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URBAN POVERTY AND UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES IN INDIA

Published online by Cambridge University Press:  15 February 2013

RAVI PRAKASH
Affiliation:
Population Council, New Delhi, India
ABHISHEK KUMAR
Affiliation:
International Institute for Population Sciences, Mumbai, India

Summary

Drawing upon data from the third round of the National Family Health Survey (NFHS-3) conducted in India during 2005–06, this study compares the utilization of selected maternal and child health care services between the urban poor and non-poor in India and across selected Indian states. A wealth index was created, separately for urban areas, using Principal Component Analysis to identify the urban poor. The findings suggest that the indicators of maternal and child health care are worse among the urban poor than in their non-poor counterparts. For instance, the levels of antenatal care, safe delivery and childhood vaccinations are much lower among the urban poor than non-poor, especially in socioeconomically disadvantageous states. Among all the maternal and child health care indicators, the non-poor/poor difference is most pronounced for delivery care in the country and across the states. Other than poverty status, utilization of antenatal services by mothers increases the chances of safe delivery and child immunization at both national and sub-national levels. The poverty status of the household emerged as a significant barrier to utilization of health care services in urban India.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

African Population and Health Research Centre (2002) Population and Health Dynamics in Nairobi's Informal Settlement. African Population and Health Research Centre, Nairobi.Google Scholar
Agrawal, S., Satyavada, A. & Kaushik, S. (2007) Urbanization, urban poverty, and health of the urban poor: status, challenge and the way forward. Demography India 36(1), 121134.Google Scholar
Atkinson, A. M. (1994) Rural and urban families' use of child care. Family Relations 43(1), 1622.CrossRefGoogle Scholar
Bartlett, S. (2003) Water, sanitation and urban children: the need to go beyond improved provision. Environment and Urbanization 15, 5770.Google Scholar
Bhagat, R. B. (2005) Rural–urban classification and municipal governance in India. Singapore Journal of Tropical Geography 26(1), 6173.CrossRefGoogle Scholar
Bradley, D., Stephens, C., Harpham, T. & Cairncross, S. (1992) A Review of Environmental Health Impacts in Developing Countries. Urban Management Programme Discussion Paper 6, World Bank, Washington, DC, USA.Google Scholar
Brockerhoff, M. & Brennan, E. (1998) The poverty of cities in developing countries. Population and Development Review 24(1), 75114.CrossRefGoogle Scholar
Chatterjee, G. (2002) Consensus Versus Confrontation: Local Authorities and State Agencies form Partnerships with Urban Poor Communities in Mumbai. UN-HABITAT, Nairobi.Google Scholar
Chattopadhyay, A. & Roy, T. K. (2005) Are urban poor doing better than their rural counterpart in India? A study of fertility, family planning and health. Demography India 34(2), 299312.Google Scholar
Filmer, D. & Pritchett, L. H. (2001) Estimating wealth effects without expenditure data or tears: an application to educational enrolments in states of India. Demography 38(1), 115132.Google ScholarPubMed
Fosto, J. C., Ezeh, A. & Oronje, R. (2008) Provision of use of maternal health services among urban poor women in Kenya: what do we know and what can we do? Journal of Urban Health 85(3), 428442.Google Scholar
Ghosh, S. & Shah, D. (2004) Nutritional problems in urban slum children. Indian Pediatrics 41, 682696.Google ScholarPubMed
Gupta, M., Thakur, J. & Kumar, R. (2008) Reproductive and child health inequities in Chandigarh Union Territory of India. Journal of Urban Health 85, 291299.CrossRefGoogle ScholarPubMed
Gwatkin, D. R., Rutstein, S., Johnson, K., Suliman, E., Wagstaff, A. & Amouzou, A. (2007) Socio-economic Differences in Health, Nutrition, and Population. World Bank, Washington, DC, USA.Google ScholarPubMed
Harpham, T., Lusty, T. & Vaughan, P. (1998) In the Shadow of the City: Community Health and the Urban Poor. Oxford University Press, Oxford.Google Scholar
Howe, L. D., Hargreaves, J. R., Gabrysch, S. & Huttly, S. R. A. (2009) Is the wealth index a proxy for consumption expenditure? A systematic review. Journal of Epidemiology and Community Health 63, 871877.CrossRefGoogle ScholarPubMed
International Institute for Population Sciences (IIPS) & MACRO International (2007) National Family Health Survey (NFHS-3), 2005–06: India. IIPS, Mumbai.Google Scholar
Islam, M., Montgomery, M. & Taneja, S. (2006) Urban Health and Care Seeking Behaviour: A Case Study of Slums in India and the Philippines. The Partners for Health Reform Project, Abt Associates Inc, Bethesda, MD, USA.Google Scholar
Joe, W., Mishra, U. S. & Navaneetham, K. (2009) Inequalities in childhood malnutrition in India: some evidence on group disparities. Journal of Human Development and Capabilities: A Multi-Disciplinary Journal for People-Centered Development 10(3), 417439.CrossRefGoogle Scholar
Johnson, K. & Bradley, S. (2008) Trends in Population and Health Outcomes: Further Analysis of the 2006 Nepal Demographic and Health Survey. Macro International Inc., Calverton, MD, USA.Google Scholar
