Medicine and Health Care

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RESEARCH PROPOSAL

ON TOPIC

“EFFECT OF ELECTRICITY LOAD SHEDDING ON PERFORMANCE OF PRIVATE CLINICS & SMALL HOSPITALS IN KARACHI”

(AN OBSTACLE IN PROVISION OF BASIC HEALTH CARE SERVICES)

BY

DR. AQUIL AHMED KHAN

MBA Batch: SA-003, CP-2008

Enrolment No. 09/2008/049

SUPERVISOR

MR. RIAZ HUSSAIN SOOMRO

INSTITUTE OF HEALTH MANAGEMENT
DOW UNIVERSITY OF HEALTH SCIENCES
KARACHI

1- Introduction

1.1- Background of study

Electricity load shedding is common in Karachi. It is often unexpected and most of the time scheduled activity. On one hand it reflects the bad governance and socio-economic failure, on other hand it impacts on the health care services. Its major impact is visible in the provision of primary health care system in Karachi.

The population of Karachi has reached about 18 millions (wikipedia). A significant number of people live in less privileged areas and belong to poor and middle class (wikipedia). Majority of them go to the clinics of common local GPs or to small hospitals and medical centers of their own residential areas. They avail basic health care services from these providers (such as general OPD, minor surgeries, lab tests, vaccinations, medications & other usual treatments and common medical procedures including maternity services). The number of beneficiaries from these health care service providers is very much higher. As compare to big & tertiary care hospitals and government setups. It is relatively quick, easily accessible and costs less.

Performance of these clinics and small hospitals has been affected by many social and economical disorders (such as inflation, law & order situations, quackery etc). The topic of influence of electricity load shedding on medical services is comparatively new and quite neglected in studies of obstacles in health care. As all other fields, the load shedding has nervously bad effect over daily life and economy of Pakistan. It has worsened the delivery of proper and effective health care and provision of common medical services specially at middle and lower level.

1.2- Objective of the study

1.2.1- To investigate bad consequences of load shedding in health care provision at the level of private clinics, medical centers and small hospitals.

1.2.2- To explore multiple problems appearing in result of load shedding from both ends, the health care service providers and the patients.

1.2.3- To find out possible solutions to resolve the problem and to avail effectively better alternatives for this deficiency.

1.3- Methodology/Framework

Mainly the research will cover the analysis of bad impact of load shedding on private clinics, medical centers & small hospitals of Karachi by primary data (as tertiary care private & government hospitals have sufficiently enough alternate resources of electricity production during load shedding).

For this purpose, two questionnaires will be prepared to get survey from both sides, i- The health care services providers of private clinics & small hospitals, and ii- The patient who get benefit from these service providers.

All possible queries will be tried to cover the related information from health service providers and the patients separately and the final combined conclusions will be discussed.

Meanwhile for possible references, reviewing related articles, journals, books, magazines, by visiting libraries and websites, secondary data might be collected.

1.4- Hypothesis

The main hypothesis is “Whether the load shedding harming health sector?”

Researchable questions:

1.4.1- Are the performances of private clinics and small hospitals of Karachi are badly affected by load shedding?

1.4.2- Is the quality of health care services is decreasing by load shedding in small...
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