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

Saseendran Pallikadavath; Abhishek Singh; Reuben Ogollah; Tara Dean; William Stones

doi:10.1016/j.healthplace.2013.05.003

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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 language	English
Pages (from-to)	26-32
Number of pages	7
Journal	Health & Place
Volume	23
Early online date	22 May 2013
DOIs	https://doi.org/10.1016/j.healthplace.2013.05.003
Publication status	Published - Sept 2013

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.healthplace.2013.05.003

HealthandPlace2013-23-HumanResourceInequalities
Copyright (c) 2013 The Authors. Published by Elsevier Ltd. This is an open access article available under a Creative Commons license (http://creativecommons.org/licenses/by/3.0/)
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title = "Human resource inequalities at the base of India's public health care system",

abstract = "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.",

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note = "Date of Accpetance: 07/05/2013",

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AU - Singh, Abhishek

AU - Ogollah, Reuben

AU - Dean, Tara

AU - Stones, William

N1 - Date of Accpetance: 07/05/2013

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N2 - 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.

AB - 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.

KW - India

KW - Human resources for health

KW - Primary health care system

KW - Health Sub-Centre

KW - Inequalities in health

U2 - 10.1016/j.healthplace.2013.05.003

DO - 10.1016/j.healthplace.2013.05.003

M3 - Article

SN - 1353-8292

VL - 23

SP - 26

EP - 32

JO - Health & Place

JF - Health & Place

ER -

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

Abstract

Keywords

UN SDGs

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