Institutional delivery in India, 2004-14: unravelling the equity-enhancing contributions of the public sector.
TLDR
Sustained policy efforts are necessary, however, with an emphasis on education, sociocultural and geographical factors to ensure universal coverage of institutional delivery care services in India.Abstract:
To achieve faster and equitable improvements in maternal and child health outcomes, the government of India launched the National Rural Health Mission in 2005. This paper describes the equity-enhancing role of the public sector in increasing use of institutional delivery care services in India between 2004 and 2014. Information on 24 661 births from nationally representative survey data for 2004 and 2014 is analysed. Concentration index is computed to describe socioeconomic-rank-related relative inequalities in institutional delivery and decomposition is used to assess the contributions of public and private sectors in overall socioeconomic inequality. Multilevel logistic regression is applied to examine the changes in socioeconomic gradient between 2004 and 2014. The analysis finds that utilization of institutional delivery care in India increased from 43% in 2004 to 83% in 2014. The bulk of the increase was in public sector use (21% in 2004 to 53% in 2014) with a modest increase in private sector use (22% in 2004 to 30% in 2014). The shift from a pro-rich to pro-poor distribution of public sector use is confirmed. Decomposition analysis indicates that 51% of these reductions in socioeconomic inequality are associated with improved pro-poor distribution of public sector births. Multilevel logistic regressions confirm the disappearance of a wealth-based gradient in public sector births between 2004 and 2014. We conclude that public health investments in India have significantly contributed towards an equitable increase in the coverage of institutional delivery care. Sustained policy efforts are necessary, however, with an emphasis on education, sociocultural and geographical factors to ensure universal coverage of institutional delivery care services in India.read more
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Do poor people in the poorer states pay more for healthcare in India
Anjali Dash,Sanjay K. Mohanty +1 more
TL;DR: The poor people in the poorer states in India pay significantly more to avail hospitalization in public health centers than those in the developed states, and provision of free medicines, surgery and free diagnostic tests inpublic health centers may reduce the high OOPE and medical poverty in India.
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Inequality in child undernutrition among urban population in India: a decomposition analysis
TL;DR: Maternal factors (specifically mother’s education) were the highest contributory factors in explaining rich-poor inequality in stunting as well as underweight among urban children during 2005–06 and 2015–16.
Journal ArticleDOI
Out-of-pocket expenditure and correlates of caesarean births in public and private health centres in India.
TL;DR: Caesarean births were significantly higher among mothers belonging to higher socioeconomic status, first order births, mothers with high BMI, pregnancy complications, repeat caesareans and in private health centres confirming that both maternal demand and institutional factors are leading to the increasing in caesAREan rates in India.
Journal ArticleDOI
Factors influencing institutional delivery and the role of accredited social health activist (ASHA): a secondary analysis of India human development survey 2012.
Pooja L. Paul,Shanta Pandey +1 more
TL;DR: In this paper, the authors examined the determinants of institutional delivery and the role of the ASHA worker in shaping choice regarding place of delivery and extracted an analytic sample of women (N = 8711) who reported having at least one child since 2005.
References
More filters
Journal ArticleDOI
On the measurement of inequalities in health
TL;DR: It is suggested that only two methods--the slope index of inequality and the concentration index--are likely to present an accurate picture of socioeconomic inequalities in health.
Journal ArticleDOI
Income Inequality Effects by Income Source: A New Approach and Applications to the United States
Robert I. Lerman,Shlomo Yitzhaki +1 more
Journal ArticleDOI
India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation
Stephen S Lim,Lalit Dandona,Lalit Dandona,Joseph A Hoisington,Spencer L. James,Margaret C. Hogan,Emmanuela Gakidou +6 more
TL;DR: JSY had a significant effect on increasing antenatal care and in-facility births and emphasise the need for improved targeting of the poorest women and attention to quality of obstetric care in health facilities.
ReportDOI
Corruption in Developing Countries
Benjamin A. Olken,Rohini Pande +1 more
Abstract: Recent years have seen a remarkable expansion in economists' ability to measure corruption. This in turn has led to a new generation of well-identified, microeconomic studies. We review the evidence on corruption in developing countries in light of these recent advances, focusing on three questions: how much corruption is there, what are the efficiency consequences of corruption, and what determines the level of corruption? We find robust evidence that corruption responds to standard economic incentive theory but also that the effects of anticorruption policies often attenuate as officials find alternate strategies to pursue rents.
