Skip to main content
Erschienen in: Maternal and Child Health Journal 9/2014

01.11.2014

Is Economic Inequality in Infant Mortality Higher in Urban Than in Rural India?

verfasst von: Abhishek Kumar, Abhishek Singh

Erschienen in: Maternal and Child Health Journal | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

This paper examines the trends in economic inequality in infant mortality across urban–rural residence in India over last 14 years. We analysed data from the three successive rounds of the National Family Health Survey conducted in India during 1992–1993, 1998–1999, and 2005–2006. Asset-based household wealth index was used as the economic indicator for the study. Concentration index and pooled logistic regression analysis were applied to measure the extent of economic inequality in infant mortality in urban and rural India. Infant mortality rate differs considerably by urban–rural residence: infant mortality in rural India being substantially higher than that in urban India. The findings suggest that economic inequalities are higher in urban than in rural India in each of the three survey rounds. Pooled logistic regression results suggest that, in urban areas, infant mortality has declined by 22 % in poorest and 43 % in richest. In comparison, the decline is 29 and 32 % respectively in rural India. Economic inequality in infant mortality has widened more in urban than in rural India in the last two decades.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Rajaratnam, J. K., Marcus, J. R., Flaxman, A. D., Wang, H., Levin-Rector, A., Dwyer, L., et al. (2010). Neonatal, post neonatal, childhood, and under-5 mortality for 187 countries, 1970–2010: A systematic analysis of progress towards Millennium Development Goal 4. Lancet, 375(9730), 1988–2008.PubMedCrossRef Rajaratnam, J. K., Marcus, J. R., Flaxman, A. D., Wang, H., Levin-Rector, A., Dwyer, L., et al. (2010). Neonatal, post neonatal, childhood, and under-5 mortality for 187 countries, 1970–2010: A systematic analysis of progress towards Millennium Development Goal 4. Lancet, 375(9730), 1988–2008.PubMedCrossRef
2.
Zurück zum Zitat Institute for Health Metrics and Evaluation (IHME). (2010). Infant and child mortality estimates by country 1970–2010. Seattle: Institute for Health Metrics and Evaluation. Institute for Health Metrics and Evaluation (IHME). (2010). Infant and child mortality estimates by country 1970–2010. Seattle: Institute for Health Metrics and Evaluation.
3.
Zurück zum Zitat Sample Registration System (SRS). (2011). SRS bulletin, sample registration system (SRS). Office of the Registrar General, India, Ministry of Home Affairs, Government of India, New Delhi. Sample Registration System (SRS). (2011). SRS bulletin, sample registration system (SRS). Office of the Registrar General, India, Ministry of Home Affairs, Government of India, New Delhi.
4.
Zurück zum Zitat Ministry of Health and Family Welfare (MoHFW). (2005). National Rural Health Mission (2005-12). New Delhi: Department of Family Welfare, MOHFW. Ministry of Health and Family Welfare (MoHFW). (2005). National Rural Health Mission (2005-12). New Delhi: Department of Family Welfare, MOHFW.
5.
Zurück zum Zitat Fotso, J. C. (2006). Child health inequities in developing countries: Differences across urban and rural areas. International Journal for Equity in Health, 5, 9.PubMedCrossRefPubMedCentral Fotso, J. C. (2006). Child health inequities in developing countries: Differences across urban and rural areas. International Journal for Equity in Health, 5, 9.PubMedCrossRefPubMedCentral
6.
Zurück zum Zitat Kennedy, G., Nantel, G., Brouwer, I. D., & Kok, F. J. (2006). Does living in an urban environment confer advantages for childhood nutritional status? Analysis of disparities in nutritional status by wealth and residence in Angola, Central African Republic and Senegal. Public Health Nutrition, 9, 187–193.PubMedCrossRef Kennedy, G., Nantel, G., Brouwer, I. D., & Kok, F. J. (2006). Does living in an urban environment confer advantages for childhood nutritional status? Analysis of disparities in nutritional status by wealth and residence in Angola, Central African Republic and Senegal. Public Health Nutrition, 9, 187–193.PubMedCrossRef
7.
Zurück zum Zitat Garrett, J. L., & Ruel, M. T. (1999). Are determinants of rural and urban food security and nutritional status different? Some insights from Mozambique. World Development, 27, 1955–1975.CrossRef Garrett, J. L., & Ruel, M. T. (1999). Are determinants of rural and urban food security and nutritional status different? Some insights from Mozambique. World Development, 27, 1955–1975.CrossRef
8.
