BARRIERS TO WORKING IN PRIMARY AND SECONDARY HEALTH CARE FACILITIES BY THE DOCTORS OF SERVICES HOSPITAL LAHORE

Background: This research was conducted in Services Hospital Lahore to find out the barriers to working in primary and secondary health care facilities. Primary Health Care is essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost that the community and country can afford .The objectives were to assess the problems faced by doctors in rural health facilities as well as suggesting to cater these problems. Objectives: The object of this study is to identify the barriers to working in primary and secondary health care facilities in the doctors of Services Hospital Lahore. Methodology: It was a Case Series Study Design. It was conducted in Services Hospital Lahore, in the various wards of SHL which were observed for three weeks to interview the doctors. A detailed structured questionnaire was used for data collection. SPSS 21 was used for entry, compilation, and analysis of data. Results: The result of research that 67% of the doctors lied in the age group 21-25, male and unmarried respondents are dominant. The questionnaire had 3 questions (each having 10, 12 and 10 parts each), the questions were divided on the basis of barriers identified. It was scored on Likert scale, a percentage less than 80% was considered ineffective and greater than equal to 80% was considered to have an influence with mean summary score ± SD ( 25 ± 6.9) for level of satisfaction and (37.6 ± 11.6 ) for social barriers and ( 31.6 ± 7.06 ) for personal barriers affecting the willingness of the respondents. Conclusions: After a detailed workup, multiple analysis of data collected it has been seen that the the infrastructure of our rural health facilities is so poor that a doctor thinks he is being wasted in a rural health facility. He has nothing to offer to his patients, he is clinically deteriorating and a rural posting does not play any role in post-graduation. This adds to the reluctance of the doctors which he had developed from family, social and financial reasons Keywords: Primary Health Care, Secondary Health Care, BHU, RHC, THQ, DHQ, Barriers, Rural Health Care