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VOLUME 5 , ISSUE 1 ( January-June, 2017 ) > List of Articles


Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study

Sanjeev Davey, Pradeep K Kapoor, Meenu Bala, Jai V Singh, Santosh K Raghav, Nirankar Singh

Citation Information : Davey S, Kapoor PK, Bala M, Singh JV, Raghav SK, Singh N. Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study. Int J Res Foundation Hosp Healthc Adm 2017; 5 (1):8-14.

DOI: 10.5005/jp-journals-10035-1070

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2017; The Author(s).



The community-oriented primary care (COPC) services model is an approach prescribed by the Medical Council of India for existing medical colleges in India from their respective urban and rural health training centers (RHTCs). However, the evidence of whether it is better as compared with pure primary health care approach in the Indian context is lacking in the literature. Therefore, it becomes imperative to study this area for its further expansion.

Materials and methods

The study was done in the catchment area of RHTC and neighboring primary health center (PHC; Makhiyali) attached to the medical college in the district of Western Uttar Pradesh in India. Three surveyed villages out of six villages from July 1, 2016, to December 31, 2016, were taken in this study. Finally, the COPC vs primary health care approach comparison was done on four outcome parameters.


The utilization of COPC services from RHTC area as compared with primary health care services from PHC area was significantly better for all diseases combined (p < 0.005) and also in the category of management of upper respiratory tract infections (p < 0.0001) and nutritional deficiencies (p < 0.05). On further applying COPC services model, it was also found that RHTC services were significantly better as compared with PHC services in terms of socioeconomic impact on health from services (p < 0.0000), identification of health needs from services (p < 0.0000), and participation in health care services (p < 0.05).


The COPC services model appears to be successful in the delivery of health care services from RHTC of a medical college as compared with pure primary health care approach delivered from a PHC. However, authors suggest more in-depth multicentric studies on this issue before generalization of COPD model usage across the world.

How to cite this article

Davey S, Kapoor PK, Bala M, Singh JV, Raghav SK, Singh N. Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study. Int J Res Foundation Hosp Healthc Adm 2017;5(1):8-14.

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  1. Alma-Ata Declaration; [last updated 2010 Sep 10; cited 2017 March 1]. Available from:
  2. Available from: Health%20Care%20and%20Community%20Oriented%20 Primary%20Care%20final.pdf.
  3. Community-oriented primary care and primary health care. Am J Public Health 2005 May;95(5):757.
  4. Atencion Primaria Orientada a la Comunidad [in Spanish]. Barcelona: Ediciones DOYMA SA; 1994.
  5. Community-oriented primary care. Prim Care 1996 Mar;23(1):1-15.
  6. Use of communitybased participatory research in primary care to improve healthcare outcomes and disparities in care. J Comp Eff Res 2013 Jul;2(4):405-419.
  7. Morbidity pattern and treatment in India. Ann Trop Med Public Health 2012(5);5:458-467.
  8. Morbidity pattern and health-seeking behavior of aged population residing in Shimla hills of North India: a cross-sectional study. J Family Med Prim Care 2013 Apr;2(2):188-193.
  9. Assessment of morbidity pattern, quality of life and awareness of government facilities among elderly population in South India. J Family Med Prim Care 2015 Jul-Sep;4(3):405-410.
  10. Current health scenario in rural India. Aust J Rural Health 2002;10:129-135.
  11. Infection and disease in a group of south Indian families. II. General morbidity patterns in families and family members. Am J Epidemiol 1969 Apr;89(4):375-383.
  12. Morbidity pattern of geriatric population in rural areas of western Uttar Pradesh. Int J Med Sci Public Health 2016;5(3):430-433.
  13. A comparative study of morbidity pattern in elderly of rural and urban areas of Allahabad district, Uttar Pradesh, India. Int J Community Med Public Health 2016;3(5):1152-1156.
  14. A study on morbidity pattern in rural community of eastern Uttar Pradesh. Indian J Prev Soc Med 2008;39(3-4):184-188.
  15. ; Kark, E. Promoting community health: from Pholela to Jerusalem. Johannesburg, South Africa: Witwatersrand University Press; 1999.
  16. Morbidity profile of OPD patients of an urban health and training center: a tool for the health planners. Natl J Community Med 2015;6(2):46-50.
  17. Study of rural health centre services utilization by adolescents in district Muzaffarnagar (Uttar Pradesh-India). Int J Med Sci Public Health 2014;3(5):603-606.
  18. Magnitude and trend of various diseases at a tertiary care institution in Chandigarh, Northern India. Int J Latest Res Sci Technol 2015;4(2):78-81.
  19. An assessment of rural health care delivery system in some areas of West Bengal – an overview. Indian J Public Health 2011 Apr-Jun;55(2):70-80.
  20. Training and application of communityoriented primary care (COPC) through family medicine in Catalonia, Spain. Fam Med 2008 Mar;40(3):196-202.
  21. The roles and training of primary care doctors: China, India, Brazil and South Africa. Hum Resour Health 2015 Dec 4;13:93
  22. Communit-Oriented Primary Care: Health Care for the Twenty-First Century. Washington, DC: American Public Health Association; 1998.
  23. Community-Oriented Primary Care: Historical Perspective. J Am Board Fam Pract 2001;14:54-63
  24. Applying community-oriented primary care methods in British general practice: a case study. Br J Gen Pract 2002 Aug;52(481):646-651.
  25. Regulations, 1999; [last updated 1999 March 30; cited 2016 Oct 20]. Available from:
  26. Integrating primary care and public health: learning from the community-oriented primary care model. Int J Health Serv 2003;33(1):85-98.
  27. Incorporating a communityoriented approach in primary care. Am Fam Physician 1993 Jun;47(8):1699-1702.
  28. Community-oriented primary care: the missing link. Afr J Prm Health Care Fam Med 2010;2(1):260-262.
  29. Costs vs quality in different types of primary care settings. JAMA 1994 Dec 28;272(24): 1903-1908.
  30. Accelerating health equity: the key role of universal health coverage in the Sustainable Development Goals. BMC Med 2015;13:101
  31. The impact of community-oriented primary care in Trongsa Dzongkhag, Kingdom of Bhutan. Indian J Community Med 2006;31(1):18-23.
  32. Family medicine in Cuba: community-oriented primary care and complementary and alternative medicine. J Am Board Fam Pract 2005 Jul-Aug;18(4):297-303.
  33. Evaluation of a primary health care strategy implemented in a market oriented health system: the case of Bogota, Colombia. Available from:
  34. Community-oriented primary care: new relevance in a changing world. Am J Public Health 2002 Nov;92(11):1748-1755.
  35. Community-oriented primary care. Implementation of a national rural demonstration. Arch Fam Med 1994 Jun;3(6):495-501.
  36. A comparative evaluation of public health centers with private health training centers on primary healthcare parameters in India: a study by data envelopment analysis technique. Indian J Community Med 2015 Oct-Dec;40(4):252-257.
  37. Study on role of rural health training centre (RHTC) as a supporting component to a primary health care system for NRHM programme in district Muzaffarnagar (UP). Int J Res Med Sci 2014;2(2):653-661.
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