ABSTRACT

The social and economic level of development of any rural region is both defined and changed by the access of its people to certain services. If any one of the services of health, education, family planning, extension, marketing and credit is inaccessible to the population, further development, in most circumstances, is curtailed and the existing level of welfare is considered to be unacceptable. Numerous studies have examined the expenditure patterns for health in developing countries, and have found that a disproportionate share of funds are used to provide care in the urban areas with an emphasis on use for curative, hospital-based services. Many countries, like India, strive to develop integrated community-based health care, and yet maintain many categorical programs implemented by different departments. Integration of health services is often difficult because of the different patterns of ownership of resources and schemes for their administration.