# Utilisation of services provided at an outreach healthcare facility and its associated factors among residents in a coastal taluk of southern Karnataka: A cross-sectional study

## TL;DR

This study examines how residents in a coastal area of Karnataka use an outreach healthcare facility and identifies factors influencing their usage.

## Contribution

The study provides insights into facilitators and barriers of healthcare service utilization in a specific coastal community.

## Key findings

- Approximately 50.7% of households utilized services from the outreach center.
- Proximity and good-quality services were key facilitators of utilization.
- Lack of awareness and inconvenient timings were the most common barriers.

## Abstract

Understanding the patterns of utilisation of primary health services can help to improve service delivery and utilisation, thereby reducing common morbidities in the community. The study aimed to assess the patterns of utilisation of services provided at an outreach healthcare centre.

A community-based survey was conducted among families residing in the field practice area of an outreach centre for more than a year. Data were collected using a questionnaire administered to adults aged >18 years. Collected data were entered into and analysed using the Statistical Package for the Social Sciences version 16.0.

Approximately 65.1% of the respondents were aged 31–59 years, and 67.4% were women. Among 126 surveyed households, 50.7% had utilised services from the outreach centre. The facilitators of utilisation among 64 households included proximity to their area of residence (90.6%) and availability of good-quality services (40.6%). The most common barriers included a lack of awareness (30.9%) and inconvenient timings (18.2%) of the healthcare centre. The respondents aged <18 years (odds ratio [OR]=7.64; 95% confidence interval [CI]=4.37–13.37) and >45 years (OR=2.65; 95% CI=1.57–4.47) had higher odds of utilising services than those aged 18–45 years. The female respondents (OR=2.89; 95% CI=1.86-4.51) were more likely to utilise services than the male respondents.

Creating awareness regarding the outreach healthcare centre and designing services based on the observed needs of the community can further improve the utilisation of services provided at the healthcare centre.