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Structured Inequalities—Factors Associated with Spatial Disparities in Maternity Care in India

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  • Sonalde Desai

    (Sonalde Desai is at University of Maryland College Park and the National Council of Applied Economic Research; e-mail is sdesai@ncaer.org)

  • Lijuan Wu

    (Lijuan Wu is at Peking University; e-mail is wulijuan@pku.edu.cnu)

Abstract

Research on India documents considerable heterogeneity in health and health care across states. However, while regional differences are well established, factors underlying these differences have received little attention. This paper seeks to explain disparities in delivery care across districts by focusing on three factors: (1) marriage and kinship patterns; (2) district wealth; (3) governance and quality of services. Using data from the nationally representative India Human Development Survey 2005 (IHDS) it examines the probability that the 11,905 women who had a child between 2000 and 2005 delivered in a hospital or received care from a doctor or a nurse while delivering at home. The results suggest that 47 per cent of the variation in delivery care in India is between districts while 53 per cent is between women within district. Although compositional differences in education and household wealth explain some of the variation between districts, marriage and kinship patterns, district wealth and governance each has a significant impact on shaping between-district variation in maternity care.

Suggested Citation

  • Sonalde Desai & Lijuan Wu, 2010. "Structured Inequalities—Factors Associated with Spatial Disparities in Maternity Care in India," Margin: The Journal of Applied Economic Research, National Council of Applied Economic Research, vol. 4(3), pages 293-319, August.
    • Handle: RePEc:sae:mareco:v:4:y:2010:i:3:p:293-319
    DOI: 10.1177/097380101000400303
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    1. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
    2. Shireen J. Jejeebhoy & Zeba A. Sathar, 2001. "Women's Autonomy in India and Pakistan: The Influence of Religion and Region," Population and Development Review, The Population Council, Inc., vol. 27(4), pages 687-712, December.
    3. Mistry, Ritesh & Galal, Osman & Lu, Michael, 2009. "Women's autonomy and pregnancy care in rural India: A contextual analysis," Social Science & Medicine, Elsevier, vol. 69(6), pages 926-933, September.
    4. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    5. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    6. Lupin Rahman & Vijayendra Rao, 2004. "The Determinants of Gender Equity in India: Examining Dyson and Moore's Thesis with New Data," Population and Development Review, The Population Council, Inc., vol. 30(2), pages 239-268, June.
    7. Deon Filmer & Jeffrey S. Hammer & Lant H. Pritchett, 2002. "Weak Links in the Chain II: A Prescription for Health Policy in Poor Countries," The World Bank Research Observer, World Bank, vol. 17(1), pages 47-66.
    8. Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
    9. Barbara Entwisle, 2007. "Putting people into place," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 687-703, November.
    10. Navaneetham, K. & Dharmalingam, A., 2002. "Utilization of maternal health care services in Southern India," Social Science & Medicine, Elsevier, vol. 55(10), pages 1849-1869, November.
    11. Herbert Smith, 1989. "Integrating Theory and Research on the Institutional Determinants of Fertility," Demography, Springer;Population Association of America (PAA), vol. 26(2), pages 171-184, May.
    12. Naila Kabeer, 1999. "Resources, Agency, Achievements: Reflections on the Measurement of Women's Empowerment," Development and Change, International Institute of Social Studies, vol. 30(3), pages 435-464, July.
    13. Desai, Sonalde & Dubey, Amaresh & Joshi, Brij Lal & Sen, Mitali & Sharif, Abusaleh & Vanneman, Reeve, 2010. "Human Development in India: Challenges for a Society in Transition," OUP Catalogue, Oxford University Press, number 9780198065128.
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    Cited by:

    1. Story, William T. & Carpiano, Richard M., 2017. "Household social capital and socioeconomic inequalities in child undernutrition in rural India," Social Science & Medicine, Elsevier, vol. 181(C), pages 112-121.

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