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Spatial Differences and Socioeconomic Determinants of Health Poverty

Author

Listed:
  • Nasir Iqbal

    (Benazir Income Support Programme, Islamabad)

  • Saima Nawaz

    (COMSATS Institute of Information Technology, Islamabad, Pakistan, respectively)

Abstract

The study aims to develop health poverty index (HPI) using the Alkire Foster (AF) Method for Pakistan based on district representative data obtained from Pakistan Social and Living Standards Measurement (PSLM) 2012-13. Using HPI, this study investigates the spatial differences of health poverty at sub-national level and explores the socioeconomic determinants. The analysis reveals that the headcount health poverty is 41 percent in Pakistan. Further, the ratio is very high in rural areas (50 percent) as compared to urban areas (22 percent). Provincial analysis shows that Punjab is the least poor province (36 percent) while Balochistan is the poorest province (62 percent). The majority of the households are deprived in term of cost of health services, post-natal care and child immunisation. Empirical analysis shows that income, regional variation, education and awareness play very important role in explaining health poverty. To eradicate health deprivation, area and dimension specific policies are required to make efficient use of scarce resources.

Suggested Citation

  • Nasir Iqbal & Saima Nawaz, 2017. "Spatial Differences and Socioeconomic Determinants of Health Poverty," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 56(3), pages 221-248.
    • Handle: RePEc:pid:journl:v:56:y:2017:i:3:p:221-248
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    File URL: http://www.pide.org.pk/pdf/PDR/2017/Volume3/221-248.pdf
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    References listed on IDEAS

    as
    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. Ulf-G. Gerdtham & Magnus Johannesson, 2004. "Absolute Income, Relative Income, Income Inequality, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
    3. Sabina Alkire, Maria Emma Santos, 2010. "Acute Multidimensional Poverty: A New Index for Developing Countries," OPHI Working Papers 38, Queen Elizabeth House, University of Oxford.
    4. Ministry of Finance, Government of India,, 2016. "Economic Survey 2015-16," OUP Catalogue, Oxford University Press, number 9780199469284.
    5. Laudicella, Mauro & Cookson, Richard & Jones, Andrew M. & Rice, Nigel, 2009. "Health care deprivation profiles in the measurement of inequality and inequity: An application to GP fundholding in the English NHS," Journal of Health Economics, Elsevier, vol. 28(6), pages 1048-1061, December.
    6. Germano Mwabu, 2007. "Health Economics for Low-Income Countries," Working Papers 955, Economic Growth Center, Yale University.
    7. Satya R. Chakravarty & Jacques Silber, 2008. "Measuring Multidimensional Poverty: The Axiomatic Approach," Palgrave Macmillan Books, in: Nanak Kakwani & Jacques Silber (ed.), Quantitative Approaches to Multidimensional Poverty Measurement, chapter 11, pages 192-209, Palgrave Macmillan.
    8. Maithili Ramachandran & K.S. Kavi Kumar & Brinda Viswanathan, 2006. "Vulnerability to Chronic Energy Deficiency: An Empirical Analysis of Women in Uttar Pradesh, India," Working Papers 2006-012, Madras School of Economics,Chennai,India.
    9. Jennifer M. Mellor & Jeffrey Milyo, 2002. "Income Inequality and Health Status in the United States: Evidence from the Current Population Survey," Journal of Human Resources, University of Wisconsin Press, vol. 37(3), pages 510-539.
    10. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    11. Nandi, A. & Galea, S. & Lopez, G. & Nandi, V. & Strongarone, S. & Ompad, D.C., 2008. "Access to and use of health services among undocumented Mexican immigrants in a US urban area," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 2011-2020.
    12. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    13. Mwabu, Germano, 2007. "Health Economics for Low-Income Countries," Center Discussion Papers 10118, Yale University, Economic Growth Center.
    14. Navarro, Vicente & Shi, Leiyu, 2001. "The political context of social inequalities and health," Social Science & Medicine, Elsevier, vol. 52(3), pages 481-491, February.
    15. Jean Drèze & Mamta Murthi, 2001. "Fertility, Education, and Development: Evidence from India," Population and Development Review, The Population Council, Inc., vol. 27(1), pages 33-63, March.
    16. Nanak Kakwani & Jacques Silber (ed.), 2008. "Quantitative Approaches to Multidimensional Poverty Measurement," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-58235-4, October.
    17. Shen, Y.-C. & Hsia, R.Y., 2010. "Changes in emergency department access between 2001 and 2005 among general and vulnerable populations," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1462-1469.
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    Cited by:

