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Equity in Intra-State Distribution of Public Spending on Health: The Case of Bihar and Tamil Nadu

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  • Choudhury, Mita

    (National Institute of Public Finance and Policy)

  • Dubey, Jay Dev

    (National Institute of Public Finance and Policy)

Abstract

Equitable distribution of public spending has been argued to be an effective tool for enhancing access to health care and moving towards Universal Health Coverage. In India, much of the existing evidence on equity in public spending has been confined to state-level aggregates, and intra-state distribution of public spending has received limited attention. This paper focuses on the distribution of public spending on health within two Indian States (Bihar and Tamil Nadu) to provide insights on differential access to health care within each state. The analysis suggests that public spending on health is pro-rich in Bihar, and plays a relatively weak redistributive role. In contrast, the distribution of public spending on health in Tamil Nadu is strikingly pro-poor, particularly at lower levels of care. In both horizontal and vertical dimensions (across districts and levels of health care), inequity in public spending is significantly higher in Bihar than in Tamil Nadu.

Suggested Citation

  • Choudhury, Mita & Dubey, Jay Dev, 2020. "Equity in Intra-State Distribution of Public Spending on Health: The Case of Bihar and Tamil Nadu," Working Papers 20/315, National Institute of Public Finance and Policy.
    • Handle: RePEc:npf:wpaper:20/315
    Note: Working Paper 315, 2020
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    File URL: https://www.nipfp.org.in/media/medialibrary/2020/07/WP_315_2020.pdf
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    References listed on IDEAS

    as
    1. Chakraborty, Lekha S & Thomas, Emmanuel & Gandhi, Piyush, 2019. "Natural Resources Revenue Buoyancy in India: Empirical Evidence From State-specific Mining Regime," MPRA Paper 99293, University Library of Munich, Germany, revised 2020.
    2. Honey Karun & Hrishikesh Vinod & Chakraborty, Lekha S., 2020. "Did public investment crowd out private investment in India?," Working Papers 20/312, National Institute of Public Finance and Policy.
    3. Chakraborty, Lekha S. & Thomas, Emmanuel & Gandhi, Piyush, 2020. "Natural Resources Revenue Buoyancy in India: Empirical Evidence From State-specific Mining Regime," Working Papers 20/313, National Institute of Public Finance and Policy.
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    Cited by:

    1. Brinda Viswanathan & Archana Agnihotri, 2020. "Double Burden of Malnutrition in India: Decadal Changes among Adult Men and Women," Working Papers 2020-200, Madras School of Economics,Chennai,India.
    2. Patnaik, Ila & Pandey, Radhika, 2020. "Moving to Inflation Targeting," Working Papers 20/316, National Institute of Public Finance and Policy.

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