DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20150218

Determinants of health care seeking behavior among rural population of a coastal area in South India

Ramesh Chand Chauhan, Mani Kandan, Anil J. Purty, Abel Samuel, Zile Singh

Abstract


Background: Understanding of health seeking behaviour (HSB) is essential to provide need based health care services to the population. Many factors like sex, age, type of illness, access to services and perceived quality of the services, influences the health seeking behavior. This study assessed the HSB among rural population of a coastal area in Tamil Nadu.

Methods: A community based descriptive study was done in a rural coastal area of Villupuram district in Tamil Nadu state of India. Using simple random sampling method, 559 participants were selected. A pre-tested structured questionnaire was used to collect the data. Information about socio-demographic characteristics, presence of acute or chronic illness, health care seeking behavior and reasons for non-utilization of particular health facilities etc. was obtained. Chi square test was applied to find the association of health care seeking behavior with various participant characteristics.  

Results: Among 559 study participants, majority (56.4%) visited public health care facilities for various illnesses. Almost one-third of the study participants visited the private health facilities and another 11.6 percent visited other health facilities including pharmacies. Among various causes, febrile illnesses (39.5%) and pain (20.8%) were the most common reasons for visiting a health care facility. Individual’s income was significantly associated with the HSB (p value <0.05). Availability of services, free of cost was reported as most common reason for preferring to the public health facility. On other hand, private practitioners were preferred due to their better availability and quality of care.

Conclusions: Public health care facilities were preferred by due to low cost of services and HSB varies with the type of illness and income of the individuals.

Keywords


Health seeking behaviour, Morbidity, Rural

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References


Sudharsanam MB RS. Factors determining treatment seeking behaviour for sick children in a fishermen community in Pondicherry. Indian J Community Med. 2007;32:71-2.

Patel RK TK NS, Patel P. Treatment seeking behaviour of peri-urban community of Chandkheda. Natl J Community Med. 2010;1:35-6.

Vargese S, Mathew P, Mathew E. Utilization of public health services in a rural area and an urban slum in Western Maharashtra, India. Int J Med Sci Public Health. 2013;2(3):646-9.

Gotsadze G, Bennett S, Ranson K, Gzirishvili D. Health care-seeking behaviour and out-of-pocket payments in Tbilisi, Georgia. Health Policy Planning. 2005;20(4):232-42.

Tipping G, Segall M. Health Care Seeking Behaviour in Developing Countries: an annotated bibliography and literature review. In: Tipping G, Segall M, eds. Development Bibliography 12. Brighton: Institute of Development Studies, Sussex University; 1995.

Pillai RK WS GH, Polsky D, Berlin JA, Lowe RA. Factors affecting decisions to seek treatment for sick children in Kerala, India. Soc Sci Med. 2003;57(5):783-90.

Sudha G, Nirupa C, Rajasakthivel M, Sivasusbramanian S, Sundaram V, Bhatt S, et al. Factors influencing the care-seeking behaviour of chest symptomatics: a community-based study involving rural and urban population in Tamil Nadu, South India. Trop Med Int Health. 2003;8(4):336-41.

Ahmed SM, Adams AM, Chowdhury M, Bhuiya A. Changing health-seeking behaviour in Matlab, Bangladesh: do development interventions matter? Health Policy Planning. 2003;18(3):306-15.

Aljunid S. The role of private medical practitioners and their interactions with public health services in Asian countries. Health Policy Planning. 1995;10(4):333-49.

Berman P, Laura R. The role of private providers in maternal and child health and family planning services in developing countries. Health Policy Planning. 1996;11(2):142-55.

Zwi AB, Brugha R, Smith E. Private health care in developing countries. BMJ. 2001;323(7311):463-4.

Bennett S, Dakpallah G, Garner P, Gilson L, Nittayaramphong S, Zurita B, et al. Carrot and stick: state mechanisms to influence private provider behavior. Health Policy Planning. 1994;9(1):1-13.

Van der Hoeven M, Kruger A, Greeff M. Differences in health care seeking behaviour between rural and urban communities in South Africa. Int J Equity Health. 2012;11:31.

Ahmed SM. Differing health and health-seeking behaviour: ethnic minorities of the Chittagong Hill Tracts, Bangladesh. Asia Pac J Public Health. 2001;13(2):100-8.

Kamat VR. Private practitioners and their role in the resurgence of malaria in Mumbai (Bombay) and Navi Mumbai (New Bombay), India: serving the affected or aiding an epidemic? Soc Sci Med. 2001;52(6):885-909.

Puthuchira Ravi R, Athimulam Kulasekaran R. Care seeking behaviour and barriers to accessing services for sexual health problems among women in rural areas of Tamil Nadu state in India. J Sex Transmit Dis. 2014;2014:8.

Barua A, Kurz K. Reproductive health-seeking by married adolescent girls in Maharashtra, India. Reprod Health Matters. 2001;9(17):53-62.