Table 2 Q-set statements and factor array

Women adequately use antenatal care services at PHCCs

I only visit PHCCs for vaccination of children

It is not easy to call a family doctor or a doctor we know to get advice for any illness

The working hours of PHCCs are suitable to most people

Necessary laboratory investigations are not available at PHCCs

There is good organization of service provision at PHCCs

People have easy access to health services at PHCCs

Doctors focus too much on medication and neglect the psychosocial aspects of patients

Physicians in PHCCs excessively refer patients to specialists for their health problems

For simple illness like flu I visit a private nurse clinic

There are convenient waiting amenities at PHCCs

Having the PHCCs run mainly by general practitioners and not specialists is an important reason for not using these services.

PHCCs are mainly used by poor people

Sometimes I make some general investigations before or even without consulting a doctor

If I think the disease is serious I will consult a private physician

When I am really ill, I visit a PHCC to get consultation

I seek family member advice on decision making for source of health care

If I feel sick I try to consult a specialist rather than a general practitioner

People consider the doctor that prescribe more drugs particularly injections a better doctor

Doctors at PHCCs instead of dispensing available drugs prescribe costly medicines from the private sector

Doctors in general provide sufficient explanation of the disease and treatment

Health care providers at PHCCs are not competent and are not trained well

Health care professionals at PHCCs are adequately understanding and empathetic towards people

I sometimes visit a hospital without getting a referral from PHCC

I do not visit PHCCs at all

I usually visit PHCC to get referral to a hospital

We commonly visit a private pharmacy for consultation and getting treatment

In PHCCs, there is enough opportunity for patients to ask questions or obtain explanations for their health problems

The hygienic situation at PHCCs is well maintained

Patient’s privacy and confidentiality are not adequately respected in PHCCs

When I feel sick I take left-over drugs by myself

I use private nurse/medical assistant clinic for being near and less costly

PHCCs have only analgesics and no real treatment

For some types of illness I use traditional healers

Physicians in private sector understand the financial condition of patient and prescribe treatment accordingly

Physicians at PHCCs provide enough care and time to patients

When I have any health problem, initially I either do not do anything or try some home remedies

At private clinic physicians spend more time and provide better care to patients than in PHCCs

Health education service is provided adequately in PHCCs

Health expenditures cause financial burden on the family

People prefer private physicians clinics due to lack of drugs in PHCCs

For any illness, we make an early consultation to avoid taking risk

The families who can afford the expenditure prefer private health facilities and private doctors for seeking treatment over public facilities

For children illness we visit a PHCC for consultation

Physicians at PHCCs listen to the problems patiently before prescribing treatment

We consult a private specialist of our choice according to the nature of the disease we have

I ask physician or health staff to prescribe or administer injections

For some types of illness we turn to shrines or local religious methods for relief

The waiting time for having services at PHCCs is appropriate

We very rarely seek after-hour services or immediate medical advice like visiting emergency hospital