The study examines the role of land ownership in shaping the well-being of older Indians by using... more The study examines the role of land ownership in shaping the well-being of older Indians by using data from the India Human Development Survey II (IHDS-II). In a society structured around extended households it focuses on the exchanges between parents and adult children in order to explore possible financial motives involved in elder care. Three aspects of well-being are considered: co-residence, medical expenditure and decision-making power within the household.US National Institutes of HealthUK Department of International DevelopmentFord FoundationWorld Ban
In India, a substantial investment has been made in developing community-based programmes, such a... more In India, a substantial investment has been made in developing community-based programmes, such as Integrated Child Development Services (ICDS), and networks of village-level health workers. In spite of these efforts, growth utilisation of government services has failed to keep pace with the private sector, particularly in the past two decades. The results presented in this paper show that Indian families, even poor families, receive most of their medical care from private practitioners. Maternity care is a partial exception here. For most other forms of care, however, the public sector is dwarfed by the reliance on the private sector, even though the quality of private sector providers and services remains highly variable.
Elderly hood is the final stage in one’s life cycle and is characterized by various chronic and m... more Elderly hood is the final stage in one’s life cycle and is characterized by various chronic and multiple morbidities. Previous studies have focused on morbidity and treatment seeking behavior among the elderly but there is a dearth of studies which look into economic condition and living arrangement simultaneously to explain treatment seeking behavior among the elderly. The present study brings insights on difference in treatment seeking of elderly from similar economic conditions but different living arrangements. NSS 60th round (25.0 sub-round) data on 34831 elderly of age 60 years or above has been analyzed. Monthly Per-capita Consumption Expenditure is used as economic indicator of household. MPCE and place of residence have direct bearing on treatment seeking behavior of the elderly. But, with the similar level of MPCE, elderly living with spouse and without spouse but with children receive treatment higher than those living alone or in old age homes or with other relatives and...
The dynamics of world economic change has been interesting particularly for last 10-20 years as t... more The dynamics of world economic change has been interesting particularly for last 10-20 years as this period has seen rapid growth and improvement in economic, demographic and health factors. This study tries to find out how far demographic component of deceasing dependency ratio in BRICS countries is affecting efficiently in the growth of their economies compared to few selected developed economies. The potential growth of BRICS economies is largely dependent on its skill formation capacity of its population, particularly working age population.
Research on economic status and adult mortality is often stymied by the reciprocity of this relat... more Research on economic status and adult mortality is often stymied by the reciprocity of this relationship. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 132,116 Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 200405 and wave 2, conducted in 2011-12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1. Household wealth is also positively associated with the manifestation of hypertension, diabetes and cardiac conditions, but wealth also reduces the likelihood of death conditional on having these diseases. In fact, the wealth effect is somewhat stronger...
Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. ... more Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 133,379 comprising Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004-05 and wave 2, conducted in 2011-12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1. Household wealth is positively associated with the manifestation of hypertension, diabetes and cardiac conditions, but wealth also reduces the likelihood of death conditional on having these diseases.
ABSTRACT Elderly hood is the final stage in one's life cycle and is characterized by var... more ABSTRACT Elderly hood is the final stage in one's life cycle and is characterized by various chronic and multiple morbidities. Previous studies have focused on morbidity and treatment seeking behavior among the elderly but there is a dearth of studies which look into ...
Global health spending share of low/middle income countries continues its long-term growth. BRICS... more Global health spending share of low/middle income countries continues its long-term growth. BRICS nations remain to be major drivers of such change since 1990s. Governmental, private and out-of-pocket health expenditures were analyzed based on WHO sources. Medium-term projections of national health spending to 2025 were provided based on macroeconomic budgetary excess growth model. In terms of per capita spending Russia was highest in 2013. India's health expenditure did not match overall economic growth and fell to slightly less than 4% of GDP. Up to 2025 China will achieve highest excess growth rate of 2% and increase its GDP% spent on health care from 5.4% in 2012 to 6.6% in 2025. Russia's spending will remain highest among BRICS in absolute per capita terms reaching net gain from $1523 PPP in 2012 to $2214 PPP in 2025. In spite of BRICS' diversity, all countries were able to significantly increase their investments in health care. The major setback was bold rise in out-of-pocket spending. Most of BRICS' growing share of global medical spending was heavily attributable to the overachievement of People's Republic of China. Such trend is highly likely to continue beyond 2025.