Journal ArticleDOI
Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
Nicholas J Kassebaum,Ryan M Barber,Zulfiqar A Bhutta,Zulfiqar A Bhutta,Lalit Dandona,Lalit Dandona,Peter W. Gething,Simon I. Hay,Simon I. Hay,Yohannes Kinfu,Heidi J. Larson,Heidi J. Larson,Xiaofeng Liang,Stephen S Lim,Alan D. Lopez,Alan D. Lopez,Rafael Lozano,George A. Mensah,Ali H. Mokdad,Mohsen Naghavi,Christine Pinho,Joshua A. Salomon,Caitlyn Steiner,Theo Vos,Haidong Wang,Amanuel Alemu Abajobir,Kalkidan Hassen Abate,Kaja Abbas,Foad Abd-Allah,Mahmud A. Abdallat,Abdishakur M. Abdulle,Semaw Ferede Abera,Semaw Ferede Abera,Victor Aboyans,Ibrahim Abubakar,Niveen M E Abu-Rmeileh,Tom Achoki,Akindele Olupelumi Adebiyi,Isaac Akinkunmi Adedeji,Ademola Lukman Adelekan,Arsène Kouablan Adou,Kossivi Agbelenko Afanvi,Arnav Agarwal,Arnav Agarwal,Aliasghar Ahmad Kiadaliri,Aliasghar Ahmad Kiadaliri,Oluremi N Ajala,Oluremi N Ajala,Tomi Akinyemiju,Nadia Akseer,Ziyad Al-Aly,Khurshid Alam,Khurshid Alam,Noore Alam,Noore Alam,Deena Alasfoor,Saleh F. Aldhahri,Robert W Aldridge,Samia Alhabib,Raghib Ali,Ala'a Alkerwi,François Alla,Rajaa Al-Raddadi,Ubai Alsharif,Elena Alvarez Martin,Nelson Alvis-Guzman,Azmeraw T. Amare,Alemayehu Amberbir,Adeladza Kofi Amegah,Walid Ammar,Stephen M. Amrock,Hjalte Holm Andersen,Gregory M Anderson,Rose Mayerline Antoine,Carl Abelardo T. Antonio,Atsede Fantahun Aregay,Johan Ärnlöv,Johan Ärnlöv,Megha Arora,Valentina Arsić Arsenijević,Valentina Arsić Arsenijević,Al Artaman,Hamid Asayesh,Suleman Atique,Euripide Frinel G Arthur Avokpaho,Ashish Awasthi,Beatriz Paulina Ayala Quintanilla,Beatriz Paulina Ayala Quintanilla,Peter Azzopardi,Peter Azzopardi,Umar Bacha,Alaa Badawi,Alaa Badawi,Maria Cecilia Bahit,Kalpana Balakrishnan,Amitava Banerjee,Aleksandra Barac,Suzanne Barker-Collo,Till Bärnighausen,Till Bärnighausen,Sanjay Basu,Tigist Assefa Bayou,Yibeltal Tebekaw Bayou,Shahrzad Bazargan-Hejazi,Shahrzad Bazargan-Hejazi,Shahrzad Bazargan-Hejazi,Justin Beardsley,Neeraj Haidong Wang,Bedi,Tolesa Bekele,Michelle L. Bell,Derrick A Bennett,Isabela M. Benseñor,Adugnaw Berhane,Eduardo Bernabé,Balem Demtsu Betsu,Addisu Shunu Beyene,Sibhatu Biadgilign,Boris Bikbov,Aref A. Bin Abdulhak,Brian J. Biroscak,Brian J. Biroscak,Stan Biryukov,Donal Bisanzio,Espen Bjertness,Jed D. Blore,Michael Brainin,Alexandra Brazinova,Nicholas J K Breitborde,Traolach S. Brugha,Zahid A Butt,Ismael R. Campos-Nonato,Julio Cesar Campuzano,Rosario Cárdenas,Juan Jesus Carrero,Austin Carter,Daniel C Casey,Carlos A Castañeda-Orjuela,Ruben Castro,Ferrán Catalá-López,Ferrán Catalá-López,Fiorella Cavalleri,Hsing-Yi Chang,Hsing-Yi Chang,Jung-Chen Chang,Laxmikant Chavan,Chioma Ezinne Chibueze,Vesper Hichilombwe Chisumpa,Vesper Hichilombwe Chisumpa,Jee-Young Jasmine