Levels of Regional Inequality of Health Infrastructure and Morbidity Pattern in West Bengal

Farhat Hossain, Abdul Hannan
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Abstract

This article examines the differences in health infrastructural availability in West Bengal. Furthermore, the study looks at the pattern of communicable and non-communicable diseases in the six different regions of the state. It measures and analyses the disparities through the lens of demand and supply gaps in healthcare. The trends, patterns and distribution of various diseases were captured through the NSS unit-level data from 60th and 71st rounds. The study shows that inter-regional and inter-district differences in health infrastructure are striking in West Bengal. The state’s health infrastructure lags behind the national average. The average population served per rural health facility in North Bengal as well as West Bengal is quite high compared to national figures. Similarly, the population served per hospital bed in North Bengal is also substantially higher in comparison to other regions. The inadequacy of hospital beds is one of the major obstacles in reducing the burden of disease in the region. The results for the distribution of diseases of inpatient cases show that the burden of communicable diseases in North Bengal is relatively higher than the other regions in both rounds of NSS. The inpatient cases of water- and food-borne infectious diseases like gastrointestinal diseases are considerably high in North Bengal.
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西孟加拉邦卫生基础设施的地区不平等程度和发病率模式
本文探讨了西孟加拉邦在卫生基础设施可用性方面的差异。此外,研究还探讨了该邦六个不同地区的传染性和非传染性疾病模式。文章从医疗保健供需差距的角度来衡量和分析这种差异。各种疾病的趋势、模式和分布情况是通过第 60 轮和第 71 轮国家抽样调查的单位一级的数据获得的。研究表明,西孟加拉邦在卫生基础设施方面的地区间和区际差异非常明显。该邦的卫生基础设施落后于全国平均水平。与全国数字相比,北孟加拉邦和西孟加拉邦每个农村医疗设施的平均服务人口数相当高。同样,与其他地区相比,北孟加拉邦每张病床的服务人口也要高出很多。病床不足是减轻该地区疾病负担的主要障碍之一。住院病例的疾病分布结果显示,在两轮国家抽样调查中,北孟加拉省的传染病负担相对高于其他地区。在北孟加拉省,水和食物传播的传染病(如胃肠道疾病)的住院病例相当高。
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