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Under-Five Mortality in High Focus States in India: A District Level Geospatial Analysis

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  • Chandan Kumar
  • Prashant Kumar Singh
  • Rajesh Kumar Rai

Abstract

Background: This paper examines if, when controlling for biophysical and geographical variables (including rainfall, productivity of agricultural lands, topography/temperature, and market access through road networks), socioeconomic and health care indicators help to explain variations in the under-five mortality rate across districts from nine high focus states in India. The literature on this subject is inconclusive because the survey data, upon which most studies of child mortality rely, rarely include variables that measure these factors. This paper introduces these variables into an analysis of 284 districts from nine high focus states in India. Methodology/Principal Findings: Information on the mortality indicator was accessed from the recently conducted Annual Health Survey of 2011 and other socioeconomic and geographic variables from Census 2011, District Level Household and Facility Survey (2007–08), Department of Economics and Statistics Divisions of the concerned states. Displaying high spatial dependence (spatial autocorrelation) in the mortality indicator (outcome variable) and its possible predictors used in the analysis, the paper uses the Spatial-Error Model in an effort to negate or reduce the spatial dependence in model parameters. The results evince that the coverage gap index (a mixed indicator of district wise coverage of reproductive and child health services), female literacy, urbanization, economic status, the number of newborn care provided in Primary Health Centers in the district transpired as significant correlates of under-five mortality in the nine high focus states in India. The study identifies three clusters with high under-five mortality rate including 30 districts, and advocates urgent attention. Conclusion: Even after controlling the possible biophysical and geographical variables, the study reveals that the health program initiatives have a major role to play in reducing under-five mortality rate in the high focus states in India.

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  • Chandan Kumar & Prashant Kumar Singh & Rajesh Kumar Rai, 2012. "Under-Five Mortality in High Focus States in India: A District Level Geospatial Analysis," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-15, May.
    • Handle: RePEc:plo:pone00:0037515
    DOI: 10.1371/journal.pone.0037515
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    as
    1. Sonalde Desai & Veena Kulkarni, 2008. "Changing educational inequalities in india in the context of affirmative action," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 245-270, May.
    2. Booysen, Frikkie & van der Berg, Servaas & Burger, Ronelle & Maltitz, Michael von & Rand, Gideon du, 2008. "Using an Asset Index to Assess Trends in Poverty in Seven Sub-Saharan African Countries," World Development, Elsevier, vol. 36(6), pages 1113-1130, June.
    3. Krishna, Anirudh, 2006. "Pathways out of and into poverty in 36 villages of Andhra Pradesh, India," World Development, Elsevier, vol. 34(2), pages 271-288, February.
    4. Sen, Binayak, 2003. "Drivers of Escape and Descent: Changing Household Fortunes in Rural Bangladesh," World Development, Elsevier, vol. 31(3), pages 513-534, March.
    5. Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
    6. Abhishek Singh & Praveen Kumar Pathak & Rajesh Kumar Chauhan & William Pan, 2011. "Infant and Child Mortality in India in the Last Two Decades: A Geospatial Analysis," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-19, November.
    7. Pradhan, Jalandhar & Arokiasamy, Perianayagam, 2010. "Socio-economic inequalities in child survival in India: A decomposition analysis," Health Policy, Elsevier, vol. 98(2-3), pages 114-120, December.
    8. Boyle, Michael H. & Racine, Yvonne & Georgiades, Katholiki & Snelling, Dana & Hong, Sungjin & Omariba, Walter & Hurley, Patricia & Rao-Melacini, Purnima, 2006. "The influence of economic development level, household wealth and maternal education on child health in the developing world," Social Science & Medicine, Elsevier, vol. 63(8), pages 2242-2254, October.
    9. Paul Voss & David Long & Roger Hammer & Samantha Friedman, 2006. "County child poverty rates in the US: a spatial regression approach," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 25(4), pages 369-391, August.
    10. Fay, Marianne & Leipziger, Danny & Wodon, Quentin & Yepes, Tito, 2005. "Achieving child-health-related Millennium Development Goals: The role of infrastructure," World Development, Elsevier, vol. 33(8), pages 1267-1284, August.
    11. Ngianga-Bakwin Kandala & Gebrenegus Ghilagaber, 2006. "A Geo-Additive Bayesian Discrete-Time Survival Model and its Application to Spatial Analysis of Childhood Mortality in Malawi," Quality & Quantity: International Journal of Methodology, Springer, vol. 40(6), pages 935-957, December.
    12. Gerald Makepeace & Sarmistha Pal, 2008. "Understanding the effects of siblings on child mortality: evidence from India," Journal of Population Economics, Springer;European Society for Population Economics, vol. 21(4), pages 877-902, October.
    13. World Bank, 2008. "Environmental Health and Child Survival : Epidemiology, Economics, Experiences," World Bank Publications - Books, The World Bank Group, number 6534.
    14. Basu, Alaka Malwade & Stephenson, Rob, 2005. "Low levels of maternal education and the proximate determinants of childhood mortality: a little learning is not a dangerous thing," Social Science & Medicine, Elsevier, vol. 60(9), pages 2011-2023, May.
    15. Firestone, Rebecca & Punpuing, Sureeporn & Peterson, Karen E. & Acevedo-Garcia, Dolores & Gortmaker, Steven L., 2011. "Child overweight and undernutrition in Thailand: Is there an urban effect?," Social Science & Medicine, Elsevier, vol. 72(9), pages 1420-1428, May.
    16. J. Keith Ord & Arthur Getis, 2001. "Testing for Local Spatial Autocorrelation in the Presence of Global Autocorrelation," Journal of Regional Science, Wiley Blackwell, vol. 41(3), pages 411-432, August.
    17. Harry H. Kelejian & Dennis P. Robinson, 1995. "Spatial Correlation: A Suggested Alternative to the Autoregressive Model," Advances in Spatial Science, in: Luc Anselin & Raymond J. G. M. Florax (ed.), New Directions in Spatial Econometrics, chapter 3, pages 75-95, Springer.
    18. Pierre Goovaerts & Geoffrey M. Jacquez, 2005. "Detection of temporal changes in the spatial distribution of cancer rates using local Moran’s I and geostatistically simulated spatial neutral models," Journal of Geographical Systems, Springer, vol. 7(1), pages 137-159, October.
    19. Sastry, Narayan, 1997. "What explains rural-urban differentials in child mortality in Brazil?," Social Science & Medicine, Elsevier, vol. 44(7), pages 989-1002, April.
    20. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    21. Balk, Deborah & Storeygard, Adam & Levy, Marc & Gaskell, Joanne & Sharma, Manohar & Flor, Rafael, 2005. "Child hunger in the developing world: An analysis of environmental and social correlates," Food Policy, Elsevier, vol. 30(5-6), pages 584-611.
    22. Subramanian, S.V. & Nandy, S. & Irving, M. & Gordon, D. & Lambert, H. & Smith, G.D., 2006. "The mortality divide in India: The differential contributions of gender, caste, and standard of living across the life course," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 818-825.
    23. Derek D. Headey & Andrew Hodge, 2009. "The Effect of Population Growth on Economic Growth: A Meta‐Regression Analysis of the Macroeconomic Literature," Population and Development Review, The Population Council, Inc., vol. 35(2), pages 221-248, June.
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