Reasons for non availability of health service in rural india
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Health is not everything but everything else is nothing without health. “In the beginning, there was desire which was the first seed of mind,” says Rig-Veda, which probably is the earliest piece of literature known to mankind. Since antiquity India being the first state to give its citizens national health care as a uniform right. However in the present scenario Indian rural health care faces a crisis unmatched to any other social sector. Nearly 86% of all the medical visit in India are made by ruralites with majority still travelling more than 100 km to avail health care facility of which 70-80% is born out of pocket landing them in poverty.[1]
Government succeeded in generating infrastructures in urban area but fail to do so in rural, sustaining 70% of Indian population. Though existing infrastructural setup for providing health care in rural India is on a right track, yet the qualitative and quantitative availability of primary health care facilities is far less than the defined norms by the World Health Organization. Union Ministry of Health and Family Welfare figure of 2005 suggests a shortfall of 12% for sub centers (existing 146,026), 16% of Primary Health Centers (PHCs) (existing 23,236) and 50% Community Health Centers (CHCs) (existing 3346) then prescribed norms with 49.7%, 78% and 91.5% of sub centers, PHCs and CHCs located in government buildings and rest in non-government buildings respectively requiring a figure of 60,762, 2948 and 205 additional buildings for sub centers, PHCs and CHCs respectively.[2] Location of PHCs and CHCs a far of distance from rural areas procures a heavy daily loss of wages. This leads the rural people accessing facilities of private health care practitioners, usually unregistered at affordable charges in their villages.[3]
Government reluctance toward the health care appears in that the roughly 0.9% of the total gross domestic product is allocated for health care. Spending average 14% of the household income on health care by the poor house hold varying from 1.3% in Tamil Nadu to about 37% in Jalore (Rajasthan) suggests people's reluctance toward health care putting it in a side corner then other priorities.[3] Only 0.5% of the rural enjoy basic sanitation facilities with a major population affected by the various health ailments owing to lack of sanitation coupled with polluted waters.[4] Felling seriously ill they either head toward the urban setup or the backward communities look for the witchcraft and hermits, placing them in the grip of lechers (money lenders), creating a physical.
Government succeeded in generating infrastructures in urban area but fail to do so in rural, sustaining 70% of Indian population. Though existing infrastructural setup for providing health care in rural India is on a right track, yet the qualitative and quantitative availability of primary health care facilities is far less than the defined norms by the World Health Organization. Union Ministry of Health and Family Welfare figure of 2005 suggests a shortfall of 12% for sub centers (existing 146,026), 16% of Primary Health Centers (PHCs) (existing 23,236) and 50% Community Health Centers (CHCs) (existing 3346) then prescribed norms with 49.7%, 78% and 91.5% of sub centers, PHCs and CHCs located in government buildings and rest in non-government buildings respectively requiring a figure of 60,762, 2948 and 205 additional buildings for sub centers, PHCs and CHCs respectively.[2] Location of PHCs and CHCs a far of distance from rural areas procures a heavy daily loss of wages. This leads the rural people accessing facilities of private health care practitioners, usually unregistered at affordable charges in their villages.[3]
Government reluctance toward the health care appears in that the roughly 0.9% of the total gross domestic product is allocated for health care. Spending average 14% of the household income on health care by the poor house hold varying from 1.3% in Tamil Nadu to about 37% in Jalore (Rajasthan) suggests people's reluctance toward health care putting it in a side corner then other priorities.[3] Only 0.5% of the rural enjoy basic sanitation facilities with a major population affected by the various health ailments owing to lack of sanitation coupled with polluted waters.[4] Felling seriously ill they either head toward the urban setup or the backward communities look for the witchcraft and hermits, placing them in the grip of lechers (money lenders), creating a physical.
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