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• W323555079 abstract "Abstract. Recent research has witnessed considerable attraction of people and policy makers regarding health outcome and its impact on the welfare of the population. Moreover, wide heterogeneity is evident in achieving various health outcomes and health related infrastructure indicators within the states. The problem of larger states, which comprises a huge population, mass poverty and poor health status, is more severe, hence requires special attention to policy makers and planners. The study aims at measuring health disparity in Uttar Pradesh, largest state in terms of population, using different indicators, related to health outcomes and infrastructures. The paper makes an attempt to develop composite index, showing health development at district level as well as regional level during the period 2010-11. The study uses Principle Component Analysis to see the impact of different indicators in the health status of the state. The empirical result shows that there exists wide variation in different indicators of health in the state at disaggregated level.Keywords: health, disparity, Uttar Pradesh, determinant of health, literacy rate(ProQuest: ... denotes formulae omitted.)1. IntroductionThe widening gap between rich and poor in attainment of fruits of development has always been a matter of cavernous concern in India. It is widely accepted that in spite of several policy and flagship programs the country has still not been able to remove inequality and poverty. It is argued that large chunks of population are still deprived from basic amenities i.e., poor health, mall-nutrition, high morbidity and marginalised economic and social status. On the other hand, a number of studies and good writings related to this field have witnessed considerable attention regarding the people and policy makers surrounding health outcomes and its impact on the welfare of the population. The WHO position paper for the 1995 World Summit for Social Development also stated that investment in health is essential for economic growth based on a productive work force. To achieve this, growth needs to be accompanied by more equitable access to the benefits of development, as inequities have severe health consequences and pose an unacceptable threat to human well being and security. Like education, health is also recognised to be a distinct influence that can promote the freedom and capability of individuals to make use of available opportunities (Dreze and Sen, 1995). On the other hand many surveys as well as NFHS-1 and NFHS-2 have provided ample evidence to show that either the services do not reach the disadvantage sections of the society or people from those sections do not utilise the available services. So here the issue is not just confined to economic and social inequalities; the wider concept that needs to be addressed the inequality of opportunity.While, a large number of primary health centres and health facilities have been facilitated as a part of different program of the government such as health for all, right to health and surveys such as NFHS 1 , 2 and 3, DLHS (district level), and the RCH facility conduct surveys to see the health status of people. However, these efforts are not sufficient and progress is also not praiseworthy. In 2005-06, national immunisation coverage was 44%, whereas the coverage was 64% for children of mothers with more than 5 years of education, and 26% for children of mothers with no education. Similarly, even though rates of delivery in institutions have increased with time, only 40% of women in India report giving birth in a health facility for their previous birth in 2005-06. Inadequate public expenditure on health (estimated to be 1.10% of the share of the gross domestic product during 2008-09), and imbalanced resource allocation with much variation between state expenditures on health, in addition to restricted capacity to ensure adequate and appropriate physical access to good-quality health services. …" @default.
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• W323555079 date "2013-01-01" @default.
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• W323555079 title "Inclusive Health in India: A Disaggregated Level Analysis" @default.
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