Two Indias: The structure of primary health care markets in rural Indian villages with implications for policy.

ABSTRACT: We visited 1519 villages across 19 Indian states in 2009 to (a) count all health care providers and (b) elicit their quality as measured through tests of medical knowledge. We document three main findings. First, 75% of villages have at least one health care provider and 64% of care is sought in villages with 3 or more providers. Most providers are in the private sector (86%) and, within the private sector, the majority are 'informal providers' without any formal medical training. Our estimates suggest that such informal providers account for 68% of the total provider population in rural India. Second, there is considerable variation in quality across states and formal qualifications are a poor predictor of quality. For instance, the medical knowledge of informal providers in Tamil Nadu an

SUBMITTER: Das J 

PROVIDER: S-EPMC9188269 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature