The author studies the determinants of public trust in government doctors and hospitals (DH) – a crucial indicator of the quality of a country's healthcare system – in India by…
Abstract
Purpose
The author studies the determinants of public trust in government doctors and hospitals (DH) – a crucial indicator of the quality of a country's healthcare system – in India by analyzing the India Human Development Survey (IHDS) 2011–2012.
Design/methodology/approach
The author uses descriptive statistics and a set of ordered probit regression models controlling for a set of individual-specific, household-level and other covariates and analyze across heterogeneous contexts (national/rural/urban/male heads/female heads/social groups).
Findings
Across contexts, people reporting a great deal of trust in private DH (PDH) are significantly more likely to report a great deal of trust in government DH. Those people with a great deal of trust in government schools to provide good education (vis-à-vis people with only some trust in government school) have significantly higher likelihood of reporting a great deal of trust in government DH. Visiting a private doctor last time (vis-à-vis a government doctor) makes reporting higher trust levels in government DH less likely.
Practical implications
India's healthcare system is afflicted with several resource allocation problems and low public trust issues are indicative of misgovernance. In presence of limited state capacity, ubiquitous corruption and underwhelming institutional trust, understanding the factors influencing public trust in healthcare providers is critical to designing appropriate trust-enhancing public health policies.
Originality/value
Given the sparse empirical literature on public trust in healthcare systems in the developing countries such as India, this study is a pertinent contribution as the study explains the determinants of public trust in DH using a comprehensive unit-recorded household survey dataset.
Details
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The purpose of this paper is to examine the differences in the rural household agricultural income by farmers’ education while exploiting a nationally representative household…
Abstract
Purpose
The purpose of this paper is to examine the differences in the rural household agricultural income by farmers’ education while exploiting a nationally representative household survey data set, i.e. the India Human Development Survey-2005, in the rural Indian context. The author seeks to answer the question: how much variation in the household net agricultural income per acre of land cultivated can farmers’ education explain?
Design/methodology/approach
The author has employed the ordinary least squares regression model with village fixed effects. The author also analysed the data using some exploratory statistics.
Findings
The author finds that farmers’ education significantly increases the net household farm income per acre of land cultivated last year. The results are robust to the inclusion of the five educational degree categories (dummies) in lieu of the years of schooling variable. The results are also robust to its decomposition into that for men and for women separately. Women farmers’ education has an amplified impact on farm incomes. The author also confirms the inverse relationship between the household agricultural income and land area cultivated, which is consistent with the huge literature on the negative relationship between land size-class and farm productivity.
Practical implications
In a developing country with a not-so-modernized agriculture sector and low adoption of newer farming technologies, this validated importance of education in explaining the differences in rural farm earnings has guiding policy implications in that a positive return to farmer schooling signals the need for increased investments in the farmers’ education and awareness so as to enhance farm incomes and productivity. The special policy thrust on education of women and women farmers is critical to ensuring higher farm incomes and outcomes.
Originality/value
The literature on the impact of farmers’ education on rural household agricultural income is very sparse. To the best of the author’s knowledge, this issue has not been addressed before in the Indian context. The author explains the contribution of farmer education to farm income in rural Indian households. The author also revisits the negative relationship between farm income and land size holdings in the Indian agriculture.