Institute of Health Systems

     

Training
Burden Of Disease
Health System Performance Assessment
Health Sector Reform 
Health Informatics
Public Health Databases
Health System-Fact Sheets
Publications
Library
About IHS
Home

 

IHS Mission & Goals:
Groom Skills,
Gather Evidence and
Generate Knowledge for people's health.

To Improve the Efficacy,
Quality & Equity
of Health Systems.

   SDPH Executive Summary ...
  

Patterns of resort to private or public HCIs

Let us summarise the available evidence on patterns of resort to private and public HCIs. All the four nation wide surveys conducted during the 1980s and 1990s show that majority of people (60% to 80%) resort to the private HCIs for ambulatory care. In rural areas, however, significant number of people (10% to 20%) turn to the Primary Health Centres or Sub centres for ambulatory care. The level of resort to private HCIs for ambulatory care, has remained constant or marginally increased between the 1980s and 1990s. However, there are notable regional exceptions to this trend. For example, in Andhra Pradesh, the level of resort, for ambulatory care, to public HCIs increased during this period. In rural areas of AP the number of people resorting to public HCIs increased from 12% in 1986-87 to 22% in 1995-96. In urban areas of AP, the increases was comparatively less, from 16% in 1986-87 to 19% in 1995-96. There is some evidence to suggest that the proportion of people who do not seek any ambulatory care in times of need is higher in states spending comparatively less money on public health services. For inpatient care, traditionally more people have been resorting to the public hospitals. Till about 1993, about 60% of people needing inpatient services resorted to the public sector. The situation appears to be changing. By 1995-96 the proportion of people resorting to public hospitals for inpatient services reduced to about 43% with a corresponding increase for the private sector. We have found in this study that private hospitals and nursing homes have grown at a much faster rate in numbers and bed capacity during the 1980s and 1990s. This would appear to be the most plausible explanation for the increase in resort to private hospitals during the 1990s. Estimates of pattern of resort to private and public HCIs by socioeconomic status reveal that people from poorer households tend to rely more on public HCIs. As socioeconomic status increases more and more people resort to the private HCIs. At the all India level, people in rural areas tend to rely more on the public sector. In AP, however, the rural-urban difference is not so much.


[Previous]

 [Home]

[Next]

                                                                                                           

| AP State Profile  | Public Health Database  | IHS Resource  |  Careers  | Contact us |