A PROJECT REPORT

ON

“A STUDY OF AWARENESS REGARDING FREE DIAGNOSIS SERVICES AMONG

VILLAGE’S IN CHANDRAPUR DISTRICT”

FOR

S2 INFOTECH INTERNATIONAL PVT.LTD.

SUBMITTED BY

NILESH DEVIDAS DABARE

(MARKETING)

SUBMITTED TO

SAVITRIBAI PHULE PUNE UNIVERSITY

UNDER THE GUIDENCE OF

PROF. PRAFUL SARANGDHAR

IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD

OF

MASTERS IN BUSINESS ADMINISTRATION (MBA)

MARATHWADA MITRA MANDAL’S

INSTITUTE OF MANAGEMENT EDUCATION RESEARCH AND TRAINNING

PUNE
 (BATCH 2017-2019)

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 Declaration

I NILESH DEVIDAS DABARE hereby declare that the project entitled A Study on “A
STUDY OF AWARENESS REGARDING FREE DIAGNOSIS SERVICES AMONG
VILLAGE’S IN CHANDRAPUR DISTRICT” at S2 INFOTECH INTERNATIONAL
PVT.LTD PUNE is a record of the independent work done by me during the period of TWO
months under the guidance of LBM Mr. Manzoor Sayyad. I also declare that it has not
formed the basis for award to any candidate for any previous degree, diploma, associate-ship,
fellowship or other similar titles.

Date: / /2018 Signature:

Place: Pune Name: NILESH DABARE

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 ACKNOWLEDGMENT

Summer internship project is an imperative program in the MBA curriculum. This is an

opportunity whereby the student gets hands on exposure of the practicalities involved in the
corporate. Student also gets an opportunity to test his acquired skills; knowledge into the
practical environment and learns various new concepts, which are far away from the reach of
subject books. Every single moment; whether of a success or a failure during my project work
is shared by a lot many people who helped me throughout this project work. This is the most
important page of my report in which I try to express my sincere gratitude towards these
people.

Firstly I am thankful to Mr. Manzoor Sayyad (Lab Business Manager) (LBM)) and his
staff for providing the required facilities in carrying out this project work and also for timely
advice and guidance

I would like to express my deep sense of gratitude to my institutes Director Dr. Shriram
Nerlekar and my Project Guide Prof. Praful Sarangdhar for their guidance, encouragement,
generous help and suggestion in carrying out this academic project.
I would like to take this opportunity to thank all those who criticized me from time to time
regarding my approach towards the project as their criticism acted as a catalyst for my zeal to
succeed
I wish to acknowledge the support of my family f or all their moral support and
encouragement throughout.

Date: / /2018 Signature:

Place: Pune Name: NILESH DABARE

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 EXECUTIVE SUMMARY

Customer awareness is a part of a company’s marketing & communications plan. It is

a process that helps an entrepreneur educates customers about his/her company, its
performances and the products or services his/her company delivers. A well-designed
awareness program ensures better customer engagement and protects consumer welfare.
Customer awareness programmed gives an additional hand to the effort of the company.

Researcher mentioned below about free diagnostics services about Medical Tests.
Diagnostics are an internal part of the health care system and provide information needed by
service provider to make informed decision about care provision related to presentation,
screening, detecting, treatment and management. Limited availability and access to quality
laboratory services are among the major challenges contributing or delayed or inappropriate
responses to disease control and patient management.

Researcher contributes his 8 weeks in S2 InfoTech Pvt. Ltd. He studied about

company’s various aspects and work. S2 InfoTech Pvt. Ltd.The Title of the project “A
Study of Awareness Regarding Free Diagnosis Services among Village’s In Chandrapur
District”.

Main concentration of project is to provide expensive pathology test in rural area for free of
cost and help government in getting necessary information about health Mission in rural areas.
Researcher were trying to provide this service to fulfill the all objective of HLL Latex Ltd. S2
InfoTech is a leading IT administrating firm. The company decided to enter in health sector
through HLL Latex Ltd. By providing IT driven solutions.

In this project, researcher was designated as Project Consultant Trainee. His work is to
create awareness about free diagnostics services and organized free diagnostics camps in rural
areas in Chandrapur district. He also provides free pathology services to the people in rural
areas. By this camps and awareness programs, he helped the government to get data about
sickle cells and anemia cases. By help of survey, researcher finds out those people who needs
diagnostics services and helpfully provided them without any cost.

Primary and secondary data was used for study of this project. Data was collected
from villagers in Chandrapur district. Sample size of 60 respondents was taken and Random
sampling method was used for collecting the required data. All the data is collected using
survey (Questionnaire method) as a data collection tool.

Data analysis was done using tables, charts, graphs. Majority (78%) of the respondents were
aware about the Free Diagnostic Service given by National Health Mission. These services are
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very helpful for people who are unaware about free diagnostics services. 10% of the
respondents don’t have PHC in their own village 50% of the respondents need to travel 5-10
km to get the facility of PHC.70% respondents got information about free diagnosis camps
through PHC.

During the project it was observed that there are many people in village who cannot afford to
do blood test in private laboratories and for them the government has taken the initiative of
providing the free diagnostic service for people in rural and remote areas.

TABLE OF CONTENTS

Sr. Title Page No.

No.
1 Introduction

2 Industry Profile

3 Company Profile

4 Literature Review

5 Objective and scope

6 Research Methodology

7 Data Analysis and Interpretation

8 Finding and suggestions

9 Conclusion

10 Limitations

11 Bibliography

12 Annexure Sample Questionnaire

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 CHAPTER-1
INTRODUCTION

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INTRODUCTION:

1.1 CUSTOMER AWARENESS

• Customer awareness is a part of a company’s marketing & communications plan. It is

a process that helps an entrepreneur educates customers about his/her company, its
performances and the products or services his/her company delivers. A well-designed
awareness program ensures better customer engagement and protects consumer
welfare.

