India
Sex-selective abortion: Evidence from a community-based study in Western India
Selective abortion of female foetuses has been documented in India as early as the late 1970s when amniocentesis for genetic screening became available (Ramanama and Bambawale, 1980), but it was only with the increasing availability of ultrasound technology in the mid-1980s that the practice became widespread. Most of the existing evidence on sex-selective abortion comes from micro-studies in northern India. These have demonstrated a widespread acceptance of the practice, and several researchers have documented indirect evidence in the form of increasing sex ratios at birth in hospitals or within communities (Booth and others, 1994; Gu and Roy, 1995; Khanna, 1997; Sachar and others, 1990 and 1993; Sahi and Sarin, 1996). While abortion (also called medical termination of pregnancy, or MTP) on broad social and medical grounds has been legal since 1972, sex selection is not. The state of Maharashtra, where the present study was conducted banned prenatal sex selection in 1988; the Prenatal Diagnostic Techniques Bill made sex detection tests illegal throughout India in 1994.
Aging in India: Its socio-economic and health implications
The sharp decline in mortality since 1950 and a steady recent decline in fertility has contributed to the process of population aging in India.
Does economic inequality matter in cases of infectious childhood diseases? An analysis for India
Although remarkable declines in infant and child mortality have been observed in developing countries during the last quarter of the twentieth century, the incidence and the prevalence of infectious diseases among children under five years of age still persist at an alarmingly high level, especially in sub-Saharan Africa and South Asian countries in the ESCAP region. Over two thirds of the estimated 3.7 million deaths of children in South Asia in the year 2000 were attributable to infections such as pneumonia (acute respiratory infections), diarrhoea and measles (UNICEF, 2004; Black, Morris and Bryce, 2003). In India, diarrhoea, acute respiratory infections, tuberculosis and chronic hepatitis continue to threaten the lives of millions of children.
Nutritional status of children in north-east India
Undernutrition in children is the consequence of a range of factors which are often related to insufficient food intake, poor food quality, and severe and repeated infectious diseases. The inadequacy is relative to the food and nutrients needed to maintain good health, provide for growth and allow a level of physical activity (National Nutrition Policy, Government of India, 1993). Widespread poverty resulting in chronic and persistent hunger is the biggest scourge of the developing world today. Poverty, in turn, is closely linked to the overall standard of living and whether a population can meet its basic needs, such as access to food, housing, health care and education. This intersectoral and interrelated cause of undernutrition operates at many levels from the community at large to the household and children within households. Undernutrition is often cited as an important factor contributing to high morbidity and mortality among children in developing countries (Sommer and Loewenstein, 1975; Chen, Chowdury and Huffman, 1980; Vella and others, 1992a, 1992b). Undernutrition during childhood can also affect growth potential and risk of morbidity and mortality in later years of life.
Price co-movements, commonalities and responsiveness to monetary policy: Empirical analysis under indian conditions
This study aims to empirically establish the co-movement of price indices of seemingly unrelated commodities, suggesting that the Central Bank should not decouple fluctuation in the national price index into volatile and core components. An attempt is also made to understand whether monetary policy can influence the factors responsible for price fluctuations in the states of India. The study becomes especially relevant under Indian conditions where flexible inflation targeting has been adopted by the Reserve Bank of India (Central Bank of India) and achieving the targeted inflation is a primary concern of the Indian government. The results of the empirical analysis clearly reveal that unrelated price indices co-move in India, and that monetary policy initiatives fail to influence the common factors of the states of India. The empirical results have crucial implications for the Reserve Bank of India and, as such, a conscious effort is needed to enable policy to influence the price indices of the states of India.
Envisioning tax policy for accelerated development in India
The objective of the present paper is to demonstrate that despite several years of reform, the tax-GDP ratio in India is well below international standards and has been static over the last decade. Based on a crosscountry analysis of tax-GDP ratios in 115 countries over the period 2005-2015, an estimate is made of the extent of under-taxation in India. Considering that children in the age group of 0-14 years constitute about 40 per cent of the population of 1.3 billion in India, in the paper, it is argued that the tax-GDP ratio must be raised to enhance allocation to education, health care and physical infrastructure to ensure demographic dividends by providing the increasing workforce with productive employment opportunities. The reforms needed to raise the revenue productivity of the tax system while taking into account the best practice approach to tax reform are identified in the paper.
