Challenges Faced by B.P.L. Population in Availing Public Healthcare – Analysing Government Initiatives, Technology and Cultural Barriers in Aligarh District, U.P

South Asian Journal of Social Sciences and Humanities
Year: 2021 (August), Volume: (2), Issue. (5)
First page: (01) Last page: (19)
Online ISSN: 2582-7065
doi: 10.48165/sajssh.2021.2501

Challenges Faced by B.P.L. Population in Availing Public  Healthcare – Analysing Government Initiatives, Technology and  Cultural Barriers in Aligarh District, U.P

Fahad Afzal1, P.S. Raychaudhuri2*, Mohd Atif Afzal3 & Afaq Amir Ahmad4

1Research Scholar, Indian Institute of Health Management Research (IIHMR), Jaipur, Rajasthan, 302029, India. 

ORCID: 0000-0001-8213-2119 

2Assist. Professor, Department of Health and Pharmaceutical Management, School Management and  Business Studies, Jamia Hamdard, New Delhi, 110062, India. 

3Researcher, Department of Commerce, Aligarh Muslim University, Aligarh, 202001, India ORCID: 0000-0001-8308-4622 

4Surveillance Medical Officer, National Public Health Surveillance Project, WHO Country Office,  Sasaram, Bihar, 821115, India 

ORCID: 0000-0001-6029-6497

Corresponding Author: Dr. P.S. Raychaudhuri, Email: psray61@rediffmail.com

Online Published:
4th October 2021

Received:
13th June 2021

Accepted:
 8th August 2021

How to cite the Article

Afzal, F., Raychaudhuri, P. S., Afzal, M. A., & Ahmad, A. A. (2021). Challenges Faced by B.P.L. Population in Availing Public Healthcare – Analysing Government Initiatives, Technology and Cultural Barriers in Aligarh District, U.P. South Asian Journal of Social Sciences and Humanities, 2(5), 1–19. https://doi.org/10.48165/sajssh.2021.2501 Cite
Afzal, Fahad, et al. “Challenges Faced by B.P.L. Population in Availing Public Healthcare – Analysing Government Initiatives, Technology and Cultural Barriers in Aligarh District, U.P.” South Asian Journal of Social Sciences and Humanities, vol. 2, no. 5, 2021, pp. 1–19, http://doi.org/10.48165/sajssh.2021.2501. Cite
1.
Afzal F, Raychaudhuri PS, Afzal MA, Ahmad AA. Challenges Faced by B.P.L. Population in Availing Public Healthcare – Analysing Government Initiatives, Technology and Cultural Barriers in Aligarh District, U.P. SAJSSH. 2021;2(5):1‑19. DOI: 10.48165/sajssh.2021.2501 Cite
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ABSTRACT

Public healthcare and government health initiative have always been in question regarding their  availability, efficiency, and quality. This matter most for the poor section of society who have  to go through various hurdles to avail the basic treatment, besides financial problems. The aim  of this survey study was to analyze the present scenario of public healthcare system and the  challenges in availing public healthcare faced by BPL (Below Poverty Line) and low-income  population of Uttar Pradesh. A cross-sectional survey (direct interview) of 104 respondents  was conducted in March 2021. Thematic analysis of generated qualitative data was done using  ATLAS.ti (version 9.0.15). The quantitative data was analyzed by using SPSS (version  22.0.0.0). The respondents were from 2 rural areas near the Aligarh district in UP. The  secondary data from published research articles and government sources were also analyzed.  Analysis of data revealed there are various challenges faced by low-income population while  availing public healthcare services. The nature of challenges has a considerable variation, from  lack of information to documents’ unavailability, from technical issues in government schemes  to cultural pressure. Data analysis revealed, the majority of respondents (59%) faced one or  more types of challenges during treatment from public health facilities. Awareness level is  identified as a significant problem among respondents. Analysis of secondary data and  literature review revealed uneven resource allocation and discrepancies in government  initiatives toward UHC (Universal Health Coverage). Results indicated the contrasting nature  of healthcare in Uttar Pradesh. Data analysis revealed the disparity of ‘average OOP travelling  expenditure’ for male and female. The correlation analysis revealed that there is negative  correlation (y = -0.1377x + 11.119) of ‘age of respondent’ and ‘average satisfaction from public  health service’ (r = -0.911; R² = 0.8301). This research article provides the evidence that there  exists a communication gap between policymakers and end-users (BPL & low-income section).  This article underscored some technical flaw in the UHC policies that act as a barrier for low  socio economic and BPL population. This article suggests strategies to control various  identified challenges.    

KEYWORDS

Public Health, Challenges, BPL, Poverty, Universal Health Coverage, Uttar Pradesh, Low  Income