1.2 DIAGNOSTICS SERVICES

• Diagnostics are an internal part of the health care system and provide information
needed by service provider to make informed decision about care provision related to
presentation, screening, detecting, treatment and management. Limited availability and
access to quality laboratory services are among the major challenges contributing or
delayed or inappropriate responses to disease control and patient management.

• Out of pocket expenditure on diagnostics tests is high and rising sometimes even
overtaking the cost of medicines. The poor who access public health facilities have
access to limited set of diagnostics services. Other challenge in provision of a set of
diagnostics at each facility level includes availability of skilled personnel, reagents,
consumables and kits.

• A package of essentials diagnostics, if available free of cost in public health facilities

would not only reduce the burden on poor and the vulnerable but would also be
accessible to sections of the middle class sections that face financial stress on account
of expensive health care diagnostics. This would also make the health care in public
health facilities comprehensive and thereby attractive to large segments of populations.

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1.3 ABOUT PROJECT

• The project was done for the increasing awareness and for the free diagnostics services
in rural area by HLL Latex Ltd. collaboration with S2 InfoTech Ltd. under the order of
health ministry of Maharashtra.

In order to increase awareness for the sickle cell test, liver function test, kidney
function test, complete blood test, HB electrophoresis etc. and provide free diagnostics
services, we analyses and visited over 14 PHC (primary healthcare center) and
organized 5 free diagnostics camps in different rural regions in Chandrapur district.

1.4 COMPANY OVERVIEW:

• ABOUT S2 INFOTECH:

• S2 InfoTech International is majorly an IT administering firm. It has been

subcontracted by Hindustan Latex Limited (HLL), for providing IT driven solutions,
required by Maha Hind Labs, a government initiative in Maharashtra state. This
project had been contracted to HLL which have facilitated 98 Labs in 39 districts to
provide free diagnostic services to rural population. It is a 500 core. Project. Fetching
revenue of approximately 12 cores each month. Each lab harbors LIS and Inventory
Management system which is governed through an ERP tool constructed by S2
InfoTech International Limited. The ERP tool manages and visualizes each and every
activity in context with the project functioning.

ABOUT HLL LIFECARE LTD:

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 • Expanding its Hindlabs chain of pathology and imaging facilities, public sector HLL
Life care Ltd has signed an agreement with the Maharashtra government for
providing diagnostic services in state-run health facilities.

• The agreement was signed by R P Khandelwal, CMD, HLL, Dr. Pradeep Vyas,
Commissioner and MD, SHS, and Dr.SathishPawar, Director of Health Services), in
Mumbai the other day. As part of the agreement, HLL, a mini Ratna PSU of the Union
Ministry of Health and Family Welfare (MOHFW), will establish around 100 Hindlabs
in 33 districts of Maharashtra for providing laboratory testing services in nearly 2,300
hospitals under DHS, particularly at the level of Primary Health Centers (PHCs), a
HLL release said to day.

HLL will implement the project within a period of 90 days, commencing the lab
services to the general public. The project will be monitored by IT-enabled systems
which track the details of patient’s samples taken from the collection centers to the lab
for testing and reporting.




• The latest module of laboratory information system software will be used for the
project to create an online dash board to view the current status of sample collection,
testing and reporting from all the government hospital centers in Maharashtra.




• By implementing this project, diagnostic tests will be made available to the public in
the remotest villages of Maharashtra. The labs of HLL, with sophisticated equipment,
qualified manpower and IT-enabled support systems, will ensure the quality of
laboratory investigations, Khandelwal said. The labs being set up under the project
will have all the divisions like hematology, pathology, biochemistry, immunoassay and
microbiology, he said.



HLL is implementing similar projects in Assam, Kerala and Odisha, partnering with
National Health Mission (NHM). Hindlabs offers more than 100 tests from the
hospital centers, including the high end special molecular diagnostic tests, at rates
much lower than market prices.

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 CHAPTER-2
INDUSTRY PROFILE
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 ❖ Industry Profile

Hindustan latex’s (HLL) journey started with its incorporation as a

corporate entity under the ministry of health and family welfare of the government of India on
march 1, 1966.HLL was setup in the natural rubber rich state of Kerala, for the production of
male contraceptive sheaths for the national family planning programmed the company
commenced its commercial operations on April 5, 1969. The plant was established in
technical collaboration with M/s Oakmont industries.

To trace briefly HLL’s land mark in the 37th since it’s commencement of
operation. In the year 1969 the company started manufacturing at Thiruvananthapuram
(karalla) .as part of expansion program of the company starts decided to establish

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!

Government Initiatives

Some of the major initiatives taken by the Government of India to promote Indian healthcare
industry are as follows: India’s first ever 'Air Dispensary', which is based in a helicopter, will
be launched in the Northeast and the Ministry of Development of Northeast Region (DONER)
has already contributed Rs 25 crore (US$ 3.82 million) for its funding.

Market Size

The healthcare market can increase three fold to Rs 8.6 trillion (US$ 133.44 billion) by 2022.

India is experiencing 22-25 per cent growth in medical tourism and the industry is expected to
double its size from present (April 2017) US$ 3 billion to US$ 6 billion by 2018. Medical
tourist arrivals in India increased to 1.07 million in January 2018 from 0.98 million in January
2017.

There is a significant scope for enhancing healthcare services considering that healthcare
spending as a percentage of Gross Domestic Product (GDP) is rising. Rural India, which
accounts for over 70 per cent of the population, is set to emerge as a potential demand source.

In 2017, the Government of India has provided grant-in-aid for setting up of AYUSH
educational institutions in States and Union Territories.

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Investment

The hospital and diagnostic centers attracted Foreign Direct Investment (FDI) worth US$ 4.99
billion between April 2000 and December 2017, according to data released by the Department
of Industrial Policy and Promotion (DIPP). Some of the recent investments in the Indian
healthcare industry are as follows:

• India and Cuba have signed a Memorandum of Understanding (MoU) to increase

cooperation in the areas of health and medicine, according to Ministry of Health and
Family Welfare, Government of India.

