title: Human resource inequalities at the base of India's public health care system.
abstract: This paper examines the extent of inequalities in human resource provision at India's Heath Sub-Centres (HSC)--first level of service provision in the public health system. 'Within state' inequality explained about 71% and 'between state' inequality explained the remaining 29% of the overall inter-HSC inequality. The Northern states had a lower health worker share relative to the extent of their HSC provision. Contextual factors that contributed to 'between' and 'within' district inequalities were the percentages of villages connected with all-weather roads and having primary schools. Analysis demonstrates a policy and programming need to address 'within State' inequalities as a priority.
authors.affiliation: Global Health and Social Care Unit, University of Portsmouth, United Kingdom. sasee.pallikadavath@port.ac.uk
authors.forename: Saseendran
authors.initials: S
authors.lastname: Pallikadavath
authors.forename: Abhishek
authors.initials: A
authors.lastname: Singh
authors.forename: Reuben
authors.initials: R
authors.lastname: Ogollah
authors.forename: Tara
authors.initials: T
authors.lastname: Dean
authors.forename: William
authors.initials: W
authors.lastname: Stones
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006280:Health Workforce; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D007194:India; D008297:Male; D015980:Public Health Practice
keywords: Health Sub-Centre; Human resources for health; India; Inequalities in health; Primary health care system