Correlates of Distress Financing In Case of Institutional Delivery In India: Evidence From The National Family Health Survey

Bhaskar Bhattacharyya, Biswajit Mandal and Sarbajit Sengupta

MPRA Paper from University Library of Munich, Germany

Abstract: Using data from NFHS-4, this study examines the progressiveness of out-of-pocket spending and health financing methods used in the case of institutional delivery in India. We used concentration indices to arrive at some intriguing results. Applying Multinomial Logit Model we focus on how various socio-economic factors play crucial role in making choice among alternative distress financing options. Unlike other studies, we find that as women get older, they often arrange for money by selling jewelries for health purpose. This is equally true for women with a secondary education. They also rely on other strategies like saving and selling. In case of different social division in Indian society, the SCs and the OBCs are found to be more susceptible to distress financing. In spite of some government initiatives like Janani Suraksha Yojana (JSY) the problem of out- of- pocket expenditure related distress has not been reduced substantially. In our opinion this is a policy failure. In order to address this problem a concerted effort from both demand and supply side should be made available.

Keywords: Out- of- pocket expenditure; distress financing; institutional delivery (search for similar items in EconPapers)
JEL-codes: I12 I13 I14 I15 I18 (search for similar items in EconPapers)
Date: 2022
New Economics Papers: this item is included in nep-hea
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