Immunization in India : An Equity-Adjusted Assessment
An analysis of the 1992-93 National Family and Health Survey (NFHS) revealed wide differences in levels, and distribution of childhood immunization between, and within Indian states. Evidence of total system failure (no immunization for all) in som...
| Main Authors: | , |
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| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2006/03/6713183/immunization-india-equity-adjusted-assessment http://hdl.handle.net/10986/13795 |
| Summary: | An analysis of the 1992-93 National
Family and Health Survey (NFHS) revealed wide differences in
levels, and distribution of childhood immunization between,
and within Indian states. Evidence of total system failure
(no immunization for all) in some low performance areas
suggested that improvements in immunization levels may come
with a worsening of the distribution of immunization based
on wealth. Using the latest NFHS data (1998-99), we take a
new snapshot of the situation and compare it to 1992-93,
focusing on heterogeneities between states, rural-urban
differentials, gender differentials, and more specifically
on wealth-related inequalities. In order to assess whether
improvements in levels were accompanied by distributional
improvements (or whether inequalities were reduced at the
expense of overall achievement), we use recently developed
methodology to calculate an extended achievement index that
captures performance both in terms of efficiency (change in
overall immunization rates) and equity (distribution by
wealth quintiles) for each of the seventeen largest states.
Comparing 1992-93 to 1998-99 levels using different degrees
of "inequality aversion" provides no evidence that
distributional improvements come at the expense of overall performance. |
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