Choi,Rajiv Chowdhury,Devasahayam J. Christopher,Liliana G Ciobanu,Massimo Cirillo,Matthew M Coates,Megan Coggeshall,Valentina Colistro,Samantha M. Colquhoun,Cyrus Cooper,Cyrus Cooper,Leslie T. Cooper,Monica Cortinovis,Tukur Dahiru,Albertino Damasceno,Hadi Danawi,Rakhi Dandona,José Neves,Diego De Leo,Robert P. Dellavalle,Kebede Deribe,Kebede Deribe,Amare Deribew,Amare Deribew,Don C. Des Jarlais,Don C. Des Jarlais,Samath D Dharmaratne,Daniel Dicker,Eric L. Ding,Edem Dossou,Manisha Dubey,Beth E. Ebel,Christian Lycke Ellingsen,Iqbal R. F. Elyazar,Aman Yesuf Endries,Sergey Petrovich Ermakov,Babak Eshrati,Alireza Esteghamati,Emerito Jose A. Faraon,Talha Farid,Carla Sofia e Sa Farinha,André Faro,Maryam S. Farvid,Farshad Farzadfar,Seyed-Mohammad Fereshtehnejad,João C. Fernandes,Florian Fischer,Joseph R Fitchett,Thomas Fleming,Nataliya Foigt,Elisabeth Barboza França,Richard C. Franklin,Maya S Fraser,Joseph Friedman,Nancy Fullman,Thomas Fürst,Thomas Fürst,Thomas Fürst,Neal D. Futran,Ketevan Gambashidze,Amiran Gamkrelidze,Teshome Gebre,Tsegaye Tewelde Gebrehiwot,Amanuel Tesfay Gebremedhin,Amanuel Tesfay Gebremedhin,Mengistu Gebremedhin,Alemseged Aregay Gebru,Johanna M. Geleijnse,Katherine B Gibney,Katherine B Gibney,Ababi Zergaw Giref,Maurice Giroud,Melkamu Dedefo Gishu,Elizabeth Glaser,Shifalika Goenka,Héctor Gómez-Dantés,Philimon Gona,Amador Goodridge,Sameer Vali Gopalani,Atsushi Goto,Nicholas Graetz,Harish Chander Gugnani,Yuming Guo,Rahul Gupta,Rajeev Gupta,Vipin Gupta,Nima Hafezi-Nejad,Alemayehu Hailu,Gessessew Bugssa Hailu,Randah R. Hamadeh,Samer Hamidi,Jamie Hancock,Alexis J Handal,Graeme J. Hankey,Hilda L Harb,Sivadasanpillai Harikrishnan,Kimani M Harun,Kimani M Harun,Rasmus Havmoeller,Hans W. Hoek,Hans W. Hoek,Masako Horino,Nobuyuki Horita,H. Dean Hosgood,Damian G Hoy,Aung Soe Htet,Guoqing Hu,Hsiang Huang,John J Huang,Inge Huybrechts,Inge Huybrechts,Chantal Huynh,Marissa Iannarone,Kim Moesgaard Iburg,Bulat Idrisov,Veena R. Iyer,Kathryn H. Jacobsen,Nader Jahanmehr,Mihajlo Jakovljevic,Mehdi Javanbakht,Achala Upendra Jayatilleke,Sun Ha Jee,Panniyammakal Jeemon,Vivekanand Jha,Vivekanand Jha,Guohong Jiang,Ying Jiang,Tariku Jibat,Tariku Jibat,Jost B. Jonas,Zubair Kabir,Ritul Kamal,Haidong Kan,André Karch,Dimitris Karletsos,Amir Kasaeian,Anil Kaul,Norito Kawakami,Jeanne Françoise Kayibanda,Konstantin Kazanjan,Dhruv S. Kazi,Peter Njenga Keiyoro,Laura Kemmer,Andrew H. Kemp,Andrew H. Kemp,Andre Pascal Kengne,Andre Pascal Kengne,Andre Keren,Maia Kereselidze,Chandrasekharan Nair Kesavachandran,Yousef Khader,Abdur Rahman Khan,Ejaz Ahmad Khan,Young-Ho Khang,Irma Khonelidze,Ardeshir Khosravi,Jagdish Khubchandani,Yun Jin Kim,Miia Kivipelto,Luke D. Knibbs,Yoshihiro Kokubo,Soewarta Kosen,Parvaiz A