Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Response of Health Outcomes to Health Infrastructure:Evidence from Bihar and Tamil Nadu


Affiliations
1 A.N. Sinha Institute of Social Studies, Patna 800001, Bihar, India
2 Jawaharlal Nehru University (JNU), New Delhi 110067, India
     

   Subscribe/Renew Journal


Despite significant growth of health programmes, improvement in health outcome, indicators are uneven across in India in health infrastructure. This paper attempts to estimate the extent of variation in health infrastructure and its impact on health outcomes in Bihar and Tamil Nadu. The question is whether the public health system is significant in explaining health status of people. The study measures the response of health outcomes to improvement in health infrastructure. Data is largely drawn from Census of India, 2011 and Annual Health Survey, 2010-2011. Infant mortality and under-five mortality were taken as the outcome variable. Using different components of health infrastructure indicators, a health infrastructure index was constructed. The findings reveal that poor health infrastructure is a significant constraint in achieving better health outcomes. Like demand side factors, supply side factors play an important role in health care system. Besides, education of women improves health outcome indicators.
Subscription Login to verify subscription
User
Notifications
Font Size

  • Anand S., M. Ravallion (1993), Human Development in Poor Countries: On the Role of Private Incomes and Public Services, Journal of Economic Perspectives, 7(1): 133–150.
  • Banerji (1985), Health and Family Planning Services in India: An Epidemological, Socio-cultural and Political Analysis and a Perspective, Lok Prakash, New Delhi
  • Baru, R., A. Acharya, S. Acharya, A.K.S. Kumar, K. Nagaraj (2010), Inequities in Access to Health Services in India: Caste, Class and Region, Economic and Political Weekly, XLV(38): 49-58.
  • Baru, R.V. and R. Bisht (2010), Health Services Inequities as Challenges to Health Security, Oxfam India Working Papers Series.
  • Bidani B, M. Ravallion (1997), Decomposing Social Indicators using Distributional Data, Journal of Econometrics, 77(1): 125–139.
  • Chelliah, R.J. and K. R. Shanmugam, (2001), Some Aspects of Inter-District Disparities in Tamil Nadu, Madras School of Economics, Working Paper No. 1.
  • Datar, A., A. Mukherji and N. Sood (2007), Health Infrastructure and Immunization Coverage in Rural India, Indian Journal of Medical Research, 125(1): 31-42.
  • Ghei, K., S. Agarwal, M.A. Subramanyam, and S.V. Subramanian (2010), Association Between Child Immunization and Availability of Health Infrastructure in Slums in India, The Archives of Pediatrics & Adolescent Medicine, 164(3): 243-249.
  • Hati, K.K. and R. Majumder (201), Health Infrastructure, Health Outcome and Economic Wellbeing: A District Level Study in India, MRPA Paper.
  • Hazarika, I. (2013), Health Workforce in India: Assessment of Availability, Production and Distribution, SouthEast Asia Journal of Public Health, 2(2): 106-112.
  • Kathuria, V.and D. Sankar (2005), Inter-state Disparities in Health Outcomes in Rural India: An Analysis Using a Stochastic Production Frontier Approach, Development and Policy Review, 23(2): 145-163.
  • Kumar, J.R. (2013), Role of Public Health Systems in the Present Health Scenario: Key Challenges, Indian Journal of Public Health, 57(3): 133- 137.
  • Leipziger, D., M. Fay, Q. Wodon and T. Yepes (2003), Achieving the Millennium Development Goals: The Role of Infrastructure, Working Paper, No. 3163, World Bank, November.
  • Rahman S, Smith D. K. (2000), Use of Location-allocation Models in Health Service Development Planning in Developing Nations, European Journal of Operations Research, 123(3).
  • Saikia, D. and K. K. Das (2014), Access to Public Health-Care in the Rural Northeast, The NEHU Journal, XII, No. 2.

Abstract Views: 599

PDF Views: 1




  • Response of Health Outcomes to Health Infrastructure:Evidence from Bihar and Tamil Nadu

Abstract Views: 599  |  PDF Views: 1

Authors

Sandhya R. Mahapatro
A.N. Sinha Institute of Social Studies, Patna 800001, Bihar, India
Yadawendra Singh
Jawaharlal Nehru University (JNU), New Delhi 110067, India

Abstract


Despite significant growth of health programmes, improvement in health outcome, indicators are uneven across in India in health infrastructure. This paper attempts to estimate the extent of variation in health infrastructure and its impact on health outcomes in Bihar and Tamil Nadu. The question is whether the public health system is significant in explaining health status of people. The study measures the response of health outcomes to improvement in health infrastructure. Data is largely drawn from Census of India, 2011 and Annual Health Survey, 2010-2011. Infant mortality and under-five mortality were taken as the outcome variable. Using different components of health infrastructure indicators, a health infrastructure index was constructed. The findings reveal that poor health infrastructure is a significant constraint in achieving better health outcomes. Like demand side factors, supply side factors play an important role in health care system. Besides, education of women improves health outcome indicators.

References





DOI: https://doi.org/10.21648/arthavij%2F2016%2Fv58%2Fi4%2F153068