Explaining the rural-urban gap in infant mortality in India.

Autor/inn/en	Saikia, Nandita; Singh, Abhishek; Jasilionis, Domantas; Ram, Faujdar
Titel	Explaining the rural-urban gap in infant mortality in India. Gefälligkeitsübersetzung: Zur Erklärung des Unterschieds in der Kindersterblichkeit zwischen Stadt und Land in Indien.
Quelle	In: Demographic research, (2013) 29, Art. 18, S. 473-506 PDF als Volltext kostenfreie Datei Link als defekt meldenVerfügbarkeit
Beigaben	Anhang; Tabellen 4; grafische Darstellungen 3
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
ISSN	1435-9871; 2363-7064
DOI	10.4054/DemRes.2013.29.18
Schlagwörter	Kind; Ländlicher Raum; Stadt; Entwicklungsland; Sterblichkeit; Asien; Indien; Südasien
Abstract	"Background: Prior studies suggest that infant mortality in rural areas of India is substantially higher than in urban areas. However, little is known about the determinants explaining such excess of rural mortality. Objective: This study systematically assesses the role of socioeconomic and maternal and child health (MCH) care-related program factors in explaining the rural-urban gap in infant mortality during the past two decades. Methods: Long-term changes in rural and urban infant mortality were assessed using Sample Registration System (SRS) data. Binary logistic regression was used to analyze the association between socioeconomic and MCH care-related program factors and infant mortality using data from the three rounds of the National Family Health Survey (NFHS). Fairlie's decomposition technique was applied to understand the relative contribution of different co-variates to the rural-urban gap in infant mortality. Results: Relative inequality between rural and urban India has increased over time. The rural-urban gap in infant mortality can be largely explained by the distributions of the co-variates in rural and urban area. The largest part of the rural disadvantage in infant mortality is attributable to the underlying disadvantage in household wealth and maternal education, whereas breastfeeding and knowledge of Oral Rehydration Solution has contributed to narrowing the gap. The share of women using modern contraceptive methods and the percentage of fully vaccinated children in the community have also contributed to widening the rural-urban gap in infant mortality. Conclusions: In addition to strengthening MCH programs in rural areas, substantial efforts must also be made to improve household wealth and female education levels." (author's abstract).
Erfasst von	GESIS - Leibniz-Institut für Sozialwissenschaften, Mannheim
Update	2014/3