• Fortis Healthcare has approved the de-merger of its hospital business with Manipal
Hospital Enterprises. TPG and Dr. Ranjan Pal could invest Rs. 3,900 crore (US$
602.41 million) in Manipal Hospital Enterprise.

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 CHAPTER-3
COMPANY PROFILE

S2IIL is the one of the largest technology company that serves all key sectors of the economy
for more than a decade. They are the number one provider of state-of-the-art Technology
solutions for large e-Governance Projects, Geospatial Technology and Healthcare in India.
Moreover, S2IIL is one of the largest Recruitment Process Outsourcing provider in enterprise
sector with the expertise and people of all skill levels for businesses large and small. They are
present in more than 50 locations across the country and employ over 15000 people.
Operating in various sectors, S2IIL has gained extensive experience which combines the
know-how of all subsidiaries incorporated within our group. This synergy of competence
provides added value and excellent quality products for our customers. Our mutual relations
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are always based on partnership, trust and understanding. S2IIL has developed a broad
portfolio of products and services, allowing for good revenue diversification.
As a result, we enjoy a solid financial position and are ready to carry out the most complex
and demanding projects. By investing substantial funds in resource development and
certifications, we continue to improve and upgrade all of our information technologies

‘HINDLABS’ Diagnostic Centre is a Brand of HLL Lifecare Limited (HLL) a public sector
company under the administrative control of the Ministry of Health & Family Welfare,
Government of India.



HLL’s large marketing network has been delighting its customers over the last two decades.
Servicing 200000 retail outlets, covering 3500 hospitals, reaching over 30000 medical
professionals, it has over 2800 stock points, 700 frontline team members placed in every
town, with offices in all metros and mini metros, and reaches over 400000 villages in India.
HLL is also one of the leading social marketing organizations in the country in the area of
contraceptives - with a market share of over 70 percent in the rural and semi-urban markets.
On the global front, HLL brands today reach more than 115 countries.

Since 2009, HLL has established itself as a reliable brand in the field of quality diagnostic
services at affordable cost through its diagnostic services division ‘HINDLABS’. The
company has proven expertise in delivering quality and customer-friendly diagnostic services.

‘HINDLABS’ has already established lab network in the State of Maharashtra, Assam,
Karnataka for various state government projects.

‘HINDLABS’ have one of the best infrastructure in place with best of the imported machines
for diagnostic tests.

‘HINDLABS’ have 93 established Labs in Maharashtra with around 3000 employees

working with us for Lab operation as well as Phlebotomist for blood collection.

‘HINDLABS’ are currently covering health centers in each and every District, Taluka &
Gram-Panchayat of Maharashtra.

‘HINDLABS’ are providing Pathology Diagnostic service in Maharashtra to 10000 patients

per day & doing 20000 Tests per day are being done, growing by 10 % every month.
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‘HINDLABS’ with strength of “Better coverage & one of the best quality of Diagnostic
Services” at each & every City + Village of Maharashtra We are now exploring the benefit to
Private market by providing quality service at affordable cost.

HINDLABS DIAGNOSTIC CENTER

HINDLABS Diagnostics center is a Brand of HLL Life care Limited (HLL) a public sector company
under the administrative control of the Ministry of Health & Family Welfare, Government of India.

The Healthcare Services Division of HLL provides Medical Diagnostic Services (Laboratory and
Imaging) and other facilities like wellness clinic/ Polyclinic.

‘HINDLABS’ first center in association with CGHS started functioning since February 2008 in New
Delhi. The Healthcare Services Division (HCS) of HLL is planning to setup Diagnostic Services in
various states across India.

BOARD OF DIRECTOR
 

CHAIRMAN & MANAGING DIRECTOR

                                                      

1. Dr. R.K.Vats, IAS,

AS & DG (CGHS)

Govt. of India

Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi




OFFICIAL DIRECTORS


1. Smt.Vijaya Srivastava,IAS

Special Secretary &FA

Govt. of India Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi


2. Ms. Preeti Pant


Joint Secretary

Govt. of India

Ministry of Health & Family Welfare


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 Nirman Bhavan, New Delhi



FUNCTIONAL DIRECTORS

1. Shri. E A Subramanian

Director (T&O)

HLL Lifecare Limited

Trivandrum - 695 012

2. Shri T. Rajasekar

Director (Marketing)

HLL Lifecare Limited

Trivandrum - 695 012


3. Dr. Geetha Sharma


Director (Finance)

HLL Lifecare Limited

Trivandrum - 695 012

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COMPITATORS IN INDIA
• Reliance Life Sciences

• Wockhardt Hospitals

• The CARE Hospitals Group

• Apollo Hospitals

Partners:

In its search for becoming a truly world-class provider of healthcare products and services,
HLL has been seeking to adapt knowledge from its partners. HLL has over the years been
networking with various corporate organizations, development agencies and NGOs by
combining strengths and capabilities of several world leaders. Some of them are listed below:
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• Okamoto Industries Inc. for male condoms.

• Female Health Company (FHC) for manufacture of Female Condoms and its promotion.

• Finishing Enterprises, USA for Copper T IUD.

• Arya Vaidya Sala (AVS), Kottakkal, Kerala, for Natural Ayurveda products

• Bharat Biotech International Ltd., Hyderabad for Hepatitis B and Typhoid Vaccines

• Chengdu Institute of Biological Products, China for supply of JE Vaccines to Government

of India

• Cheng Da Biotechnology (CDBIO), China for marketing of Human Anti-Rabies Vaccine

in India

• Cycle Technologies Inc., USA for manufacture and distribution of Cycle Beads in India
and abroad

• More than 300 NGOs for implementing population stabilization and HIV/AIDS
prevention and control programmer

Equipment used for medical camp:

Redtop tube: This tube is a plain VACUTAINER® containing no anticoagulant and is used
for collection of serum for selected chemistry tests as well as clotted blood for
immunohematology.

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 !

Blue Top tube: This tube is primarily used for coagulation studies (PT and PTT). Complete
filling of this tube is essential to obtain accurate results. Lavender-Top Tube - EDTA: EDTA
is the anticoagulant used for most hematology procedures.

