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Structured Inequalities—Factors Associated with Spatial Disparities in Maternity Care in India

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  • Sonalde Desai

    (Sonalde Desai is at University of Maryland College Park and the National Council of Applied Economic Research; e-mail is sdesai@ncaer.org)

  • Lijuan Wu

    (Lijuan Wu is at Peking University; e-mail is wulijuan@pku.edu.cnu)

Abstract

Research on India documents considerable heterogeneity in health and health care across states. However, while regional differences are well established, factors underlying these differences have received little attention. This paper seeks to explain disparities in delivery care across districts by focusing on three factors: (1) marriage and kinship patterns; (2) district wealth; (3) governance and quality of services. Using data from the nationally representative India Human Development Survey 2005 (IHDS) it examines the probability that the 11,905 women who had a child between 2000 and 2005 delivered in a hospital or received care from a doctor or a nurse while delivering at home. The results suggest that 47 per cent of the variation in delivery care in India is between districts while 53 per cent is between women within district. Although compositional differences in education and household wealth explain some of the variation between districts, marriage and kinship patterns, district wealth and governance each has a significant impact on shaping between-district variation in maternity care.

Suggested Citation

  • Sonalde Desai & Lijuan Wu, 2010. "Structured Inequalities—Factors Associated with Spatial Disparities in Maternity Care in India," Margin: The Journal of Applied Economic Research, National Council of Applied Economic Research, vol. 4(3), pages 293-319, August.
    • Handle: RePEc:sae:mareco:v:4:y:2010:i:3:p:293-319
    DOI: 10.1177/097380101000400303
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    Cited by:

    1. Story, William T. & Carpiano, Richard M., 2017. "Household social capital and socioeconomic inequalities in child undernutrition in rural India," Social Science & Medicine, Elsevier, vol. 181(C), pages 112-121.

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