التفاصيل البيبلوغرافية
| العنوان: |
The Impact of General Strike on Government Healthcare Delivery in Kerala State in India. |
| المؤلفون: |
Jacob, Aasems1, Weiss, Heidi2, Mathew, Aju3 |
| المصدر: |
Journal of Environmental & Public Health. 5/3/2016, p1-6. 6p. |
| مصطلحات موضوعية: |
*MEDICAL care, *POLITICAL parties, *GENERAL strikes, *MEDICAL centers, *HOSPITAL emergency services, *PUBLIC health, *STRIKES & lockouts, *STATE governments, *GOVERNMENT programs, *STATISTICS |
| مصطلحات جغرافية: |
KERALA (India), INDIA |
| مستخلص: |
General strike (also known as hartal) is used as a mode of protest by organizations and political parties in India. It is generally thought that hartals negatively impact the healthcare delivery in a society. We used the Right to Information Act to obtain data from government health centers in Kerala state in India for four hartal days (H-day) and two control days (A-day and B-day) for each H-day, from sixteen health centers including 6 Community Health Center (CHC), 6 Secondary Health Center (SHC), and 4 Tertiary Health Center (THC). Data on emergency room visits was available for six HCs. 15 HCs had a statistically significant decrease in the number of outpatient visits on H-day. There was no difference in the number of outpatient visits between the two control days (A and B) in 15 HCs, suggesting the lack of a posthartal surge in visits. Median decrease in outpatient visits in CHCs, SHCs, and THCs was 50.4%, 59.5%, and 47.4%, respectively. Hartal did not impact the number of emergency room visits in 6 out of 7 health centers assessed. Our study identified a significant harmful impact on government healthcare delivery due to hartals in Kerala. These findings have major public health implications. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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