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 !

Yellow top Tube: Yellow top tube with ACD (acid citrate dextrose) Solution A or B:
used for whole blood determinations including flow cytometer and tissue typing
assays.

Purple Tube: This is a strong anticoagulant and these tubes are usually used for
complete blood counts (CBC).Lavender top tubes are generally used when whole
blood is needed for analysis.

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 !

TRF (Test Requisition Form): A test requisition form (General Test Requisition Form,
OBGYN Test Requisition Form or Urology Test Requisition Form) must be submitted for
each patient and completed based upon the instructions below.

Patient Information:

Please complete all of the following information in this section. Not only is it important for
positive patient identification, but also for billing purposes.

• Patient Name

• Sex

• Mailing Address
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• Social Security Number

• Date of Birth

• Daytime Phone Number

 
 
Specimen Information:

The date of collection is a very important, often overlooked piece of information. If the actual
transport time exceeds the recommended time frame, then the integrity of the results may be
compromised. It is also essential in determining the order of specimens in serial testing.
Identify the source of any specimen other than blood. This is particularly important for
biopsies and body fluids.

 
Barcode:
A barcode is a square or rectangular image consisting of a series of parallel black lines and
white spaces of varying widths that can be read by a scanner. Barcodes are applied to
products as a means of quick identification. They are used in retail stores as part of the
purchase process, in warehouses to track inventory, and on invoices to assist in accounting,
among many other uses.

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 !

Icebox / Cool box:

An icebox (also called a cold closet) is a compact non-mechanical refrigerator which is used
for preserving a sample up to 2-8 degree Celsius until reach toward laboratory for processing.

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Blood Clotting: Blood that has been converted from a liquid to a solid state. Also called a
thrombus. The process by which a blood clot forms is termed coagulation. .

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 CHAPTER-4
LITERATURE REVIEW

Literature Review:

• Hindlabs chain of pathology and imaging facilities, HLL Life care Ltd has signed an
agreement with the Maharashtra government for providing diagnostic services in
state-run health facilities. The agreement was signed by R P Khandelwal, CMD, HLL,
Dr. Pradeep Vyas, Commissioner and MD, SHS, and Dr. Sathish Pawar, Director of
Health Services), in Mumbai .

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 • As part of the agreement, HLL, a mini Ratna PSU of the Union ministry of Health
and Family Welfare (MoHFW), will establish around 100 Hindlabs in 33 districts of
Maharashtra for providing laboratory testing services in nearly 2,300 t hospitals under
DHS, particularly at the level of Primary Health Centre’s (PHCs), a HLL release said
today. HLL will implement the project within a period of 90 days, commencing the
lab services to the general public.

• The project will be monitored by IT-enabled systems which track the details of
patients samples taken from the collection centre’s to the lab for testing and reporting.
The latest module of laboratory information system software will be used for the
project to create an online dash board to view the current status of sample collection,
testing and reporting from all the government hospital centers in Maharashtra.

• By implementing this project, diagnostic tests will be made available to the public in
the remotest villages of Maharashtra. The labs of HLL, with sophisticated equipment,
qualified manpower and IT-enabled support systems, will ensure the quality of
laboratory investigations. The labs being set up under the project will have all the
divisions like hematology, pathology, biochemistry, immunoassay and microbiology,
Mr. Khandelwal said.

• HLL is implementing similar projects in Assam, Kerala and Odisha, partnering with
National Health Mission (NHM).

• Hindlabs offers more than 100 tests from the hospital centre’s, including the high end
special molecular diagnostic tests, at rates much lower than market prices.

Research Papers
(Yadav, 2009):
The paper seeks to find solution of providing health care solution to underserved rural
population. According to 2007 statistics , there is deficit of 8% doctors in Primary Health
Centers (PHC), 65% for specialist at Community Health centers (CHC), 55.3% for health
workers (male), 12.6% for health workers (female).The situation will remain same since
qualified doctors are not willing to serve in rural area due to less remuneration , lack of social
and clinical infrastructure. The Ministry of Health proposed to introduce a cadre of doctors
willing to serve in rural areas after basic training of only three years known as Rural Health
Practitioners (RHPs) but professional bodies like Indian Medical Association (IMA)
protested. The introduction of RHPs is the positive step in absence of any other feasible
solution. The existing unqualified practitioners should be roped in for training and
accreditation as RHPs.
(Parmar, 2010):
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Awareness of Primary health information to rural women is of prime importance. The paper
attempts to present a user centric framework for information for maternal health delivery. The
paper presents the study in three parts. First part consists of study of existing knowledge of
women and accordingly drafting a Primary Health Information System (PHIS) fulfilling their
requirements. Second part explains the PHIS which were developed in a village over a period
of 16 months. Third part gives the detail of impact of PHIS on knowledge level of rural
women. PHIS attempts to address the issue of creating awareness about maternal health
information among rural women.
(Chhanabhai et al., 2010):
In developing nation’s majority of people live in rural area who are generally poor. In
remote areas, access to health related information and services are inadequate. The focus of
this paper is to highlight the impact of Information and Communication Technology (ICT) on
accessing health related information to the rural community. Mobile phones and social
networks can be used to reach out to the underserved population, thereby overcoming
geographical divide. Access to health related information contributes in development of
health education and health promotion which promotes patient care. In order to implement
ICT based solutions in providing health care services, certain issues such as connectivity,
Information Technology literacy and cost must be addressed.
(Devadasan et al. 2009):
This study examines various dimensions of Community Health Insurance (CHI) such as
financial security, quality of health care provided and access to health care. CHI was
launched by Government as a component of National Rural Health Mission (NRHM) so as to
reduce out of pocket expenditure on health care by households. The study conducted panel
survey of ACCORD-AMS-ASHWINI(AAA) CHI scheme and it was found that with its
reliable , effective and low indirect costs , the poorest could access quality health care with
financial impunity.
(Phalke et al., 2006):
The study was undertaken in area of Jakhinwad, a village in Maharashtra to examine practice
of Self Medication. Self-Medication was defined as “Medication that is taken on patient’s
own initiative or on advice of a pharmacist or lay person”. All 515 households of the village
were included in the study. Heads of the families were interviewed using pretested
questionnaire. It was found that 81% of the respondents were practicing self-medication.
Various reasons observed for practicing self-medicine were: financial constraints, non-
availability of health care facility, advertisement of medicine and chemist’s shops. The article
in its concluding remark states that although WHO promoted self-medication due to
inaccessibility and lack of affordability of health care services, its adverse effects should also
be assessed.
(Chaturvedi et al., 2007):
This study was undertaken in the rural areas of Ahmednagar district in Maharashtra in 2006
to review the maternity services under public health system. Fourteen health centre and 3
rural hospitals were selected. The study used 3 questionnaires in the format prescribed under
the Right to Information Act of the Government of India, 2005.It was found that in 21% of
cases, no iron supplement was available, district headquarters did not receive iron supplement
from higher authority and majority of deliveries took place at home and at private health care
system. Emergency obstetric care services did not exist. Thus NRHM (National Rural Health
Mission) intervention is required to address the issue of safe motherhood.
(Kermode et al., 2007):

