Health issues in the Urban and Rural area of Pakistan:
The topic is about the health issues in urban and rural area of Pakistan. Access to health facilities in rural and urban area of Pakistan is the basic responsibility of every citizen but unfortunately the Government of Pakistan has unsuccessful to provide and fulfill its obligation with health sectors. Healthcare system of rural area are lag behind in quality, affordability, and accessibility for numerous reasons. The distances are typically larger in rural areas as compared to the urban areas in the form of communication difficulties, transportation times for patients, medicines, and doctors. In rural area numbers of hospitals are very rare as compare to the urban areas. Lower and middle class people didn’t afford the medical expenses, so the government should provide enough resources of healthcare system for the middle class society.
Health is a positive idea that highlighted the social and personal useful things as well as physical abilities. To provide the good health facilities by a state is the fundamental rights and needs of the people. However, the health condition of citizens in rural areas is usually not good as compare to the urban areas of Pakistan. Poverty and lack of facilities of health services are among most important causes of high rates of unnecessary deaths and injuries in rural areas. There are usually cultural differences between rural and urban communities. People in rural areas are commonly very highly self-reliance and independence. Generally health is given a very low priority which ordinarily converts into the view that hospitals and medical truly are the last center. Health services in rural areas are requiring sufficient members of doctors and other health care’s that provider’s necessary healthcare ability.
In this journal “Health seeking behavior and health service utilization in Pakistan: challenging the policy makers” Shaikh & Hatcher (2004) talked about the complexity of health services utilization in the context of developing countries. In this context there are very few concentrated approaches in Pakistan which focus on the health services utilization that how health services are utilized in Pakistan. The author talked about the situation of health in developing countries and relates the similar elements responsible for shaping up of a health-seeking conduct and health service utilization in Pakistan. The elements determining the health behaviors may be observed in social economic, physical and political culture in various contexts. Therefore, the utilization of a health care system, public or private, formal or informal, depending on socio-demographic elements, social composition, education level, cultural values, application, gender discrimination, social level of women, economic civic systems, environmental conditions, disease pattern and health care system itself. Policy makers are required to realize the facts to lead health seeking conducts of the people in a progressive majority of health care system. There is need to have collaboration efforts for planning behavioral health promotion achieving through sectorial collaboration.
In this article “Access to Primary Health Care among Persons with Disabilities in Rural Areas” Lishner, D. M., Levine, P., & Patrick, D. (1996) stated that disable persons formal and correct health care data in rural areas are rarely available People in rural areas faced lot of hurdles to approach to primary health care. In rural areas number of hospitals are less than urban areas and mostly hospitals which are available there they are far away so during emergency situation people have to face the problems to reach the hospitals. In the presences of these difficulties, the lack of health care is further enhanced. This article is about the primary health care among people with disabilities living in rural areas. In rural areas of Pakistan children and adolescents, working-age adults, the elderly are affected because of lack of healthcare and they are suffered from various diseases. Disable persons in rural areas they faced lot of problems in access to health care because there are less hospitals over there and they don’t get special treatment in these hospitals. Lot of problems to access appropriate health care has been reported or registered. These reports indicated the failure of local health care systems in rural areas which does not properly address the complicated medical and related needs of individuals with disabilities. Due to nonexistence of specialized expertise, facilities, and untrained primary health care providers for disabled persons; the local programs depend on the use of domestic paraprofessionals and alternative models of care. There is need to identify and test the efficiency of innovative service delivery strategies to improve health care.
In this article “The urban bias in health facilities in Pakistan” Zaidi, S. A. (1985) talked that we will investigate the urban and rural discriminative health facilities in Pakistan. The health facilities in urban areas of Pakistan are diversified ignoring the population percentage (may be up to 30%) which is a unilateral policy and tendency to discourage appointments of health sector employees/ workers in rural areas. This tendency is the categorical dynamics evolution of economic and social society in Pakistan which paved the way for capitalism growth. There may be two causes for this classification one is medical education in Pakistan and other is the role of the Government. Normally we adopted the way of medical education from developed countries but unfortunately couldn’t apply fully which created environment of discriminative society of medical care. As such the people demands curative results with the opinion who is best, who is economical and who gives the result rapidly. The Government of Pakistan has also played a pivoted role to enhance urban-bias policies by heavy investing in urban hospitals and their health facilities, at the expense of the rural population. The allocations of resources not on the basis of actual need but on the influence of ruling class within and outside the health sector. To provide the equal opportunities of rural and urban health sectors we have to revisit the uneven policies and adopt evolutionary steps for the justice of health facilities in both sectors.