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HEALTH INEQUALITIES AMONG URBAN CHILDREN IN INDIA: A COMPARATIVE ASSESSMENT OF EMPOWERED ACTION GROUP (EAG) AND SOUTH INDIAN STATES

Published online by Cambridge University Press:  29 May 2012

P. AROKIASAMY
Affiliation:
International Institute for Population Sciences, Mumbai, India
KSHIPRA JAIN
Affiliation:
International Institute for Population Sciences, Mumbai, India
SRINIVAS GOLI
Affiliation:
International Institute for Population Sciences, Mumbai, India
JALANDHAR PRADHAN
Affiliation:
Department of Humanities and Social Sciences, National Institute of Technology, Orissa, India

Summary

As India rapidly urbanizes, within urban areas socioeconomic disparities are rising and health inequality among urban children is an emerging challenge. This paper assesses the relative contribution of socioeconomic factors to child health inequalities between the less developed Empowered Action Group (EAG) states and more developed South Indian states in urban India using data from the 2005–06 National Family Health Survey. Focusing on urban health from varying regional and developmental contexts, socioeconomic inequalities in child health are examined first using Concentration Indices (CIs) and then the contributions of socioeconomic factors to the CIs of health variables are derived. The results reveal, in order of importance, pronounced contributions of household economic status, parent's illiteracy and caste to urban child health inequalities in the South Indian states. In contrast, parent's illiteracy, poor economic status, being Muslim and child birth order 3 or more are major contributors to health inequalities among urban children in the EAG states. The results suggest the need to adopt different health policy interventions in accordance with the pattern of varying contributions of socioeconomic factors to child health inequalities between the more developed South Indian states and less developed EAG states.

