The persistent influence of caste on under-five mortality: Factors that explain the caste-based gap in high focus Indian states

Bora, Jayanta Kumar; Raushan, Rajesh; Lutz, Wolfgang

doi:10.1371/journal.pone.0211086

Cited by 39 publications

(27 citation statements)

References 40 publications

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“…This finding is both intuitive as well as corroborated by several other studies. [35][36][37][38][39][40] The pattern of the unequal distribution of U5MR by maternal education as reported by the present study is in line with several other studies, most notably. 41,42 The study also showed that the most elevated inequality was seen in Odisha followed by Jharkhand and Uttarakhand.…”

Section: Discussionsupporting

confidence: 93%

Health Inequalities in Under-Five Mortality: An Assessment of Empowered Action Group (EAG) States of India

Kumar

Sahu

Mehto

et al. 2020

JHEOR

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Background: The effect of childhood well-being programs is commonly interconnected with a change in mortality trends. The proportion of disparity shows that inequality in child mortality is more collective in the similarly evolved states than the poorer states in India. Objective: To estimate and compare the health inequality of under-five mortality in Empowered Action groups (EAG) states of India. Methods: Data from the National Family Health Survey (NFHS-4) was used only for the EAG States of India. Under-five mortality rates (U5MR) were calculated for associated background characteristics by using the life table method. Wealth inequality was assessed separately for all EAG states by calculating measures of concentration index (CI). Concentration curves (CC) were also plotted to see the difference in inequality. Results: Higher U5MR was observed in all EAG states compared with estimates for overall India. On comparing estimates of inequality, CI values show the substantial burden of U5MR among EAG states of India. The CC shows the lowest inequality in EAG states of India. Conclusion: The results suggested the need to receive various health strategy intercessions in agreement with the instance of ever-changing commitments of economic components to child health disparities in EAG states. Measuring the impact of determinants to wealth-related inequality in U5MR helps in lining up the interventions targeted at improving child survival.

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Section: Discussionsupporting

confidence: 93%

Health Inequalities in Under-Five Mortality: An Assessment of Empowered Action Group (EAG) States of India

Kumar

Sahu

Mehto

et al. 2020

JHEOR

View full text Add to dashboard Cite

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“…SIAF covers treatment and medicine cost (postsurgery medicines for 6 months) of 20 listed disease types (mostly noncommunicable diseases [NCDs]) through empanelled health institutions within and outside MP. MP being recognized as a high-focus state by the Government of India, we believe that the findings from this study could serve as a basis for the remaining eight states in this category, which is primarily distinguished by "persistently high child mortality and relatively poor socio-economic and health indicators" (Bora et al, 2019).…”

Section: Introductionmentioning

confidence: 80%

Governance in Public Purchasing of Tertiary-Level Health Care: Lessons From Madhya Pradesh, India

2020

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The performance of a health system hinges upon effective and efficient allocation of resources. The nature of governance within the health system, including critical components such as purchasing mechanism of health care services, also determines the health status of program beneficiaries. This article investigates an existing purchasing mechanism of a state-funded health care scheme through the lens of governance. We applied framework method on an adapted version of a tool developed by the World Health Organization (WHO), Organizational Assessment for Improving and Strengthening Health Financing (OASIS), to draw four themes to study the status of purchasing mechanism in Madhya Pradesh (MP), India. We used purposive sampling to select subjects from the state, district, and block levels and conducted 32 in-depth interviews. Subjects from the district and block levels were drawn from a sample of three out of 51 districts in MP. We found that although the scheme is functional, it has immense scope for improvement, thereby bettering the health outcomes of its beneficiaries.

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“…In the above equation, the first term in brackets denotes explained differences, that is, the gap between the two groups due to group differences in the distribution of the endowment variables. The second term represents unexplained differences that capture the gap due to group differences in unmeasurable or unobserved endowments (see detailed Bora et al, [ 55 ] for further understanding of Fairlie decomposition). Moreover, the descriptive analysis of the variables used in the study can be found in the supporting document (supporting file 1)…”

Section: Methodsmentioning

confidence: 99%

Impact of socio-economic inequity in access to maternal health benefits in India: Evidence from Janani Suraksha Yojana using NFHS data

2021

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Background Caste plays a significant role in Indian society and it influences women to health care access in the community. The implementation of the maternal health benefits scheme in India is biased due to caste identity. In this context, the paper investigates access to Janani Suraksha Yojana (JSY) among social groups to establish that caste still plays a pivotal role in Indian society. Also, this paper aims to quantify the discrimination against Scheduled Castes/Scheduled Tribes (SCs/STs) in accessing JSY. Methods This paper uses a national-level data set of both NFHS-3 (2005–06) and NFHS-4 (2015–16). Both descriptive statistics and the Fairlie decomposition econometric model have been used to measure the explained and unexplained differences in access to JSY between SCs/STs and non-SCs/STs groups. Results Overall, the total coverage of JSY in India is still, 36.4%. Further, it is found that 72% of access to JSY is explained by endowment variables. The remaining unexplained percentage (28%) indicates that there is caste discrimination (inequity associated social-discrimination) against SCs/STs in access to JSY. The highest difference (54%) between SCs/STs and non-SCs/STs in access to JSY comes from the wealth quintile, with the positive sign indicating that the gap between the two social groups is widening. Discussion and conclusion It is necessary for the government to implement a better way to counter the caste-based discrimination in access to maternal health benefits scheme. In this regard, ASHA and Anganwadi workers must be trained to reduce the influence of dominant caste groups as well as they must be recruited from the same community to identify the right beneficiaries of JSY and in order to reduce inequity associated with social-discrimination.

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The persistent influence of caste on under-five mortality: Factors that explain the caste-based gap in high focus Indian states

Cited by 39 publications

References 40 publications

Health Inequalities in Under-Five Mortality: An Assessment of Empowered Action Group (EAG) States of India

Health Inequalities in Under-Five Mortality: An Assessment of Empowered Action Group (EAG) States of India

Governance in Public Purchasing of Tertiary-Level Health Care: Lessons From Madhya Pradesh, India

Impact of socio-economic inequity in access to maternal health benefits in India: Evidence from Janani Suraksha Yojana using NFHS data

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