Abstract

Objectives: To examine the availability and accessibility of primary health care system in Tamil Nadu and to examine the achievements of primary health care system in Tamil Nadu.Methods: Both secondary and primary data were used. Secondary data were from Tamil Nadu Health and Family Welfare department and Rural Health Statistics of India. Primary data were collected from Theni District. Sample size was 480. Identified respondents were interviewed for to find the reason for using the primary health care system with an interview schedule. The tools applied were simple as annual growth rate, Compound growth rate, and Garret ranking method.Findings: Sub Centre (SC), Primary Health Centre (PHC) and Community Health Centre (CHC) are the mode of serving of primary health care system as three tier to rural and urban people which satisfies their basic needs near their proximities. Tamil Nadu is leading and extending its services to people year by year since its inception and earmarked its service. The Zero priced health care services and medicine are the prime reasons for demanding primary health care system which was a signal and added value for the dynamic nature of primary health care system. Distance and waiting time are the last items in ranking means that people are willing to travel. The compound annual growth rate of out-patients was negative from 2011 to 2021 as -1.45, the calculated statistical number may be the due to reduced accessing of outpatient in 2021 due to Covid-19. The Compound annual growth rate of deliveries in Tamil nadu was -11.41 percentages which reflected a reduction in accessing the health care services for deliveries by secondary sources. Novelty: Planners and Policy maker’s needs for revisiting and reframing the health policy and target to achieve 2030.

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