2. METHODOLOGY OF THE STUDY
This chapter explains the research methods, procedures and analytical frame work in the
present study. The research methods has been designed to be fit the main objectives of
the study i.e. Health care system in Surat district – with reference to Olpad taluka.
Area under Study and the Process of Sampling
The topic of the study is chosen basically for the demographic reasons. Our study is
related with health status in Olpad taluka. Olpad Taluka falls under the Surat District.
Olpad taluka is predominantly a rural taluka with 35850 households and 2623 households
under Urban area. This taluka is selected because it has the features of rural as well as
urban area. For the sake of comparision too, this status helps the researcher to make apt
comparisons. These households are those which fall under the six PHCs selected for the
study. Proportionate representation of the households under each of the PHCs is taken
care while undertaking the sample. Out of the total number of villages under each of the
PHC selected for the study, two villages are selected. The one with Maximum number of
Households and the other with the lowest number of households have been selected (vide
Table No.3.0). This forms the universe to be studied. A four percent sample of 447 has
been arrived out of this universe, for the purpose of this study. Subsequently before final
administration of the questionnaire a pilot study was undertaken. A ten percent of the
sample was utilised for the purpose The total universe of the households is 38473
households. The sub universe comprising of the villages with maximum and minimum
households comes to 11160. Subsequently the sample arrived out of the sub-universe is
447 households. The number of Sub-centers and the villages are given in table no. 3.1.
Questionnaire
The tool of questionnaire was prepared out of a number of consultations with the subject
experts comprising of doctors and social scientists. The researcher had consulted the
doctors working in the PHCs and faculty working in Center for Social Studies, Surat.
After due consultations the questionnaire was revised and then finalized.
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3. Period of study:
The survey was conducted for the period of three months. These three months were
September, October and December in the year 2009.
Data Sources:
The sources of data for the study have been primary as well as the secondary data
sources. The source of primary data has been through administering the questionnaire.
The secondary data was procured from NFHS 1,2, & 3 reports. Data was also collected
from Health Management and Information Systems, working under the Ministry of
Health and Family Welfare. District level Health Surveys were consulted to arrive at the
inter-district variations in the core indicators. The former was used to collect the inter-
state health indicators. The former and latter data has been used extensively in chapter
number four. Annual reports from the District Panchayat office were consulted to arrive
at the socio-economic profile of the Olpad taluka. Block health office under Olpad
Taluka was visited to collect data regarding the villages and households under the PHCs
and Sub-centers. This data was used to arrive at the size of the sample.
TABLE NO. 3.0: SCHEME OF THE SAMPLING
No PHC Villages No. of Villages under Villages under Total Sample
under Household PHC with PHC with D+E size:
PHC Maximum Minimum No. of Four
Number. No of H/H percent
H/H of col. F
A B C D E F G
1 Karanj 15 5696 2661 101 2762 110
2 Mor 20 6215 1015 72 1087 44
3 Kim 15 8429 2797 84 2881 115
4 Sandhiyer 15 8110 2623 114 2737 110
5 Erthan 22 4026 322 147 469 19
6 Dihen 19 5997 1140 84 1224 49
TOTAL 106 38473 10558 602 11160 447
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4. TABLE NO. 3.1: ADMINISTRATIVE SETUP OF THE OLPAD TALUKA
Sr. PHC SC Villages Covered
No Karanj Karanj,Nesh,Pardi zankhri,Naghoi
Sondalakhara Sondalakhara,Kumbhari,Mindhi, Karmroli
1 Karanj Asnad Asnad,Bhatgam, Mandroi
Olpad-1 Olpad-1,Hathisa
Olpad-2 Olpad-2,Asnabad
Mor Mor
Jinod Jinod,Bhgva,Delasha,Mirjapor
Mor Saras Saras,Orma,jafrabad,Kuvad,Kapasi
2
Kudiyana Kudiyana,Dandi
Masama Ishanpore,Vadod,Masma
Talad Talad,Jothan,Sonsak,Balkas, Saroli
Kim-1 Kim-1
Kim-2 Kim-2,Kimamli,Kathodra
3 Kim Kudsad-1 Kudsad-1,Kanyasi
Kudsad-2 Kudsad-2,Ashiyananagar
Mulad Mulad,Simlathu
Anita Anita.Bolao
Vadoli Vadoli,Umrachhi
Syadala Syadala,Kareli,Obhla,Kachhab
Sandhiyer Sandhiyer, Atodara
Serdi, Serdi,Kanaj,Kosam,Karamla
