Equity and utilisation of health care services among the Mavilan tribe of Pullur Periya Panchayath of Kasargod district of Kerala

Registration ID: IJNRD_223063

Published ID: IJNRD2406051

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Anusree P

equity,health care utilization,OP care,IP care

Background : Equity is about fairness and justice, implying that everyone should have an equal opportunity to attain their full health potential and access healthcare. Isolation from mainstream activities, coupled with poverty and lack of access to health facilities, makes tribal communities particularly vulnerable to various health problems. The pursuit of equity in health and healthcare has been a key feature of health policy in India, with a commitment to improving access to quality healthcare for the poor and disadvantaged. This study focuses on the equity and utilization of healthcare services among the Mavilan tribe in the Pullur Periya panchayat of Kasaragod district. Materials and methods: A cross-sectional descriptive study was conducted between July and August 2020 in the Pullur Periya panchayat. Each household was enumerated based on their address. Random numbers from a random number table were selected and matched with the numbers allocated to each household, resulting in the selection of specific households. Data was collected through face-to-face interviews at the selected household addresses using a pre-prepared and pre-tested questionnaire. Results : The questionnaire was administered to 345 participants. Among those who reported an illness in the previous 30 days, 154 (44.6%) utilized outpatient services. Of all the hospitalization episodes in the previous 365 days, 99 (28.7%) utilized inpatient services. Significant socio-demographic factors associated with healthcare utilization included age, gender, education, marital status, and monthly income. These differences in healthcare utilization due to varying socio-demographic variables provided evidence of inequity. Access was assessed by the time taken to reach the healthcare provider. The chi-square test showed a significant association between healthcare utilization and the time taken to reach the healthcare provider, indicating a need for equitable access. Conclusion: The study revealed that longer travel times to health services hinder their use, highlighting the need for equitable access, achievable through an efficient transport system. Similarly, the utilization of health services is influenced by sociodemographic variables such as age, gender, education, marital status, and monthly income. These differences in utilization can be seen as inequities. To achieve equity in healthcare utilization, it is essential to understand the community. Equity and utilization can only go hand in hand through the overall socioeconomic development of the Mavilan community.

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Anusree P (June-2024). Equity and utilisation of health care services among the Mavilan tribe of Pullur Periya Panchayath of Kasargod district of Kerala. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(6), a543-a557. https://ijnrd.org/papers/IJNRD2406051.pdf

Volume 9 Issue 6, June-2024

Pages : a543-a557

Paper Reg. ID: IJNRD_223063

Published Paper Id: IJNRD2406051

Research Area: Health Science 

Author Type: Indian Author

Country: Kasargod, Kerala, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2406051.pdf

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