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Reduced health services at under-electrified primary healthcare facilities: Evidence from India

Primary healthcare systems worldwide suffer from major gaps in infrastructure and human resources. One key infrastructure gap is access to reliable electricity, absence of which can significantly affect the quantity and quality of healthcare services being delivered at rural primary health facilitie...

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Detalles Bibliográficos
Autores principales: Shastry, Vivek, Rai, Varun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177862/
https://www.ncbi.nlm.nih.gov/pubmed/34086793
http://dx.doi.org/10.1371/journal.pone.0252705
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author Shastry, Vivek
Rai, Varun
author_facet Shastry, Vivek
Rai, Varun
author_sort Shastry, Vivek
collection PubMed
description Primary healthcare systems worldwide suffer from major gaps in infrastructure and human resources. One key infrastructure gap is access to reliable electricity, absence of which can significantly affect the quantity and quality of healthcare services being delivered at rural primary health facilities. However, absence of granular empirical evidence is a barrier for quantitatively understanding the significance of electricity access as one of the determinants of access to reliable primary healthcare. Using data from India’s District Level Household and Facility Survey, we develop zero-inflated negative binomial models with co-variates and state-level fixed effects to estimate the relationship between levels of electricity access and the quantity of basic health services delivered at Primary Health Centers (PHCs). We find that lack of electricity access is associated with a significant and large decrease in the number of deliveries (64 percent), number of in-patients (39 percent), and number of out-patients (38 percent). We further find that lower level of electricity access at primary health centers is disproportionately associated with adverse effects on women’s access to safe and quality healthcare.
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spelling pubmed-81778622021-06-15 Reduced health services at under-electrified primary healthcare facilities: Evidence from India Shastry, Vivek Rai, Varun PLoS One Research Article Primary healthcare systems worldwide suffer from major gaps in infrastructure and human resources. One key infrastructure gap is access to reliable electricity, absence of which can significantly affect the quantity and quality of healthcare services being delivered at rural primary health facilities. However, absence of granular empirical evidence is a barrier for quantitatively understanding the significance of electricity access as one of the determinants of access to reliable primary healthcare. Using data from India’s District Level Household and Facility Survey, we develop zero-inflated negative binomial models with co-variates and state-level fixed effects to estimate the relationship between levels of electricity access and the quantity of basic health services delivered at Primary Health Centers (PHCs). We find that lack of electricity access is associated with a significant and large decrease in the number of deliveries (64 percent), number of in-patients (39 percent), and number of out-patients (38 percent). We further find that lower level of electricity access at primary health centers is disproportionately associated with adverse effects on women’s access to safe and quality healthcare. Public Library of Science 2021-06-04 /pmc/articles/PMC8177862/ /pubmed/34086793 http://dx.doi.org/10.1371/journal.pone.0252705 Text en © 2021 Shastry, Rai https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Shastry, Vivek
Rai, Varun
Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title_full Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title_fullStr Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title_full_unstemmed Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title_short Reduced health services at under-electrified primary healthcare facilities: Evidence from India
title_sort reduced health services at under-electrified primary healthcare facilities: evidence from india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177862/
https://www.ncbi.nlm.nih.gov/pubmed/34086793
http://dx.doi.org/10.1371/journal.pone.0252705
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