Are institutional deliveries equitable in the southern states of India? A benefit incidence analysis

Autor: Santosh Kumar Sharma, Devaki Nambiar
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal for Equity in Health, Vol 23, Iss 1, Pp 1-13 (2024)
Druh dokumentu: article
ISSN: 1475-9276
DOI: 10.1186/s12939-024-02097-4
Popis: Abstract Background Despite a commendable rise in the number of women seeking delivery care at public health institutions in South India, it is unclear if the benefit accrues to wealthier or poorer socio-economic groups. The study’s aim was to investigate at how the public subsidy is distributed among Indian women who give birth in public hospitals in the southern regions. Methods Data from the Indian Demographic Health Survey’s fifth wave (NFHS-5, 2019–21) was used in this study. A total of 22, 403 were institutional deliveries across all the southern states of India were included. Out-of-pocket expenditure (OOPE) on childbirth in health institutions was the outcome variable. We used summary statistics, Benefits Incidence Analysis (BIA), concentration index (CI), and concentration curve (CC) were used. Results Most women in the lowest, poorest, and medium quintiles of wealth opted to give birth in public facilities. In contrast, about 69% of mothers belonging to highest quintile gave birth in private health institutions. The magnitude of CI and CC of institutional delivery indicates that public sector usage was concentrated among poorer quintiles [CIX: − 0.178; SE: 0.005; p
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