Perceptions of Young Doctors Regarding Serving in Public Sector Primary Care Level Facilities in Rural Areas of Bahawalpur District

Abstract

Abstract: Background: Primary healthcare is essential for achieving social goals, and should be properly supported to promote health.

Objective: This study was performed to assess the understanding and factors of reluctance among young doctors regarding serving in public sector primary care level facilities (BHUs, RHCs & local dispensaries) situated in rural areas of Bahawalpur district, South Punjab, Pakistan.

Materials and Methods: This cross-sectional study was accomplished at BHUs, RHCs, and local dispensaries in Bahawalpur, Pakistan, from 15th September 2024 to 30th March 2025 (IRB approval No. 2651/DME/QAMC/Bahawalpur). A total of 164 doctors of both genders, aged between 25 to 35 years with MBBS, BDS, or higher degrees and working at BHUs, RHCs, or local dispensaries in Bahawalpur district were included. Along with demographic features and other necessary information, perceptions and related factors of doctors working at rural health facilities were assessed.

Result: The study involved 164 doctors (68.9% male, 31.1% female) with a mean age of 30.55±3.28 years. Residential conditions were poor for 101 (61.6%). Facility structures were old but renovated for 83 (50.6%), with 96 (58.5%) reporting poor equipment and electricity. Auxiliary staff had no training in 83 (50.6%). Local cultural challenges affected 53 (32.3%), and 61 (37.2%) faced gender-based issues. Recreational facilities were reported by 23 (14.0%), with 117 (71.3%) feeling government incentives were insufficient. There were delays in post-graduation for 135 (82.3%) and a lack of skill development for 143 (87.2%).

Conclusion: This study highlighted the challenges faced by healthcare professionals in rural settings, such as poor living conditions, inadequate infrastructure, and insufficient professional development opportunities.