Patra, Nilanjan (2008): State-wise pattern of gender bias in child health in India.
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Health being one of the most basic capabilities, the removal of gender bias in child health can go a long way in achieving gender parity in many other dimensions of human development. The present study examines the state-wise pattern of gender bias in child health in India. It uses 21 selected indicators of health outcome (e.g., post-neonatal death, child death and prevalence of malnutrition) and health-seeking behaviour (e.g., full immunisation, oral rehydration therapy, fever/ cough treatment and breast-feeding). Three rounds of unit level National Family Health Survey data are analysed using Borda Rule and Principal Component Analysis techniques. Children under age three years are the unit of the analysis. The study found that any consistently robust state-wise pattern of gender bias against girl children in child health is not present among all the 29 Indian states over the three rounds of NFHSs. Among the major 19 states, there is high gender bias in three Empowered Action Group of states (namely, Uttar Pradesh, Madhya Pradesh, and Bihar) and in Andhra Pradesh, Punjab, and Gujarat as well. However, there is a consistent state-wise pattern in girl children’s health achievement. With Rawlsian theory of justice, to reduce gender bias in child health we need to focus on the states with low health achievement by girls.
|Item Type:||MPRA Paper|
|Original Title:||State-wise pattern of gender bias in child health in India|
|Keywords:||Gender Bias; Child Health; National Family Health Survey; India|
|Subjects:||C - Mathematical and Quantitative Methods > C4 - Econometric and Statistical Methods: Special Topics > C43 - Index Numbers and Aggregation
O - Economic Development, Technological Change, and Growth > O1 - Economic Development > O15 - Human Resources; Human Development; Income Distribution; Migration
I - Health, Education, and Welfare > I1 - Health > I19 - Other
R - Urban, Rural, Regional, Real Estate, and Transportation Economics > R1 - General Regional Economics > R11 - Regional Economic Activity: Growth, Development, Environmental Issues, and Changes
|Depositing User:||Nilanjan Patra|
|Date Deposited:||16. Mar 2010 15:13|
|Last Modified:||12. Feb 2013 21:17|
Arnold, Fred, Kishor, Sunita and Roy, T. K. (2002): ‘Sex-selective abortions in India’, Population and Development Review, 28(4): 759-785.
Arnold, F., Choe, M. K., and Roy, T. K. (1998): ‘Son Preference, the Family-Building Process and Child Mortality in India’, Population studies, Vol.-52, pp-301-15.
Arokiasamy, P. (2004): ‘Regional Patterns of Sex Bias and Excess Female Child Mortality in India’, Population, 59(6): 833-64.
Arokiasamy, P. (2002): ‘Gender preference, contraceptive use and fertility in India: Regional and development influences’, International Journal of Population Geography, 8(1): 49-67.
Bakshi, P. M. (2006): The Constitution of India. 7th Edition. Delhi: Universal Law Publishing Co. Pvt. Ltd.
Bairagi, R. (1986): ‘Food Crisis, Nutrition, and Female Children in Rural Bangladesh’, Population and Development Review, Vol.-12, pp-307-15.
Bardhan, P. K. (1974): ‘On Life and Death Questions’, Economic and Political Weekly, Aug. Special Number, pp-1293-304.
Bardhan, P. K. (1982): ‘Little Girls and Death in India’, Economic and Political Weekly, Sep-4, pp-1448-50.
Barker, D.J.P. (1995): ‘Fetal Origins of Coronary Heart Disease’, British Medical Journal, Vol.-311, pp- 171-4.
Barker, D.J.P. (1993): ‘Intrauterine Growth Retardation and Adult Disease’, Current Obstetrics Gynaecology, Vol.-3, pp- 200-6.
Basu, Alaka M. (1989): ‘Is Discrimination in Food Really Necessary for Explaining Sex Differential in Childhood Mortality?’, Population Studies, Vol.-43, pp-193-210.
Bhat, P.N.M. and A.J.F. Zavier (2003): ‘Fertility decline and gender bias in northern India’, Demography 40(4): 637-657.
