# I. Introduction a) History of Nilgiris District

he Nilgiris, because of its natural charm and pleasant climate, was a place of Special attraction for the Europeans. In 1818, Mr. Whish and Kindersley, who were assistants to the Collector of Coimbatore, discovered the place Kotagiri near Rengaswamy peak. John Sullivan, the then Collector of Coimbatore was greatly interested in this part of the country. He established his residence there and reported to the Board of Revenue on 31st July 1819.

The Name 'Nilgiris' means Blue hills (Neelam -Blue and giri -Hill or Mountain) the first mention of this name has been found in the Silappadikaram. There is a belief that the people living in the plains at the foot of the hills, should have given the name, the Nilgiris, in view of the violet blossoms of 'kurinji' flower enveloping the hill ranges periodically. The earliest reference to the political history of the Nilgiris, according to W.Francis relates to the Ganga Dynasty of Mysore.

Immediately after the Nilgiris was ceded to the British in 1789, it became a part of Coimbatore district. In August 1868 the Nilgiris was separated from the Coimbatore District. James Wilkinson Breeks took over the administration of the Nilgiris as its Commissioner. In February 1882, the Nilgiris was made a district and a Collector was appointed in the place of the Commissioner. On 1st February 1882, Richard Wellesley Barlow who was the then Commissioner became the First Collector of Nilgiris.


# b) District Administration

The Nilgiris District Comprises of six taluks, Like Udhagamandalam, Kundah, Coonoor, Kotagiri, Gudalur and Pandalur. c) The Nilgiris District: Census Data on 2011

In 2011, The Nilgiris had population of 735,394 of which male and female were 360,143 and 375,251 respectively. In 2001 census, The Nilgiris had a population of 762,141 of which males were 378,351 and remaining 383,790 were females. The Nilgiris District population constituted 1.02 percent of total Maharashtra population. In 2001. The Nilgiris District Population Growth Rate There was change of 3.51 percent in the population compared to population as per 2001. In the previous census of India 2001, The Nilgiris District recorded increase of 7.31 percent to its population compared to 1991.


# d) Health Sector and Infrastructures

Now -a -day's health care sector playing vital role of the human society. Whether growing population and shortage of health care service providers meet the very big challenges of the growth of human society, particularly government hospitals and their quality of services have been played in very huge role in the rural part of areas.

Even though rapid growth of population and shortage of health care facilities technological aspects in government hospitals. Government hospitals have been played on essential role of human society at rural areas, and demand of health care service in government hospitals increasing to the Day -by -Day because of the certain factors like, better facilities, services and technological equipments provide to the patients. And due to the several reasons perception of government hospitals and its treatments, infrastructure available, technological equipments with the hospitals, a noble suggestions and other related studies and references.

In 


# II. Objective of the Study

? To found the standard of government hospitals that is understandable to patients. ? To identifying the facilities for the government hospital. ? To originate to the government hospitals and their quality of service and treatments.


# a) Statement of the problems

The government hospitals have been played remarkable role in India particularly rural part of areas. As well as economically and financially low level people depends on government hospitals because of their minor and major health problem and their quality of treatment. This study reveals the major problems in government hospitals were insufficient infrastructure facilities, technological aspect medical equipments and medicines, If a response is promised in a certain time, does not happen and responding the client quickly, and quality of services.

Research Methodology: The percent study analysis and evaluation of the research questions are carried out through the primary and secondary data. Primary data collected through observation and direct interview schedule in government hospitals. The study was conducted in government hospitals and primary health care centers in Nilgiris district. The secondary data have been collected from the news papers and articles and district administration office at Nilgiris district to support the present study.

State health society, Tamil Nadu -established of 17 neonatal intensive care units ( NICUS sick neonatal care units and health and family welfare EAPII /2 Dept dated 13 / 05 / 2013., District Of The Nilgiris District Administration, Last Updated on 25-02-2012 -E-mail:collrnlg nic in Phone :0423-2442344 © District Administration The Nilgiris, Tamilnadu, India.


# b) Limitation of the study

The period of the study is conducted to two months. And the study will be conducted to admit in different wards and out patients, and study will depend upon the accuracy of information to given by the patients.


# c) Sample size and sampling technique

The sample size preferred for this study 50 respondent which including the general demographic profile of the respondents. And this study has to elect Non -probability sampling methods.  Interview Schedule: Interpretation: The above table shown as whether the government hospitals provide quality of service 34% respondents they said yes and 66 percentages of the respondents said no.  Interview Schedule: Interpretation: If is learn from the above table that 76% of the respondents have been influenced by the free medical treatment and remaining 24% of the respondents influenced by the infrastructure and quality of treatment.  Interview Schedule: Interpretation: From the above table reveals that 94 percentages of the respondents replied that the quality of the government hospital in health care service good and average.