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The paper documents the study undertaken in rural Maharashtra with 3 main objectives 1) To
explain the factors contributing to mental illness to 32 women respondents associated with
Primary Health Care (PHC) in this study. 2) To identify causes of depression, suicide,
violence and review the existing and potential community level strategies to handle them. 3)
To explore the impact of the PHC program on individuals and community. The perception of
respondents was that the mental health was the outcome of socio economic and cultural
factors. Poverty, conflicts with spouse and in-laws, violence etc. contributed to mental illness.
Empowerment of women can be ensured by education, employment, no discrimination to
caste or sex and promotion of mental health of an individual and of the community.
(Atre et al., 2009):
This paper tries to address the stigma associated with TB. A sample of 160 non-TB
respondents was observed which included 80 men and 80 women. The respondents were
made aware of symptoms of TB and drew their attention to stigma associated with the
disease. After interaction with respondents it was found that the fear of being socially isolated
results in hiding of the disease. As compared to men women were more vulnerable. The most
common concern among TB patients was marital problems. The study concluded that
community based intervention is required to address irrational isolation of the patients of TB
so that early detection of the disease and timely medical treatment can be ensured.
(George et al.,1993):
The article compares some of the indicators such as 88% of hospitals and 91% of
dispensaries in Maharashtra are in urban area while 85% of dispensaries in Punjab are in rural
area, Bed ratio : 1 : 5096 in rural Maharashtra , 1:1596 in rural Punjab, 1: 520 in rural Kerala.
Maharashtra and Punjab both lead in per capita income and economic growth while Kerala
with its low per capita income leads in Infrastructure. Maharashtra is plagued by urban-rural
divide, commercialization of health care delivery and lack of control and regulations on
private health sectors.
(Deolalikar et al., 2008):
In order to achieve universal health across all states various measures may be taken such as
focusing on weak states first, providing incentives to state governments to achieve the desired
health outcome ,use of centrally sponsored schemes and improving the quality of publicly
financed services. In conclusion, the article states that public spending on health should be
increased from 1.1 per cent of gross domestic product (GDP) to roughly 2–3 per cent within
five years.
(Vikhe Patil et al., 2002):
The paper states that about 75% of health infrastructure, medical man power and other health
resources are concentrated in urban areas where 27% of the population live. The health status
of the rural population is still a cause for grave concern. It is required to shift focus from the
current „biomedical model‟ to „socio cultural model‟ which should bridge the rural-urban
gap and improve quality of rural life. A revised National Health Policy which addresses the
existing rural urban gap is needed for improved rural health care.

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 CHAPTER-5
OBJECTIVES & SCOPE

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 OBJECTIVES

1) To study of awareness, availability and convenience of villagers regarding primary health

service.

2) To study source of information and benefits received from primary health center.

3) To study the satisfaction level of programs conducted at primary health centers.

4) To enhance information, education and communication of services among villagers in

remote areas.

❖ SCOPE OF THE STUDY

• The Free Diagnostics Services would be rolled under the National Health Mission, in

order to build on and leverage existing institutional structures that already in place

under the Mission and facilitate immediate roll out.

• A set of free essential diagnostics services at each facility level has been identified

which would be provided free of cost in an assured mode. The tests encompass of

Complete Blood Count, HB-Electrophoresis, Bio- chemistry, Lipid Profile etc.

• For each level of care – the primary health center, District hospital, rural hospital, a

minimum range of diagnostics is made available.

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 CHAPTER-6
RESEARCH METHODOLOGY

❖ RESEARCH METHODOLOGY

Research methodology is a way to systematically solve a research problem. It may be

understood as a science of studying how research is done scientifically. In it we study various

33 | P a g e
steps that are generally adopted by a researcher in studying his research problem along with
logic behind them.

Meaning of Research

Research in common parlance refers to a search for knowledge. In fact, research is an art of
scientific investigation.

Research is a systematic activity to achieve the truth. It includes the identification of

study area, the procedure for collecting data, analyzing the data & finding the conclusion or
truth based upon the scientific procedure.

The advanced learner’s dictionary of current English lays down the meaning of
research as “a careful investigation or inquiry especially through searchfor new facts in any
branch of knowledge”.

For every research there is a certain objective, towards which the research is directed,
following are the objectives towards which the research methodology has been designed. The
purpose of research is to discover answers to questions through the application of scientific
procedures.

Research process

Research process consists of series of actions or steps necessary to effectively carry out
research and the desired sequencing of these steps.

➢ Formulating the research problem

➢ Extensive literature survey
➢ Collecting the data
• By observation
• Through personal interview
• Through telephone interviews

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 • By questionnaires
➢ Execution of the project
➢ Analysis of data

Basic features and objectives of a Research Process are:

➢ Research always starts with a question or a problem.

