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Role of Public Health Expenditure on Health Infrastructure and Manpower in India: A State-Level Analysis of the Nexus Between Indicators

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  • Tiken Das

Abstract

This paper analyses the trends in health infrastructure and manpower (HIM) indicators across Indian states and regions from 2006 to 2020 using a composite index. It assessed the financial factors impacting HIM nationwide, particularly in rural and tribal areas, through a panel regression model. The findings revealed that economically advanced states like Haryana and Maharashtra underperformed in health indicators, while disadvantaged states like Odisha and Rajasthan performed better. Smaller states delivered more effective healthcare services in rural areas. Low public health expenditure (PHE) was associated with lower composite index values and higher infant mortality rates in Bihar, Uttar Pradesh and Madhya Pradesh, with Kerala showing a notable reversal. The analysis indicated that increased per capita PHE was not linked to improvements in HIM across Indian states, including tribal regions. However, in rural areas, PHE as a percentage of gross state domestic product significantly enhanced HIM.

Suggested Citation

  • Tiken Das, 2024. "Role of Public Health Expenditure on Health Infrastructure and Manpower in India: A State-Level Analysis of the Nexus Between Indicators," Indian Journal of Human Development, , vol. 18(2), pages 242-266, August.
    • Handle: RePEc:sae:inddev:v:18:y:2024:i:2:p:242-266
    DOI: 10.1177/09737030241299264
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    References listed on IDEAS

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    1. Jacob Novignon & Solomon Olakojo & Justice Nonvignon, 2012. "The effects of public and private health care expenditure on health status in sub-Saharan Africa: new evidence from panel data analysis," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    2. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    3. repec:bla:devpol:v:22:y:2004:i:2:p:193-206 is not listed on IDEAS
    4. Audrey Laporte, 2014. "Should the Grossman model of investment in health capital retain its iconic status?," Working Papers 140003, Canadian Centre for Health Economics, revised Jan 2015.
    5. Ashiabi Nicholas & Nketiah-Amponsah Edward & Senadza Bernardin, 2016. "The effect of health expenditure on selected maternal and child health outcomes in Sub-Saharan Africa," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 43(12), pages 1386-1399, December.
    6. Mahfuz Kabir, 2008. "Determinants of life expectancy in developing countries," Journal of Developing Areas, Tennessee State University, College of Business, vol. 41(2), January-M.
    7. M. Govinda Rao & Choudhury, Mita, 2012. "Health Care Financing Reforms in India," Working Papers 12/100, National Institute of Public Finance and Policy.
    8. Girmay Tsegay Kiross & Catherine Chojenta & Daniel Barker & Deborah Loxton, 2020. "The effects of health expenditure on infant mortality in sub-Saharan Africa: evidence from panel data analysis," Health Economics Review, Springer, vol. 10(1), pages 1-9, December.
    9. Baltagi, Badi H. & Heun Song, Seuck & Cheol Jung, Byoung & Koh, Won, 2007. "Testing for serial correlation, spatial autocorrelation and random effects using panel data," Journal of Econometrics, Elsevier, vol. 140(1), pages 5-51, September.
    10. Marwa Farag & A. Nandakumar & Stanley Wallack & Dominic Hodgkin & Gary Gaumer & Can Erbil, 2013. "Health expenditures, health outcomes and the role of good governance," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 33-52, March.
    11. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    12. Idris Abdullahi Abdulqadir & Bello Malam Sa'idu & Ibrahim Muhammad Adam & Fatima Binta Haruna & Mustapha Adamu Zubairu & Maimunatu Aboki, 2022. "Dynamic inference of healthcare expenditure on economic growth in Sub-Saharan Africa: a dynamic heterogenous panel data analysis," Journal of Economic and Administrative Sciences, Emerald Group Publishing Limited, vol. 40(2), pages 145-167, January.
    13. Marijn Verhoeven & Mr. Sanjeev Gupta & Mr. Erwin H Tiongson, 1999. "Does Higher Government Spending Buy Better Results in Education and Health Care?," IMF Working Papers 1999/021, International Monetary Fund.
    14. World Bank, 2004. "Attaining the Millennium Development Goals in India : How Likely and What Will It Take to Reduce Infant Mortality, Child Malnutrition, Gender Disparities and Hunger-Poverty and to Increase School Enrollment and Completion?," World Bank Publications - Reports 15738, The World Bank Group.
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