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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
4275.0: Tuesday, December 13, 2005 - Board 3

Abstract #117774

Child health status in India: Measuring efficiency and gender inequity across 25 states in India

Monika Sawhney, MSW, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal street, Suite 1900, New Orleans, LA 70112, 504-866-4695, msawhne@tulane.edu

Due to relatively low socioeconomic development, child health indicators have remained quite poor in India. Moreover, there exists striking interregional diversity in India. Therefore, India needs to tackle not only the overall poor health status of children, but also the inequality with respect to gender and across different geographic regions. This study aims to (1) identify states that appears to be more successful in improving child health status over time in an efficient manner, (2)study the level and causes of gender inequity at household level. Efficiency scores for 25 Indian states were estimated from state-level data for the years 1998-2001. Child health status was measured by infant mortality rate. Various socioeconomic variables were used as explanatory variables. Fixed effect coefficients for the States were used to rank states in terms of efficiency. Demographic and Health Survey data from India has been used for in-depth analysis to determine level and causes of gender inequity at household level among most efficient and least efficient states. Principal component analysis was used to assess gender inequity related to infant mortality among various socio economic groups across states and over time. Female literacy rate, net state domestic product and over all immunization coverage are significant factors in determining efficiency of states in reducing infant mortality. Kerala and Manipur are found to be the most efficient states, whereas Madhya Pradesh and Orissa turned out to be the least efficient states in terms of their ability to reduce infant mortality, given the resources they have.

Learning Objectives: At the conclusion of the session the participants in this session will be able to

Keywords: Child Health, India

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

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The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA