Human resource inequalities at the base of India's public health care system

Saseendran Pallikadavath*, Abhishek Singh, Reuben Ogollah, Tara Dean, William Stones

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)


This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC)-first level of service provision in the public health system. 'Within state' inequality explained about 71% and between state' inequality explained the remaining 29% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to 'between' and 'within' district inequalities were the percentages of villages connected with all-weather roads and having primary schools. Analysis demonstrates a policy and programming need to address Within State' inequalities as a priority. (C) 2013 The Authors. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)26-32
Number of pages7
JournalHealth & Place
Early online date22 May 2013
Publication statusPublished - Sept 2013


  • India
  • Human resources for health
  • Primary health care system
  • Health Sub-Centre
  • Inequalities in health


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