IDEAS home Printed from https://ideas.repec.org/a/spr/apjors/v7y2023i3d10.1007_s41685-023-00284-9.html
   My bibliography  Save this article

Spatial disparities in health status and access to health-related interventions in Madhya Pradesh

Author

Listed:
  • Alinda George

    (Indian Institute of Technology Indore)

  • Pritee Sharma

    (Indian Institute of Technology Indore)

Abstract

The public health sector of India suffers from higher inequalities despite interventions introduced from time to time. The groups suffering the most are the populations in Empowered Action Group (EAG) states, with limited access to health interventions and higher mortality and morbidity rates. Madhya Pradesh, an EAG state, is infamous for its low-level health status due to disparities in access to health care. This study aimed to understand how access to health care differs spatially in the state and identify the hotspots for urgent attention. Indicators related to health were selected from the association of Sustainable Development Goal 3 (Good Health and Wellbeing) with other SDGs, especially from 1 to 10. Principal Component Analysis was used to construct two indices, viz. Health Status Index (HSI) and Health Intervention Index (HII) out of the indicators. The results showed that the spatial distribution of HSI and HII possess a positive Moran’s I, indicating spatial clustering of these indices in the state. The bivariate association between the two indices is positive but close to zero, indicating a lower association between coverage of health indicators and health status among districts of Madhya Pradesh. These results can provide wide applications while targeting health interventions at the district level.