➢ Its purpose is to find answers to questions through the application of scientific

method.

➢ It is a systematic and intensive study directed towards a more complete knowledge of

the
Subject studied.

➢ To portray accurately the characteristics of a particular individual, situation or a

group.
.

SOURCES OF DATA: -

A. PRIMARY SOURCES

To fulfill the objectives of the study, primary data was collected by questionnaire and direct
approach. The data was used latter for analysis& interpretation.

B. SECONDARY SOURCES

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The main secondary data sources were data recorded with the company profile related to
company’s work, approach & history. Other data is related to basic information about
National Health Mission.

1. RESEARCH APPROACH: -
The research approach was survey method. The study necessarily required primary
information,. It was felt that survey was best option to analyze information & complaints
about every service related to any government sector. An objective involved studying the
awareness of free diagnostic services.

2. RESEARCH INSTRUMENT: -
The research instrument chosen was a structured questionnaire.

3. SAMPLING PLAN: -
A) UNIVERSE: -

The respondents for the study were the people who attended the free diagnostic service camp
organized by National Health Mission in rural areas of Chandrapur city.

B) SAMPLING SIZE: -

The sample consisted of 60 respondents. These people were the working in different sector
and most of them were from farmer’s family in the villages.

C) SAMPLING METHOD: -

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The sampling method for the study was basically stratified random sampling. Respondents
were contacted randomly at different areas in different Primary Health Center, camps in the
district of Chandrapur.

D) SAMPLE MEDIA: -

The respondents were contacted through personal interview and questionnaire was filled
while interacting with villagers. Questions are mostly close ended questions. Questionnaire
was designed in regional language i.e. Marathi for convenience of the respondents.

E) SAMPLE COLLECTED AREA: -

The survey was carried out in 28 villages which are under Warora Hindlabs. The following is
the list of area in which this survey was carried out:

Chandrapur (Major Lab)

Warora (Mini Lab) Bramhapuri (Mini Lab)

SDH RH PHC

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 1) Warora 1) Chimur 1) Madheli
2) Nagari
3) Majari
4) Kosarsar
5) Dongargaon
6) Neri
7) Jamubhulghat
8) Khadsangi
9) Shankarpur
10) Bhisi
11) Sawari
12) Masal

CHAPTER 7
DATA ANALYSIS & INTERPRETATION

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 A) Data Analysis on Basic Information about Respondents:-

1) Are you aware about Free Diagnostic Service organizing by government?

Particulars Respondent Respondent in %

Aware 15 25

Somewhat Aware 37 61.67

Fully Aware 8 13.33

Aware Somewhat Aware Fully Aware

Interpretation:

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After analyzing the collected data, It was found that out of 60 people, 25% ware aware about
the free diagnostic services provided by National Health Mission and 61.67% were somewhat
aware and 13.33% ware Fully Aware about the service.

As now a day’s people are more conscious about health so they prefer to keep information
about services provided by government as they provide it for free of cost and reduce high out
of pocket expenditure incurred by patients for diagnostics.

2) Is Primary Health Centre Available In Your Village?

Particulars Respondent Respondent in %

Yes 54 90
No 6 10
Total 60 100

Respondent
Yes No

10%

90%

Interpretation:

After analyzing the collected data, it was found that out of 60 people, 90% people says PHC

Available in their village and 10% people are says PHC is not available in their village.

3) What Is Distance Of Primary Health Centre From Your Village?

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 Particulars Respondent Respondent in %
0-3 km 18 30
3-5 km 12 20
5-10 km 30 50
Total 60 100

0-3 km 3-5 km 5-10 km

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 50% people concluded
that PHC is within 5-10 km. from their village. 20% people concluded that PHC is within 3-5
from their village while 30% people concluded that PHC is within 3 km away from their
village.

4) How It Is Convenient To Approach Primary Health Centre?

Medium Respondent Respondent in %

By Walking 12 20
Public Transport-Bus/ST 18 30

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 Private Transport 16 27
Own Vehicle 14 23

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 30% people concluded
that public transport Bus/ST is best way to reach PHC. 27% people concluded that private
transport is best way to reach PHC. And 23% people concluded that Own Vehicle is best way
to reach PHC. And 20% people concluded that By Walking is best way to reach PHC.

5) Is connectivity to primary health centre available during mansoon season?

particular Respondent Respondent in %

Never 9 15
Sometimes 15 25
Always 17 28
Rarely 7 12
Very Often 12 20

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 !

Interpretation:

After analyzing the collected data, It was found that out of 60 people,28% people says primary
health centre always available during mansoon.25% people says that sometimes available and
20% people says very often and 12% says that rarely and 15% people says that primary
health centre never available in mansoon season.

6) Is staff of primary health centre behaving with respect to you?

particular Respondent Respondent in %

Very bad 5 8
Bad 7 12
Good 21 35
Very good 15 25
Excellent 12 20

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 Respondent

Very bad
Excellent 8%
20% Bad
12%

Very good
25%
Good
35%

Interpretation:

After analyzing the collected data, It was found that out of 60 people,35% people says that
staff of primary health centre behave are good with him.25% people says that very good
behave with him. And 20% people says that excellent behave. And 12 % people says that Bad
behave with him. And 8% people says that Very bad behave.

7) Facility of blood sample collection available in primary health centre?

Particular Respondent Respondent in %

Never 2 3
Sometimes 6 10
Always 52 87

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 Never Sometimes Always

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 87% people says that
Facility of blood sample collection Always available in primary health centre. And a 10%
person says that sometimes available. And 3% people says that never available.

8) Through which medium you got the information about service?

Medium Respondent Respondent in %

Primary Health Centre 42 70%
Newspaper 11 18%
Hoardings 0 0%
Internet 0 0%
Friends/Relatives 7 12%

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 Primary Health Centre Newspaper Hoardings Internet Friends/Relatives

Interpretation:

After analyzing the collected data, It was found that out of 60 people,70% of people got
information through Primary Health Centre, 18% got information through newspaper and
12% were Newspaper about the service.

