Challenges in Healthcare Delivery in Sant Kabir Nagar District: In the View of Healthcare Infrastructure and Healthcare Workforce

Abstract

The healthcare delivery system in study district confronts significant challenges that hinder its ability to provide quality care to residents. In terms of infrastructure, the number of CHCs, PHCs inadequate and insufficient, many Community Health Centres (CHCs), Primary Health Centres (PHCs), and Sub-centres are under-equipped and poorly maintained, lacking essential medical equipment and resources. This inadequacy leads to delays in diagnosis and treatment, forcing patients to seek care in distant urban centers, which is both time-consuming and costly. Manpower shortages further exacerbate the problem. The district faces a critical shortage of healthcare professionals, including doctors, nurses, and paramedical staff. The reluctance of medical professionals to work in rural areas, due to inadequate facilities and poor living conditions, results in many healthcare centers operating without sufficient staff. This shortage, coupled with high turnover rates, compromises the continuity and quality of care provided to patients. During the monsoon season, makes it difficult for patients in remote villages to reach healthcare facilities. The lack of ambulance services makes worse this problem in emergencies. Additionally, unavailability of drugs at health centres lead to further compromising patient care. Socio-economic factors play a substantial role in limiting access to healthcare services. A significant portion of the population lives below the poverty line, making it difficult to afford medical care, even when subsidized. Low levels of health literacy contribute to poor health outcomes, as many residents are unaware of available healthcare services and the importance of preventive care. The findings highlight the urgent need for targeted interventions, improved resource allocation, and increased community engagement to address these healthcare challenges effectively. Recommendations include investing in upgrading healthcare infrastructure, uplifting the socio-economic status of marginal community, increasing literacy and health literacy, free drug distribution and patient checkup facilities, providing incentives and career development opportunities to attract and retain healthcare professionals, developing reliable transportation networks and emergency response services, strengthening supply chain management.