Zurück zum Zitat Lalou, R., & Legrand, T. K. (1997). Child mortality in the urban and rural Sahel. Population, 9, 147–168. Lalou, R., & Legrand, T. K. (1997). Child mortality in the urban and rural Sahel. Population, 9, 147–168.
9.
Zurück zum Zitat Sastry, N. (1997). What explains rural-urban differentials in child mortality in Brazil? Social Science and Medicine, 44, 989–1002.PubMedCrossRef Sastry, N. (1997). What explains rural-urban differentials in child mortality in Brazil? Social Science and Medicine, 44, 989–1002.PubMedCrossRef
10.
Zurück zum Zitat Shah, M. N., Bapat, U., Das, S., Barnett, S., & Costello, A. (2009). Inequalities in maternity care and new-born outcomes: One-year surveillance of births in vulnerable slum communities in Mumbai. International Journal for Equity in Health, 8, 21.CrossRef Shah, M. N., Bapat, U., Das, S., Barnett, S., & Costello, A. (2009). Inequalities in maternity care and new-born outcomes: One-year surveillance of births in vulnerable slum communities in Mumbai. International Journal for Equity in Health, 8, 21.CrossRef
11.
Zurück zum Zitat Ziraba, A., Madise, N., Mills, S., Kyobutungi, C., & Ezeh, A. (2009). Maternal mortality in the informal settlements of Nairobi city: What do we know? Reproductive Health, 6, 6.PubMedCrossRefPubMedCentral Ziraba, A., Madise, N., Mills, S., Kyobutungi, C., & Ezeh, A. (2009). Maternal mortality in the informal settlements of Nairobi city: What do we know? Reproductive Health, 6, 6.PubMedCrossRefPubMedCentral
12.
Zurück zum Zitat Hu, X., Cook, S., & Salazar, M. (2008). Internal migration and health in China. Lancet, 372, 1717–1719.PubMedCrossRef Hu, X., Cook, S., & Salazar, M. (2008). Internal migration and health in China. Lancet, 372, 1717–1719.PubMedCrossRef
13.
Zurück zum Zitat Fotso, J. C., Ezeh, A., Madise, N., & Ciera, J. (2007). Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: The dynamics of population growth, immunization, and access to clean water. BMC Public Health, 7, 218.PubMedCrossRefPubMedCentral Fotso, J. C., Ezeh, A., Madise, N., & Ciera, J. (2007). Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: The dynamics of population growth, immunization, and access to clean water. BMC Public Health, 7, 218.PubMedCrossRefPubMedCentral
14.
Zurück zum Zitat Bitrain, R., Giedion, U., Valenzuela, R., & Monkkonen, P. (2005). Keeping health in an urban environment: Public health challenges for the urban poor. In M. Fay (Ed.), The urban poor in Latin America (pp. 179–195). Washington, DC: World Bank. Bitrain, R., Giedion, U., Valenzuela, R., & Monkkonen, P. (2005). Keeping health in an urban environment: Public health challenges for the urban poor. In M. Fay (Ed.), The urban poor in Latin America (pp. 179–195). Washington, DC: World Bank.
15.
Zurück zum Zitat Menon, P., Ruel, M. T., & Morris, S. S. (2000). Socio-economic differentials in child stunting are consistently larger in urban than rural areas: Analysis of 10 DHS data sets. Food and Nutrition Bulletin, 21, 282–289. Menon, P., Ruel, M. T., & Morris, S. S. (2000). Socio-economic differentials in child stunting are consistently larger in urban than rural areas: Analysis of 10 DHS data sets. Food and Nutrition Bulletin, 21, 282–289.
16.
Zurück zum Zitat Kumar, A., & Mohanty, S. K. (2011). Intra-urban differentials in the utilization of reproductive healthcare services in India, 1992–2006. Journal of Urban Health, 88(2), 311–328.PubMedCrossRefPubMedCentral Kumar, A., & Mohanty, S. K. (2011). Intra-urban differentials in the utilization of reproductive healthcare services in India, 1992–2006. Journal of Urban Health, 88(2), 311–328.PubMedCrossRefPubMedCentral
17.
Zurück zum Zitat Pathak, P. K., Singh, A., & Subramanian, S. V. (2010). Economic inequalities in maternal health care: Prenatal care and skilled birth attendance in India, 1992–2006. PLoS ONE, 5(10), e13593.PubMedCrossRefPubMedCentral Pathak, P. K., Singh, A., & Subramanian, S. V. (2010). Economic inequalities in maternal health care: Prenatal care and skilled birth attendance in India, 1992–2006. PLoS ONE, 5(10), e13593.PubMedCrossRefPubMedCentral
18.
