Preferred Health care System of the people residing at Arpookara, Kottayam district in India: A cross-sectional Study
This study was designed to study about the
preferred health care system of the people residing at Arpookara, Kottayam
district in India. In this study investigator tried to find out the common
health problems, preferred place for treatment, preferred system of medicine,
main obstacles to access the better treatment and expectations
from government for better health care delivery, of the study population. The
populations for the study were the people residing at Arpookara, Kottayam
district in India which includes 410 households with 2360 members. One hundred
households (samples) from the study population were selected so that findings
can be generalized for the population. Simple random technique is used for
samples selection. Samples include 100 households with 456 members, out of
which 243 members are males and rest 213 are females. The tool used for data
collection is an interview schedule which consists of 2 Performa, Performa 1
and Performa 2. Performa 1 seeks personal details while Performa 2 seeks information
about common health problems, preferred place for treatment, preferred system
of medicine, main obstacles to access the better treatment and expectations
from government for better health care delivery, of the study population. After
the data collection its analysis is done. Members of 73 (73%) households are
preferring government hospital for treatment while private hospital, private
practitioners and traditional healing centers are preferred by 19 (19%), 6(6%)
and 2(2%) house members respectively. In 94 (94%) houses, Allopathic system of
medicine is preferred while Ayurvedic and Homeopathy system of medicine are
preferred by only 4 (4%) and 2 (2%) houses respectively. The major health
problems of members (above age of 6 years) are Chikungunya-39 (9.51%),
Jaundice-17 (4.41%), Typhoid-1 (0.24%), Bronchial Asthama-1 (0.24%), Viral
fever--1 (0.24%), Coronary heart disease-2 (0.48%), Stroke- 3 (0.73%) and
Diabetes-1 (0.24%). About 345 (84.14%) members were not suffered from any
disease since last year. According to 56 (56%) households both the Service
unavailability and financial problem are the main obstacles to access better
treatment while 18 (18%) households suggests that service unavailability only
and rest 26(26%) households suggested that main obstacle is financial problem.
for the better healthcare delivery, 44 (44%) households expects availability of
pure drinking water, regular cleaning of surroundings and primary health centre
from government. About 31 (31%) households’ needs pure drinking water and rest
16 (16%) households needs regular cleaning of surroundings. Rest 9 (9%)
households expects primary health center at their ward. On the basis of
findings of this study, Researcher recommended his suggestions to higher
healthcare administrative staff to take preventive measures for prevention and
control of diseases and thus too maintain a high standard of health.
Healthcare System; Treatment Place; Medicine
System; Health Problem; Obstacle.
[1.] Aggarwal O P et al, A
new instrument (scale) for measuring socioeconomic status of a family:
Preliminary study. Indian Journal of Community Medicine, 30(4):10-12.
[2.] Archana B.Patel et al,
A tool for rapid socioeconomic assessment, India Journal of Pediatrics,
Volume 74-April 2007.
[3.] B.K. Mahajan, Methods
in Biostatistics, 1999, Jaypee brothers Medical Publishers (P) Ltd., New
[4.] D.Mishra, H.P.Singh,
Kuppuswamy’s socioeconomic status scale- a revision, India Journal of
Pediatrics, 2003, 70(3): 273-274.
[5.] Dutton, Diana B, Sol Levine, Socioeconomic status and health: Overview,
methodological critique and formulation, 1989, The Henry J. Kaiser Family
foundation, New York.
[6.] E. Vijay, Community
Medicine for paramedical students, 2002, Beacon Zen publishers, Chennai.
[7.] Frank W. Young, Socioeconomic
status and health: The problem of explanation and sociological solution,
2002, Cornell University, Ithaca, New York.
Govt. of India
(2001), Annual Report 2000-2001, Ministry of health
and Family welfare, New Delhi.
K. Park, Park’s textbook of Preventive and Social Medicine,
2007, Banarsidas Bhanot Publishers, Jabalpur.
[10.] Kuppuswamy B. Manual
of socioeconomic status (Urban), 1981, Manasayan, Delhi.
[11.] L. Ramachandran, T.Dharmalingam, Health Education: A new approach, 2006, Vikash
Publishing House Pvt. Ltd. Noida.
[12.] Mahajan B.K., Gupta
M C, Textbook of Preventive and Social Medicine, 1995, Jaypee
brothers, New Delhi.
[13.] N.Kumar et al, Kuppuswamy’s
Socioeconomic status scale- updating for 2007, India Journal of Pediatrics,
Volume 74-December 2007.
Health survey-2, 1998-1999, International Institute of
population sciences, Mumbai.
P.K. Goel, A handbook of practical community medicine, 2008,
Asha Deep Publications, Jammu.
[16.] P.N. Arora, Comprehensive
Statistical Methods, 2007, S. Chand & company ltd. New Delhi.
[17.] Roger et al, Oxford
text book of public health, 1997, Oxford University press, Oxford, New
[18.] Ross, Catherine E,
Chia-Ling Wu, 1995, The link Between education and health, American
Sociological review 60: 719-745.