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State of Health in the Districts of India

  • Sanjay K. Mohanty
  • Nihar R. Mishra
  • Junaid Khan
  • Guru Vasishtha
  • Udaya S. Mishra
Chapter

Abstract

This chapter examines the state of health in 640 districts of India. Health is measured in three key domains, namely, child health, adult health and elderly health using a set of eight variables. Child health is measured using stunting, diarrhoea and under-five mortality. Adult health is measured using body mass index (BMI), moderate and severe anaemia among women aged 15–49, hypertension and diabetes among women aged 15–49 and men aged 15–54 and elderly health is measured using percentage of disability among the 60+ population. All indicators except disability and under-five mortality have been taken from NFHS 4. The disability among the elderly has been estimated from the Census of India, 2011, while that of under-five mortality has been taken from published sources. Descriptive statistics and composite index of health have been computed. Districts are ranked in a composite index of health across all 640 districts in the country as well as among all districts within respective state.

Results suggest large variations in each indicator and the Composite Index of Health (CIH). The distribution of CIH suggests that 43 districts had very poor state of health, 90 districts had poor health, 195 districts had average health, 193 districts had good health and 119 districts had very good health. Districts with a high prevalence of diabetes also had a high prevalence of hypertension. While under-five mortality is clustered, stunting is spread across the states of India. The extent of disability among the elderly was higher in the districts belonging to the poorer states of Rajasthan, Odisha and the Northeast compared to districts from South India. The joint probability of districts having good child and adult health was 0.01, while that of good child and good elderly health was 0.06.