4 Sandhiyer Pariya Pariya
Delad Delad,Segva, Vasvari
Sayan-1 Sayan,Sivan,
Sayan-2 Sayan, Bharundi
Gothan Gothan,Umra
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5. Achharan Achharan,Morthan,Mahmadpor.Gola,Andhi
Sithan Sithan,Madhar,Khlipore,Kanthraj,Vihara
5 Erthan Koba Koba,Pardi,Thothab,Kasad,Sarsana,Sondlamitha
Erthan Erthan,Takarma
Bhadol Bhadol,Kadrama,Kanbhi,Pardi
Dihen Dihen,Tena
Pinjarat Pinjrat
Dihen Veluk Veluk,Kachhla,Khurd,Kachhla
6 Bujrang,Kachhol,Selut
Barbodhan Barbodhan,Segvachhama,Sithan
Lavachha Lavachha,Admor,Bhandut
Ambheta Ambheta,Arithan,Kunkni,Narthan,Sarol
Research Questions.
Based on the review of literature and the issues that are derived out of the same, some of
the research questions that have risen, need to be studied. Though we have the health
status at the macro level and by various states, there are very limited studies that have
been attempted at the micro level. What is the status at micro level, especially the one
under study, would be one of the question for which the answer would be probed.
Understanding the nature and quality of health services is very important to understand
the links between healthcare system and economic development in particular. Here one
way to understand the links is to get appraised of the utilisation patterns of the various
health services vis-à-vis the rural-urban status, by the education, caste and income levels
of the citizens. What could be the utilisation patterns at the micro level? This is another
question the researcher would like to probe through this study. Since much of the
secondary level data does give a macro level picture, how do the indicators of the Olpad
taluka fare in comparison with the all-India, Gujarat or Surat district-specific is one of
the many questions for which the answers are sought to. Based on these research
questions, the following are the broad objectives of the study.
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6. Objectives of the study:
The overall objectives of proposed study are to inquire into the health status in Olpad
taluka. How showed the specific objectives are as under;
1. To understand the utilization pattern of the public and private health services.
2. To study the delivery of critical reproductive and child health care service.
3. To understand the rural-urban disparities in health services.
4. To understand the relationship between the various types of health services and
the different strata of the society SC, ST, OBC and General category population.
5. To understand the status of various socio-economic and health indicators at the
Gujarat and Surat district. .
Hypotheses of Study:
Some major hypotheses which have been examined in the study are a follows.
1. There exists a strong relationship between the level of education and health status
of the family.
2. There exists a strong relationship between the levels of income and health status
of the cohort under selection.
3. Households with lower levels of income tend to prefer health facilities provided
by the state.
4. There exists a strong relationship between the level of income and health status of
the cohort under selection. i.e., people with higher income levels are having less
morbidity in the recall period.
5. There prevails equal amount of awareness among the rural and urban households
with regards to major communicable
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7. Statistical Techniques:
A standard statistical package like SPSS has been used for processing the data and
arriving at the important statistical parameters like Chi-square and averages,
Co-Variance. Apart from this, cross tables have been computed based on the output from
the SPSS.
Limitations of the study:
The study is limited to only the olpad taluka. The results cannot be universalized. The
results are totally based on the responded given by the respondents. The study has gone
into analyzing all the types of health services. It is limited to only the delivery systems of
the health care. while the aspects of financing of health and infrastructure do not for the
part of overall analysis in the study. Due to the paucity of time and space the aspects of
health insurance responsiveness of the health system in olpad have not been deeply dealt
with.
Chapter scheme :
1. Introduction
2. Review of Literature
3. Methodology
4. Health Status in Gujarat and Surat District
5. Health Utilisation patterns in Olpad Taluka
6. Summary & Conclusions.
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