| Author | Panezai, Sanaullah |
| Call Number | AIT RSPR no.RD-11-01 |
| Subject(s) | Medical care--Pakistan--Balochistan
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| Note | A research study submitted in partial fulfillment of the requirements for the Degree of Master of Science in Regional and Rural Development Planning |
| Publisher | Asian Institute of Technology |
| Abstract | A regional inequality is common phenomena particularly in the debate of social development including health care. Efforts are made to reduce the regional and rural urban inequalities through promoting the equitable access to health care services and facilities all over the world. Whether the policy makers succeed to get equity in services in the boundary of the rein or not? It basically depends upon the nature of policies and programmes they formulate to implement. In Pakistan district is taken as a planning tool for health care development. Due to unequal topography and socioeconomic differences there are sharp rural urban and inter-district variations in Pakistan. In Pakistan federal government keeps the mandate of policy making however; the provincial and district government implement those policies. This study explores the inter-district variation in health care services and development in Balochistan. The qualitative cum quantitative approach of research is applied. Firstly, to identify the priorities of policies and programmes in the context of health care services coverage the policies and programmes are critically analyzed. Then in order to find out the inter-district variation in health care services the study uses a set of twelve (12) indicators, of which ten (10) indicators are related to curative health care and two (2) are selected covering the curative aspect of health care. Using 0-1 transformation value technique, every indicator is given a transformed value. While summing the individual value of all variables, a campsite index is calculated. Then based on the transformed values of curative variables, a composite index is calculated for curative health services. Likewise, the composite index is also calculated for the preventive variables. Districts are ranked as under developed, moderately developed, developed and less developed as per the weight they attained in the composite index. After the levels of development are identified, the results are mapped through ArcGIS software and maps are produced showing the inter-district variation in overall healthcare, curative and preventive health care services. There are found sharp inter-district variation in curative and preventive health care services separately and the disparities are also found by adding both of the curative and preventive services through overall composite index. The far and flung districts of the province Musa Khel, Barkhan, Killa Abdullah, Dera Bugti, and Kharan are found less developed while Quetta and Ziarat are ranked in the category of most developed districts of Balochistan. This analysis of ranking revealed that there is policy failure to promote equitable health care services and reduction of inter-district variation. However; the degree of variations was comparatively less in case of preventive health care services as compare to those of curative. For the analysis of the contributing factors responsible for variation among the selected variables, the statistical test zero-order correlation matrix was applied. Majority of variable were statistically significant except a few. In order to promote the equitable provision of healthcare services and facilities in Balochistan recommendation are given based on the critical review of the policies and programmes and findings of the study while using the selected indicators related to curative and preventive healthcare for inter-district variation. These include de-concentration of the health care services from the provincial capital and focusing the infrastructure development of the poorly developed districts. |
| Year | 2012 |
| Type | Research Study Project Report (RSPR) |
| School | School of Environment, Resources, and Development (SERD) |
| Department | Department of Development and Sustainability (DDS) |
| Academic Program/FoS | Rural Development, Gender and Resources (RD) |
| Chairperson(s) | Thapa, Gopal; |
| Examination Committee(s) | Routray, Jayant Kumar;Soparth Pongquan; |
| Scholarship Donor(s) | University of Balochistan, Quetta; |
| Degree | Research Studies Project Report (M.Sc.) - Asian Institute of Technology, 2012 |