The Existing government healthcare centres can be organized in different hierarchical order as the Health Sub Centre, Primary Health Centre including Community health care, General Hospitals and District Hospital. They are located on the basis of economic feasibility and requirement of the people. The spatial distribution of healthcare centres of Bidar District has been analyzed for all five taluks. The uneven distribution of health centres are observed even at micro level not only between the regions but within the region also depending up on the necessity of the health care centers and for the people. So far as the public healthcare centers of the Bidar district is concerned, it comprises one District Hospital, Four General/Taluk hospitals, 57 Primary Health Centres out of that 33 are working 24x7 and 8 Community Health Centres. The distribution of Public healthcare centres as been shown in the following Table 1 and Figure 2 .

Figure 2

The Present hospitals system varies in size and kinds of medical care services, where one can get all types of treatments that are needed by a patient. In the study area, the existing public healthcare centers can be structured in different hierarchical order to study the optimum use of available resources in different health centers.

The spatial distribution of health centres unevenly distributed in the study area. The study of the spatial distributional pattern of health centres is an important aspect in Medical/health care geography. In the present study Nearest Neighbour Technique has been used to observe how these health centres are distributed in the district. The ‘Nearest Neighbour method, was firstly developed by two botanists, Clark and evens (1954), they have used this techniques to measures the pattern of incidence of different species of plants in a region. Later on, geographers have widely used this technique in order to study the distributional pattern of the places and other phenomena in different geographical regions of the world. As a result, the researcher has using this technique to study the spatial distribution pattern of health centres in the study area. The following formula is as

Rn=2 d¯nA

Where: Rn = The description of the distribution

2͞d = The mean distance between the nearest neighbours (Kms)

n = The number of points (Health Centers) in the study area

A = The area

By using this formula, Rn values for Five taluks of the district have been calculated.

The Nearest Neighbour analysis statistics for all five taluks of Bidar district were derived from the distance between nearest health centers. The Rn value of the district is 1.2300, it shows that these health centres are randomly distributed, these can be observed in the Figure 3. Table 2 reveals the fact that, all most all the taluks are having a tendency of approaching towards random pattern of distribution of health centers with the Rn values of 1.23.

From the above analysis it can be concluded that, healthcare centres are not equally distributed among different taluks of Bidar District. Public Healthcare centers are not increasing with the population so there we can identify gap between them. The study reveals that, though the numbers of centers appear to be enough but they are inadequate. The Public health care centres of all the taluk are randomly distributed (Table No: 2). The Rn value of the health centres in the district is 1.2300. To reduce the imbalance in the distribution of public health centres, the establishment of new health care centres should be based on structured criteria and geographical aspects and also transportation is responsible for emergence of new health centers. These health centers are the mirror of the rural mass in the study area.