Kumar Sarvesh, Sahu Damodar, Mehto Amit, Kumar Sharma Ravendra
USMPMHS, GGS Indraprastha University, New Delhi, India.
National Institute of Medical Statistics, ICMR, New Delhi, India.
J Health Econ Outcomes Res. 2020 Dec 18;7(2):189-196. doi: 10.36469/jheor.2020.18224.
The effect of childhood well-being programs is commonly interconnected with a change in mortality trends. The proportion of disparity shows that inequality in child mortality is more collective in the similarly evolved states than the poorer states in India. To estimate and compare the health inequality of under-five mortality in Empowered Action groups (EAG) states of India. Data from the National Family Health Survey (NFHS-4) was used only for the EAG States of India. Under-five mortality rates (U5MR) were calculated for associated background characteristics by using the life table method. Wealth inequality was assessed separately for all EAG states by calculating measures of concentration index (CI). Concentration curves (CC) were also plotted to see the difference in inequality. Higher U5MR was observed in all EAG states compared with estimates for overall India. On comparing estimates of inequality, CI values show the substantial burden of U5MR among EAG states of India. The CC shows the lowest inequality in EAG states of India. The results suggested the need to receive various health strategy intercessions in agreement with the instance of ever-changing commitments of economic components to child health disparities in EAG states. Measuring the impact of determinants to wealth-related inequality in U5MR helps in lining up the interventions targeted at improving child survival.
儿童福利项目的效果通常与死亡率趋势的变化相互关联。差异比例表明,在印度,儿童死亡率的不平等在发展程度相似的邦比贫困邦更为普遍。为了估计和比较印度强化行动组(EAG)各邦五岁以下儿童死亡率的健康不平等情况。仅将全国家庭健康调查(NFHS - 4)的数据用于印度的EAG各邦。采用生命表法计算了相关背景特征的五岁以下儿童死亡率(U5MR)。通过计算集中指数(CI)分别评估了所有EAG各邦的财富不平等情况。还绘制了集中曲线(CC)以查看不平等差异。与印度整体估计数相比,所有EAG各邦的U5MR均较高。在比较不平等估计数时,CI值显示了印度EAG各邦U5MR的沉重负担。CC显示印度EAG各邦的不平等程度最低。结果表明,需要根据经济因素对EAG各邦儿童健康差距不断变化的影响情况,采取各种卫生战略干预措施。衡量决定因素对U5MR中与财富相关的不平等的影响,有助于确定旨在提高儿童存活率的干预措施。