Zurück zum Zitat Gupta, M., Thakur, J., & Kumar, R. (2008). Reproductive and child health inequities in Chandigarh Union Territory of India. Journal of Urban Health, 85, 291–299.PubMedCrossRefPubMedCentral Gupta, M., Thakur, J., & Kumar, R. (2008). Reproductive and child health inequities in Chandigarh Union Territory of India. Journal of Urban Health, 85, 291–299.PubMedCrossRefPubMedCentral
19.
Zurück zum Zitat Office of Registrar General and Census Commissioner, Census of India. (2011). Provisional population totals paper 2 of 2011 India: Series-1. New Delhi, India. Office of Registrar General and Census Commissioner, Census of India. (2011). Provisional population totals paper 2 of 2011 India: Series-1. New Delhi, India.
20.
Zurück zum Zitat Mishra, V. K., Roy, T. K., & Retherford, R. D. (2004). Sex differentials in childhood feeding, health care, and nutritional status in India. Population and Development Review, 30(2), 269–295.CrossRef Mishra, V. K., Roy, T. K., & Retherford, R. D. (2004). Sex differentials in childhood feeding, health care, and nutritional status in India. Population and Development Review, 30(2), 269–295.CrossRef
21.
Zurück zum Zitat Ram, F., & Roy, T. K. (2004). Comparability issues in large sample surveys-some observations. In T. K. Roy, M. Guruswamy, & P. Arokiaswamy (Eds.), Population, health, and development in India-changing perspectives (pp. 40–56). New Delhi: International Institute for Population Sciences. Mumbai: Rawat Publications. Ram, F., & Roy, T. K. (2004). Comparability issues in large sample surveys-some observations. In T. K. Roy, M. Guruswamy, & P. Arokiaswamy (Eds.), Population, health, and development in India-changing perspectives (pp. 40–56). New Delhi: International Institute for Population Sciences. Mumbai: Rawat Publications.
22.
Zurück zum Zitat International Institute for Population Sciences (IIPS) and ORC Macro. (1995). National family health survey (NFHS-1), 1992–93: India: Volume I and II. Mumbai: International Institute for Population Sciences. International Institute for Population Sciences (IIPS) and ORC Macro. (1995). National family health survey (NFHS-1), 199293: India: Volume I and II. Mumbai: International Institute for Population Sciences.
23.
Zurück zum Zitat International Institute for Population Sciences (IIPS) and ORC Macro. (2000). National family health survey (NFHS-2), 1998-99: India: Volume I and II. Mumbai: International Institute for Population Sciences. International Institute for Population Sciences (IIPS) and ORC Macro. (2000). National family health survey (NFHS-2), 1998-99: India: Volume I and II. Mumbai: International Institute for Population Sciences.
24.
Zurück zum Zitat International Institute for Population Sciences (IIPS) and ORC Macro. (2007). National family health survey (NFHS-3), 2005–06: India: Volume I and II. Mumbai: International Institute for Population Sciences. International Institute for Population Sciences (IIPS) and ORC Macro. (2007). National family health survey (NFHS-3), 200506: India: Volume I and II. Mumbai: International Institute for Population Sciences.
25.
Zurück zum Zitat Singh, G. K., & Kogan, M. D. (2007). Persistent socioeconomic disparities in infant, neonatal, and postneonatal mortality rates in the United States, 1969–2001. Pediatrics, 119, 928–939.CrossRef Singh, G. K., & Kogan, M. D. (2007). Persistent socioeconomic disparities in infant, neonatal, and postneonatal mortality rates in the United States, 1969–2001. Pediatrics, 119, 928–939.CrossRef
26.
Zurück zum Zitat Arntzen, A., Samuelsen, S. V., Bakketeig, L. S., & Stoltenberg, C. (2004). Socioeconomic status and risk of infant death: A population-based study of trends in Norway, 1967–1998. International Journal of Epidemiology, 33(2), 279–288.PubMedCrossRef Arntzen, A., Samuelsen, S. V., Bakketeig, L. S., & Stoltenberg, C. (2004). Socioeconomic status and risk of infant death: A population-based study of trends in Norway, 1967–1998. International Journal of Epidemiology, 33(2), 279–288.PubMedCrossRef
27.
Zurück zum Zitat Poerwanto, S., Stevenson, M., & Klerk, N. (2003). Infant mortality and family welfare: Policy implications for Indonesia. Journal of Epidemiological Community Health, 57, 493–498.CrossRef Poerwanto, S., Stevenson, M., & Klerk, N. (2003). Infant mortality and family welfare: Policy implications for Indonesia. Journal of Epidemiological Community Health, 57, 493–498.CrossRef
28.
