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Socioeconomic Status and Health Inequalities in Urban Area:A Case Study of Delhi


Affiliations
1 Central University of Hyderabad, Telangana Hyderabad-500046, India
 

Objective: This study throws light on the important question, whether there are profound intergroup differences in health status and utilization of healthcare in urban areas. This study mainly focuses on economic burden on different socioeconomic groups due to healthcare expenditure in Delhi.

Method/Statistical Analysis: For the study purpose we have used secondary data conducted by NSSO during 71st round in 2014. The number of households, in Delhi, taken for the study is 1158, and the population is 5424.In order to attain the objectives of study, we use both exploratory and descriptive study methods. The exploratory study will be used to investigate the problems and the variables more clearly, which will help us produce ideas and thoughts about the objectives covered in the study. On the other hand, the descriptive method will determine the impact of socioeconomic status on the health status of people. To find the variance in health care expenditure done by different socioeconomic group we have used the ANNOVA model.

Findings: From the study, it is found that the people with low socioeconomic status experience catastrophic out of pocket expenditure on healthcare and a large proportion of the population face impoverishment because of the economic burden of out of pocket healthcare expenditure they incurred. The maximum expenditure is done on outpatient care. Correlation between reporting prevalence of diseases and standard of living exists because the poorest persons have reported the prevalence of chronic diseases more than richest persons in rest of the reference cities. Besides the socioeconomic status, the adequate quality of healthcare services is a need of all people whether the service is utilized more or less.

Application/Improvement: Findings of the study is can be considered as a witness that the improvement of health status is possible rapidly when we embrace comprehensive insights of socioeconomic inequalities and terminate these inequalities.


Keywords

Socioeconomic Status, Urbanization, Out of Pocket Expenditure, Economic Burden, Healthcare.
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  • World Health Organization. Environmental health in urban development: report of a WHO expert committee. 1991.
  • V.N.S. Snyder, S. Friel, J.C. Fotso, Z. Khadr, S. Meresman, P. Monge, A. Patil-Deshmukh. Social conditions and urban health inequities: realities, challenges and opportunities to transform the urban landscape through research and action. Journal of Urban Health. 2011; 88(6), 1183-1193.
  • P. Arokiasamy, K. Jain, S. Goli, J. Pradhan. Health inequalities among urban children in India: A comparative assessment of empowered action group (EAG) and south Indian states. Journal of Biosocial Science. 2013; 45(02), 167-185.
  • I. Kawachi, S. Wamala. Poverty and inequality in a globalizing world. Globalisation and health. 2007; 122-37.
  • V.K. Borooah, N.S. Sabharwal, D.G. Diwakar, V.K. Mishra, A.K. Naik. Caste, Discrimination, and Exclusion in Modern India. SAGE Publications India. 2015.
  • P. Berman, R. Ahuja, L. Bhandari. The impoverishing effect of healthcare payments in India: new methodology and findings. Economic and Political Weekly. 2010; 65-71.
  • Ministry of Health & Family Welfare. National Health Policy 2015 Draft. Government of India. 2014.
  • C.C. Garg, A.K. Karan. Reducing out-of-pocket expenditures to reduce poverty: a disaggregated analysis at rural-urban and state level in India. Health Policy and Planning. 2008; 24(2), 116-128.
  • H. Cooper. Investigating socio-economic explanations for gender and ethnic inequalities in health. Social Science & Medicine. 2002; 54(5), 693-706.
  • S. Walters, M. Suhrcke. Socioeconomic inequalities in health and health care access in central and Eastern Europe and the CIS: A review of the recent literature. WHO European Office for Investment for Health and Development. Working paper. 2005.
  • V.K. Baraik, P.M. Kulkarni. Health Status and Access to Health Care Services: Disparities among Social Groups in India. Indian Institute of Dalit Studies. 2006.
  • R. Baru, A. Acharya, S. Acharya, A.S. Kumar, K. Nagaraj. Inequities in access to health services in India: caste, class and region. Economic and Political Weekly. 2010; 49-58.
  • P. Duraisamy, D. Sathiyavan. Impact of health status on wages and labour supply of men and women. Indian Journal of Labour Economics. 1998; 41(1), 67-84.
  • A. Ankur. Healthcare expenditure of urban poor- A study of a slum in Delhi. Lambert Academic Publishing. 2011.
  • Y. Balarajan, S. Selvaraj, S. Subramanian. Health care and equity in India. The Lancet. 2011; 377(9764), 505-515.
  • R. Nasir. Muslim self-exclusion and public health services in Delhi. South Asia Research. 2014; 34(1), 65-86.
  • S. Ghosh. Equity in the utilization of healthcare services in India: evidence from National Sample Survey. International Journal of Health Policy and Management. 2014; 2(1), 29.
  • S. Prinja, P. Kanavos, R. Kumar. Health care inequities in north India: role of public sector in universalizing health care. The Indian Journal of Medical Research. 2012; 136(3), 421.
  • D.C. Mpad, S. Galea, W.T. Caiaffa, D. Vlahov. Social determinants of the health of urban populations: methodologic considerations. Journal of Urban Health. 2007; 84(1), 42-53.
  • E. Van Doorslaer, O. O'Donnell, R.P. Rannan-Eliya, A. Somanathan, S.R. Adhikari, C. Garg, A. Karan. Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data. The lancet. 2006; 368(9544), 1357-1364.
  • A. Wagstaff, E.V. Doorslaer. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998. Health Economics. 2003; 12(11), 921-933,
  • M. Pradhan, N. Prescott. Social risk management options for medical care in Indonesia. Health Economics. 2002; 11(5), 431-446.
  • S.K. Hooda. ISID-PHFI Collaborative Research Programme ISID. 2013.
  • H. Thakur, S. Ghosh. Social Exclusion and Rashtriya Swasthya Bima Yojana (RSBY) in Maharashtra. Mumbai, India School of Health Services Studies, Tata Institute of Social Sciences. Social risk management options for medical care in Indonesia. 2013.
  • P. Rathi, A. Mukherji, G. Sen. Rashtriya Swasthya Bima Yojana: evaluating utilisation, roll-out and perceptions in Amaravati district, Maharashtra. Economic and Political Weekly. 2012; 57-64.

