An assessment of the quality of primary health care in India

Powell-Jackson, Timothy, Acharya, Acharya and Mills, Anne (2013) An assessment of the quality of primary health care in India. Economic and Political Weekly, 48 (19). pp. 53-61. ISSN 00129976

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Abstract

There is limited evidence on the quality of primary health care provision in India. Using data on the availability of inputs from a nationally representative survey of primary health centres, a composite measure of structural quality of care for primary health centres was developed with a view to examine its geographical variation, associations with mortality and healthcare utilisation, and the determinants of better quality, giving particular attention to the role of management. The mean quality score was 52%, with large differences across regions, states and districts. Quality of care was the worst and the variation greatest in states designated by the government as low performing. Good management practices in a facility were highly correlated with better quality of care. The majority of primary health facilities in India fall far short of government minimum standards, in part explaining why most people in rural areas use private providers for outpatient care. Future research should explore the causal relationship between management practices, quality of care and patient outcomes.

Item Type: Article
Keywords: Primary Health Care | India-Primary Health Care | Quality & Standards-Health Care
Subjects: Social Sciences and humanities > Social Sciences > Health (Social sciences)
JGU School/Centre: Jindal School of Government and Public Policy
Depositing User: Amees Mohammad
Date Deposited: 23 Feb 2022 09:01
Last Modified: 23 Feb 2022 09:01
Official URL: http://www.epw.in/journal/2013/19/special-articles...
URI: https://pure.jgu.edu.in/id/eprint/1366

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