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Inequity in health care sector in India: A case study of district level in four Indian states

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  • Brijesh C. PUROHIT

    (Madras School of Economics, Chennai, India)

Abstract

Across the nations, national health policies, including that of India, have emphasised a preference for equitable health care facilities. Keeping this emphasis on equity in mind we explored four Indian states using sub-state level (or district level) data. We applied mainly three well established indicators, namely Gini coefficient and Thiel’s T and L indices to gauge magnitudes of inequity. We compared our results between two periods for the same state which included one high income and another low income Indian state. Also we compared across four states, namely, Punjab, Karnataka, Madhya Pradesh and West Bengal using the information for latest available year. Our results indicate that government investment in three tier health facilities expansion indeed has resulted in low inequities in terms of health facilities available. However, private health facilities or certain specific public health facilities do not seem to be much equitable particularly at the substate level. Our results focus on availability aspects and thus necessarily do not indicate equitable utilisation of health care facilities or health care outcomes at the district levels.

Suggested Citation

  • Brijesh C. PUROHIT, 2019. "Inequity in health care sector in India: A case study of district level in four Indian states," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania / Editura Economica, vol. 0(1(618), S), pages 129-150, Spring.
    • Handle: RePEc:agr:journl:v:xxvi:y:2019:i:1(618):p:129-150
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    Cited by:

    1. Shreya Banerjee & Indrani Roy Chowdhury, 2020. "Inequities in curative health-care utilization among the adult population (20–59 years) in India: A comparative analysis of NSS 71st (2014) and 75th (2017–18) rounds," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-23, November.
    2. A. Akhtar & Nadeem Ahmad & Indrani Roy Chowdhury, 2020. "Socio-economic inequality in catastrophic health expenditure among households in India: A decomposition analysis," Indian Economic Review, Springer, vol. 55(2), pages 339-369, December.

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