Immunization in India : An Equity-Adjusted Assessment
An analysis of the 1992-93 National Family and Health Survey (NFHS) revealed wide differences in levels, and distribution of childhood immunization between, and within Indian states. Evidence of total system failure (no immunization for all) in som...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2006/03/6713183/immunization-india-equity-adjusted-assessment http://hdl.handle.net/10986/13795 |
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okr-10986-137952021-04-23T14:03:09Z Immunization in India : An Equity-Adjusted Assessment Gaudin, Sylvestre Yazbeck, Abdo S. ABSOLUTE VALUE CHILD HEALTH CHILDHOOD DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT ECONOMIC DEVELOPMENT ECONOMICS EQUALITY FAMILIES GENDER GINI COEFFICIENT HEALTH CARE HEALTH POLICY HEALTH SERVICES HUMAN DEVELOPMENT IMMUNIZATION IMMUNIZATION LEVELS INCOME GROUPS INCREASING INEQUALITY INEQUALITY AVERSION INEQUALITY RESULTS NEGATIVE SIGN NUTRITION POLICY POLICY IMPLICATIONS POLICY MAKERS PUBLIC HEALTH PUBLIC SECTOR REGIONAL INEQUALITIES RELATIVE POSITION RURAL AREAS STANDARD DEVIATION URBAN AREAS URBAN POPULATION VACCINATION VULNERABLE GROUPS WEALTH DISTRIBUTION An analysis of the 1992-93 National Family and Health Survey (NFHS) revealed wide differences in levels, and distribution of childhood immunization between, and within Indian states. Evidence of total system failure (no immunization for all) in some low performance areas suggested that improvements in immunization levels may come with a worsening of the distribution of immunization based on wealth. Using the latest NFHS data (1998-99), we take a new snapshot of the situation and compare it to 1992-93, focusing on heterogeneities between states, rural-urban differentials, gender differentials, and more specifically on wealth-related inequalities. In order to assess whether improvements in levels were accompanied by distributional improvements (or whether inequalities were reduced at the expense of overall achievement), we use recently developed methodology to calculate an extended achievement index that captures performance both in terms of efficiency (change in overall immunization rates) and equity (distribution by wealth quintiles) for each of the seventeen largest states. Comparing 1992-93 to 1998-99 levels using different degrees of "inequality aversion" provides no evidence that distributional improvements come at the expense of overall performance. 2013-06-05T18:54:05Z 2013-06-05T18:54:05Z 2006-03 http://documents.worldbank.org/curated/en/2006/03/6713183/immunization-india-equity-adjusted-assessment http://hdl.handle.net/10986/13795 English en_US HNP Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia India |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABSOLUTE VALUE CHILD HEALTH CHILDHOOD DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT ECONOMIC DEVELOPMENT ECONOMICS EQUALITY FAMILIES GENDER GINI COEFFICIENT HEALTH CARE HEALTH POLICY HEALTH SERVICES HUMAN DEVELOPMENT IMMUNIZATION IMMUNIZATION LEVELS INCOME GROUPS INCREASING INEQUALITY INEQUALITY AVERSION INEQUALITY RESULTS NEGATIVE SIGN NUTRITION POLICY POLICY IMPLICATIONS POLICY MAKERS PUBLIC HEALTH PUBLIC SECTOR REGIONAL INEQUALITIES RELATIVE POSITION RURAL AREAS STANDARD DEVIATION URBAN AREAS URBAN POPULATION VACCINATION VULNERABLE GROUPS WEALTH DISTRIBUTION |
| spellingShingle |
ABSOLUTE VALUE CHILD HEALTH CHILDHOOD DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT ECONOMIC DEVELOPMENT ECONOMICS EQUALITY FAMILIES GENDER GINI COEFFICIENT HEALTH CARE HEALTH POLICY HEALTH SERVICES HUMAN DEVELOPMENT IMMUNIZATION IMMUNIZATION LEVELS INCOME GROUPS INCREASING INEQUALITY INEQUALITY AVERSION INEQUALITY RESULTS NEGATIVE SIGN NUTRITION POLICY POLICY IMPLICATIONS POLICY MAKERS PUBLIC HEALTH PUBLIC SECTOR REGIONAL INEQUALITIES RELATIVE POSITION RURAL AREAS STANDARD DEVIATION URBAN AREAS URBAN POPULATION VACCINATION VULNERABLE GROUPS WEALTH DISTRIBUTION Gaudin, Sylvestre Yazbeck, Abdo S. Immunization in India : An Equity-Adjusted Assessment |
| geographic_facet |
South Asia India |
| relation |
HNP Discussion Paper; |
| description |
An analysis of the 1992-93 National
Family and Health Survey (NFHS) revealed wide differences in
levels, and distribution of childhood immunization between,
and within Indian states. Evidence of total system failure
(no immunization for all) in some low performance areas
suggested that improvements in immunization levels may come
with a worsening of the distribution of immunization based
on wealth. Using the latest NFHS data (1998-99), we take a
new snapshot of the situation and compare it to 1992-93,
focusing on heterogeneities between states, rural-urban
differentials, gender differentials, and more specifically
on wealth-related inequalities. In order to assess whether
improvements in levels were accompanied by distributional
improvements (or whether inequalities were reduced at the
expense of overall achievement), we use recently developed
methodology to calculate an extended achievement index that
captures performance both in terms of efficiency (change in
overall immunization rates) and equity (distribution by
wealth quintiles) for each of the seventeen largest states.
Comparing 1992-93 to 1998-99 levels using different degrees
of "inequality aversion" provides no evidence that
distributional improvements come at the expense of overall performance. |
| format |
Publications & Research :: Working Paper |
| author |
Gaudin, Sylvestre Yazbeck, Abdo S. |
| author_facet |
Gaudin, Sylvestre Yazbeck, Abdo S. |
| author_sort |
Gaudin, Sylvestre |
| title |
Immunization in India : An Equity-Adjusted Assessment |
| title_short |
Immunization in India : An Equity-Adjusted Assessment |
| title_full |
Immunization in India : An Equity-Adjusted Assessment |
| title_fullStr |
Immunization in India : An Equity-Adjusted Assessment |
| title_full_unstemmed |
Immunization in India : An Equity-Adjusted Assessment |
| title_sort |
immunization in india : an equity-adjusted assessment |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2006/03/6713183/immunization-india-equity-adjusted-assessment http://hdl.handle.net/10986/13795 |
| _version_ |
1764424126374608896 |