Health Equity in India: An Examination Through the Lens of Social Exclusion

Acharya, Sanghmitra S.

doi:10.1177/2394481118774489

Cited by 44 publications

(32 citation statements)

References 28 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…rural versus urban [28]. Studies in India also showed that the underprivileged groups like the nancially weak, poorly literate, or living in rural areas, had limited access to healthcare services, thus leading to poorer outcomes for health [29] [30]. Similar ndings were observed in the case of Pakistan and for the provinces except for Balochistan where the inequities continue to prevail in the same ratio during throughout the last decade.…”

Section: Discussionmentioning

confidence: 59%

Assessing Neo-natal mortality trends in Pakistan: An insight using Equity Lens

Dawood¹

2020

Preprint

View full text Add to dashboard Cite

BackgroundAlmost 2.5 million children died in the first year of life in the year 2017. These account for almost half of the total deaths of children under the age of five years. Overall, child mortality has declined over the past two decades. Comparatively, the pace of decline in neonatal mortality has remained much slow. Significant inequalities in health across a number of dimensions – including wealth, ethnicity, and geography – continue to exist both between and within countries, and these contribute to neonatal mortality. This study aims to quantify the magnitude of inequalities in neonatal mortality trends by wealth quintile and place of residence with province wise segregation. MethodsThe study was done using raw data from the last three Pakistan Demographic & Health Surveys (20017-18, 2012-13 and 2006-7). The concentration curves were drawn in Microsoft Excel 365 using scatter plot as graph type while the frequencies were calculated using SPSS 24. ResultsThe situation of inequity across provinces and in rural vs urban areas has slightly declined, however, gross inequities continue to exist.ConclusionsPresentation of outcomes data, such as neonatal mortality in various wealth quintiles is an effective way to highlight the inequities amongst income groups as it highlights the vulnerable and at-risk groups. In other countries, rural-urban distribution, or ethnic groups may also reflect similar differences and help in identifying high-risk groups.

show abstract

Section: Discussionmentioning

confidence: 59%

Assessing Neo-natal mortality trends in Pakistan: An insight using Equity Lens

Dawood¹

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Thus the poor are the victims of unregulated spread of private health services, as they require better care at affordable cost. There are increasing gaps in health care utilization by different income groups from both public and private sectors in the country; and the high income groups benefit from the better quality health care from the private hospitals as well as subsidized health care from the government hospitals (Acharya, 2018;Baru et al, 2010). Within private sector, the spectrum of quality of care is widely varied (Baru, 2013).…”

Section: Discussion and Policy Implicationsmentioning

confidence: 99%

Unregulated Private Health Sector: India’s Challenges in Realizing Universal Health Coverage

2020

PPAR

View full text Add to dashboard Cite

Since India's independence in 1947, private health sector has witnessed a rapid growth. Today, private sector occupies a major share of health entities, health workforce and medical education institutions in the country. This paper provides an overview of private health sector in India, factors contributing to its growth, and major public policy implications in achieving universal health care based on extensive review of literature and other relevant descriptive information. The findings reveal that private health sector provides 80% of outpatient care and 60% of inpatient care in the country. There are 1.35 million private health entities delivering health services in the country, out of which 0.74 million are own account enterprises run by individual practitioners. About 76% of all private sector entities are allopathic facilities. This sector is largely unregulated with diversity of providers varying in qualifications, physical infrastructure, standards of care, technical knowledge, which are unfavorably affecting costs and quality of care. Strict implementation of regulations to influence private provider behavior in improving quality, reducing cost, appropriate use of medical technology, and accountability along with a huge investment in the public health sector are necessary to guarantee the availability, accessibility, acceptability, and quality of health services for every individual.

show abstract

“…The lack of awareness about disease management, inequitable distribution of health care facilities in rural areas coupled with high cost of SMBG test strips, financial constraints have led to comparatively decreased utilization of SMBG in rural areas. 14,15 The specialized health-care centres which are located in urban areas, generally provide more comprehensive medical care with greater focus on patient satisfaction with their medical care and patient-provider relationship. 1,14,15 This is also reflected in the present study wherein a significantly lesser percentage of diabetics from rural areas practised SMBG when compared to the diabetics who were residents of urban areas (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Social factors associated with practice of self-monitoring of blood glucose among type-2 diabetic patients

Sindhu

Rashmi

Prashanth

et al. 2020

Int J Community Med Public Health

View full text Add to dashboard Cite

Background: Self-monitoring of blood glucose (SMBG) is an effective self-management tool to achieve desirable haemoglobin A1c (HbA1c) targets and minimizing glucose variability, when the data is timely reviewed and acted upon by healthcare providers and diabetic patients to actively modify behaviour and/or adjust treatment. SMBG improves patient’s disease awareness and participation in disease management.Methods: This cross-sectional study was conducted at Basaveshwara Hospital, Chitradurga, to estimate percentage of type-2 diabetics practicing SMBG and to assess social factors associated with SMBG practice. Diabetic patients in age-group of 18-75 years were included in the study. Information was collected by interview technique, clinical examination and review of laboratory reports.Results: A 21.5% patients were practicing SMBG. SMBG practice was significantly higher among patients who were urban-area residents (25.0%), with higher educational qualifications (42.2% of patients who studied up-to 12th standard and/or above), with better awareness of diabetes self-management (28.9%) and with better socio-economic status (35.3%). Majority of patients with longer duration of diabetes (4.9±1.5 years), relatively older age group (57.3±2.5 years), with associated co-morbid conditions (26.8%) were found to be practicing SMBG. HbA1c levels were significantly lower among SMBG practicing group (6.6±0.7%).Conclusions: Better health literacy, higher educational qualifications, financial stability, easier access to specialized anti-diabetic health-care are favourable factors for SMBG practice. Study also highlighted favourable effect of SMBG practice on effective achievement of target HbA1c levels.

show abstract

Health Equity in India: An Examination Through the Lens of Social Exclusion

Cited by 44 publications

References 28 publications

Assessing Neo-natal mortality trends in Pakistan: An insight using Equity Lens

Assessing Neo-natal mortality trends in Pakistan: An insight using Equity Lens

Unregulated Private Health Sector: India’s Challenges in Realizing Universal Health Coverage

Social factors associated with practice of self-monitoring of blood glucose among type-2 diabetic patients

Contact Info

Product

Resources

About