Sadia Khalid

Health care is the basic need of human being and it is the responsibility of a state to provide all facilities through health care units to improve the health care system and to prevent from diseases. We have done survey in different hospitals and had evaluated the following parameters and calculated the percentages of them in both public and private hospitals:  facility environment (sign boards and accessibility), cleanliness of the premises, management information system, diagnostic services (surgical services, lab services etc.), specialized services (child nutrition services, family planning centre, immunization centre, and diagnostic centre), emergency services, ambulance service and working time of facilities. Our result indicates that Karachi’s health care system is inadequate and inefficient. Most of the private hospitals meet the standard but is expensive and cannot be accessed by poor peoples. In public sector, these facilities are not properly provided and needs improvements. Among them cleanliness and availability of different services like equipment and medicine supply are the major factors which are not satisfactory in public hospitals. These conditions in the health sector may be attributed to a number of factors like poverty like unequal access to health facilities. For equity, efficiency and effectiveness of the health sectors inputs from both the public and private sector is necessary.