Human resource inequalities at the base of India's public health care system

Tara Dean; S Pallikadavath; A. Singh; R Ogollah; W. Stones

doi:10.1016/j.healthplace.2013.05.003

Human resource inequalities at the base of India's public health care system

Tara Dean, S Pallikadavath, A. Singh, R Ogollah, W. Stones

London South Bank University

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32 Citations (Scopus)

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Abstract

This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC) - first level of service provision in the public health system. ‘Within state' inequality explained about 71% and ‘between state’ inequality explained the remaining 29% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to ‘between’ and ‘within’ district inequalities were the percentages of villages connected with all-weather roads and having primary schools. Analysis demonstrates a policy and programming need to address ‘within State’ inequalities as a priority.

Original language	English
Pages (from-to)	26-32
Journal	Health and Place
DOIs	https://doi.org/10.1016/j.healthplace.2013.05.003
Publication status	Published - 1 Sept 2013

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title = "Human resource inequalities at the base of India's public health care system",

abstract = "This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC) - first level of service provision in the public health system. {\textquoteleft}Within state' inequality explained about 71\% and {\textquoteleft}between state{\textquoteright} inequality explained the remaining 29\% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to {\textquoteleft}between{\textquoteright} and {\textquoteleft}within{\textquoteright} district inequalities were the percentages of villages connected with all-weather roads and having primary schools. Analysis demonstrates a policy and programming need to address {\textquoteleft}within State{\textquoteright} inequalities as a priority.",

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AB - This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC) - first level of service provision in the public health system. ‘Within state' inequality explained about 71% and ‘between state’ inequality explained the remaining 29% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to ‘between’ and ‘within’ district inequalities were the percentages of villages connected with all-weather roads and having primary schools. Analysis demonstrates a policy and programming need to address ‘within State’ inequalities as a priority.

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Human resource inequalities at the base of India's public health care system

Abstract

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