Search results
1 – 3 of 3Gopal Agrawal and Sangram Kishor Patel
A plethora of studies have documented evidence on morbidity patterns and treatment-seeking behaviour among older persons in India. However, so far no attempt has been made to…
Abstract
Purpose
A plethora of studies have documented evidence on morbidity patterns and treatment-seeking behaviour among older persons in India. However, so far no attempt has been made to understand differences in the morbidity prevalence rates and utilization of health care services among older adults between religion groups in India. The purpose of this paper is to make an effort in this direction.
Design/methodology/approach
Multivariate logistic regression models were fitted to examine the association between socio-demographic conditions and morbidity prevalence and health care-seeking behaviours among the two religion groups: Hindu and Muslim. Data from the 60th round of the National Sample Survey in 2004 were used.
Findings
This study provided interesting evidence that, overall, the morbidity prevalence rate was higher among Muslim older persons than their Hindu counterparts by seven percentage points and Hindu scheduled caste (SC) and scheduled tribe (ST) counterpart population (compared to SCs eight percentage points, and STs 20 percentage points); income had no association with the burden of disease among Muslim older population – an older person belonging to the first income quintile was equally likely to report ill-health as an older person of the fifth income quintile. However, despite the low socio-economic status, Muslim older persons were more likely to seek treatment for ill-health compared to Hindu older persons but spent less money for treatment. Also, loss of household income due to sickness was greater among Muslim compared to Hindu older adults.
Originality/value
The findings of this study are important to support the policy makers and health care providers in identifying individuals “at risk” and could be integrated into the current programs of social, economic and health security for the older persons.
Details
Keywords
Abhishek Singh and Sangram Kishor Patel
The purpose of this paper is to determine the gender differentials in childhood feeding practices, health care utilization and nutritional status of children by birth order and…
Abstract
Purpose
The purpose of this paper is to determine the gender differentials in childhood feeding practices, health care utilization and nutritional status of children by birth order and sex composition of previous living children in Northern India.
Design/methodology/approach
In this paper, data were drawn from India’s 2006 National Family Health Survey. A variety of different analytic methods were used to look for gender differentials in childhood feeding practices, health care utilization and nutritional status of children. Bi-variate analysis was applied to examine the raw values of gender differentials in childhood feeding, health care and nutritional status of children. Besides, gender differentials at the different birth order and sex composition of previous living children have been measured through multivariate logistic regression analysis.
Findings
The raw values of gender differentials in childhood feeding, health care and nutritional status of children, regardless of child’s birth order, mother’s number of living sons and other characteristics of the child or mother, shows that the proportion of children who received any liquid, proportion of children receiving solid/semi-solid food and the proportion of fully immunized children vary by their gender significantly. The results of standardized gender differentials by birth order and sex composition of previous living children in the selected indicators of childhood feeding, immunization and health care and nutritional status of children based on multivariate binary logistic regression show that among children of birth order 3+ (3 and higher), male children were less likely to receive solid/semi-solid foods during 24 hours prior to the survey in families with no living son, but two times were more likely to receive any solid/semi-solid food than female children in families with 1+ living sons (p<0.0001). Male children aged 12-23 months born to mothers with no living son were more likely to be fully immunized than female children, while male children born to mothers with 1+ living sons were less likely to be fully immunized than female children (p<0.05) at birth order 3+. However, the analysis showed no significant gender differentials in the nutritional status of children.
Research limitations/implications
The authors observed a strong association between the extents of gender differentials and birth order of the index child and the sex composition of older living siblings. Strong evidence of sex bias against female children was found in families with no living sons and particularly at higher birth orders 2 and 3+ (3 and higher). Overall, the study demonstrates the need to focus on predominance of intra-household differential rather than inter-household differential.
Originality/value
This paper brings out the gender differentials in childhood feeding practices, health care utilization and nutritional status of children by birth order and sex composition of previous living children in Northern India.
Details
Keywords
Sangram Kishor Patel, Gopal Agrawal, Bincy Mathew, Sunita Patel, Biswajit Mohanty and Abhishek Singh
South Asian region is a focal point owing to its vulnerabilities to climate-sensitive diseases, dependence on climate-sensitive livelihoods, projected levels of crop decline in…
Abstract
Purpose
South Asian region is a focal point owing to its vulnerabilities to climate-sensitive diseases, dependence on climate-sensitive livelihoods, projected levels of crop decline in the region, and high rates of poverty and malnutrition. Women are particularly vulnerable to climate change and this affects women disproportionately during different extreme events. The purpose of this paper is to understand the issue of climate change and its impact, and climate resilience among women in South Asia. Further, it also identifies the gaps and suggests future policy implications.
Design/methodology/approach
Climate change is increasingly being recognised as an alarming issue and the present review is important when South Asian countries are facing the brunt of climate change impacts. This paper tries to understand the issue by review of the literature and conceptual framework methodology. To understand women’s vulnerability due to climate change and its aftermath, the authors conducted both offline and online desk reviews for this study.
Findings
The findings of this study show a clear linkage between climate change and women’s vulnerabilities in South Asia. Climate change has significant socio-economic impacts on women, and it affects them disproportionately in various domains of agriculture, livelihood, food security, both physical and mental health, water and sanitation in the South Asia region.
Practical implications
The paper also highlights that the programmes that aim at combating the effects of climate change require a gender-sensitive approach so that climate change does not obstruct the development and reduction of poverty in the region.
Social implications
The findings of this paper will add value in helping families to come out of poverty by undertaking adaptive measures with proactive assistance from the government and grassroots level organisations.
Originality/value
The present study also advocates for more gender- and climate-sensitive measures from governments, and implementation of intervention- and evidence-based research in the South Asian countries.
Details