    1. Nawaz, Saima & Hussain, Sajid, 2024. "Unveiling effects of cash transfers on poverty and social cohesion in conflict-affected zones: Insights from ex-FATA, Pakistan," World Development Perspectives, Elsevier, vol. 33(C).
    2. Saima Nawaz & Saba Anwar & Nasir Iqbal, 2021. "The Spatial Effects of Road Infrastructure on Employment in Pakistan: Quantifying the Role of Complementary Factors," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 60(3), pages 309-330.
    3. Nasir Iqbal & Saima Nawaz & Muhammad Aqeel Anwar, 2022. "The Socio-economic Analysis of the Street Economy in the Twin Cities of Pakistan (Article)," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 61(3), pages 335-363.
    4. Nawaz, Saima, 2021. "Energy poverty, climate shocks, and health deprivations," Energy Economics, Elsevier, vol. 100(C).
    5. Zaman, Qamar uz & Zhao, Yuhuan & Zaman, Shah & Alenezi, Marim & Jehan, Noor, 2023. "Spatial evaluation of multidimensional energy poverty between farming and non-farming communities of agro-climatic zones of Pakistan," Energy Policy, Elsevier, vol. 172(C).
    6. Zerish Tasleem & Muhammad Hatim & Mahnoor Malik & Muhammad Nadeem & Muhammad Tariq Ramzan, 2022. "The Impact Of Health Facilities On Rural Poverty In Southern Punjab, Pakistan," Bulletin of Business and Economics (BBE), Research Foundation for Humanity (RFH), vol. 11(2), pages 104-109, June.
    7. Lan, Jing & Khan, Sufyan Ullah & Sadiq, Muhammad & Chien, Fengsheng & Baloch, Zulfiqar Ali, 2022. "Evaluating energy poverty and its effects using multi-dimensional based DEA-like mathematical composite indicator approach: Findings from Asia," Energy Policy, Elsevier, vol. 165(C).
    8. Awaworyi Churchill, Sefa & Iqbal, Nasir & Nawaz, Saima & Yew, Siew Ling, 2021. "Unconditional cash transfers, child labour and education: theory and evidence," Journal of Economic Behavior & Organization, Elsevier, vol. 186(C), pages 437-457.
    9. Miraj Ul Haq & Iftikhar Ahmad & Annum Hussain, 2021. "Endurance or Submission: How Terrorism Frame Households’ Time Allocation?," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 60(3), pages 331-352.
    10. Nawaz, Saima & Iqbal, Nasir, 2020. "The impact of unconditional cash transfer on fuel choices among ultra-poor in Pakistan: Quasi-experimental evidence from the Benazir Income Support Program," Energy Policy, Elsevier, vol. 142(C).
    11. Nadeem Ul Haque & Faheem Jehangir Khan (ed.), 2022. "RASTA Local Research, Local Solutions: Markets & Regulations, Volume V," PIDE Books, Pakistan Institute of Development Economics, number 2022:7.
    12. Nasir Iqbal & Saima Nawaz, 2020. "Moving Up The Energy Ladder: The Impact Of Bisp Cash Transfers On Fuel Choices," PIDE Knowledge Brief 2020:10, Pakistan Institute of Development Economics.
    13. Nawaz, Saima & Iqbal, Nasir, 2021. "How cash transfers program affects environmental poverty among ultra-poor? Insights from the BISP in Pakistan," Energy Policy, Elsevier, vol. 148(PB).
    14. Muhammad Hatim & Zerish Tasleem & Muhammad Nadeem, 2022. "The Influence Of Education And Health On Rural Household Poverty: A Moderating Role Of Culture In Punjab, Pakistan," Bulletin of Business and Economics (BBE), Research Foundation for Humanity (RFH), vol. 11(2), pages 120-133, June.
    15. Saima Nawaz & Nasir Iqbal, 2016. "Education Poverty in Pakistan: A Spatial Analysis at District Level," Indian Journal of Human Development, , vol. 10(2), pages 270-287, August.
    16. Ayaz Ahmed & Nasir Iqbal & Ghulam Mustafa, 2020. "Measuring the Impact of Remittances on Housing Demand: Evidence from Large Cities in Pakistan," PIDE-Working Papers 2020:10, Pakistan Institute of Development Economics.

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    More about this item

    Keywords

    Health Poverty; Spatial Analysis; Alkire Foster Method;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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