Public Health Spending and Infant and Child Mortality in India: A State-Year Panel Analysis

18 Pages Posted: 23 Dec 2013

See all articles by Kaushalendra Kumar

Kaushalendra Kumar

International Institute for Population Sciences

Abhishek Singh

Department of Public Health & Mortality Studies, International Institute for Population Sciences

Faujdar Ram

International Institute for Population Sciences (IIPS)

S. V. Subramanian

Harvard University - T.H. Chan School of Public Health

Date Written: September 6, 2013

Abstract

Background: To investigate the association between public health spending and probability of infant and child death in India.

Methods: We used data from the three rounds of National Family Health Survey (NFHS) conducted in India during 1992-93, 1998-99 and 2005-06 to investigate the association between public health spending and probability of infant and child death. We used data from the birth history of three NFHS rounds to create state-year panels of births, infant and child deaths, state-level public finance variables, food grain production, household and individual variables for the period 1980-2005. Two-stage probit regression model is used to investigate the association. State-level per capita gross fiscal deficit is used as an instrument for estimating two-stage probit model.

Findings: Findings suggest association between public health spending and infant and child mortality in India. A 10% increase in per capita public health spending is likely to reduce the probability of infant and child deaths by 0•005 (95% CI: 0•003, 0•007) and 0•003 (95% CI: 0•002, 0•004) respectively. The second and third lags of public health spending were also statistically significant. Other factors affecting infant and child death were sex of the child, birth order, mother’s age at birth of the index child, mother’s schooling and urban-rural residence.

Interpretation: Public health spending was associated with probability of infant and child death in India. Our findings lend support to the government’s initiative to increase public health spending in India.

Keywords: India, Public Spending on Health, Endogeneity, Two-Stage Probit Model, infant and child death

Suggested Citation

Kumar, Kaushalendra and Singh, Abhishek and Ram, Faujdar and Subramanian, S. V., Public Health Spending and Infant and Child Mortality in India: A State-Year Panel Analysis (September 6, 2013). Available at SSRN: https://ssrn.com/abstract=2371024 or http://dx.doi.org/10.2139/ssrn.2371024

Kaushalendra Kumar

International Institute for Population Sciences ( email )

Govandi Station Road
Deonar
Mumbai, Maharashtra 400088
India
+91 9619787738 (Phone)

Abhishek Singh (Contact Author)

Department of Public Health & Mortality Studies, International Institute for Population Sciences ( email )

Govandi Station Road
Seonar
Mumbai, Maharashtra 400088
India

Faujdar Ram

International Institute for Population Sciences (IIPS) ( email )

Govandi Station Road, Deonar
Mumbai, Maharashtra 400088
India

S. V. Subramanian

Harvard University - T.H. Chan School of Public Health ( email )

677 Huntington Avenue
Boston, MA MA 02115
United States

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