Kakwani, N., Wagstaff, A. & Doorslaer, V. E. (1997) Socioeconomic inequalities in health: measurement, computation and statistical inference. Journal of Econometrics 77(1), 87104.CrossRefGoogle Scholar
Kumar, A. (2008) Understanding the trends in reproductive and child health among urban poor and non-poor in India. MPhil thesis, IIPS, Mumbai.Google Scholar
Ladusingh, L. & Singh, C. H. (2007) Rich–poor gap in maternal care: the case of north-east India. Asian Population Studies 3(1), 7994.CrossRefGoogle Scholar
Magadi, M. A., Zulu, E. M. & Brockerhoff, M. (2003) The inequality of maternal health care in urban sub-Saharan Africa in the 1990s. Population Studies 65, 347366.CrossRefGoogle Scholar
Mishra, U. S. & Dilip, T. R. (2008) Reflections on wealth quintile distribution and health outcomes. Economic and Political Weekly 43(48), 7782.Google Scholar
Mohanty, S. K. (2009) Alternative wealth indices and health estimates in India. Genus LXV(2), 113137.Google Scholar
Mohanty, S. K. & Pathak, P. K. (2009) Rich–poor gap in utilization of reproductive and child health services in India, 1992–2005. Journal of Biosocial Science 41(3), 381398.CrossRefGoogle ScholarPubMed
Montgomery, M. R., Gragnolati, M., Burke, K. A., & Paredes, E. (2000) Measuring living standards with proxy variables. Demography 37(2), 155174.CrossRefGoogle ScholarPubMed
Montgomery, M. R. & Hewett, P. C. (2005) Urban poverty and health in developing countries: household and neighbourhood effects. Demography 42(3), 397425.CrossRefGoogle Scholar
Mulgaonkar, V. B., Parikh, I. G., Taskar, V. R., Dharap, N. D. & Pradhan, V. P. (1994) Perception of Bombay slum women regarding refusal to participate in a gynaecological health programme. In Gittelsohn, J.et al. (eds) Listening to Women Talk about their Health Issues and Evidence from India. Har-Anand Publications, New Delhi, India, pp. 145–167.Google Scholar
O'Donnell, O., van Doorslaer, E., Wagstaff, A. & Lindelow, M. (2008) Analysing Health Equity using Household Survey Data: A Guide to Techniques and their Implementation. World Bank Institute Learning Resource Series, The World Bank, Washington, DC, USA.Google Scholar
Office of the Registrar General and Census Commissioner (2011) Provisional Population Totals. Paper 2, Vol. 1, Series 1. Office of the Registrar General and Census Commissioner, New Delhi.Google Scholar
Pathak, P. K. & Mohanty, S. K. (2010) Does the safe-motherhood programme reach the poor in Uttar Pradesh, India? Asian Population Studies 6(2), 173191.CrossRefGoogle Scholar
Pathak, P. K. & Singh, A. (2011) Trends in malnutrition among children in India: growing inequalities across different economic groups. Social Science & Medicine doi:10.1016/j.socscimed.2011.06.024CrossRefGoogle ScholarPubMed
Pathak, P. K., Singh, A. & Subramanian, S. V. (2010) Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992–2006. PLoS ONE 5(10): e13593.CrossRefGoogle ScholarPubMed
Pelletier, D. L., Frongillo, E. A. Jr, Schroeder, D. G. & Habicht, J.-P. (1995) The effects of malnutrition on child mortality in developing countries. Bulletin of the World Health Organization 73, 443448.Google ScholarPubMed
Planning Commission (2000) Ninth Five Year Plan. Vol. 2. Government of India, New Delhi.Google Scholar
Planning Commission (2007) Poverty Estimates for 2004–05. Government of India, New Delhi. URL: http://planningcommission.nic.in/news/prmar07.pdf (accessed 11th December 2010).Google Scholar
Ram, F., Ram, U. & Singh, A. (2006) Maternal mortality: is Indian program prepared to meet the challenges? Journal of Health and Development 2(1&2), 6780.Google Scholar
Rossi-Espagnet, A. (1984) Primary Health Care in Urban Areas: Reaching the Urban Poor in Developing Countries. UNICEF and WHO Report No. 2499. UNICEF and WHO, World Health Organization, Geneva.Google Scholar
Rutstein, S. O. (2008) The DHS Wealth Index: Approaches to Rural and Urban Areas. DHS Working Paper No. 60. Macro International Inc., Calverton, MD, USA.Google Scholar
Rutstein, S. O. & Johnson, K. (2004) DHS Comparative Report 6: The DHS Wealth Index. ORC Macro and Measure DHS, Calverton, MD, USA.Google Scholar
Rutstein, S., Johnson, K. & Montana, L. (2005) Targeting health services to the urban poor: is slum geography enough? Paper presented at the XXV International Population Conference, International Union for the Scientific Study of Population, Tours, France.Google Scholar
Ruzicka, L. T. & Kane, P. (1985) Nutrition and child survival in south Asia. In Srinivasan, K. & Mukerji, S. (eds) Dynamic of Family Welfare. Himalaya Publishing House, Bombay.Google Scholar
Timaeus, I. & Lush, L. (1995) Intra-urban differentials in child health. Health Transition Review 5, 163190.Google Scholar
UN-HABITAT (2006) State of the World's Cities 2006/7: The Millennium Development Goals and Urban Sustainability. Earthscan Publication, London.Google Scholar
United Nations (2006) World Urbanization Prospects: The 2005 Revision. United Nations Population Division, New York.Google Scholar
Urban Health Resource Centre (2008) Key Indicators for Urban Poor in India from NFHS-3 and NFHS-2. Wall Chart. UHRC, New Delhi.Google Scholar
Vyas, S. & Kumaranayake, L. (2006) Constructing socio-economic status indices: how to use principal component analysis. Health Policy and Planning 21(6), 459468.CrossRefGoogle Scholar