Contributory factors towards sustainability of bank-linked self-help groups in India
The present study focuses on the Indian flagship financial inclusion scheme – the Self Help Group-Bank Linkage Programme, which successfully leverages the social collateral concept and the vast network of bank branches in India to deliver financial services to small, cohesive and participatory women’s self-help groups. To develop a deeper understanding of the topic of sustainability of self-help groups, we propose a framework that conceptualizes sustainability by integrating the financial and organizational aspects of functioning of self-help groups. Sustainability is assessed in the light of the group’s performance (on set of indicators) with respect to the primary objective of the Self Help Group-Bank Linkage Programme, which is financial intermediation. Subsequently, we ascertain the effect of plausible contributory factors related to group management practices on the sustainability of self-help groups. The results of regression analysis on primary data captured from a survey of 170 self-help groups show that such factors as equitable access to credit, group savings, growth in savings, loan utilization in income generation activities, members depositing a savings contribution or loan installment on each other’s behalf, and distance from bank contribute significantly to group sustainability. Accordingly, designing suitable measures to monitor and improve group governance and management practices would be a critical policy intervention.
Internal migration in India: Are the underprivileged migrating more?
India embarked on its new economic policy, popularly known as the liberalization of the Indian economy, in 1991. The basic features of the new economic policy were a reduction in government expenditures in order to reduce fiscal deficit, an opening up of the economy for export-oriented growth, the removal of government control and licensing, and a push for private participation to enhance competition and efficiency. Both supporters and critics of the new economic policy believed that economic reforms would increase internal migration. Proponents believed that the new impetus would boost the economy and job opportunities, leading to increased pull factors conducive to accelerated rural-to-urban migration. By contrast, the opponents of this policy were of the view that economic reforms would adversely affect the village and cottage industries and impoverish rural populations, leading to increased rural-tourban migration (Kundu, 1997). Although there was considerable success in achieving economic growth, from 2 to 3 per cent of growth in gross domestic product in the pre-reform era to over 6 per cent during the period 1991-2001, the impact of this enhanced growth on internal migration in general and rural-to-urban migration, in particular, has not been assessed. The latest census of 2001 reveals several interesting results in relation to internal migration, its regional pattern and the contribution of rural-to-urban migration to urban growth, as discussed by Bhagat and Mohanty (2009). They argue that the push factor has not significantly influenced internal migration. As a result, it appears inaccurate to state that the poor and disadvantaged are migrating more than those that are more well off.
Changing demographics, emerging risks of economic-demographic mismatch and vulnerabilities faced by older persons in South Asia: Situation review in India and Pakistan
This paper provides an overview of some important demographic changes in two major South Asian countries, India and Pakistan, resulting in a situation marked by sustained fertility decline, life prolongation and a growth of population in both the young (especially 25 years and over) and old (60 years and over) age groups. The study postulates that these changes may prove significant for both the countries – affecting, inter alia, the size and clearance mechanism of their labour markets, nature of dependencies, increasing ratios of young to old, etc. The study further postulates that a fair proportion of families in the two countries may find it difficult to endure old-age dependencies owing to increasingly widespread casualization of employment and jobless growth. Enduring old-age dependencies may also be difficult due to limited work opportunities for older persons, functional disabilities, perpetuating poverty, lack of social assistance, compression in real public health expenditure, etc. The study also postulates that the pro-market changes in these countries may not particularly conform to their age structure changes. It may as well create a situation fraught with a significant economic-demographic mismatch (see appendix 1).
