Disparities in child mortality trends in two new states of India

Minnery, Mark, Jimenez-Soto, Eliana, Firth, Sonja, Kim-Huong Nguyen and Hodge, Andrew (2013) Disparities in child mortality trends in two new states of India. BMC Public Health, 13 779: 1-11. doi:10.1186/1471-2458-13-779


Author Minnery, Mark
Jimenez-Soto, Eliana
Firth, Sonja
Kim-Huong Nguyen
Hodge, Andrew
Title Disparities in child mortality trends in two new states of India
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2013-08-27
Sub-type Article (original research)
DOI 10.1186/1471-2458-13-779
Open Access Status DOI
Volume 13
Issue 779
Start page 1
End page 11
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2014
Language eng
Formatted abstract
Background India has the world’s highest total number of under-five deaths of any nation. While progress towards Millennium Development Goal 4 has been documented at the state level, little information is available for greater disaggregation of child health markers within states. In 2000, new states were created within the country as a partial response to political pressures. State-level information on child health trends in the new states of Chhattisgarh and Jharkhand is scarce. To fill this gap, this article examines under-five and neonatal mortality across various equity markers within these two new states, pre-and post-split.

Methods Both direct and indirect estimation using pooled data from five available sources were undertaken. Inter-population disparities were evaluated by mortality data stratification of rural–urban location, ethnicity, wealth and districts.

Results Both states experienced an overall reduction in under-five and neonatal mortality, however, this has stagnated post-2001 and various disparities persist. In cases where disparities have declined, such as between urban–rural populations and low- and high-income groups, this has been driven by modest declines within the disadvantaged groups (i.e. low-income rural households) and stagnation or worsening of outcomes within the advantaged groups. Indeed, rising trends in mortality are most prevalent in urban middle-income households.

Conclusions
The results suggest that rural health improvements may have come at the expense of urban areas, where poor performance may be attributed to factors such as lack of access to quality private health facilities. In addition, the disparities may in part be associated with geographical access, traditional practices and district-level health resource allocation.
Keyword Health
Child mortality
Health disparities
India
Chhattisgarh
Jharkhand
Millennium development goals
Health-services
Periurban area
Madhya-pradesh
Public-health
Care
Private
Sector
Inequalities
Provision
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 22 Sep 2013, 00:28:15 EST by System User on behalf of School of Public Health