SEARCHCROSS-SECTIONALpublic health, epidemiology

cross-sectional·public health, epidemiology, family medicine, internal medicine·PMC10603600

Situational Analysis of Healthcare and Medical Diagnostic Testing Facility Availability in Selected Blocks of Muzaffarpur District, Bihar, India: A Cross-Sectional Study

Cureus · 7 authors, 4 centres

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TL;DR

This cross-sectional study assessed healthcare facilities and diagnostic test availability in selected urban and rural blocks of Muzaffarpur district, India. It found government facilities offered more comprehensive workforce support and free core diagnostic tests, while private facilities lacked grassroot workers, and accessibility varied significantly between rural intervention and control sites.

Full summary

429 CHARS

This cross-sectional situational analysis assessed healthcare facilities in four blocks (Mushahari, Marwan, Balughat, Kannhauli) of Muzaffarpur district, Bihar, India. The study compared workforce composition and diagnostic test availability. The study is limited by its specific sites and cross-sectional design, which restricts generalizability and does not directly assess out-of-pocket costs or broader accessibility factors.

STUDY TYPE

cross-sectional

SPECIALTY

public health

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100% · A

ORIGINAL PAPER

PMC10603600

Situational Analysis of Healthcare and Medical Diagnostic Testing Facility Availability in Selected Blocks of Muzaffarpur District, Bihar, India: A Cross-Sectional Study

Cureus

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ABSTRACT

Introduction: This study presents a comprehensive assessment of healthcare facilities, focusing on workforce composition, operational dynamics, diagnostic laboratory services, and accessibility considerations. The comparison between government and private healthcare sectors provides insights into service delivery and potential disparities. The study's rationale, objectives, and methodology are explored in the context of the Indian healthcare landscape. Methods: A cross-sectional analysis was conducted in Muzaffarpur district, Bihar, targeting selected urban and rural blocks. The study employed geolocation data to analyze accessibility to healthcare facilities. Data collection involved on-site visits, structured questionnaires, and consultation of the Indian Council of Medical Research (ICMR)'s framework. The assessment concentrated on the availability of tests offered by the LaBike platform, and workforce compositions were compared. Results: Government healthcare facilities exhibited a balanced distribution of doctors, nurses, and grassroot workers, reflecting comprehensive healthcare provisions. Private facilities, although featuring moderate doctor and nurse presence, lacked grassroot workers. Diagnostic test prevalence was evident, with core tests, such as CBC and blood glucose, available in over 85% of facilities. Government facilities provided tests free of charge, while private facilities showcased a diverse cost spectrum. Proposed interventions received strong support from both sectors, indicating the potential for innovative healthcare solutions. Accessibility analysis: Urban intervention and control sites demonstrated comparable accessibility, with facilities located within 2 km. In rural intervention and control sites, distances varied significantly. Mushahari, a rural intervention site, required participants to travel 6 km to the nearest facility, impacting healthcare access. By contrast, Marwan, a rural control site, featured a shorter distance of 3 km. Conclusion: This study's comprehensive evaluation of healthcare facilities offers valuable insights into workforce dynamics, diagnostic services, and healthcare interventions in the context of government and private sectors. The findings underscore the significance of addressing workforce gaps and promoting equitable access to diagnostics. By informing evidence-based decision-making, this study contributes to the optimization of healthcare service delivery, aiming to enhance healthcare quality and accessibility for all.

CITATION EXPORT

Pragya Kumar, Shamshad Ahmad, Saurabh Kumar et al.. Situational Analysis of Healthcare and Medical Diagnostic Testing Facility Availability in Selected Blocks of Muzaffarpur District, Bihar, India: A Cross-Sectional Study. Cureus. (2023). https://doi.org/10.7759/cureus.46037

AUTHORS

7 · 4 CENTRES

Pragya Kumar, Shamshad Ahmad, Saurabh Kumar, Naveen K G, Purushottam Kumar, Neeta Kumar, Sanjay Pandey

1 Community and Family Medicine, All India Institute of Medical Sciences, Patna, Patna, IND
2 Epidemiology and Public Health, All India Institute of Medical Sciences, Patna, Patna, IND
3 Community and Family Medicine, Maharshi Devraha Baba Medical College, Deoria, Patna, IND
4 Epidemiology and Public Health, Indian Council of Medical Research, New Delhi, IND

EDITOR / REVIEWER

Alexander Muacevic, John R Adler