Determinants of Utilization of Services under Family Welfare and Healthcare Schemes of Government of Rajasthan: A Study of Rural Areas of Western Rajasthan
Dr. Neelam Kalla
Assistant professor, Department of Management Studies, Faculty of Commerce and Management Studies, Jai Narain Vyas University, Jodhpur (RAJ)
Abstract: Improving on the health indicators in Rajasthan still remains a big challenge for government in spite of all efforts and expenditures. Indicators like Total Fertility Rate, Infant Mortality rate and Maternal Mortality Ratio of the state that is 3.1, 55 and 318 (SRS 2007 - 2009) respectively; are still higher than the National average. The Sex Ratio in the state is 926 (as compared to 940 for the country). Comparative figures of major health and demographic indicators also clearly show that Rajasthan is lagging behind the average national performance. In last two decades Government has launched several initiatives in the field of family welfare and healthcare like Janani Suraksha Yojna, Primary Health Centres, Community Health Centres, Asha Sahyoginis, Jan Mangal Yojna etc. The present study focuses on detecting the key areas that require improvement for proper implementation of the healthcare and family welfare schemes. The study reveals that people have an inclination to avail benefit of the government facilities but several factors were identified as barrios. Apart from illiteracy, lack of awareness and psychographic barriers, the main determinants affecting the utilization of Government facilities included lack of infrastructure, improper disbursement of incentives, lack of trained staff at Health Centres and indifferent behaviour of the healthcare staff. In some of the remote areas and micro interior places, transport facilities also played a significant role. The discussion and recommendations highlight the fact that Government of Rajasthan has to re-design the implementation of its initiatives to yield the desired outcomes. see more
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