Zurück zum Zitat Wagstaff, A. (2000). Socio-economic inequalities in child mortality: Comparison across nine developing countries. Bulletin of World Health Organization, 78, 19–29. Wagstaff, A. (2000). Socio-economic inequalities in child mortality: Comparison across nine developing countries. Bulletin of World Health Organization, 78, 19–29.
29.
Zurück zum Zitat O’Donnell, O., Doorslaer, E. V., Wagstaff, A., & Lindelow, M. (2008). Analyzing health equity using household survey data: A guide to techniques and their implementation. WBI learning resources series. Washington, DC: World Bank. O’Donnell, O., Doorslaer, E. V., Wagstaff, A., & Lindelow, M. (2008). Analyzing health equity using household survey data: A guide to techniques and their implementation. WBI learning resources series. Washington, DC: World Bank.
30.
Zurück zum Zitat Gwatkin, D. R., Rutstein, S., Johnson, K., Suliman, E., Wagstaff, A., & Amouzou, A. (2007). Socio-economic differences in health, nutrition, and population within developing countries: An overview. Country reports on HNP and poverty. Washington, DC: World Bank. Gwatkin, D. R., Rutstein, S., Johnson, K., Suliman, E., Wagstaff, A., & Amouzou, A. (2007). Socio-economic differences in health, nutrition, and population within developing countries: An overview. Country reports on HNP and poverty. Washington, DC: World Bank.
31.
Zurück zum Zitat Vyas, S., & Kumaranayake, L. (2006). Constructing socio-economic status indices: How to use principal components analysis. Health Policy and Planning, 21, 459–468.PubMedCrossRef Vyas, S., & Kumaranayake, L. (2006). Constructing socio-economic status indices: How to use principal components analysis. Health Policy and Planning, 21, 459–468.PubMedCrossRef
32.
Zurück zum Zitat Rutstein, S. O., & Johnson, K. (2004). The DHS Wealth Index. DHS comparative reports no. 6. ORC Macro, MEASURE DHS, Calverton, Maryland. Rutstein, S. O., & Johnson, K. (2004). The DHS Wealth Index. DHS comparative reports no. 6. ORC Macro, MEASURE DHS, Calverton, Maryland.
33.
Zurück zum Zitat Filmer, D., & Pritchett, L. H. (2001). Estimating wealth effects without expenditure data-or tears: An application to educational enrolments in states of India. Demography, 38, 115–132.PubMed Filmer, D., & Pritchett, L. H. (2001). Estimating wealth effects without expenditure data-or tears: An application to educational enrolments in states of India. Demography, 38, 115–132.PubMed
34.
Zurück zum Zitat Montgomery, M. R., Gragnolati, M., Burke, K. A., & Paredes, E. (2000). Measuring living standards with proxy variables. Demography, 37, 155–174.PubMedCrossRef Montgomery, M. R., Gragnolati, M., Burke, K. A., & Paredes, E. (2000). Measuring living standards with proxy variables. Demography, 37, 155–174.PubMedCrossRef
35.
Zurück zum Zitat Mohanty, S. K. (2009). Alternate wealth index and health estimates in India. Genus, 65(2), 113–137. Mohanty, S. K. (2009). Alternate wealth index and health estimates in India. Genus, 65(2), 113–137.
36.
Zurück zum Zitat Mishra, U. S., & Dilip, T. R. (2008). Reflections on wealth quintile distribution and health outcomes. Economic and Political Weekly, 43(48), 77–82. Mishra, U. S., & Dilip, T. R. (2008). Reflections on wealth quintile distribution and health outcomes. Economic and Political Weekly, 43(48), 77–82.
37.
Zurück zum Zitat Kakwani, N. C., Wagstaff, A., & van Doorslaer, E. (1997). Socio-economic inequalities in health: Measurement, computation and statistical inference. Journal of Econometrics, 77(1), 87–104.CrossRef Kakwani, N. C., Wagstaff, A., & van Doorslaer, E. (1997). Socio-economic inequalities in health: Measurement, computation and statistical inference. Journal of Econometrics, 77(1), 87–104.CrossRef
38.
