Bengaluru: What chokes the Bengaluru health system? The secondary health care hospital that is insufficient and a lack of reference from the primary health care center to secondary which resulted in the overburdening of tertiary care hospitals, according to a recent study by the Azim Premesi Foundation.
The report, ‘Health Equity in Indian Urban’, was released on Friday, checking health vulnerabilities and inequality in cities and the term urban governance ‘chaotic’.
“There is no referral downsizing, especially for chronic cases.
Every patient landed in a tertiary care center such as Vanivilas or Victoria Hospital.
Although there are six public health centers in Bengaluru, they are very inadequate for a developing Bengaloru city with 198 wards,” said Arima Mishra, Professor of Sociology and Public Health, Azim Premji University and the Main Research Author.
Studies involving 17 NGOs began in October 2020 and analyzed urban health services in Bengaluru, Davanagere, Thiruvananthapuram and Raipur.
“We chose various cities to see the implementation of urban health services in various fields to understand how different the local independent government manages public health services,” said Arima Misra.
The report highlights that all institutions are classified as ‘hospital districts’ in Urban Bengaluru District in the National Family Health Survey (NHFS) -4 database in fact only referral hospitals but are grouped in the BBMP core area.
“In the NFHS-4, Vanivilas Hospital is referred to as a district hospital but is a pregnant hospital and childcare,” Arima said.
“Closeness of geographical close in the BBMP area of ​​various level facilities cancel efforts to prepare a referral chain, because the public only goes to the facilities closest to them, even if it is a district hospital.
For those who are on the edge, reaching more reference facilities High means a long journey on traffic jams, making it safer to only access personal facilities located near, “said the report.
The report said that reference relations between various levels of care were poorly defined in urban areas.
Rare Secondary Level Institutions, resulting in layers of tertiary care.
Primary and secondary institutions need to be strengthened, so that the load on tertiary institutions is reduced.
The researchers showed that the primary health center did not ship, especially in Davanagere and Bengaluru.
Overlapping responsibilities between BBMP and Bengaluru Urban District are also demonstrated by researchers.
“Sustainable Bengaluru expansion affects its urban health services,” he added.
He gave an example of a cellular health clinic which was run by the Ministry of Manpower for Beedi workers in Davanagere.
“It’s a health care unit that is not run by the Ministry of Health, an example for how fragmented accountability,” he added.