Year: 2026 | Month: February | Volume: 16 | Issue: 2 | Pages: 385-390
DOI: https://doi.org/10.52403/ijhsr.20260244
Assessment of Doorstep Health Service Utilization among Farm House Residents and Service Provider Engagement in Rural Areas of North Karnataka: A Cross-Sectional Study
Sandeep G Yankanchi1, Rekha Udgiri2
1,2Department of Community Medicine,
Shri B M Patil Medical College, Hospital & Research centre, BLDE (DU) University, Vijayapura, India.
Corresponding Author: Sandeep G Yankanchi
ABSTRACT
Background: Access to quality healthcare remains a significant challenge in rural India, particularly among farm house residents residing in remote areas. To address these gaps, the Government of India has implemented various community-based strategies such as Accredited Social Health Activists (ASHAs) and doorstep service delivery models to improve healthcare access and equity (Ministry of Health and Family Welfare. However, the effectiveness of these services largely depends on the availability and active engagement of frontline health workers like ASHAs, Auxiliary Nurse Midwives (ANMs), and Primary Health Centre (PHC) staff. This study was conducted to bridge this knowledge gap by evaluating the pattern of doorstep health service utilization and the engagement of health service providers among rural farm household residents in North Karnataka.
Objective: To determine the extent of Utilization of various doorstep health services among the rural farm household residents and the engagement of health service providers.
Materials & Methods: A cross-sectional study was conducted among residents of farm households in Vijayapura district, Geographically, Vijayapura district was divided into five talukas. The study targeted residents in agricultural households, with farming being the predominant occupation, A multistage sampling method was used. All characteristics were summarized in a descriptive way. The data was analysed with SPSS v.23.0 software for frequency distribution and presented in figures.
Results: The study included both male and female participants, with the majority of males belonging to the 41–50 years age group (21.4%), while most female participants were from the 11–20 years age group (21.7%) The predominant type of health facility available near the farm households was government-run (93.8%), with only 6.2% reporting access to private facilities. Among the various health services received at the doorstep, immunization services were the most frequently reported (79.8%) & in most cases, ASHA workers were identified as the primary service providers delivering doorstep healthcare services.
Conclusion: This study highlights substantial utilization of doorstep health services among rural farm households in North Karnataka. ASHA workers were the most active and recognized service providers. The results emphasize the necessity of strengthening the role of Community Health workers, investing in training, and supporting infrastructure to ensure continued service outreach and effectiveness in rural areas.
Key words: Farm House, ANM, ASHA, Doorstep Health Service