Zurück zum Zitat Van Doorslaer, E., Wagstaff, A., Calonge, S., Christiansen, T., Gerfin, M., Gottschalk, P., et al. (1992). Equity in the delivery of health care: Some international comparisons. Journal of Health Economics, 11, 389–411.PubMedCrossRef Van Doorslaer, E., Wagstaff, A., Calonge, S., Christiansen, T., Gerfin, M., Gottschalk, P., et al. (1992). Equity in the delivery of health care: Some international comparisons. Journal of Health Economics, 11, 389–411.PubMedCrossRef
39.
Zurück zum Zitat Wagstaff, A., Paci, P., & Van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science and Medicine, 33, 545–557.PubMedCrossRef Wagstaff, A., Paci, P., & Van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science and Medicine, 33, 545–557.PubMedCrossRef
40.
Zurück zum Zitat Wagstaff, A. (2005). The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality. Health Economics, 14, 429–432.PubMedCrossRef Wagstaff, A. (2005). The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality. Health Economics, 14, 429–432.PubMedCrossRef
41.
Zurück zum Zitat Gortmaker, S. L., & Wise, P. H. (1997). The first injustice: Socioeconomic disparities, health services technology, and infant mortality. Annual Review of Sociology, 23, 147–170.PubMedCrossRef Gortmaker, S. L., & Wise, P. H. (1997). The first injustice: Socioeconomic disparities, health services technology, and infant mortality. Annual Review of Sociology, 23, 147–170.PubMedCrossRef
42.
Zurück zum Zitat Van de Poel, E., O’Donnell, O., & Van Doorslaer, E. (2007). Are urban children really healthier? Evidence from 47 developing countries. Social Science and Medicine, 65, 1986–2003.PubMedCrossRef Van de Poel, E., O’Donnell, O., & Van Doorslaer, E. (2007). Are urban children really healthier? Evidence from 47 developing countries. Social Science and Medicine, 65, 1986–2003.PubMedCrossRef
43.
Zurück zum Zitat Freedman, L. P., Graham, W. J., Brazier, E., et al. (2007). Practical lessons from global safe motherhood initiatives: Time for a new focus on implementation. Lancet, 370, 1383–1391.PubMedCrossRef Freedman, L. P., Graham, W. J., Brazier, E., et al. (2007). Practical lessons from global safe motherhood initiatives: Time for a new focus on implementation. Lancet, 370, 1383–1391.PubMedCrossRef
44.
Zurück zum Zitat Campbell, O. M. R., & Graham, W. J. (2006). Strategies for reducing maternal mortality: Getting on with what works. Lancet, 368, 1284–1299.PubMedCrossRef Campbell, O. M. R., & Graham, W. J. (2006). Strategies for reducing maternal mortality: Getting on with what works. Lancet, 368, 1284–1299.PubMedCrossRef
45.
Zurück zum Zitat Ronsmans, C., & Graham, W. J. (2006). Maternal mortality: Who, when, where, and why. Lancet, 368, 1189–1200.PubMedCrossRef Ronsmans, C., & Graham, W. J. (2006). Maternal mortality: Who, when, where, and why. Lancet, 368, 1189–1200.PubMedCrossRef
47.
Zurück zum Zitat Gould, W. (1998). African mortality and the new ‘urban penalty’. Health and Place, 4(2), 171–181.PubMedCrossRef Gould, W. (1998). African mortality and the new ‘urban penalty’. Health and Place, 4(2), 171–181.PubMedCrossRef
48.
Zurück zum Zitat Sastry, N. (2004). Urbanization, development, and under-five mortality differentials by place of residence in São Paulo, Brazil, 1970–1991. Demographic Research (Special collection), 2(14), 355–386.CrossRef Sastry, N. (2004). Urbanization, development, and under-five mortality differentials by place of residence in São Paulo, Brazil, 1970–1991. Demographic Research (Special collection), 2(14), 355–386.CrossRef
49.
Zurück zum Zitat von Braun, J., McComb, J., Fred-Mensah, B., & Pandya-Lorch, R. (1993). Urban food insecurity and malnutrition in developing countries: Trends, policies, and research implications. Washington, DC: International Food Policy Research Institute. von Braun, J., McComb, J., Fred-Mensah, B., & Pandya-Lorch, R. (1993). Urban food insecurity and malnutrition in developing countries: Trends, policies, and research implications. Washington, DC: International Food Policy Research Institute.
Metadaten
Titel
Is Economic Inequality in Infant Mortality Higher in Urban Than in Rural India?
verfasst von
Abhishek Kumar
Abhishek Singh
Publikationsdatum
01.11.2014
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 9/2014
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-014-1452-9

Weitere Artikel der Ausgabe 9/2014

Maternal and Child Health Journal 9/2014 Zur Ausgabe