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Paper ID:IJSREM67223

Impact of Public Healthcare Services on the Poor in Karnataka: An Empirical Analysis

Stream/Area:

-

Subject:

-

Paper ID:

IJSREM67223

Volume:

10 |

9 |

Sep 2026

Pages:

1-5

Publication Frequency:

Monthly (12 issues per year)

DOI
Digital Object Identifier
10.55041/IJSREM67223

License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

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Authors

Dr. Udayakumara M

Dr. Udayakumara M

Department of Economics

Govt.Arts,commerce&P G collage(AUTOMOUS) HASSAN-573201

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Abstract

Public healthcare plays a vital role in promoting equitable access to quality healthcare services and improving health outcomes, particularly among economically disadvantaged populations. Karnataka has implemented several public health initiatives, including the National Health Mission (NHM), Ayushman Bharat–Arogya Karnataka, maternal and child healthcare programmes, immunization campaigns, and strengthened primary healthcare institutions to enhance healthcare accessibility and affordability. However, inequalities in healthcare access, service quality, infrastructure availability, and financial protection continue to affect poor households, especially in rural and backward regions. This study examines the impact of public healthcare services on poor households in Karnataka using an empirical framework based on secondary data from sources such as the National Family Health Survey (NFHS-5), National Sample Survey (NSS), Health Management Information System (HMIS), National Health Accounts (NHA), and Government of Karnataka reports. The study analyses healthcare utilization, affordability, maternal and child health outcomes, preventive healthcare coverage, and out-of-pocket expenditure. The findings reveal that public healthcare interventions have improved institutional deliveries, antenatal care utilization, immunization coverage, and access to essential health services among vulnerable groups. However, challenges such as infrastructure gaps, shortage of healthcare professionals, regional disparities, and high medical expenses remain significant concerns. The study recommends strengthening primary healthcare, increasing public investment, improving workforce capacity, expanding digital health services, and enhancing governance to achieve Universal Health Coverage in Karnataka.

KEYWORDS

Public Healthcare Poverty Universal Health Coverage Ayushman Bharat–Arogya Karnataka Healthcare Expenditure Health Policy.

Cite This Article

Dr. Udayakumara M, "Impact of Public Healthcare Services on the Poor in Karnataka: An Empirical Analysis," International Journal of Scientific Research in Engineering and Management, vol. 10, no. 9, pp. 1-5, Sep 2026. https://doi.org/10.55041/IJSREM67223

Full Article/Conclusion

Public healthcare services constitute an essential instrument for improving health equity and reducing poverty in Karnataka. Evidence from published research and government reports indicates that sustained public investment has expanded access to healthcare, improved maternal and child health outcomes, increased utilization of institutional healthcare, and strengthened financial protection through publicly funded insurance schemes. Despite these achievements, important challenges remain. Persistent regional disparities, shortages of healthcare professionals, infrastructure deficiencies, and continued out-of-pocket expenditure limit the effectiveness of the public healthcare system for economically vulnerable households. Addressing these issues requires greater public investment, improved governance, strengthened primary healthcare, expansion of financial protection, and more equitable distribution of healthcare resources. Future empirical research should utilize recent datasets such as NFHS-5, NSS, HMIS, and district-level health statistics to quantify the impact of public healthcare programmes on health outcomes and financial protection among poor households. Such evidence will support more effective policy design and contribute to achieving Universal Health Coverage and the Sustainable Development Goals in Karnataka.

References

1.      Balarajan, Y., Selvaraj, S., & Subramanian, S. V. (2011). Health care and equity in India. The Lancet, 377(9764), 505–515. 2.      Government of India. (2017). National Health Policy 2017. Ministry of Health and Family Welfare. 3.      Government of Karnataka. (2023). Economic Survey of Karnataka. Government of Karnataka. 4.      Ministry of Health and Family Welfare. (2022). National Family Health Survey (NFHS-5), 2019–21: Karnataka Fact Sheet. 5.      National Health Authority. (2023). Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana Annual Report. 6.      National Health Systems Resource Centre. (2022). Rural Health Statistics 2021–22. 7.      Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136, 161–171. 8.      Sood, N., Wagner, Z., Nagpal, S., Mullen, P., & Jain, N. (2014). Government health insurance for people below poverty line in India: Quasi-experimental evaluation of the Vajpayee Arogyashree Scheme. BMJ, 349, g5114. 9.      World Health Organization. (2000). The World Health Report 2000: Health Systems—Improving Performance. WHO. 10.   World Health Organization. (2023). World Health Statistics 2023. WHO.

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Publication Date

9/12/2026

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Review Rounds: 2

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