# III. Findings and Conclusion

? Patients are satisfied with the government hospitals and the perception is responsiveness of the doctors, staff and they provide quality of service. ? Patients they may feel and expect doctors have been taken more care of the patients. ? Government hospitals and doctors also play on important role in economically and financially low level people, and especially rural part of areas like their minor and major health problem and quality of service and treatments. ? There is a problem faced by the patients in government hospitals, insufficient infrastructure facilities, technological aspect and they want that it should be quality of service and treatment. ? And the infrastructure, free treatment, cost and free medicines are influencing the patients to select a government hospital.


# IV. Suggestion and Recommendations

Government hospitals services should be improved in terms of quality of service and treatment, and the doctors should be taken care of the patient and give them response in systematic way. The staffs, nurses and midwifes attend the patients in right time of the right place. And this study suggest government should take initiative improve the quality of the government hospitals and its infrastructure facilities. And avoiding noise pollutions and disturbance in general  
![wards. Patient feedback should be collected without fail so as to know the areas to be improved to maximize the customer towards Service Quality of Government Hospitals an Empirical Study in Nilgiris District Assessing the satisfaction of patients is simple because of the way evaluation of hospitals service. The percent study reveals patients perception towards service quality of government hospitals. Because service is the intangible aspect we cannot see and touch it, government hospitals played on very important role in major and minor health problem. Most of the patients were satisfied regarding free medical treatment, cost and free medicines, quality of service. Because today's consumer environment looking forward best price, good infrastructure facilities, technological improvement and availability, best payment options and good quality of service. And half of the patients were dissatisfied in government hospitals regarding insufficient doctors, infrastructure, and lack technological improvements. There were no proper responsiveness and quality of service. In maximum of the patient during the study period reveals were satisfied with good quality of service available in government hospitals.Reference Source: District Of The Nilgiris District Administration, Last Updated on 25-02-2012 -E-mail: collrnlg nic in Phone: 0423-2442344 © District Volume XV Issue V Version I](image-2.png "")
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Name of the Revenue DivisionName of the TalukNo. of Revenue FirkasNo. of Revenue VillagesTown PanchayatVillage PanchayatCoonoorUdhagai Kundah Coonoor3 2 313 7 9Udhagai Coonoor4 413 6Kotagiri315Kotagiri111GudalurGudalur Pandalur2 28 4Gudalur45Reference: Source: District of the Nilgiris District Administration, Last Updated on 25-02-2012 -E-mail: collrnlg nic in Phone: 0423-2442344 © District Administration The Nilgiris, Tamilnadu, India.
No of Allied pathological units available in NiligirisSl NoName of the municipalitiesNo of pathological units1Ooty (M)012Coonoor (M)013Udhagamandalam (B)014Coonoor (B)015Kotagiri (B)016Gudalur (B)01SNCU Sick Neonatal care units and state healthNadu -established of 17 neonatal intensive care unitssociety, Tamil Nadu Published strength of Government(NICUS sick neonatal care units and health and familyHospital in Nilgiris District. State health society, Tamilwelfare EAPII /2 Dept dated 13 / 05 / 2013.Year 2 015Sl No 1District NilgirisSNCU to be Established/ Strengthened Govt Hospital Gudularnilgiris There are one District Head Quarters Government Hospital, 5 Taluk Hospitals, 28 Primary Health Centers, 194 Health Sub-Centre's and 5 Plague circles. And The Nilgiris District from its very inception No of staff nurses to be placed on Contract basis No of medical officer to be placed 10 21( D D D K D ) Volume XV Issue V Version ISl S.No 1 3 2 No 1has been a favored health resort of the Europeans and Name of the medical college hospital and No of staff nurses to be placed on Contract the officials of the Government as well. At present, the District has 194 Govt. Health Sub Centers, 28 Government. Primary Health Centers, 6 Government Hospitals, 2 Government dispensaries and one District Tuberculosis Centre. No of Government Hospitals in Nilgiris District in all Regions Name of the Hospitals in Ooty District Coonoor Wellington Govt. H.Q.Hospital