Suggested Citation

  • Alinda George & Pritee Sharma, 2023. "Spatial disparities in health status and access to health-related interventions in Madhya Pradesh," Asia-Pacific Journal of Regional Science, Springer, vol. 7(3), pages 865-902, September.
    • Handle: RePEc:spr:apjors:v:7:y:2023:i:3:d:10.1007_s41685-023-00284-9
    DOI: 10.1007/s41685-023-00284-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s41685-023-00284-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s41685-023-00284-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care Provision in India: A Facility-Based Analysis," Working Papers 1406, Sam Houston State University, Department of Economics and International Business.
    2. Malavika A Subramanyam & Ichiro Kawachi & Lisa F Berkman & S V Subramanian, 2010. "Socioeconomic Inequalities in Childhood Undernutrition in India: Analyzing Trends between 1992 and 2005," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-9, June.
    3. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
    4. Praveen Kumar Pathak & Abhishek Singh & S V Subramanian, 2010. "Economic Inequalities in Maternal Health Care: Prenatal Care and Skilled Birth Attendance in India, 1992–2006," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-17, October.
    5. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-9, August.
    6. Samarakoon, Shanika & Parinduri, Rasyad A., 2015. "Does Education Empower Women? Evidence from Indonesia," World Development, Elsevier, vol. 66(C), pages 428-442.
    7. 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.
    8. 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.
    9. Jørgen Lauridsen & Jalandhar Pradhan, 2011. "Socio-economic inequality of immunization coverage in India," Health Economics Review, Springer, vol. 1(1), pages 1-6, December.
    10. Jayanta Kumar Bora & Nandita Saikia, 2018. "Neonatal and under-five mortality rate in Indian districts with reference to Sustainable Development Goal 3: An analysis of the National Family Health Survey of India (NFHS), 2015–2016," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-15, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Susanna M Makela & Rakhi Dandona & T R Dilip & Lalit Dandona, 2013. "Social Sector Expenditure and Child Mortality in India: A State-Level Analysis from 1997 to 2009," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-10, February.
    2. Joshua Amo-Adjei & Kofi Aduo-Adjei & Christiana Opoku-Nyamah & Chimaroake Izugbara, 2018. "Analysis of socioeconomic differences in the quality of antenatal services in low and middle-income countries (LMICs)," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-12, February.
    3. Evan Borkum & Dana Rotz & Anu Rangarajan & Swetha Sridharan & Sukhmani Sethi & Mercy Manoranjini & Lakshmi Ramakrishnan & Lalit Dandona & Rakhi Dandona & Priyanka S. Kochar & G. Anil Kumar & Priyanka , "undated". "Midline Findings from the Evaluation of the Ananya Program in Bihar," Mathematica Policy Research Reports 74ef56ababd9412b82ef906fc, Mathematica Policy Research.
    4. Jayanta Kumar Bora & Rajesh Raushan & Wolfgang Lutz, 2019. "The persistent influence of caste on under-five mortality: Factors that explain the caste-based gap in high focus Indian states," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    5. Ajmer, Sumela & Rahaman, Margubur & Rana, Md Juel & Sheikh, Illias, 2023. "Contextualising under-five deaths in Bihar, India: Insights from primary and secondary data," Children and Youth Services Review, Elsevier, vol. 144(C).
    6. Chalasani, Satvika, 2012. "Understanding wealth-based inequalities in child health in India: A decomposition approach," Social Science & Medicine, Elsevier, vol. 75(12), pages 2160-2169.
    7. Xiaotian Zhang & Lvlin Zhou & Henry Asante Antwi, 2019. "The impact of China's latest population policy changes on maternity insurance—a case study in Jiangsu Province," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 617-633, January.
    8. Mampi Bose, 2019. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India," Indian Journal of Human Development, , vol. 13(1), pages 47-70, April.
    9. Kota Ogasawara & Mizuki Komura, 2022. "Consequences of war: Japan’s demographic transition and the marriage market," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(3), pages 1037-1069, July.
    10. K. Gayathri Reddy & Varsha, P. S. & L. N. Sudheendra Rao & Amit Kumar, 2019. "Exploring dimension, perceived individual tension and capacity building measure of women empowerment in India," Asian Journal of Empirical Research, Asian Economic and Social Society, vol. 9(5), pages 111-131, May.
    11. Asiedu, Elizabeth & Azomahou, Théophile T. & Getachew, Yoseph & Yitbarek, Eleni, 2021. "Share the love: Parental bias, women empowerment and intergenerational mobility," Journal of Economic Behavior & Organization, Elsevier, vol. 191(C), pages 846-867.
    12. O'Hara, Corey & Clement, Floriane, 2018. "Power as agency: A critical reflection on the measurement of women’s empowerment in the development sector," World Development, Elsevier, vol. 106(C), pages 111-123.
    13. Bhandari, Aarushi & Burroway, Rebekah, 2023. "Hold the phone! A cross-national analysis of Women's education, mobile phones, and HIV infections in low- and middle-income countries, 1990–2018," Social Science & Medicine, Elsevier, vol. 334(C).
    14. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2018. "Socioeconomic Inequalities in Infant Mortality in Egypt: Analyzing Trends Between 1995 and 2014," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(3), pages 1185-1199, June.
    15. Mohammad Monirul Hasan & Jalal Uddin & Mohammad Habibullah Pulok & Nabila Zaman & Mohammad Hajizadeh, 2020. "Socioeconomic Inequalities in Child Malnutrition in Bangladesh: Do They Differ by Region?," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    16. Gracia De Renteria, Pilar & Ferrer Perez, Hugo & Philippidis, George & Sanjuan Lopez, Ana Isabel, 2021. "Capturing the drivers of social SDGs: An econometric analysis of the dimensions of health and education," Conference papers 333271, Purdue University, Center for Global Trade Analysis, Global Trade Analysis Project.
    17. David Roodman, 2022. "Schooling and Labor Market Consequences of School Construction in Indonesia: Comment," Papers 2207.09036, arXiv.org, revised Mar 2024.
    18. Edward N. Okeke & Amalavoyal V. Chari, 2015. "Can Institutional Deliveries Reduce Newborn Mortality? Evidence from Rwanda," Working Papers WR-1072, RAND Corporation.
    19. Swati Dutta, 2022. "Risk factors for child survival among tribal dominated states in India: a pooled cross sectional analysis," Journal of Population Research, Springer, vol. 39(3), pages 391-416, September.
    20. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.

    More about this item

    Keywords

    Health interventions; Health status; Madhya Pradesh; Spatial disparities; Moran’s I;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:apjors:v:7:y:2023:i:3:d:10.1007_s41685-023-00284-9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.