Koul,Ai Koyanagi,Sanjay Krishnaswami,Barthelemy Kuate Defo,Burcu Kucuk Bicer,Andreas A Kudom,Xie Rachel Kulikoff,Chanda Kulkarni,G Anil Kumar,Michael Kutz,Dharmesh Kumar Lal,Ratilal Lalloo,Hilton Lam,Héctor Lamadrid-Figueroa,Qing Lan,Anders Larsson,Dennis Odai Laryea,James Leigh,Ricky Leung,Yichong Li,Yichong Li,Yongmei Li,Yongmei Li,Steven E. Lipshultz,Steven E. Lipshultz,Patrick Liu,Shiwei Liu,Yang Liu,Belinda K Lloyd,Belinda K Lloyd,Paulo A. Lotufo,Raimundas Lunevicius,Stefan Ma,Stefan Ma,Hassan Magdy Abd El Razek,Mohammed Magdy Abd El Razek,Marek Majdan,Azeem Majeed,Reza Malekzadeh,Chabila C Mapoma,Wagner Marcenes,David J. Margolis,Neal Marquez,Felix Masiye,Melvin Barrientos Marzan,Amanda J. Mason-Jones,Tasara T. Mazorodze,Peter A. Meaney,Alem Mehari,Man Mohan Mehndiratta,Fabiola Mejía-Rodríguez,Alemayehu B. Mekonnen,Alemayehu B. Mekonnen,Yohannes Adama Melaku,Yohannes Adama Melaku,Ziad A. Memish,Walter Mendoza,Atte Meretoja,Atte Meretoja,Tuomo J. Meretoja,Francis Apolinary Mhimbira,Ted R. Miller,Ted R. Miller,Edward J Mills,Mojde Mirarefin,Awoke Misganaw,Norlinah Mohamed Ibrahim,Karzan Abdulmuhsin Mohammad,Alireza Mohammadi,Shafiu Mohammed,Shafiu Mohammed,Glen Mola,Lorenzo Monasta,Jonathan de la Cruz Monis,Julio Cesar Montañez Hernandez,Pablo Montero,Marcella Montico,Meghan D. Mooney,Ami R. Moore,Maziar Moradi-Lakeh,Lidia Morawska,Rintaro Mori,Ulrich O Mueller,Gudlavalleti V S Murthy,Gudlavalleti V S Murthy,Srinivas Murthy,Jean B. Nachega,Jean B. Nachega,Jean B. Nachega,Aliya Naheed,Luigi Naldi,Devina Nand,Vinay Nangia,Denis Nash,Subas Neupane,John N Newton,Marie Ng,Frida Namnyak Ngalesoni,Peter Nguhiu,Grant Nguyen,Quyen Nguyen,Muhammad Imran Nisar,Marika Nomura,Ole Frithjof Norheim,Rosana E. Norman,Luke Nyakarahuka,Carla Makhlouf Obermeyer,Felix Akpojene Ogbo,In-Hwan Oh,Foluke Adetola Ojelabi,Pedro R. Olivares,Bolajoko O. Olusanya,Jacob Olusegun Olusanya,John Nelson Opio,Eyal Oren,Erika Ota,Abayomi Samuel Oyekale,Padukudru Anand Mahesh,Amanda W Pain,Nikolaos Papantoniou,Eun-Kee Park,Hye Youn Park,Angel J Paternina Caicedo,Scott B. Patten,Vinod K. Paul,David M. Pereira,Norberto Perico,Konrad Pesudovs,Max Petzold,Michael R. Phillips,Michael R. Phillips,Julian David Pillay,Farhad Pishgar,Suzanne Polinder,Daniel Pope,Farshad Pourmalek,Mostafa Qorbani,Anwar Rafay,Kazem Rahimi,Vafa Rahimi-Movaghar,Mahfuzar Rahman,Mohammad Hifz Ur Rahman,Sajjad Ur Rahman,Rajesh Kumar Rai,Usha Ram,Chhabi Lal Ranabhat,Thara Rangaswamy,P. V. Rao,Amany H Refaat,Amany H Refaat,Giuseppe Remuzzi,Serge Resnikoff,David Rojas-Rueda,Luca Ronfani,Gholamreza Roshandel,Gholamreza Roshandel,Ambuj Roy,George Mugambage Ruhago,Rajesh Sagar,Muhammad Muhammad Saleh,Juan Sanabria,Juan Sanabria,Maria Dolores Sanchez-Niño,Itamar