s u m m a r y Research on economic status and adult mortality is often stymied by the reciprocity... more s u m m a r y Research on economic status and adult mortality is often stymied by the reciprocity of this relationship and lack of clarity on which aspect of economic status matters. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 132,116 Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004–05 and wave 2, conducted in 2011–12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1 regardless of the choice of indicator for economic status. However, negative relationship between economic status and mortality for individuals already suffering from cardiovascular and metabolic conditions varies between three markers of economic status—income, consumption, and ownership of consumer dur-ables—reflecting two-way relationship between short-and long-term markers of economic status and morbidity.
With ongoing demographic transition, epidemiological transition in India has been emerged as a gr... more With ongoing demographic transition, epidemiological transition in India has been emerged as a growing concern in India. The share of non-communicable disease in total disease burden has increased from 31 per cent in 1990 to 45 per cent in 2010. This paper seeks to explore the health scenario of India in the wake of the growing pace of non-communicable diseases like diabetes, hypertension among Indian population using data from health and morbidity survey of the National Sample Survey Organisation (2004) and notifies about the resource needed to tackle this growing health risk. Given the share of private players (70 per cent) in Indian health system, results indicate a higher private expenditure, mostly out-of-pocket expense, on account of non-communicable diseases. A timely look into the matter may tackle a more dreadful situation in near future.
The study examines the role of land ownership in shaping the well-being of older Indians by using... more The study examines the role of land ownership in shaping the well-being of older Indians by using data from the India Human Development Survey II (IHDS-II). In a society structured around extended households it focuses on the exchanges between parents and adult children in order to explore possible financial motives involved in elder care. Three aspects of well-being are considered: co-residence, medical expenditure and decision-making power within the household.US National Institutes of HealthUK Department of International DevelopmentFord FoundationWorld Ban
In India, a substantial investment has been made in developing community-based programmes, such a... more In India, a substantial investment has been made in developing community-based programmes, such as Integrated Child Development Services (ICDS), and networks of village-level health workers. In spite of these efforts, growth utilisation of government services has failed to keep pace with the private sector, particularly in the past two decades. The results presented in this paper show that Indian families, even poor families, receive most of their medical care from private practitioners. Maternity care is a partial exception here. For most other forms of care, however, the public sector is dwarfed by the reliance on the private sector, even though the quality of private sector providers and services remains highly variable.
Elderly hood is the final stage in one’s life cycle and is characterized by various chronic and m... more Elderly hood is the final stage in one’s life cycle and is characterized by various chronic and multiple morbidities. Previous studies have focused on morbidity and treatment seeking behavior among the elderly but there is a dearth of studies which look into economic condition and living arrangement simultaneously to explain treatment seeking behavior among the elderly. The present study brings insights on difference in treatment seeking of elderly from similar economic conditions but different living arrangements. NSS 60th round (25.0 sub-round) data on 34831 elderly of age 60 years or above has been analyzed. Monthly Per-capita Consumption Expenditure is used as economic indicator of household. MPCE and place of residence have direct bearing on treatment seeking behavior of the elderly. But, with the similar level of MPCE, elderly living with spouse and without spouse but with children receive treatment higher than those living alone or in old age homes or with other relatives and...
The dynamics of world economic change has been interesting particularly for last 10-20 years as t... more The dynamics of world economic change has been interesting particularly for last 10-20 years as this period has seen rapid growth and improvement in economic, demographic and health factors. This study tries to find out how far demographic component of deceasing dependency ratio in BRICS countries is affecting efficiently in the growth of their economies compared to few selected developed economies. The potential growth of BRICS economies is largely dependent on its skill formation capacity of its population, particularly working age population.