9) Is this service beneficial to you?

Service Benefit Respondent Respondent in %

Fully Beneficial 48 80
Somewhat Beneficial 11 18
Not Beneficial 1 2

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 Chart Title
Fully Beneficial Somewhat Beneficial Not Beneficial

2%

18%

80%

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 80% says the services
given by National Health Mission ware beneficial to them as they provide the service for free
and helps them get the report.18% people Said Somewhat Beneficial And 2% people said the
service was not beneficial as there was delay in reports.

10) Do you know similar free diagnosis service like this?

Particulars Respondent Respondent in %

Not Aware 38 63.33%
Somewhat Aware 14 23.33%
Fully Aware 8 13.33%

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 Not Aware Somewhat Aware Fully Aware

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 63.33% people don’t
know any services like free diagnostic. And 23% knew the service like sanjivani nidan seva,
Universal Health Insurance Scheme, Rashtiya Swasthiya Bima yojana (RSBY) and 13%
people are Fully Aware About similar Services.

11) Are you satisfied with the service given by us?

Particular Respondent Respondent in %

Not Satisfied 3 5%
Somewhat Satisfied 18 30%
Fully Satisfied 39 65%

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 Not Satisfied Somewhat Satisfied Fully Satisfied

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 65% people
were fully satisfied with the service and 30% of people Somewhat Satisfied this
services provided by National Health Mission, and 5% people were not satisfied by
the service as they had some issues in receiving their reports.

12) In how many months this checkup should be done?

Duration Respondent
2 Months 40
4 Months 10
6 Months 10
1 Year 0

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 Time Duration for Checkup
40

30

Respondent
20

10

0
2 Months 4 Months 6 Months 1 Year

Interpretation:

After analyzing the collected data, It was found that out of 60 people, according to 40
people the checkup should be done after every 2 months as…10 people said the check
should be done after 4 months and 10 people said that the checkup should be done
after every 6 months.

13) When did you do last checkup?

Duration Month Respondents in %

This month June 68
Last Months May 15
Before 2 Months March 10
Before 6 Months October 7

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 This month Last Months Before 2 Months Before 6 Months

Interpretation:

After analyzing the collected data, it was found that out of 60 people, 80% people did there
checkup in the month of June – May.

14) Do you need any awareness program to be held in your village?

Awareness Program Respondent Respondent in %

Yes 60 100
No 0 0

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 Awareness Program

Yes
No

100%

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 100% people wanted
awareness program to be held in their respective village.

15) How much will you rate our service?

Rating Respondent Respondent in %

Average 10 50
Good 20 33
Excellent 30 17

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 Respondent
Respondent in %
in %
50

38

25

13

0
Average Good Excellent

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 17% people
were satisfied and rated excellent to the service provided to them as the service was
free of cost and got the reports on time. 33% rated the service as good and 50% rated
the service as average.

16) Suggestions from Patients:-

Particular Respondents Respondents in %

Need awareness program 36 60

Need improvement in 13 22
reporting
Need availability of 8 13
medicines
Need availability of more 3 5
Doctors

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 Need awareness program
Need improvement in reporting
Need availability of medicines
Need availability of more Doctors

Interpretation:

After analyzing the collected data, It was found that out of 60 people, 60% people wanted
awareness program to be held in their respective village. And 22% people are said need
improvement in reporting with the service and 13% of people says need availability of
medicines this services provided by National Health Mission, and 5% people says need
availability of more Doctors.

CHAPTER-8
FINDINGS & SUGGESTION
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 ❖ Findings

The following are the research findings:

• 78% respondents were aware about the Free Diagnostic Service given by National
Health Mission.
• 70% respondents got the information about Free Diagnostic Service through their
respective primary Health Centre.
• 80% Respondents said the service is highly beneficial for them.
• As per survey 80% of the respondent didn’t knew about any similar service provided
by National Health Mission.
• It has been noted that there is requirement of more awareness program to be
conducted in various different villages.
• As per the survey 50% people rated the service given by government was at average
level.
• 65% people were fully satisfied with the service provided by National Health
Mission.
• As per survey 87% people says that Facility of blood sample collection is always
available in primary health centre.

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 ❖ Suggestion & Benefits

• Government need to create more awareness at local level regarding various primary

health care services

• Modern blood testing labs and equipments should be made available at every

primary health centre.

• Regular health check up camps and follow up of patients need to be done at primary

health centers.

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 CHAPTER -9
CONCLUSION

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 ❖ Conclusion

• Awareness among villagers regarding the health check-up as blood tasting camp is
appropriate but because of less education people are unsecured to avail the services.

• Health camps have reached almost every village in the state, and are a powerful tool
to screen patients who may be unable or unwilling to seek care from health care
centers. Government through tie-up with private company is reaching the remote and
rural population, no of primary health centers increased since independence.

• As health camps are believed to be an effective and sustainable method of increasing

health care utilization by the poor, health camps should continue to keep pace with
awareness growth. Pre-Diagnosis of sever disease like pancreatic cancer, Brest cancer,
overine cancer, kidney and leaver related etc, can be known through free check-up
camps. This information needs to be communicated to the villagers.

• 65% of people who availed these types of camps are fully satisfied with the facility
made available to them but 30% people still feel that improvement in services and
facility can be made ware as 5% are not happy with the facilities and benefits they
got.

• Primary health centers just are a centre of information, other ways of information
sources. Is worth of month, and awareness among villagers. Educating people about
this free service is herculean task to be done by primary health centers staff and with
help of volunteers of NGO.

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 CHAPTER-10
LIMITATIONS

❖ Limitations

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 1. The study confined to Warora (Chandrapur) and may not relevant to other counter

parts.

2. Since only 60 samples were taken for study the generalization made for the entire

population may not be exact.

3. Some of the patients did not have time to go through questionnaire and answer them.

4. The response from all the patients was not appropriate and genuine.

5. As the methodology of data collection was mainly personal interview, it is possible

that some people might have revealed the true information or they might have given

wrong information. So the finding might not be fully corrected.