Boerma, J. and Bicego, G. (1993): ‘The Quality of Data on Child Immunisation in DHS-I surveys’. In Macro International Inc. An Assessment of the Quality of Health Data in DHS-I Surveys. Demographic and Health Surveys Methodological Reports, No.- 2. Calverton, MD: Macro International Inc.
Boerma, J., Sommerf elt,A., Ginneken, J.,Bicego, G.,Stewart, M., & Rutstein,S. (1996): ‘Assessment of the Quality of Health Data in DHS-I Surveys: An Overview’ in J. Boerma (Ed.), Child Survival in Developing Countries: Can Demographic and Health Surveys Help to Understand the Determinants?. The Netherlands: Royal Tropical Institute.
Caldwell, Pat and Caldwell, John C. (1990): Gender Implications for Survival in South Asia, Health Transition Working Paper No.-7. Canberra: National Centre for Epidemiology and Population Health, Australian National University.
Caldwell, John C., Reddy, P. H. and Caldwell, Pat (1982): ‘The Causes of Demographic Change in Rural South India: A Micro Approach’, Population and Development Review, Vol.-8, pp-689-727.
Census of India (2001): General Population Tables. Office of the Registrar General, Govt. of India.
Chowdhury, Samik (2004): Construction of HDI: Some Methodological Issues. Unpublished M. Phil. Dissertation submitted to CSRD, School of Social Sciences, Jawaharlal Nehru University. New Delhi: India.
Choi, J.Y. and Lee, S-H (2006): ‘Does Parental Care Increase Access to Child Immunisation? Gender Bias among Children in India’, Social Science and Medicine, Vol.-63, pp- 107-17.
Clark, Shelley (2000): ‘Son preference and sex composition of children: Evidence from India’, Demography, 37(1): 95-108.
Das Gupta, Monica (1987): ‘Selective Discrimination against Female Children in Rural Punjab, India’, Population and Development Review, Vol.-13, No.-1, pp-77-100.
Das Gupta, M., J. Zhenghua, L. Bohua, X. Zhenming, W. Chung, and B. Hwa-Ok (2003): ‘Why is son preference so persistent in East and South Asia? A cross-country study of China, India and the Republic of Korea’, Journal of Development Studies, 40(2): 153-187.
Dasgupta, Partha (2000): ‘Population and Resources: An Exploration of Reproductive and Environmental Externalities’, Population and Development Review, Vol.-26, No.-4, pp-643-89.
Dasgupta, Partha (1995): An Inquiry into Well-Being and Destitution, Clarendon Press, Oxford.
Desai, S. (1994): Gender Inequalities and Demographic Behaviour: India. New York: Population Council.
Doyal, Lesley (2005): Gender, Health and the Millennium Development Goals (a briefing document and resource guide). Global Forum for Health Research. Geneva, Switzerland.
D’Souza, S. and Chen, L. C. (1980): ‘Sex Differentials in Mortality in Bangladesh’, Population and Development Review, Vol.-6, pp-257-70.
Dreze, Jean, Khera, R. and Narayanan, S. (2007): ‘Early Childhood in India: Facing the Facts’, Indian Journal of Human Development, Vol-1, No.-2, pp-377-88.
Faisel, A., Ahmed, T., and Kundi, Z. (1993): ‘Differentials in Health-Related Variables among Children at a Diarrhoea Training Unit in Pakistan’, Journal of Diarrheal Disease Research, Vol.-11, pp-19-24.
Ganatra, B. and Hirve, S. (1994): ‘Male Bias in Health Care Utilization for Under-Fives in a Rural Community in Western India’, Bulletin of World Health Organization, Vol.-72, pp-101-4.
Govt. of India (1946): Report of the Health Survey and Development (Bhore) Committee. GoI Press, Delhi.
Govindaswamy, P. and Ramesh, B. M. (1996): ‘Maternal Education and Gender Bias in Child Care Practice in India’, Paper presented at the Annual Meeting of the Population Association of America, New Orleans, May 9-11.
Hazarika, Gautam (2000): ‘Gender Differences in Children’s Nutrition and Access to Health Care in Pakistan’, Journal of Development Studies, Vol.-37, No.-1, pp-73-92.
