Abstract
Introduction
Infant and child mortality are considered as one of the most important indicators of social and economic development of the nation. This paper intends to shed light on the prevalence of infant and under-five death rates with special reference to differentials in SCs, STs, and non-SCs/STs population in India. In addition, to determine the factors affecting child immunization and institutional delivery by different background characteristics.
Data source and methods
The present study has used Census 2001 and 2011 for estimating the infant and under-five mortality. The National Family Health Survey (2015–16) has been used to assess the gaps in institutional delivery and coverage of child full immunization between SC, ST, and other caste population and also to assess the covariates of insitutional delivery and full immunization.
Results
The study observed the high infant mortality rate and under-5 mortality among Scheduled Caste and Scheduled Tribe, while it is much lower among non-SC/ST population in 2011 census. The result of logistic regression suggests that caste has significant impact on access to institutional delivery and child immunization, adjusted for other socio-economic variables. All the castes are more likely to gain access to both institutional delivery and child immunization compared to scheduled tribe population.
Conclusion
The study result shows the persistent poor health outcome among the SC/ST population in India. There is need to focus on this section of the population to achieve the sustainable development goals of child health and its core agenda “No one left behind”.
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References
Adhikari T et al (2016) Factors associated with utilization of antenatal care services among tribal women: a study of selected states. Indian J Med Res 144(1):58–66
Antai D (2011) Inequalities in under-5 mortality in Nigeria: do ethnicity and socioeconomic position matter? J Epidemiol 21(1):13–20
Baru R, Acharya A, Acharya S, Kumar AS, Nagaraj K (2010) Inequities in access to health services in India: caste, class and region. Econ Polit Wkly:49–45
Brass W (1964) Uses of census and survey data for the estimation of vital rates. UN. ECA African Seminar on Vital Statistics, Addis Abada, 14–19 December 1964 United Nations document E/ CN.14/CAS.4IVS/7
Bristow F, Nettleton C, Stephens C (2003) Utz’ Wach’il: Health and well being among indigenous peoples. Health Unlimited/London School of Hygiene and Tropical Medicine, London. Available: http://www.lshtm.ac.uk/pehru/indig/utzpamphlet.pdf. Accessed 25 Sept 2017
Burgard S (2004) Race and pregnancy-related care in Brazil and South Africa. Soc Sci Med 59(6):1127–1146
Das NP, Patel RM (2007) Region and community specific life tables for India, 1991-98: use of repeat survey of the same population to maximize precision of estimates. Demogr India 37(1):111–145
Das NP, Bhavsar S, Patel R (2000) The growth and development of scheduled caste and scheduled tribe population in Gujarat and future prospects. Population Research Centre, Department of Statisitcs, Faculty of Science [MS University of Baroda]
Das MB, Kapoor S, Nikitin D (2010) A closer look at child mortality among Adivasis in India. Policy Research Working Paper 5231. World Bank, South Asia Region, Washington DC. Available at: https://ssrn.com/abstract=1565992. Accessed 18 Jan 2018
Datta A, Baidya S, Datta S, Mog C, Das S (2017) A study to find out the full immunization coverage of 12–23-month-old children and area of under performance using LQAS technique in a rural area of Tripura. J Clin Diagn Res 11(2):LC01–LC04
Dwivedi SN, Begum S, Dwivedi AK, Pandey A (2013) Determinants of infant mortality in rural India: a three-level model. Health 5(11):1742
Hazarika I (2011) Factors that determine the use of skilled care during delivery in India: implications for achievement of MDG-5 targets. Matern Child Health J 15(8):1381–1388
International Institute for Population Sciences (IIPS) and ORCMacro International (2007) India National Family Health Survey (NFHS-3), 2005–06: India. Volume 1. Mumbai: IIPS. Available at: https://dhsprogram.com/pubs/pdf/frind3/frind3-vol1andvol2.pdf. Accessed 09 Nov 2018