6. Due to lack time some responds gave irrelevant information.

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 CHAPTER-11
BIBLIOGRAPHY

Bibliography:
Books Referred:
Kotler.P, Eduardo .R (1989), Social marketing: strategies for changing public

Behavior; free Press, Michigan.

NAkkiran.S, Ramesh. G (2009), Research Method in Rural Developments; Deep & Deep

publication PVT LTD, New Delhi.

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Research papers:

1) Parmar, 2010:- “stakeholder theory: the state of the art”.

2) Chhanabhai et al., 2010:-“Consumers are ready to accept the transition to online and

electronic records if they can be assured of the security measures.”

3) Chaturvedi et al., 2007:- “Persistent fatigue in disease free cancer patients: A

comparative study.”

4) Kermode et al., 2007:- “Research in nursing and health care: evidence for practice”

5) Atre et al., 2009:- “A cross-sectional study to assess the stigma associated with

tuberculosis among tuberculosis patients in Udupi district, Karnataka.”

6) George et al., 1993:-“State of Health Care in Maharashtra A Comparative Analysis”.

7) Deolalikar et al., 2008:-“Improving health outcomes and health care in India”.

8) Vikhe Patil et al., 2002:- “Current health scenario in rural India.”

Websites:-

1. www.nhm.gov.in

2. http://erp.hllconnect.in/GeneralPages/Home.aspx

3. http://njcmindia.org/uploads/5-4_387-391.pdf

4. www.lifecare.com

5. www.s2iil.com

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Applications:-

• HLL Connect ( Mobile App)

CHAPTER-12
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 Annexure Sample Questionnaire

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 Questionnaire
Patient Name:- Village Name:-

रुग्णाच्या नाव: - गावनाव: -

Age:- Primary Health Center:-

वय: - प्राथिमक आरोग्य केंद्र:-

Gender:-

िलं ग: -

1) Are you aware about Health care camps organizing by government?

Not Aware Somewhat Aware Fully Aware

सरकारद्वारे आयोिजत आरोग्य संगोपन िशिबराबद्दल आपल्याला मािहती आहे का?



मािहत नाही काही प्रमाणात पूणर्पणे जागरूक

2) Is PHC available in your village?

Yes No

तुमच्या गावात पीएचसी उपलब्ध आहे का?




                  होय नाही

3) What is distance of PHC from your village?

0 – 3 km
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 3 – 5 km

5 – 10 km

तुमच्या गावातून पीएचसीचा अंतर िकती आहे?




0 - 3 िकमी




                    3 - 5 िकमी




    5 - 10 िकमी

4) How it is convenient to approach PHC?

By walking

Public transport – Bus / ST

Private Transport

Own Vehicle / bull carts

पीएचसी कडे जाणे िकती सोयीचे आहे?




चालणेकरून



सावर्जिनकवाहतूक - बस / एसटी



खाजगीवाहतूक



स्वत: चेवाहन / बुल गाड्या

5) Is connectivity to PHC available during monsoon season?

Never rarely

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 Sometimes very often

Always

मान्सूनच्या हंगामात पीएचसी कनेिक्टिव्हटी उपलब्ध आहे का?



            कधीही क्विचतच नाही



            कधी कधी बयार्चदा

                            

              नेहमी

6) Is staff of PHC behaving with respect to you?

Very bad

Bad

Good

Very good

Excellent

पीएचसी चा कमर्चारी आपल्यासंदभार्त वागतो का?




फारवाईट



वाईट



चांगले



खुपछान

उत्कृष्ट

7) Facility of Blood sample collection available in PHC?

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 Never

Sometimes

Always

पीएचसी मध्ये उपलब्ध नमुना संकलनाची सुिवधा ?




कधीही नाही कधीकधी नेहमी    

8) Through which medium you got the information about service?

Primary Health Center Newspaper

Holdings Internet

Friends/Family

कोणत्या माध्य माद्वारे तुम्हाला सेवेबद्दल मािहती िमळाली ?

प्राथिमक आरोग्य केंद्र वृत्तपत्र

होिल्डं ग्स इं टरनेट

िमत्र / कुटुंब

9) Is this service beneficial to you?

Not Beneficial Somewhat Beneficial Fully Beneficial

ही सेवा आपल्यासाठी फायदेशीर आहे का ?

फायदेशीर नाही काही िहतकारक पूणर्पणे फायदेशीर

10) Do you know similar service like this?

Not Aware Somewhat Aware Fully Aware

If Yes, Please specify-

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 तुम्हाला अशाच प्रकार ची सेवा मािहत आहे का?

मािहत नाही काही प्रमाणात पूणर्पणे जागरूक

होय असल्यास, कृपया िनिदर् ष्टकरा-

11) Are you satisfied with the service given by us?

Not Satisfied Somewhat Satisfied Fully Satisfied

आम्ही तुम्हाला िदलेल्या सेवेबद्दल समाधानी आहे का ?

समाधानी नाही पूणर्पणे समाधानी समाधानी

12) In how many months this checkup should be done?

2 months 4 months

6 months 1 year

हे तपासणी िकती मिहन्यांत करावी ?

2 मिहने 4 मिहने

6 मिहने 1 वषर्

13) When did you do last checkup?

This month Last month

Before 2 months Before 6 months

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 आपण अंितम तपासणी कधी केली?

या मिहन्यात गेल्या मिहन्यात

दोन मिहन्यां पूवीर् सहा मिहने पूवीर्

14) Do you need any awareness program to be held in your village?

Not Aware Somewhat Aware Fully Aware

आपल्या गावात कोणत्याही जागरुकता कायर्क्रमाची आवश्यकता आहे का?

मािहत नाही काही प्रमाणात पूणर्पणे जागरूक

15) How much will you rate our service?

Average

Good

Excellent

आपण आमच्या सेवेला िकती रेट कराल?

सरासरी

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 चांगले

उत्कृष्ट

16) Any suggestions:-

सुधारण्यासाठी सूचना:-

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