The effect of maternal nutrition and reproductive morbidity on waiting time to next conception in rural Karnataka, India
The role of the public and private sectors in responding to older persons? needs for inpatient care: Evidence from Kerala, India
Determinants of living arrangements of elderly in Orissa, India: An analysis
Demographic trends in many developing countries since the second half of the twentieth century are leading to an unprecedented increase in the absolute as well as relative size of older populations (aged 60 years and older). Simultaneously, rapid social and economic changes have occurred that have potentially profound implications for the future of the elderly. At the global level the number of older persons is projected to increase from 603 million in 2000 to 2 billion in 2050. The increase will be especially dramatic in less developed regions where the size of older populations will more than quadruple, from 370 million in 2000 to 1.6 billion in 2050 (United Nations, 2009).
Breast-feeding and weaning practices in India
Recently, considerable importance is being given to the study of breastfeeding practices in different settings in developing and developed countries. Breast-feeding is important, particularly in developing countries, because of its relationship with child health and birth spacing. It is well documented that mother’s milk is the best food for the newborn child and it has a significant impact on reducing mortality in infants. Apart from these benefits, breast-feeding also plays an equally important role in controlling fertility in developing countries.
Determinants of contraceptive method choice in an industrial city of India
Even though India instituted the first national family planning programme in the world, its contraceptive prevalence rate is still relatively low. In 1980, a national survey estimated that 35 per cent of the currently married women aged 15-44 years were currently using contraceptives, of whom 63 per cent were using sterilization (Khan and Prasad, 1983, pp. 112, 120). As late as 1984-1985, close to the time our study was carried out, oflicial government estimates based on service statistics still showed only 36 per cent of the eligible couples as being currently protected (Ministry of Health and Family Welfare, Government of India, 1986, p. 14); of these, 70 per cent were using sterilization (Ibid., p. 187).
Potential for reducing child and maternal mortality through reproductive and child health intervention programmes: An illustrative case study from India
In September 2000, at the United Nations Millennium Summit in New York, leaders of the world’s Governments signed the Millennium Declaration and committed themselves to a series of goals and targets that came to be known as the Millennium Development Goals (MDGs). The Goals include reducing under-five mortality by two thirds (Goal 4) and reducing maternal mortality ratio by three quarters (Goal 5) between 1990 and 2015 (IMF, OECD, United Nations and World Bank Group, 2000). According to the assessment made in 2003 by ESCAP, UNDP and ADB, among 47 countries in the ESCAP region for which data are available, one half (24 countries) have already achieved Goal 4 and four additional countries are expected to achieve the Goal, leaving 19 countries (40 per cent) making slow progress or regressing. As for Goal 5 (improve maternal health), of the 42 countries for which data are available, seven have already achieved the Goal and another seven are expected to achieve it, leaving 28 countries (two thirds) either making slow progress or regressing. Goal 5 (reduction by three quarters) is more ambitious than Goal 4 (reduction by two thirds) and it is not surprising that fewer countries are progressing well towards the first than towards the latter. India is classified as progressing slowly towards Goal 4 and regressing in achieving Goal 5 as of 2003 (ESCAP, UNDP and ADB, 2005).
Spousal abuse and infant and child mortality in India
Violence against women continues to be a global epidemic that kills, tortures and maims physically, psychologically, sexually and economically. It is one of the most pervasive forms of human rights violations, denying women and girls’ equality, security, dignity, self-worth and right to enjoy fundamental freedoms. Violence against women is present in every country, cutting across boundaries of culture, class, education, income, ethnicity and age. The evidence of the magnitude of the problem of domestic violence in developing countries is growing fast. In recent years, there has been a greater understanding of the problem of domestic violence, which is one of the forms of violence against women, its causes and consequences, and an international consensus has developed on the need to handle this sensitive issue in an appropriate fashion.
Household type and poor older persons in India
Economic activity in post retirement life in India
Economic independence, family support and perceived health status of the elderly: Recent evidence from India
The sharp dip in fertility rates in recent years, combined with falling mortality rates over the last four decades, is leading to an increase in the absolute and relative size of the elderly population in developing countries (Rajan, Sarma and Mishra, 2003). It has been observed that the speed of population ageing is very fast in some countries of South and South-East Asia (Population Reference Bureau, 2006). As a result, issues related to ageing are becoming important in those countries (Liebig and Rajan, 2003).
