Migration, Poverty and Access to Health Care: A Multi-Centric Study on People’s Access and Health System's Responsiveness in Fast Growing Smaller Cities

Agency : ICMR

The objectives of this multi-centric study funded by Indian Council of Medical Research, New Delhi were to assess the migrants’ healthcare access in the vulnerability context of migration and livelihood insecurity and to understand the factors (individual/community/system-level) affecting the migrants’ access to healthcare services in fast growing smaller cities.  Initially, extensive formative research data (both qualitative and quantitative) was collected from 27 identified slums of Jaipur. Based on the formative research information, key points were identified for developing intervention strategy, like awareness level of ANC, location of health facility, and identity cards to migrants to avail facilities, frequency of visit of health workers, attitude of health care providers etc.  A year-long supportive intervention was made in identified slum clusters of Jaipur. For intervention, a two-pronged approach was used: one was to improve as well as sensitize service delivery system and the other was to generate demand from the community for quality services. This was done with the aim of developing the desired levels of acceptability and accessibility of health care services for poor migrants living in Jaipur. The impact of the overall intervention was measured through a systematic scientific evaluation.


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