A probit model approach to know the effect of Arogyasri scheme, NHM indicator and knowledge of new borne care on utilization of PHCs, Hanwada mandalam, Telangana

Abstract

Background: The utilization of primary health care centre have prime importance in a country like India where most people lived in rural, allocation of budget is according to the disease situation is most likely in the country Therefor the study like this give policy makers, public health planner a direction in regard to proper utilization of fund. Methods: This cross-sectional study was conducted from the 1st Feb to 28th Feb 2017. A simple random technique was used with a sample size 210 (169+41 (Health worker)). Analysis done using SPSS version 24. The descriptive statistics in percentages, probit method was used to identify the utilization of primary health care services.Results: There are total 56.20% of male participant while female participant constituted 43.80% and after using probit regression model it is found that the indicators like -access to skilled obstetric care (0.002), access to skilled birth attendance (0.0013), institutional delivery service facility (0.0001), access to comprehensive abortion care (0.0015), essential newborn care and referral (0.0025) and demographic variable like age, income, out of pocket expenditure, female respondent*health worker knowledge, income*cost of medical care have significant impact on utilization of PHC also in selection of hospital under Aarogyasri 15-29 age group, male respondent, illiterate, literate and income more than 5000 have significant impact. Conclusions: The primary health care centre services have a high impact in reducing the disease burden in rural area like Hanwada, So if there is an improvement in some of the basic services it can greatly impact in overall utilization rate.