International Institute for Population Sciences (IIPS) and ICF (2017) National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS. Available at: http://rchiips.org/NFHS/NFHS-4Reports/India.pdf. Accessed 12 Feb 2018
Kabir A, Islam MS, Ahmed MS, Barbhuiya K (2001) Factors influencing infant and child mortality in Bangladesh. J Med Sci 5:292–295
Khargekar NC, Khargekar VC, Shingade PP (2015) Immunization status of children under 5 years in a tribal area, Parol, Thane district. Indian J Community Med 6(4):522–527
Konwea EP, David FA, Ogunsile SE (2018) Determinants of compliance with child immunization among mother of children under five years of age in Ekiti state, Nigeria. Journal of Health Research 32(3):229–236
Kumar A, Singh A (2016) Explaning the gap in the use of maternal healthcare service between social groups in India. J Public Health 38(4):771–781
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Mathers C (2012) Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet 379(9832):2151–2161
McGovern ME, Canning D (2015) Vaccination and all-cause child mortality from 1985 to 2011: global evidence from the demographic and health surveys. Am J Epidemiol 182(9):791–798
Ministry of Tribal Affairs (MOTA) (2013) Statistical profile of scheduled tribes in India. (pp. 3–9). New Delhi: Statistics Division, Ministry of Tribal Affairs (MOTA). Retrieved on September 12, 2017 from http://tribal.nic.in/WriteReadData/userfiles/file/Statistics/StatisticalProfileofSTs2013.pdf
Mukherjee S, Haddad S, Narayana D (2011) Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, South India. Int J Equity Health 10(1):1
Murthi M, Guio AC, Dreze J (1995) Mortality, fertility, and gender bias in India: a district-level analysis. Popul Dev Rev 21(4):745–782
National Institute of Medical Statistics (NIMS) (2012). Infant and child mortality in India: levels, trends, and determinants. National Institute of Medical Statistics (NIMS), Indian Council of Medical Research (ICMR), and UNICEF India Country Office, New Delhi, India. Available Online at http://www.unicef.org/india/Report.pdf
Paul L, Chellan R (2009) Delivery care for scheduled tribe women in India: a disaggregated regional analysis. Artha Vijnana 51(3):297
Powers DA (2013) Paradox revisited: a further investigation of racial/ethnic differences in infant mortality by maternal age. Demography 50(2):495–520
Ram U, Jha P, Ram F, Kumar K, Awasthi S, Shet A, Kumar R et al (2013) Neonatal, 1–59 month, and under-5 mortality in 597 Indian districts, 2001 to 2012: estimates from national demographic and mortality surveys. Lancet Glob Health 1(4):219–226
Ranjan M et al (2017) Infant mortality differential among tribal and non- tribal population of Central and Eastern India. Int J Popul Stud 2(2):26–43
Shrivastwa N, Gillespie BW, Kolenic GE, Lepkowski JM, Boulton ML (2015) Predictors of vaccination in India for children aged 12–36 months. Am J Prev Med 49(6):435–444
Singh PK, Rai RK, Alagarajan M, Singh L (2012) Determinants of maternal service utilization among married adolescents in rural India. PLoS One 7(2):e31666
Singh R, Bedi S, Mishra RN, Mishra CP, Singh A (2013) Caste still a determinant of MCH care in India. Indian J Community Med 44(1-2):75–81
Subramanian SV et al (2006a) The mortality divide in India: the differential contributions of gender, caste, and standard of living across the life course. Am J Public Health 96(5):818–825
Subramanian SV et al (2006b) Indigenous health and socioeconomic status in India. PLoS Med 3(10):398–421. https://doi.org/10.1371/journal.pmed.0030421
UNFPA (2004) State of world population 2004. UNFPA, New York
WHO (1991) Maternal mortality: a global factbook. World Health Organization, Geneva. http://www.who.int/iris/handle/10665/38317. Accessed 09 Nov 2018
Willis R et al (2004) The right to health of indigenous peoples. Report of a conference held at the London School of Hygiene and Tropical Medicine. Health Unlimited, London
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Vishwakarma, M., Shekhar, C., Dutta, M. et al. Gaps in infant and child mortality among social groups and its linkages with institutional delivery and child immunization using census and National Family Health Survey (2015-16). J Public Health (Berl.) 28, 293–303 (2020). https://doi.org/10.1007/s10389-019-01044-w
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DOI: https://doi.org/10.1007/s10389-019-01044-w