Health Systems’ Performance with Respect to Responsiveness in Suryapet, Telangana

  • Jyothi Kurapati PhD Scholar, School of Medical Science, University of Hyderabad, Telangana, India.
  • Bal Nagorao Rakshase Associate Professor, School of Health System Studies, Tata Institute of Social Sciences, Mumbai, India.
Keywords: Responsiveness, Health System, Healthcare, Expectations of Patients, Non-medical Aspects


Introduction: The responsiveness of the health system denotes its goal of responding to the legitimate expectations of the serving population. The study uses WHO’s responsiveness domains as the main variables. It was undertaken to determine how well the health system was responding tothe needs of people living in the Suryapet district of Telangana. The objective of the study was to assess the responsiveness and its domains in a health system in the state of Telangana.
Method: This objective has been fulfilled by enquiring the patients using quantitative approach. 150 interview schedules were conducted. The study used convenience sampling to assemble data from healthcare consumers.
Results:In the domain of dignity, the per centage of people who agreed that they were receiving dignity during the treatment was around 87.3%. The domain of autonomy had 79.3% of the respondents. For the domain of confidentiality, 100% of the participants thought that their health information was maintained confidentially. The domain of communication had 65%; the domain of prompt attention showed that 68% of the participants were dissatisfied with the promptness of attention in public health settings. 71% of the respondents were dissatisfied with the quality of basic amenities in public health settings, and 89% of the participants were satisfied that they were allowed to choose the healthcare provider.
Conclusion: Results indicated that the health system performance falls short in responding to the needs of a large population. The health system was not responding up to the mark to the legitimate expectations of people.

How to cite this article:
Kurapati J, Rakshase BN. Health Systems’ Performance with Respect to Responsiveness in Suryapet, Telangana. Chettinad Health City Med J. 2022;11(4):42-47.



Coulter A, Jenkinson C. European patients’s views on the responsiveness of health systems and healthcare providers. Eur JPublic Health. 2005;1;15(4):355-60. [PubMed] [Google Scholar]

Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ. 2000;78:717-31. [PubMed] [Google Scholar]

Mirzoev T, Kane S. What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. BMJ Glob Health. 2017;1;2(4):e000486. [PubMed] [Google Scholar]

Schakel W. Unequal policy responsiveness in the Netherlands. Socio Econ Rev. 2021;19(1):37-57. [Google Scholar]

Guntermann E, Persson M. Issue voting and government responsiveness to policy preferences. Polit Behav. 2021;12:1-24. [Google Scholar]

World Health Organization. The world health report 2002 reducing risks, promoting healthylife. World Health Organization; 2002. [Google Scholar]

De Silva A, Valentine N. A framework for measuring responsiveness. Geneva: World Health Organization 2000.

Gromulska L, Gorynski P, Supranowicz P, Wysocki MJ. Responsiveness to the hospital patient needs in Poland. Rocz Państw Zakł Hig. 2014;65(2). [PubMed] [Google Scholar]

Bramesfeld A, Wedegärtner F, Elgeti H, Bisson S. How does mental health care perform in respect to service users’ expectations? Evaluating inpatient and outpatient care in Germany with the WHO responsiveness concept. BMC Health Serv Res. 2007;7(1):1-2. [PubMed] [Google Scholar]

Valentine N, Darby C, Bonsel GJ. Which aspects of non-clinical quality of care are most important? Results from WHO’s general population surveys of “health systems responsiveness” in 41 countries. Soc Sci Med. 2008;1;66(9):1939-50. [PubMed] [Google Scholar]

Letkovicova H, Prasad A, Vallee RL, Valentine N, Adhikari P, van der Heide GW. The health systems responsiveness analytical guidelines for surveys in the multi-country survey study. Geneva: World Health Organization; 2005.

Bridges J, Nugus P. Dignity and significance in urgent care older people’s experiences. J Res Nurs. 2010;15(1):43-53. [Google Scholar]

Williams JS, Myléus A, Chatterji S, Valentine N. Health systems responsiveness among older adults findings from the World Health Organization Study on global AGEing and adult health. Glob Public Health. 2020;2;15(7):999-1015. [PubMed] [Google Scholar]

Njeru MK, Blystad A, Nyamongo IK, Fylkesnes K. A critical assessment of the WHO responsiveness tool lessons from voluntary HIV testing and counselling services in Kenya. BMC Health Serv Res. 2009;9(1):243. [PubMed] [Google Scholar]

Forouzan AS, Ghazinour M, Dejman M, Rafeiey H, Sebastian MS. Testing the WHO responsiveness concept in the Iranian mental healthcare system a qualitative study of service users. BMC Health Serv Res. 2011;11(1):325. [PubMed] [Google Scholar]

Liabsuetrakul T, Petmanee P, Sanguanchua S, Oumudee N. Health system responsiveness for delivery care in Southern Thailand. Int J Qual Health Care. 2012;1;24(2):169-75. [PubMed] [Google Scholar]

Rashidian A, Kavosi Z, Majdzadeh R, Pourreza A, Pourmalek F, Arab M, Mohammad K. Assessing health system responsiveness a household survey in 17th district of Tehran. Iran Red Crescent Med J. 2011;13(5):302. [PubMed] [Google Scholar]

Bastemeijer CM, Boosman H, van Ewijk H, Verweij LM, Voogt L, Hazelzet JA. Patient experiences a systematic review of quality improvement interventions in a hospital setting. Patient Relat Outcome Meas. 2019;10:157. [PubMed] [Google Scholar]

Hsu CC, Chen L, Hu YW, Yip W, Shu CC. The dimensions of responsiveness of a healthsystem a Taiwanese perspective. BMC Public Health. 2006;6(1):72. [PubMed] [Google Scholar]

Ebrahimipour H, Najjar AV, Jahani AK, Pourtaleb A, Javadi M, Rezazadeh A, Vejdani M, Shirdel A. Health system responsiveness a case study of general hospitals in Iran. Int J Health Policy Manag. 2013;1(1):85. [PubMed] [Google Scholar]

Cuddy AJ, Fiske ST, Glick P. The BIAS map behaviors from intergroup affect and stereotypes. J Pers Soc Psychol. 2007;92(4):631. [PubMed] [Google Scholar]

Fan R. Self‐determination vs. family‐determination two incommensurable principles of autonomy: a report from East Asia. Bioethics. 1997;11(3‐4):309-22. [PubMed] [Google Scholar]

Senarath U, Gunawardena NS. Women’s autonomy in decision making for health care in South Asia. Asia Pac J Public Health. 2009;21(2):137-43. [PubMed] [Google Scholar]