Structural Quality of Healthcare Facilities in India

India has a number of health issues and the healthcare facilities in India are insufficient due to poor quality of care. This study focuses on structural aspects of quality of care in India. The purpose of this study is to examine the factors affecting the structural quality of healthcare facilities in India.

Structural Quality of Healthcare Bianca A. Armenta in India Facilities University of Utah Akiko Kamimura, Phd, MSW, MA University of Utah Does not have a separate, private examine room 49.10% Has a separate, private examine room 50.90% India has a number of health issues and the healthcare facili3es in India are insufficient due to poor quality of care. This study focuses on structural aspects of quality of care in India. Has a sink or basin in or near room 43.80% No sink or basin in or near room 56.20% Has a separate, private examine room 50.90% I. Introduc3on III. Results Has a sink or basin in or near room 43.80% Does not have a separate, private examine room 49.10% 50.00% 30.00% Factors that significantly decrease the possibility that the facility has a separate examina5on room: ・Community health center status (p<0.01) ・Piped water inside (p<0.05) 20.00% 10.00% II. Methods Data and sample: Data are from the India Human Development Survey-II (IHDS-II), 2011-12 (ICPSR 36151). The data were collected using interviews. The en3re survey has 14 data sets. This study used one of the data sets, DS6: Medical Facili3es. The medical facility data include 4,218 medical facili3es from across India. The facili3es from where there was par3cipa3on were in 33 states/union territories out of 35. The data were collected by interviews with the director or other personnel (if the director is not available) of the medical facili3es in 2011- 2012. Factors that significantly decrease the possibility that the facility does not have a sink or basin: ・No inpa3ent beds (p<0.01) ・No toilet (p<0.01) ・Only one personnel (p<0.05) ・Higher registra3on fee (p<0.05) Factors that significantly increase the possibility that the facility has a separate examina5on room: ・No inpa3ent beds (p<0.01) ・No toilet (p<0.01) ・Only one personnel (p<0.05) ・Higher registra3on fee (p<0.01) 60.00% 40.00% The purpose of this study is to examine the factors affec5ng the structural quality of healthcare facili5es in India. Factors that significantly increase the possibility that the facility does not have a sink or basin to wash hands: ・No electricity, piped water inside, and longer distance from the district hospital (p<0.01) 0.00% Received Primary No beds for No electricity funds from health care over night 7.20% the ins3tu3ons- care 51.50% government "Community 47.5% Health Center" 7.00% Piped drinking water in facility 48.10% No toilet 35.20% Single person working at clinic/ center 30.20% Posi3ons that are currently vacant 55.90% IV. Conclusion The results suggest that it is difficult to have all standard resources available at healthcare facili3es in India. Findings: ・Having a drinking water source inside the health facility appears to be an indicator of poor structural quality of health care facili3es. ・Having a water source inside a health care facility is associated with not having a separate exam rom and not having a sink to wash hands. ・A higher registra3on fee was associated with good structural quality and with having a separate exam room and having a sink to wash hands. Future Research: Further research on quality of healthcare facili3es in India is needed to improve the overall health of the popula3on. We thank Naveen Rathi and Nushean Assasnik, BS for their help. Bianca Armenta University of Utah Department of Sociology [e-mail]