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  • Socioeconomic Status and Health Inequalities in Urban Area:A Case Study of Delhi

Abstract Views: 246  |  PDF Views: 144

Authors

Saurabh
Central University of Hyderabad, Telangana Hyderabad-500046, India
K. Ramachandra Rao
Central University of Hyderabad, Telangana Hyderabad-500046, India

Abstract


Objective: This study throws light on the important question, whether there are profound intergroup differences in health status and utilization of healthcare in urban areas. This study mainly focuses on economic burden on different socioeconomic groups due to healthcare expenditure in Delhi.

Method/Statistical Analysis: For the study purpose we have used secondary data conducted by NSSO during 71st round in 2014. The number of households, in Delhi, taken for the study is 1158, and the population is 5424.In order to attain the objectives of study, we use both exploratory and descriptive study methods. The exploratory study will be used to investigate the problems and the variables more clearly, which will help us produce ideas and thoughts about the objectives covered in the study. On the other hand, the descriptive method will determine the impact of socioeconomic status on the health status of people. To find the variance in health care expenditure done by different socioeconomic group we have used the ANNOVA model.

Findings: From the study, it is found that the people with low socioeconomic status experience catastrophic out of pocket expenditure on healthcare and a large proportion of the population face impoverishment because of the economic burden of out of pocket healthcare expenditure they incurred. The maximum expenditure is done on outpatient care. Correlation between reporting prevalence of diseases and standard of living exists because the poorest persons have reported the prevalence of chronic diseases more than richest persons in rest of the reference cities. Besides the socioeconomic status, the adequate quality of healthcare services is a need of all people whether the service is utilized more or less.

Application/Improvement: Findings of the study is can be considered as a witness that the improvement of health status is possible rapidly when we embrace comprehensive insights of socioeconomic inequalities and terminate these inequalities.


Keywords


Socioeconomic Status, Urbanization, Out of Pocket Expenditure, Economic Burden, Healthcare.

References