Keywords

Health Child health Adult health Elderly health Stunting India 

References

  1. Alam, M., & Karan, A. (2011). Elderly health in India: Dimension, differentials and determinants. New Delhi: United Nations Population Fund.Google Scholar
  2. Awasthi, A., Pandey, C. M., Chauhan, R. K., & Singh, U. (2016). Disparity in maternal, newborn and child health services in high focus states in India: A district-level cross-sectional analysis. BMJ Open, 6(8), e009885.  https://doi.org/10.1136/bmjopen-2015-009885.CrossRefGoogle Scholar
  3. Bhan, N., Rao, K. D., & Kachwaha, S. (2016). Health inequalities research in India: A review of trends and themes in the literature since the 1990s. International Journal for Equity in Health, 15(1), 166.CrossRefGoogle Scholar
  4. Bhargava, A., Guntupalli, A. M., & Lokshin, M. (2011). Health care utilization, socioeconomic factors and child health in India. Journal of Biosocial Science, 43(6), 701–715.CrossRefGoogle Scholar
  5. Chalasani, S. (2012). Understanding wealth-based inequalities in child health in India: A decomposition approach. Social Science & Medicine, 75(12), 2160–2169.CrossRefGoogle Scholar
  6. Chatterji, S., Kowal, P., Mathers, C., Naidoo, N., Verdes, E., Smith, J. P., & Suzman, R. (2008). The health of aging populations in China and India. Health Affairs, 27(4), 1052–1063.CrossRefGoogle Scholar
  7. Dandona, L., Dandona, R., Kumar, G. A., Shukla, D. K., Paul, V. K., Balakrishnan, K., et al. (2017). Nations within a nation: Variations in epidemiological transition across the states of India, 1990–2016 in the global burden of disease study. The Lancet, 390(10111), 2437–2460.  https://doi.org/10.1016/S0140-6736(17)32804-0.CrossRefGoogle Scholar
  8. Ediriweera, D. S., Karunapema, P., Pathmeswaran, A., & Arnold, M. (2018). Increase in premature mortality due to non-communicable diseases in Sri Lanka during the first decade of the twenty-first century. BMC Public Health, 18(1), 584.  https://doi.org/10.1186/s12889-018-5503-9.CrossRefGoogle Scholar
  9. Faye, O., Correa, J., Camara, B., Dieng, T., Dieng, Y., Gaye, O., Bah, I., N’Dir, O., Fall, M., & Diallo, S. (1997). Malaria lethality in Dakar pediatric environment: Study of risk factors. Medecine Tropicale: Revue du Corps de Sante Colonial, 58(4), 361–364.Google Scholar
  10. International Institute for Population Sciences (IIPS) and ICF. (2017). National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS.Google Scholar
  11. International Institute for Population Sciences (IIPS) and Macro International. (2007). National Family Health Survey (NFHS-3), 2005–06: India. Mumbai: IIPS.Google Scholar
  12. Jain, N., Singh, A., & Pathak, P. (2013). Infant and child mortality in India: Trends in inequalities across economic groups. Journal of Population Research, 30(4), 347–365.CrossRefGoogle Scholar
  13. Joe, W., Mishra, U. S., & Navaneetham, K. (2010). Socio-economic inequalities in child health: Recent evidence from India. Global Public Health, 5(5), 493–508.CrossRefGoogle Scholar
  14. Joe, W., Rudra, S., & Subramanian, S. V. (2015). Horizontal inequity in elderly health care utilization: Evidence from India. Journal of Korean Medical Science, 30(Suppl 2), S155–S166.  https://doi.org/10.3346/jkms.2015.30.S2.S155.CrossRefGoogle Scholar
  15. Kastor, A., & Mohanty, S. K. (2016). Associated covariates of functional limitation among older adults in India: An exploration. Ageing International, 41(2), 178–192.CrossRefGoogle Scholar
  16. Kotloff, K. L., Nataro, J. P., Blackwelder, W. C., Nasrin, D., Farag, T. H., Panchalingam, S., Wu, Y., Sow, S. O., Sur, D., & Breiman, R. F. (2013). Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): A prospective, case-control study. The Lancet, 382(9888), 209–222.CrossRefGoogle Scholar
  17. Kumar, C., Singh, P. K., & Rai, R. K. (2012). Under-five mortality in high focus states in India: A district level geospatial analysis. PLoS One, 7(5), e37515.  https://doi.org/10.1371/journal.pone.0037515.CrossRefGoogle Scholar
  18. Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006). Global and regional burden of disease and risk factors, 2001: Systematic analysis of population health data. The Lancet, 367(9524), 1747–1757.CrossRefGoogle Scholar
  19. Mazumdar, S., & Gerdtham, U. G. (2013). Heterogeneity in self-assessed health status among the elderly in India. Asia-Pacific Journal of Public Health, 25(3), 271–283.  https://doi.org/10.1177/1010539511416109.CrossRefGoogle Scholar
  20. Pandey, A., Ploubidis, G. B., Clarke, L., & Dandona, L. (2017). Hospitalisation trends in India from serial cross-sectional nationwide surveys: 1995 to 2014. BMJ Open, 7(12), e014188.CrossRefGoogle Scholar
  21. Prusty, R. K., Kumar, A., & Gogoi, M. (2009). Pattern of self-perceived health, immobility and hospitalization among elderly in India. ME-JAA, 6(5).Google Scholar
  22. Rajan, S. I. (2014). Social security for the elderly: Experiences from South Asia. New Delhi: Routledge.Google Scholar
  23. Ram, U., Jha, P., Ram, F., Kumar, K., Awasthi, S., Shet, A., & Kumar, R. (2013). Neonatal, 1–59 months, and under-5 mortality in 597 Indian districts, 2001 to 2012: Estimates from national demographic and mortality surveys. The Lancet Global Health, 1(4), e219–e226.CrossRefGoogle Scholar
  24. Ram, U., Jha, P., Gerland, P., Hum, R. J., Rodriguez, P., Suraweera, W., Kumar, K., Kumar, R., Dikshit, R., Xavier, D., & Gupta, R. (2015). Age-specific and sex-specific adult mortality risk in India in 2014: Analysis of 0 27 million nationally surveyed deaths and demographic estimates from 597 districts. The Lancet Global Health, 3(12), e767–e775.CrossRefGoogle Scholar
  25. Saikia, N., Bora, J. K., Jasilionis, D., & Shkolnikov, V. M. (2016). Disability divides in India: Evidence from the 2011 census. PLoS One, 11(8), e0159809.CrossRefGoogle Scholar
  26. UN. (2000). United nations millennium declaration. New York: UN.Google Scholar
  27. UN. (2015). Transforming our world: The 2030 agenda for sustainable development goals. New York: UN.Google Scholar
  28. WHO. (2014). Global status report on noncommunicable diseases 2014. World Health Organization.Google Scholar
  29. World Health Organization. (1948). WHO constitution. Geneva: WHO.Google Scholar
  30. World Health Organization. (2017). Noncommunicable diseases: Progress monitor 2017.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Sanjay K. Mohanty
    • 1
  • Nihar R. Mishra
    • 2
  • Junaid Khan
    • 3
  • Guru Vasishtha
    • 3
  • Udaya S. Mishra
    • 4
  1. 1.Department of Fertility StudiesInternational Institute for Population SciencesMumbaiIndia
  2. 2.Azim Premji Philanthropic InitiativesBengaluruIndia
  3. 3.International Institute for Population SciencesMumbaiIndia
  4. 4.Centre for Development StudiesThiruvananthapuramIndia

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