Abstract
This study explores the impact of public healthcare services on the wellbeing of rural populations in Tamil Nadu, India, through an economic lens. Despite significant investments in public health infrastructure, rural areas continue to face disparities in healthcare access and outcomes. This study evaluates the effectiveness of government interventions, the distribution of healthcare resources, and the economic factors influencing health outcomes in rural communities. Utilizing a mixed-methods approach, including both quantitative data analysis and qualitative field research, the paper sheds light on the critical gaps and opportunities for enhancing rural health services.
Rural areas constitute a significant portion of Tamil Nadu's demographic landscape, with a majority of the population residing outside urban centers. These regions often grapple with limited infrastructure, lower income levels, and educational disparities, all of which intersect to impact health outcomes. The accessibility and quality of public healthcare services in these areas are critical for ensuring equitable health benefits across the population.
This study assesses the healthcare delivery system with special reference to three selected Upgraded Primary Health Centres in Namakkal District of Tamil Nadu State. Nearly 281 samples were selected for the study and it focuses on quality, accessibility, utilisation and awareness on maternity and child healthcare related welfare schemes.
The findings suggest that while public healthcare services have improved over the years, challenges such as inadequate funding, workforce shortages, and socio-economic barriers persist. The paper concludes with policy recommendations aimed at strengthening the healthcare system to promote equitable health outcomes for Tamil Nadu's rural population
References
Kaur, P., & Singh, R. (2018). Healthcare access and utilization in rural India: Challenges and opportunities. Journal of Rural Health Studies, 34(2), 102-117.
Sen, A., & Bhandari, M. (2017). Economic determinants of health outcomes in rural India. Indian Economic Review, 52(3), 234-256.
Das, R. (2019). Gender inequality in accessing healthcare: The case of rural Tamil Nadu. Gender and Health Journal, 11(4), 213-229.
Reddy, S., & Prakash, R. (2020). Public health infrastructure in rural India: A study of Tamil Nadu. Indian Journal of Public Health, 64(1), 23-31.
Sharma, V., & Kumar, A. (2021). Socioeconomic barriers to health in rural India: Implications for policy. Health Policy and Planning, 36(5), 789-798.
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10.
Baru, R., Acharya, A., Acharya, S., Kumar, A. K. S., & Nagaraj, K. (2010). Inequities in access to health services in India: Caste, class, and region. Economic and Political Weekly, 45(38), 49-58.
Ghosh, S. (2014). Equity in the utilization of healthcare services in India: Evidence from national sample survey. International Journal of Health Policy and Management, 3(1), 29-38.
Kruk, M. E., & Freedman, L. P. (2008). Assessing health system performance in developing countries: A review of the literature. Health Policy, 85(3), 263-276.
Sen, G., Iyer, A., & George, A. (2002). Structural reforms and health equity: A comparison of NSS surveys, 1986-87 and 1995-96. Economic and Political Weekly, 37(14), 1342-1352. https://www.jstor.org/stable/4411968
Banerjee, A., & Duflo, E. (2011). Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty. PublicAffairs.
Dev, M. (2018). Challenges of Rural Poverty in India. Oxford University Press.
Deshpande, A. (2011). Caste and Social Exclusion in India. Routledge.
Mukherjee, S., et al. (2019). Healthcare in India: Current Trends and Future Directions. Indian Council for Research on International Economic Relations.
Sen, A. (2002). Development as Freedom. Oxford University Press
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