Research on economic status and adult mortality is often stymied by the reciprocity of this relat... more Research on economic status and adult mortality is often stymied by the reciprocity of this relationship. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 132,116 Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 200405 and wave 2, conducted in 2011-12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1. Household wealth is also positively associated with the manifestation of hypertension, diabetes and cardiac conditions, but wealth also reduces the likelihood of death conditional on having these diseases. In fact, the wealth effect is somewhat stronger...
Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. ... more Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 133,379 comprising Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004-05 and wave 2, conducted in 2011-12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1. Household wealth is positively associated with the manifestation of hypertension, diabetes and cardiac conditions, but wealth also reduces the likelihood of death conditional on having these diseases.
ABSTRACT Elderly hood is the final stage in one's life cycle and is characterized by var... more ABSTRACT Elderly hood is the final stage in one's life cycle and is characterized by various chronic and multiple morbidities. Previous studies have focused on morbidity and treatment seeking behavior among the elderly but there is a dearth of studies which look into ...
Global health spending share of low/middle income countries continues its long-term growth. BRICS... more Global health spending share of low/middle income countries continues its long-term growth. BRICS nations remain to be major drivers of such change since 1990s. Governmental, private and out-of-pocket health expenditures were analyzed based on WHO sources. Medium-term projections of national health spending to 2025 were provided based on macroeconomic budgetary excess growth model. In terms of per capita spending Russia was highest in 2013. India's health expenditure did not match overall economic growth and fell to slightly less than 4% of GDP. Up to 2025 China will achieve highest excess growth rate of 2% and increase its GDP% spent on health care from 5.4% in 2012 to 6.6% in 2025. Russia's spending will remain highest among BRICS in absolute per capita terms reaching net gain from $1523 PPP in 2012 to $2214 PPP in 2025. In spite of BRICS' diversity, all countries were able to significantly increase their investments in health care. The major setback was bold rise in out-of-pocket spending. Most of BRICS' growing share of global medical spending was heavily attributable to the overachievement of People's Republic of China. Such trend is highly likely to continue beyond 2025.
s u m m a r y Research on economic status and adult mortality is often stymied by the reciprocity... more s u m m a r y Research on economic status and adult mortality is often stymied by the reciprocity of this relationship and lack of clarity on which aspect of economic status matters. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 132,116 Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004–05 and wave 2, conducted in 2011–12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1 regardless of the choice of indicator for economic status. However, negative relationship between economic status and mortality for individuals already suffering from cardiovascular and metabolic conditions varies between three markers of economic status—income, consumption, and ownership of consumer dur-ables—reflecting two-way relationship between short-and long-term markers of economic status and morbidity.
With ongoing demographic transition, epidemiological transition in India has been emerged as a gr... more With ongoing demographic transition, epidemiological transition in India has been emerged as a growing concern in India. The share of non-communicable disease in total disease burden has increased from 31 per cent in 1990 to 45 per cent in 2010. This paper seeks to explore the health scenario of India in the wake of the growing pace of non-communicable diseases like diabetes, hypertension among Indian population using data from health and morbidity survey of the National Sample Survey Organisation (2004) and notifies about the resource needed to tackle this growing health risk. Given the share of private players (70 per cent) in Indian health system, results indicate a higher private expenditure, mostly out-of-pocket expense, on account of non-communicable diseases. A timely look into the matter may tackle a more dreadful situation in near future.
Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. ... more Research on wealth and adult mortality is often stymied by the reciprocity of this relationship. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 133,379 comprising Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004-05 and wave 2, conducted in 2011-12. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1. Household wealth is positively associated with the manifestation of hypertension, diabetes and cardiac conditions, but wealth also reduces the likelihood of death conditional on having these diseases.
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Papers by Debasis Barik