Privatisation of Health Care in India - Indian Institute of Public ...

Utilisation of Private Health Servicespercent belonging to ‘others’ received antenatal care fromhealth personnel at their homes; 65.5 percent of SCs, 44.4percent of STs and 44.5 percent of ‘others’ received antenatalcare from trained personnel. In Karnataka, 24.7 percentof SCs, 20.5 percent of STs and 17.5 percent of othersreceived antenatal care at home, while 56.8 percent ofSCs, 58.1 percent STs and 66.4 percent of ‘others’ receivedantenatal care from trained personnel. In Orissa, 30.6 percentof SCs, 30 percent of STs and 18.9 percent of ‘others’received antenatal care from a health worker at home,while 35.3 percent of SCs, 22 percent of STs and 44.5percent of ‘others’ used the services of trained personnelfor antenatal care. There is clearly a variation in the utilisationof services across these three states. In all three states, thepercentage of households receiving care at home fromtrained personnel is low and in general the access to theseservices by STs is lower than for SCs. Across the threestates the levels of utilisation for antenatal care are extremelypoor (Ram et al, 1997. See Table 7).In the case of children suffering from fever, a fairly highproportion of households go to a nearby provider orhealth facility. At the all India level 66.7 percent of SCs,55 percent of STs and 68.2 percent of ‘others’ used thefacility nearby. Across states, the percentage of utilisationis high. It is found that in Karnataka, 72.3 percent ofSCs, 84 percent of STs and 76.7 percent of ‘others’ usedthe nearby health facility. In Maharashtra, 60 percent ofSCs, 68 percent of STs and 77.5 percent of ‘others’ usedthe providers. In Orissa, 51.7 percent of SCs, 41.6 percentof STs and 57.4 percent of ‘others’ used the providerfor treating their children. This data suggests thatpeople from all the three categories use the services; butthere is variation across states. While the percentage utilisingthe services is fairly high for all the three categories inMaharashtra and Karnataka, it is quite low in the case ofOrissa (Table 8).Table 7: State-wise Distribution of Access to Antenatal CareIndia /States ANC only at home Trained Personnel No ANCfrom health workerSC ST Others SC ST Others SC ST OthersINDIA 14 18.5 11.9 42.4 28.3 53 42.2 52.3 34A.P. 24.1 29.8 18.3 61.9 32.4 65.9 11.5 35.5 12.2Assam NA 0.8 3 63.6 30.3 49.3 36.4 68.9 47.2Bihar 13.4 6.4 9.7 21.2 14.8 28.3 63.6 78.8 60.8Goa NA 7.1 1.3 87.5 88.1 94 12.5 4.8 3.8Gujarat 19 39.4 22.6 62 28.3 54.2 15 31.5 22.6Haryana 5.6 NA 5.2 61.5 NA 69.4 32.8 NA 25H.P. 2.1 3.8 1.5 70.3 54.5 76.6 27.6 41.6 21Jammu 1.3 NA 0.6 74.7 NA 79.7 24 NA 18.5Karnataka 24.7 20.5 17.5 56.8 58.1 66.4 18.6 20.5 15.1Kerala NA 2.9 0.6 96.9 82.9 97 3.1 8.6 1.7M.P. 13.5 20.2 14 41.2 19.3 44 43.4 59.2 41.1Maharashtra 10.3 29.6 11.1 65.5 44.4 73 22.8 26.1 15.5Orissa 30.6 30 18.9 35.3 22.2 44.5 32.2 46.1 35.5Punjab 2 NA 1.7 85.3 NA 86.1 12.8 NA 11.8Rajasthan 4.2 14.3 7.1 17.2 16.9 27.7 76.7 68.5 63.1T.N. 25.9 13.6 65.5 81.3 8.3 NA 4.7U.P. 14.9 3.9 14.4 21.9 11.4 32.4 62.9 84.6 52W.B. 6.1 6.7 6.7 60.6 61 69.6 33.3 32.3 23.1Source: Utilization of Health Care Services by the Underprivileged Section of the Population in India: Results from NFHS, cited in Ram, Pathak and Annamma (1997).19