IIPS, Measure DHS+ and ORC Macro (2007): National Family Health Survey (NFHS-3), 2005-06: India: Vol-1. International Institute of Population Sciences, Mumbai.
___ (2000): National Family Health Survey (NFHS-2), 1998-99: India. IIPS, Mumbai.
___ (1995): National Family Health Survey (NFHS-1), 1992-93: India. IIPS, Mumbai.
Kishor, Sunita (1995): ‘Gender Differentials in Child Mortality in India: A Review of Evidence’, in Women’s Health in India: Risk and Vulnerability, ed. M. Das Gupta, T. N. Krishnan, and Lincoln Chen. Mumbai: Oxford University Press.
Kishor, Sunita (1993): ‘‘May God Give Sons to All’: Gender and Child Mortality in India’, American Sociological Review, Vol.-58, No.-2, pp-247-265.
Klasen, Stephan and Wink, Claudia (2001): ‘A Turning Point in Gender Bias in Mortality?: An Update on the Number of ‘Missing Women’’, Discussion Paper 2001-13, Dept. of Economics, Univ. of Munich. (http://epub.ub.uni-muenchen.de)
Koenig, M. A. and D’Souza S. (1986): ‘Sex Differences in Childhood Mortality in Rural Bangladesh’, Social Science and Medicine, Vol.-22, pp-15-22.
Kumar, S., Nagar, A.L., Samanta, S. (2007): ‘Indexing the Effectiveness of Tax Administration’, Economic and Political Weekly, Dec 15, pp-104-10.
Kurz, K. M. and Johnson-Welch, C. (1997): Gender Differences among Children 0-5 Years: An Opportunity for Child Survival Interventions. A Review Paper prepared for the BASICS Project. Arlington, VA: BASICS.
Langsten, R., and Hill, K. (1998): ‘The Accuracy of Mothers’ Reports of Child Vaccination: Evidence from Rural Egypt’, Social Science & Medicine, 46(9), 1205–1212.
Li, Jianghong (2004): ‘Gender Inequality, Family Planning, and Maternal and Child Care in a Rural Chinese County’, Social Science and Medicine, Vol.-59, pp-695-708.
Makinson, C. (1994): ‘Discrimination against the Female Child’, International Journal of Gynecology and Obstetrics, Vol.-46, pp-119-25.
Merchant, K. M. and Kurz, K. M. (1992): ‘Women’s Nutrition through the Life Cycle: Social and Biological Vulnerabilities’, pp-63-90 in The Health of Women: A Global Perspectives, eds. Koblinsky, M., Timyan, J., and Gay, J. Boulder: Westview Press.
Miller, Barbara D. (1997): ‘Social Class, Gender and Intra-Household Food Allocations to Children in South Asia’, Social Science and Medicine, Vol.-44, No.-11, pp-1685-95.
Miller, Barbara D. (1981): The Endangered Sex: Neglect of Female Children in Rural North India, Cornell University Press: Ithaca, New York.
Mishra, Vinod, T.K. Roy, and Robert D. Retherford (2004): ‘Sex differentials in childhood feeding, health care and nutritional status in India’ Population and Development Review, 30(2): 269-295.
Mosley, W. H. and Becker, S. (1991): ‘Demographic Models for Child Survival and Implications for Health Intervention Programmes’, Health Policy and Planning, Vol.-6, pp-218-33.
Mosley, W. H. and Chen, L. C. (1984): ‘An Analytical Framework for the Study of Child Survival in Developing Countries’, Population and Development Review (Suppl.), Vol.-10, pp-25-45.
Murthi, Mamta, Guio, A-C., Dreze, Jean (1995): ‘Mortality, Fertility, and Gender Bias in India: A District-Level Analysis’, Population and Development Review, Vol-21, No.-4, pp-745-82.
Obermeyer, C. M. and Cardenas, R. (1997): ‘Son Preference and Differential Treatment in Morocco and Tunisia’, Studies in Family Planning, Vol.-28, pp-235-44.
