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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Autores principales:	Vivek Shastry, Varun Rai
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/765bf94d8a6c477e99e27c821ee98bef
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id	oai:doaj.org-article:765bf94d8a6c477e99e27c821ee98bef
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spelling	oai:doaj.org-article:765bf94d8a6c477e99e27c821ee98bef2021-12-02T20:07:16ZReduced health services at under-electrified primary healthcare facilities: Evidence from India.1932-620310.1371/journal.pone.0252705https://doaj.org/article/765bf94d8a6c477e99e27c821ee98bef2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252705https://doaj.org/toc/1932-6203Primary 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.Vivek ShastryVarun RaiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252705 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vivek Shastry Varun Rai Reduced health services at under-electrified primary healthcare facilities: Evidence from India.
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.
format	article
author	Vivek Shastry Varun Rai
author_facet	Vivek Shastry Varun Rai
author_sort	Vivek Shastry
title	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_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_sort	reduced health services at under-electrified primary healthcare facilities: evidence from india.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/765bf94d8a6c477e99e27c821ee98bef
work_keys_str_mv	AT vivekshastry reducedhealthservicesatunderelectrifiedprimaryhealthcarefacilitiesevidencefromindia AT varunrai reducedhealthservicesatunderelectrifiedprimaryhealthcarefacilitiesevidencefromindia
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Reduced health services at under-electrified primary healthcare facilities: Evidence from India.

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