S. Santos,Joao Vascos Santos,Rodrigo Sarmiento-Suarez,Benn Sartorius,Maheswar Satpathy,Miloje Savic,Monika Sawhney,Mete Saylan,Ione Jayce Ceola Schneider,David C. Schwebel,Soraya Seedat,Sadaf G. Sepanlou,Edson Serván-Mori,Tesfaye Setegn,Katya Anne Shackelford,Masood Ali Shaikh,Marina Shakh-Nazarova,Rajesh Sharma,Jun She,Sara Sheikhbahaei,Jiabin Shen,Jiabin Shen,Kenji Shibuya,Min-Jeong Shin,Rahman Shiri,Kawkab Shishani,Ivy Shiue,Ivy Shiue,Inga Dora Sigfusdottir,Naris Silpakit,Diego Augusto Santos Silva,Dayane Gabriele Alves Silveira,Jonathan I. Silverberg,Edgar P. Simard,Shireen Sindi,Abhishek Singh,Jasvinder A. Singh,Om Prakash Singh,Prashant Singh,Virendra Singh,Vegard Skirbekk,Vegard Skirbekk,Amber Sligar,Karen Sliwa,Jessica M. Smith,Samir Soneji,Reed J D Sorensen,Joan B. Soriano,Sergey Soshnikov,Luciano A. Sposato,Chandrashekhar T Sreeramareddy,Vasiliki Stathopoulou,Konstantinos Stroumpoulis,Lela Sturua,Bruno F. Sunguya,Soumya Swaminathan,Bryan L. Sykes,Cassandra Szoeke,Rafael Tabarés-Seisdedos,Karen M. Tabb,Roberto Tchio Talongwa,Mohammad Tavakkoli,Bineyam Taye,Bemnet Amare Tedla,Bemnet Amare Tedla,Worku Tefera,Tesfaye Tekle,Girma Temam Shifa,Abdullah Sulieman Terkawi,Abdullah Sulieman Terkawi,Fisaha Haile Tesfay,Fisaha Haile Tesfay,Gizachew Assefa Tessema,Gizachew Assefa Tessema,Alan J Thomson,Andrew L. Thorne-Lyman,Andrew L. Thorne-Lyman,Ruoyan Tobe-Gai,Roman Topor-Madry,Roman Topor-Madry,Jeffrey A. Towbin,Jeffrey A. Towbin,Bach Xuan Tran,Bach Xuan Tran,Zacharie Tsala Dimbuene,Abera Kenay Tura,Abera Kenay Tura,Stefanos Tyrovolas,Kingsley N. Ukwaja,Olalekan A. Uthman,Tommi Vasankari,Narayanaswamy Venketasubramanian,Francesco Saverio Violante,Sergey K Vladimirov,Vasiliy Victorovich Vlassov,Stein Emil Vollset,Stein Emil Vollset,Stein Emil Vollset,Joseph A Wagner,Linhong Wang,Scott Weichenthal,Elisabete Weiderpass,Robert G. Weintraub,Robert G. Weintraub,Andrea Werdecker,Ronny Westerman,Tissa Wijeratne,James D. Wilkinson,James D. Wilkinson,Charles Shey Wiysonge,Charles Shey Wiysonge,Solomon Meseret Woldeyohannes,Charles D.A. Wolfe,Charles D.A. Wolfe,Timothy M. Wolock,Sungho Won,Mamo Wubshet,Qingyang Xiao,Gelin Xu,Ajit Kumar Yadav,Bereket Yakob,Ayalnesh Zemene Yalew,Yuichiro Yano,Henock Yebyo,Henock Yebyo,Paul S. F. Yip,Naohiro Yonemoto,Seok Jun Yoon,Mustafa Z. Younis,Chuanhua Yu,Shicheng Yu,Zoubida Zaidi,Maysaa El Sayed Zaki,Hajo Zeeb,Yi Zhao,Yi Zhao,Yong Zhao,Yong Zhao,Maigeng Zhou,Maigeng Zhou,Sanjay Zodpey,Liesl Zühlke,Christopher J L Murray +616 more
TL;DR: In this article, the authors quantified maternal mortality throughout the world by underlying cause and age from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories.
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