访者进行面对面访谈；定性部分通过对医护人员（医生、公共卫生护士、药剂师）进行4次关键信息访谈（KII）完成。定量部分使用SPSS 16版本和Microsoft Excel进行描述性统计分析，定性部分进行主题分析。获得了机构伦理委员会的批准。
分别只有15.3%、10.7%、7.3%、32%的符合条件的受益家庭曾使用过政府提供的避孕药具，如Chhaya（奥美昔芬）、Antara（注射用避孕药）、紧急避孕药和宫内节育器（IUCD）。使用不规律的主要原因是不知道有这些产品（Chhaya = 76.3%，Antara = 64.9%，紧急避孕药 = 46.7%）、对质量缺乏信心（男用避孕套 =
