Quality differentials and reproductive health service utilisation determinants in India
International Journal of Health Care Quality Assurance
ISSN: 0952-6862
Article publication date: 5 October 2010
Abstract
Purpose
This paper seeks to establish relationships between women's reproductive health service use, assessed longitudinally and by facility type, with service quality perceptions related to public or private health facilities.
Design/methodology/approach
The study was mainly secondary and quantitative in nature. It included analysing data collected by the International Institute for Population Sciences (IIPS) and The Johns Hopkins University (JHU) as a follow‐up study to the 1998‐1999 National Family Health Survey (NFHS‐2). The follow‐up survey was carried out in Tamil Nadu, Maharashtra, Bihar and Jharkhand. In 2002‐2003, these four states were selected to capture socio‐economic and demographic variations. Analysis includes composite indices and logistic regression analysis. A scale was constructed to measure utilisation levels. Dimensions include: service proximity, doctor availability, waiting time, medicines, facility cleanliness, dignified treatment, privacy, service affordability and treatment effectiveness.
Findings
Findings indicate that doctor availability, waiting time, cleanliness, privacy and affordability at private health facilities enhance the probability that a health facility will be used for any reproductive health purpose. At the combined states level, medicine availability and treatment effectiveness at public health facilities enhances service use.
Research limitations/implications
The major limitation is that the study includes only selected Indian states.
Practical implications
The findings may enhance Indian service‐quality policy.
Originality/value
The paper's main contribution is that seemingly for the first time in India, healthcare service use has been measured longitudinally and then explained through service quality variables by comparing public and private health facilities.
Keywords
Citation
Anand, S. and Sinha, R.K. (2010), "Quality differentials and reproductive health service utilisation determinants in India", International Journal of Health Care Quality Assurance, Vol. 23 No. 8, pp. 718-729. https://doi.org/10.1108/09526861011081859
Publisher
:Emerald Group Publishing Limited
Copyright © 2010, Emerald Group Publishing Limited