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Health and Morbidity in India (2004-2014)

dc.contributor.authorShamika Ravi
dc.contributor.authorRahul Ahluwalia
dc.contributor.authorSofi Bergkvist
dc.description.abstractIn this study, we use National Sample Survey (NSS) data from surveys conducted by the Government of India. These are recall-based household surveys on multiple topics, including healthcare and consumer expenditure. More specifically, we use the 60th and 71st rounds of the NSS which included a questionnaire focused on healthcare, with questions on morbidity and the consumption of healthcare for all individuals within the surveyed households. Over the 10 years, the similarity of information collected in the two rounds of the surveys, gives us an opportunity to make scientific comparisons to understand the big changes in health and morbidity outcomes for Indian households. Our main results for health-seeking behaviour show that households still overwhelmingly depend on private providers for healthcare services. While as much as 75 per cent of out-patient care is exclusively private, 55 per cent of in-patient care is from private hospitals in India. This dependence, however, is declining and more significantly so for in-patient care. Indian households’ dependence on public care has risen by 6 per cent for out-patient care and by 7 per cent for in-patient care. Most of these increases are driven by rural women seeking more public healthcare, over last 10 years. More precisely, our analysis of the data shows that the Janani Suraksha Yojana incentives led to a significant increase of 15 per cent in institutional childbirth in India with a commensurate decline in deliveries at home. The disaggregated data also shows that there was a large increase of 22 per cent in deliveries in government hospitals, which was mirrored by an 8 per cent decline in childbirth at private hospitals and a 16 per cent decline in childbirth at home. Given that the fundamental objective of the JSY was to raise institutional deliveries, the NSSO data shows that the scheme performed well over the 10 years. At the same time, it is important to note that our analysis points to the increase in public hospitalisation being incentive driven, which does not allow us to draw an inference about either the quality of services provided or the sustainability of the increase.
dc.publisherBrookings India
dc.titleHealth and Morbidity in India (2004-2014)
dc.subject.expertAged Health
dc.subject.expertCivil Society Development
dc.subject.expertInfrastructure Development
dc.subject.expertInfrastructure Development Projects
dc.subject.expertTechnology Development
dc.subject.expertHealth Risk
dc.subject.expertHealth for All
dc.subject.expertHealth and Hygiene and the Poor
dc.subject.expertQuality of Healthcare
dc.subject.expertPublic Health
dc.subject.expertPartnerships in Health Reform
dc.subject.expertHealth Systems
dc.subject.expertNutrition and Healthcare
dc.subject.expertEducation, Health and Social Protection
dc.subject.expertAccess to Healthcare
dc.subject.expertAccess to Medicine
dc.subject.adbProject finance
dc.subject.adbDevelopment programs
dc.subject.adbDevelopment strategy
dc.subject.adbGovernment programs
dc.subject.adbInfrastructure projects
dc.subject.adbIndustrial development
dc.subject.adbSocial change
dc.subject.adbWater Quality
dc.subject.adbHealth Hazards
dc.subject.adbHealthcare Services
dc.subject.adbHealth Standards
dc.subject.adbHealth Service Management
dc.subject.adbHealth Costs
dc.subject.adbChild Development
dc.subject.adbPrenatal Care
dc.subject.adbNutrition Programs
dc.subject.adbChild Nutrition
dc.subject.adbChild Development
dc.subject.adbMedical Statistics
dc.subject.adbDrug Policy
dc.subject.adbPreventive Medicine
dc.subject.adbMedical Economics
dc.subject.naturalCentral planning
dc.subject.naturalDeveloping countries
dc.subject.naturalJoint venture
dc.subject.naturalLimited partnership
dc.subject.naturalStrategic alliances
dc.subject.naturalSanitary engineering
dc.subject.naturalSanitation systems
dc.subject.naturalSanitation services
dc.subject.naturalSanitary affairs
dc.subject.naturalDelivery of Healthcare
dc.subject.naturalPrevention of disease
dc.subject.naturalHealth status indicators
dc.subject.naturalState and nutrition
dc.subject.naturalNutrition and state
dc.subject.naturalFood policy
dc.subject.naturalNutrition policy
dc.subject.naturalSanitation services
dc.subject.naturalDelivery of Healthcare
dc.subject.naturalMedical and Healthcare industry
dc.subject.naturalHealth products
dc.subject.naturalUniversal Health Coverage
dc.title.seriesBrookings India Research Paper
dc.title.volumeNo. 092016
dc.contributor.imprintBrookings India
oar.adminregionSouth Asia Region
oar.authorRavi, Shamika
oar.authorAhluwalia, Rahul
oar.authorBergkvist, Sofi

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