Soumitra Ghosh - Centre for Health Policy, Planning and Management, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India

Background India’s health sector witnessed some major policy changes in ۱۹۹۰s that aimed at making health services more accessible to the population.   Methods In this paper, I tried to present some preliminary results of the significant changes that occurred between ۱۹۹۵/۶ and ۲۰۰۴, especially in relation to the question of access to healthcare for the poor and rural population using data from ۵۲nd (۱۹۹۵–۶) and ۶۰th round (۲۰۰۴) of National Sample Survey Organization on ‘morbidity and healthcare’.   Results The analysis suggests that overall utilization of healthcare services have declined and the odds of not seeking care due to financial inability has further increased among the poor and rural population during the period of reforms. Results of the multivariate logit regression model indicate that the non-poor, middle and above educated people were having greater likelihood of using services from private health care provider.   Conclusion Interestingly, poor and rural residents were more likely to have used healthcare from public facilities in ۲۰۰۴ than in ۱۹۹۵–۶, suggesting that the shift from private to public sector is encouraging, provided they receive good quality health care services at public facilities and do not face catastrophic health expenditures.

Untreated Morbidity, Choice of Healthcare, Poor, Rural Population, Health Sector Reforms