Osmani, Siddiq and Sen, A. K. (2003): ‘The Hidden Penalties of Gender Inequality: Fetal Origins of Ill-Health’, Economics and Human Biology, Vol.-1, pp-105-21.
Pande, Rohini P. (2003): ‘Selective Gender Differences in Childhood Nutrition and Immunization in Rural India: The Role of Siblings’, Demography, Vol.-40, No.-3, pp-395-418.
Pande, R. and N. Astone (2007): ‘Explaining son preference in rural India: The independent role of structural versus individual factors’, Population Research and Policy Review, 26(1): 1-29.
Pande, Rohini P. and Yazbeck, A.S. (2003): ‘What’s in a Country Average? Wealth, Gender, and Regional Inequalities in Immunisation in India’, Social Science and Medicine, Vol.-57, pp-2075-88.
Pandey, A. et al (2002): ‘Gender Differences in Healthcare-Seeking during Common Illnesses in a Rural Community of West Bengal, India’, Journal of Health, Population, Nutrition, Vol.-20, No.-4, pp-306-11.
Pebley, A. R. and Amin, S. (1991): ‘The Impact of a Public-Health Intervention on Sex Differentials in Childhood Mortality in Rural Punjab, India’, Health Transition Review, Vol.-1, pp-143-69.
Rajan, S.I. and James, K.S. (2004): ‘Second National Family Health Survey: Emerging Issues’, Economic and Political Weekly, Feb 14, pp-647-51.
Rajan, S.I., Sudha, S. and Mohanachandran, P. (2000): ‘Fertility Decline and Worsening Gender Bias in India: Is Kerala No Longer an Exception?’, Development and Change, Vol-31, pp-1085-92.
Ravindran, S. (1986): Health Implications of Sex Discrimination in Childhood: A Review Paper and an Annotated Bibliography. Geneva: WHO/ UNICEF.
Rawls, John (1971): A Theory of Justice. Harvard Univ. Press, Cambridge.
Sen, A. K. (2005): The Argumentative Indian. London: Penguin Books Ltd.
Sen, A.K. (2000): ‘Social Justice and Distribution of Income’, Chapter-1 in A.B. Atkinson and F. Bourguignon ed. Handbook of Income Distribution. Elsevier.
Sen, A. K. (1998): ‘Mortality as an Indicator of Economic Success and Failure’, The Economic Journal, Vol.-108, No.-446, pp-1-25.
Sen, A. K. and Sengupta, S. (1983): ‘Malnutrition of Children and the Rural Sex Bias’, Economic and Political Weekly, May 18, pp-855-64.
Visaria, L. (1988): ‘Level, Trends, and Determinants of Infant Mortality in India’, pp-67-126 in Infant Mortality in India: Differentials and Determinants, eds. Jain, A. K. and Visaria, P. New Delhi: Sage.
Visaria, P. M. (1967): ‘The Sex Ratio of the Population of India and Pakistan and Regional Variations During 1901-1961’, pp-334-71 in Patterns of Population Change in India 1951-61, ed. Bose, A. Bombay: Allied Publishers.
Visaria, P. M. (1969): The Sex Ratio of the Population of India. Census of India 1961, Vol.-1, Monograph No.-10. New Delhi: Office of the Registrar General, India, Ministry of Home Affairs.
Visaria, L. and Visaria, P. (1983): ‘Population (1757-1947)’, pp-463-532 in The Cambridge Economic History of India, Vol.-2, ed. Kumar, D. Cambridge: CUP.
Visaria, L. and Visaria, P. (1995): ‘India’s Population in Transition’, Population Bulletin, Vol.-50, No.-3, pp-1-51. Wadley, S. S. (1993): ‘Family Composition Strategies in Rural North India’, Social Science and Medicine, Vol.-37, pp-1367-76.
Waldron, I. (1987): ‘Patterns and Causes of Excess Female Mortality among Children in Developing Countries’, World Health Statistics Quarterly, Vol.-40, pp-194-210.
World Bank (2001): ‘Engendering Development’. Technical Report. World Bank.