Type
Articles
Copyright
Copyright © Cambridge University Press 2012

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References

Agarwal, S. (2011) The state of urban health in India: comparing the poorest quartile to the rest of the urban population in selected states and cities. Environment and Urbanization 23(1), 1328.CrossRefGoogle Scholar
Agarwal, S. & Taneja, S. (2005) All slums are not equal: child health conditions among the urban poor. India Pediatrics 42, 233244.Google ScholarPubMed
Arokiasamy, P. & Pradhan, J. (2011) Measuring wealth-based health inequality among Indian children: the importance of equity vs efficiency. Health Policy and Planning 26(5), 429440.CrossRefGoogle ScholarPubMed
Brockerhoff, M. & Brennan, E. (1998) The poverty of cities in developing regions. Population and Development Review 24(1), 75114.CrossRefGoogle Scholar
Cohen, B. (2006) Urbanization in developing countries: current trends, future projections, and key challenges for sustainability. Technology in Society 28, 6380.CrossRefGoogle Scholar
Data Net India Private Limited (1981–2005) Socio-economic Information from Official Statistics. URL: http://www.indiastat.com/percapitaavailability/24/income/131/stats.aspx.Google Scholar
Fotso, J. C. (2006) Child health inequities in developing countries: differences across urban and rural areas. International Journal for Equity in Health 5(1), 110.CrossRefGoogle ScholarPubMed
Gakidou, E. E., Murray, C. J. & Frenk, J. (2000) Defining and measuring health inequality: an approach based on the distribution of health expectancy. Bulletin of the World Health Organization 78(1), 4254.Google ScholarPubMed
Goli, S., Arokiasamy, P. & Chattopadhaya, A. (2011) Living and health conditions of selected cities in India: setting priorities for the National Urban Health Mission. Journal of Cities 28, 461469.CrossRefGoogle Scholar
Government of India (2008) Draft Urban Health Mission, Urban Health Division. MOHFW, Government of India, New Delhi.Google Scholar
Graham, H. & Kelly, M. (2004) Health Inequalities: Concepts, Framework and Policy. Briefing Paper, NHS Health Development Agency.Google Scholar
Hosseinpoor, A. R., Doorslaer, V. E.Speybroeck, N.et al. (2006) Decomposing socioeconomic inequality in infant mortality in Iran. International Journal of Epidemiology 35, 12111219.CrossRefGoogle ScholarPubMed
IIPS & Macro International (2007) National Family Health Survey-3, India. International Institute for Population Sciences, Mumbai.Google Scholar
Joe, W., Mishra, U. S. & Navaneetham, K. (2009) Inequality in childhood malnutrition in India. Journal of Human Development and Capabilities 10(3), 417439.CrossRefGoogle Scholar
Kumar, A. & Mohanty, S. K. (2011) Intra-urban differentials in the utilization of reproductive health care in India, 1992–2006. Journal of Urban Health 88(2), 311328.CrossRefGoogle ScholarPubMed
Marina, K. (1999) Healthy cities: a guide to literature. Environment and Urbanization 11(1), 201220.Google Scholar
Naschold, F. (2002) Why Inequality Matters for Poverty. DFID Inequality Briefing 2. Department for International Development, London, pp. 16.Google Scholar
O'Donnell, O., van Doorslaer, E., Wagstaff, A. & Lindelow, M. (2008) Analyzing Health Equity using Household Survey Data. A Guide to Techniques and Their Implementation. World Bank Institute.Google Scholar
Office of Registrar General of India (2001) Census of India. Ministry of Home Affairs, Government of India, New Delhi.Google Scholar
Office of Registrar General of India (2006a) Report of Sample Registration System. Ministry of Home Affairs, Government of India, New Delhi.Google Scholar
Office of Registrar General of India (2006b) Population Projection for India and States, 2001–2026 Ministry of Home Affairs, Government of India, New Delhi.Google Scholar
Office of Registrar General of India (2011) Census of India. Ministry of Home Affairs, Government of India, New Delhi.Google Scholar
Pradhan, J. & Arokiasamy, P. (2010) Socio-economic inequalities in child survival in India: a decomposition analysis. Health Policy 98(2–43), 114120.CrossRefGoogle ScholarPubMed
Sanke, S., Vittal, I., Dobbs, R.et al. (2010) Report on India's Awaking: Building Inclusive Cities, Sustaining Economic Growth. Mckinsey Global Institute, Mckinsey and Company, India.Google Scholar
Timaeus, I. M. & Lush, L. (1995) Intra-urban differentials in child health. Health Transition Review 5, 163190.Google Scholar
United Nations (2005) World Urbanization Prospects: Concepts and Definitions. Population Division of the Department of Economic and Social Affairs of the United Nations.Google Scholar
United Nations (2008) World Urbanization Prospects. Population Division of the Department of Economic and Social Affairs of the United Nations.Google Scholar
United Nations (2009) World Urbanization Prospects: The 2007 Revision. Population Division of the Department of Economic and Social Affairs of the United Nations.Google Scholar
Visaria, L. (2004a) Mortality trends and the health transition. In Dyson, T., Cassen, R. & Visaria, L. (eds) Twenty-first Century India: Population, Economy, Human Development and Environment. Oxford University Press, Oxford, pp. 3255.CrossRefGoogle Scholar
Visaria, L. (2004b) The continuing fertility transition. In Dyson, T., Cassen, R. & Visaria, L. (eds) Twenty-first Century India: Population, Economy, Human Development and Environment. Oxford University Press, Oxford, pp. 5773.CrossRefGoogle Scholar
Wagstaff, A. (2000) Socioeconomic inequalities in child mortality: comparisons across nine developing countries. Bulletin of the World Health Organization 78 (1), 1929.Google ScholarPubMed
Wagstaff, A. (2002a) Inequalities in Health in Developing Countries: Swimming Against the Tide? Policy Research Working Paper 2795, World Bank, Washington, DC.CrossRefGoogle Scholar
Wagstaff, A. (2002b) Poverty and health sector inequalities. Bulletin of the World Health Organization 80(2), 97105.Google ScholarPubMed
Wagstaff, A., Doorslaer, V. E. & Wantanbe, N. (2003) On decomposing the causes of health sector inequalities, with an application to malnutrition inequalities in Vietnam. Journal of Econometrics 112(1), 219227.CrossRefGoogle Scholar
Wagstaff, A., Pact, P. & Doorslaer, V. E. (1991) On the measurement of inequalities in health. Social Science & Medicine 33(5), 545557.CrossRefGoogle ScholarPubMed
Weeks, J. R., Hill, A. G., Stow, D. A.et al. (2005) Intra-Urban Differentials in Poverty and Health in Accra, Ghana. San Diego State University.Google Scholar
WHO (1998) Postpartum Care of the Mother and Newborn: A Practical Guide. Maternal and Newborn Health/Safe Motherhood Unit, Division of Reproductive Health (Technical Support), World Health Organization, Geneva.Google Scholar
WHO (1999) Creating healthy cities in the 21st century. In Satterwaite, D. (ed) The Earthscan Reader on Sustainable Cities. Earthscan Publications, London.Google Scholar
WHO (2000) The World Health Report: Health Systems: Improving Performance World Health Organization, Geneva.Google Scholar
WHO (2008) Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Final report, Commission on Social Determinants of Health. World Health Organization, Geneva.Google Scholar
WHO Multicenter Growth Reference Study Group (2006) WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age-methods and development. World Health Organization, Geneva.Google Scholar