Rural, private clinics big contributors to health care

By turning primary health centres (PHC) and community health centres into family health centres, the government, the Ardram project, is essentially reviving an old model,

Published: 13th August 2018 03:24 AM  |   Last Updated: 13th August 2018 03:24 AM   |  A+A-

Image used for representational purpose only.

By Express News Service

KOCHI: Better accessibility, a shorter waiting time, better staff and work attitude on the part of doctors and nurses, and better facilities mean people prefer small private clinics to government PHCs and CHCs, suggested a new study.

Small private clinics, especially in rural areas, have contributed immensely to the health sector in the state. By turning primary health centres (PHC) and community health centres into family health centres, the government, the Ardram project, is essentially reviving an old model, albeit in the public sector, according to the study.

“We learnt from our interactions with stakeholders and from verifying data that 75 per cent of the population in Kerala goes to private medical institutions for treatment. Three-fourths of people rely on small clinics, nursing homes and hospitals. These play a major role, especially in rural areas,” said Sara John, senior project associate, CPPR, who led the research.

There has been a decrease in the number of private allopathic hospitals by 24.6 per cent from 1984 to 2004. However, the average number of beds per hospital increased from 26 to 41 during the period.
The trend in the rise of super speciality hospitals at the cost of small hospitals and clinics put a question mark on the future of accessible and affordable health care for the common man.

Nowadays, people pick corporate hospitals, which has been identified as a detrimental factor in providing affordable health care. In this scenario, the Ardram project holds out hope for the public. They are essentially following the old pattern of private clinics where a doctor knew a patient’s history and the referral method was still opted for.

“The demand for better health care is increasing. And small clinics bridge the gap in providing accessible and basic health care,” said Sara.

According to the study, the recent wage hike for nurses and non-nursing staff might also be a blow to these institutions. “A majority of small clinics in rural areas are run by individual doctors, except those run by medical missions. Considering the variations in the occupancy rate in hospitals, there could be drastic changes in the profit of small hospitals with less than 50 beds and this decrease will, in turn, decrease the possibilities of improving the quality and facilities of healthcare facilities here,” noted the study.

Remedies needed
■ PHC is not always accessible
■ Non-availability of good medicines
■ Long waiting time
■ Attitude of staff in PHCs is difficult
■ PHCs does not provide timely help
■ PHCs not preferred for major treatments


Disclaimer : We respect your thoughts and views! But we need to be judicious while moderating your comments. All the comments will be moderated by the editorial. Abstain from posting comments that are obscene, defamatory or inflammatory, and do not indulge in personal attacks. Try to avoid outside hyperlinks inside the comment. Help us delete comments that do not follow these guidelines.

The views expressed in comments published on are those of the comment writers alone. They do not represent the views or opinions of or its staff, nor do they represent the views or opinions of The New Indian Express Group, or any entity of, or affiliated with, The New Indian Express Group. reserves the right to take any or all comments down at any time.

  • Srinivasa Rao

    This is 100% true. Further if DENTISTS are also allowed to practice General medicine by giving a special course/training_ it will become the best aspect and the never before decision to help the needy- because DENTISTS also study the same subject in same concept for the first three years of their course - with a view to understand HUMAN BODY AND FUNCTIONALITIES AND REACTIONS. Hence if they are provided with the knowledge of the MBBS course provisions by giving a special course, Thus they can study further higher studies in MBBS. and much medical facilities are available for the society
    3 years ago reply
flipboard facebook twitter whatsapp