Govt. Lawly Hospital Miltary Hospital Govt.Sait Hospital Sagayamatha Hospital Vijaya Hospital Nankem Hospital Kotagiri Cantonment Hospital Govt Head Quarters/ Sub (Dst) Hospitals basis as nutrition counselors Nilgiris Govt Head Quarters Hospitals Nilgiris (1)4Saraswathi Mani HospitalEmanuel Eye HospitalGovt. Hospital5Parvathi Nursing HomeFamily Plan. Asso.IndiaKMF Hospital6Sanhita HospitalGudalurHoly Family Hospital7Nirmala Nursing HomeGovt. Hospital8Blisy Eye HospitalDevershola9District TB.CentreGarden Hospital10ESI DispensaryHealth and family welfare Hospitals, Dispensaries, Bed Strength, Doctors and NursesIn Nilgiris District Year -2008 to 2009IndianMedicineSlClassificationModernAyurvedic Siddha Unnani Combined Total HomeopathyGrandNomedicineTotal1Hospitals26------262Dispensaries02-02--0202063Primary health center28------284Health sub center194------1945Other medical00------Nilinstitutions6Bed Strength839----839-8397Number of Doctors74----7401758Number of nurses105----105-105Reference: Source:
NoPatient's Perception towards Service Quality of Government Hospitals an Empirical Study in NilgirisDistrictVolume XV Issue V Version I Year 2 015S.No 1 2 3 4 Interpretation: Interview schedule: Age Group 20 -30 31 -40 41 -50 Above 50 TotalRespondents in Number 17 22 8 3 50Respondents in % 34 44 16 6 10025 Volume XV Issue V Version I Year 2 015D D D D ) KD D D D )((ResearchMedicalS.No 1Occupation AgriculturalSimple percentage = No of Respondents _________________ * 100 Table No -III Occupation status No of Respondents Respondents in % 8 16Global Journal of2Daily wages14Total No of Respondents 283 4Data Analysis: Table No -I Employed in professional Business24 Gender of the Respondents 248 45S.No 1Others TatalGENDER MaleRespondents in Number 2 17 504 Respondents in % 34 1002 Interview schedule:Female3366Total50100Interview schedule:K© 2015 Global Journals Inc. (US) Interpretation: The above table reveals that 44 percentages of the respondents are belongings to the age group of 31 to 40 those who contribute to their views on government hospitals Interpretation: From the above table reveals the status of occupations level respondents 48% of the people are being employed in professional and 28% of respondents in daily wages, 16% in agricultural and both the business and others only 4%.
NoInterview schedule:Interpretation: From the above table state income level of the respondents 40% of the respondents below5,000, Rs.5,000 to 7,500 6%, 38 percentages of the respondents 7,500 to 10,000 and 16 percentages of therespondents above 10,000.Table No -V Awareness about Government HospitalS. NoVariablesRespondents in NoRespondents in %1Yes47942No36Total50100Interview schedule:Interpretation: Table No -VII Satisfaction of services in Government HospitalS.NoVariablesRespondents in NumberRespondents in %1Yes17342No3366Total50100
NoTable No -X Preference and rating for Quality service in Government HospitalS.No 1 S.No 2 1 3 2 4 3 4 5Economic status Below 5000 Variables 5000 -7500 7500 -10000 Very high High Above 10000 Normal Total Low Very lowRespondents in Number 20 Respondents in Number 3 3 19 0 8 35 50 0 12Respondents in % Respondents in % 40 6 6 0 38 70 16 0 100 246Don't know00Total50100Interview Schedule: Interpretation; Table No -XI ResponsivenessS.NoVariablesRespondents in NumberRespondents in %1Strongly agree002Agree17343Neutral19384 5 Interview Schedule: Disagree Strongly disagree Total Interpretation:14 0 5028 0 100Volume XV Issue V Version ID D D D ) K(S.NoVariablesRespondents in NumberRespondents in %1Accessibility362Free treatment003Free medicine35704Courtesy005Credibility1224Total50100Interview schedule:Interpretation: About 70 percentages of the respondents reveals major reason to visit on government hospital for free medicine.
NoS.NoVariablesRespondents in NumberRespondents in %1Free medical treatment38762Hospitality and infrastructure243Quality treatment5104Free medical camp5105Free ambulance facility006Timely attending the case00Total50100
NoYear 2 015S.No 1 2 3 4 5 Interview Schedule: Highly satisfied Variables Satisfied Neutral Dissatisfied Highly dissatisfied Total Interpretation: Volume XV Issue V Version I ( D D D D ) KRespondents in Number 0 17 15 18 0 50Respondents in % 0 34 30 36 0 100
NoS.NoVariablesRespondents in NumberRespondents in %1Excellent002Very good363Good18364Average29585Very poor00Total50100
Year 2 015K
			© 2015 Global Journals Inc. (US)
			Patient's Perception towards Service Quality of Government Hospitals an Empirical Study in Nilgiris District
			© 2015 Global Journals Inc. (US) Year 2 015 Patient's Perception towards Service Quality of Government Hospitals an Empirical Study in Nilgiris District