Socioeconomic and geographical disparities in under-five and neonatal mortality in Uttar Pradesh, India

Dettrick, Zoe, Jimenez-Soto, Eliana and Hodge, Andrew (2014) Socioeconomic and geographical disparities in under-five and neonatal mortality in Uttar Pradesh, India. Maternal and Child Health Journal, 18 4: 960-969. doi:10.1007/s10995-013-1324-8

Author Dettrick, Zoe
Jimenez-Soto, Eliana
Hodge, Andrew
Title Socioeconomic and geographical disparities in under-five and neonatal mortality in Uttar Pradesh, India
Journal name Maternal and Child Health Journal   Check publisher's open access policy
ISSN 1092-7875
Publication date 2014-05-01
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s10995-013-1324-8
Open Access Status
Volume 18
Issue 4
Start page 960
End page 969
Total pages 10
Place of publication New York, NY, United States
Publisher Springer
Language eng
Abstract As a part of the Millennium Development Goals, India seeks to substantially reduce its burden of childhood mortality. The success or failure of this goal may depend on outcomes within India's most populous state, Uttar Pradesh. This study examines the level of disparities in under-five and neonatal mortality across a range of equity markers within the state. Estimates of under-five and neonatal mortality rates were computed using five datasets, from three available sources: sample registration system, summary birth histories in surveys, and complete birth histories. Disparities were evaluated via comparisons of mortality rates by rural-urban location, ethnicity, wealth, and districts. While Uttar Pradesh has experienced declines in both rates of under-five (162-108 per 1,000 live births) and neonatal (76-49 per 1,000 live births) mortality, the rate of decline has been slow (averaging 2 % per annum). Mortality trends in rural and urban areas are showing signs of convergence, largely due to the much slower rate of change in urban areas. While the gap between rich and poor households has decreased in both urban and rural areas, trends suggest that differences in mortality will remain. Caste-related disparities remain high and show no signs of diminishing. Of concern are also the signs of stagnation in mortality amongst groups with greater ability to access services, such as the urban middle class. Notwithstanding the slow but steady reduction of absolute levels of childhood mortality within Uttar Pradesh, the distribution of the mortality by sub-state populations remains unequal. Future progress may require significant investment in quality of care provided to all sections of the community.
Keyword Childhood mortality
Health disparities
Under-five mortality
Uttar Pradesh
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Author post-print permissible

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
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Created: Fri, 23 Aug 2013, 00:34:05 EST by Eliana Jimenez Soto on behalf of School of Public Health