nutan tigga - Academia.edu (original) (raw)
Papers by nutan tigga
Background Significant gap exists in health research output globally, both in terms of geographic... more Background Significant gap exists in health research output globally, both in terms of geographic distribution and priorities. In India, wide interstate disparity in health research output is reported and eight large states with a combined population of nearly half of India contribute to less than one-tenth of total research output. Bihar is one of the most resource-constrained states in this group with multiple health systems challenges. The objectives of this study were to understand the trend, distribution, focus, actors, and funding sources of health research on Bihar in order to propose policy recommendations. Methods A bibliometric analysis was carried out for all PubMed indexed original research papers on health, which is either focused on Bihar or authored by an author from an organization in Bihar. Trend, author affiliation, location, theme, and funding source was analysed by review of either abstract or if required by review of the full text.
In India migration is assuming greater significance with the emerging development dynamics and it... more In India migration is assuming greater significance with the emerging development dynamics and its ensuing implications. Although migration as a process has different aspects, this paper primarily focuses on empirically examining the 'sustainability' potential of migrants from two statistical approaches: sustainability through 'probabilistic approach' and 'distributional approach'. It was found that from the probabilistic view point, the migrants with educational reason progress slower to longer duration of stay as against migration with employment, implying employment as a reason more sustainable when seen as progression. Conversely, from the distributional perspective, education led migration has higher cumulating migrant stock in the initial period and hence in the distributional sense more sustainable.
Social Change, Mar 1, 2018
Women's maternal health is an important concern all over the world, especially in sub-Saharan Afr... more Women's maternal health is an important concern all over the world, especially in sub-Saharan Africa and Asia; this includes India, the world's second most populous country. Despite the implementation of various programmes by the government, India has a large number of women dying because of pregnancy-related problems. Tracking the progress of the Millennium Development Goals (MDGs)-5 which specifically aim to reduce the maternal mortality ratio (MMR), one sees that India is lagging in achieving the required reduction in maternal deaths. To be sure, institutional deliveries, one of the significant interventions to reduce maternal deaths, are being promoted significantly by initiating cash transfer schemes. However, this initiative has not achieved the desired results when one compares various socioeconomic groups across India. This study analyses the degree of relative deprivation by using district-level household data to examine disparity in terms of achieving institutional deliveries among different socioeconomic groups by using the relative deprivation index (RDI). Examining the severity of relative deprivation, we find that illiteracy and poor economic status are major contributors in creating inequality in achieving acceptable levels of institutional delivery.
Journal of Health Medicine and Nursing, 2013
Under-nutrition is an ugly face of deprivation witnessed in the country that is experienced by ad... more Under-nutrition is an ugly face of deprivation witnessed in the country that is experienced by adults and children alike. The phenomenon of under-nutrition has a regional divide within the country and makes population groups of specific characteristics and identity more vulnerable than others. With this pretext, the present study is a modest attempt at understanding the dynamics of the nutritional deprivation in the state of Jharkhand with the dual distinction of poverty and predominance of tribal population. The unit level National Family Health Survey data was employed to report the under-nutrition among children according to the three anthropometric measures-stunting, wasting and underweight. Logistic regression was run to analyse the effect of various predictor variables on the three measures. Almost 50% of children were stunted, 57% underweight and 35% wasted in the state. Not surprisingly, it was commonly the children who belonged to tribal communities and hailed from poorer households. The result of the multivariate analysis reveals that age, mother's education status and household wealth status determined stunting among the children in Jharkhand; whereas for underweight it was mother's education status, her nutritional status and household status. Finally for wasted, mother's nutritional status, schedule caste category and her employment status had severe influence.
Journal of Health Management, 2015
Huge investments have been made in improving the health system of India since early independence,... more Huge investments have been made in improving the health system of India since early independence, which has resulted in health outcomes such as infant and maternal maternity rates and life expectancy levels to exhibit impressive reductions and increments, respectively. Although at the national level these have been impressive, it is appalling at the state level. States such as Kerala and Tamil Nadu have always topped in displaying low infant and maternal mortality rates associated with high levels of health workers and infrastructure in contrast to states like Bihar and Uttar Pradesh. In the present study, we use data envelopment analysis (DEA) to assess and compare the health system across states of India. Using DEA, we attempt to derive desired levels of health manpower and infrastructure to be emulated, to make the health systems efficient. The study limits to two outputs and two inputs for 27 states of India and used the output oriented DEA. It was found that of the 27 states on...
Gates Open Research
Health economics is a sub-discipline of economics that has significant relevance to public health... more Health economics is a sub-discipline of economics that has significant relevance to public health. The academic discipline of health economics has not evolved in India till now. Since India became independent country, the public health practice in India has revolved largely around public health systems; the private health system has functioned in parallel with negligible regulatory control by the government. The recent launch of a large health insurance program by the Indian government has opened the door of public resources for the private sector in health. It is envisaged that a substantial portion of public money will be diverted to the private sector with little regulation. This situation will potentially change the landscape of public health care delivery in the country. With this change, the role of health economists is bound to increase, given the increased demand for economic evaluation. Ironically, there is a complete dearth of educational institutions offering specialised...
Background Significant gap exists in health research output globally, both in terms of geographic... more Background Significant gap exists in health research output globally, both in terms of geographic distribution and priorities. In India, wide interstate disparity in health research output is reported and eight large states with a combined population of nearly half of India contribute to less than one-tenth of total research output. Bihar is one of the most resource-constrained states in this group with multiple health systems challenges. The objectives of this study were to understand the trend, distribution, focus, actors, and funding sources of health research on Bihar in order to propose policy recommendations. Methods A bibliometric analysis was carried out for all PubMed indexed original research papers on health, which is either focused on Bihar or authored by an author from an organization in Bihar. Trend, author affiliation, location, theme, and funding source was analysed by review of either abstract or if required by review of the full text.
In India migration is assuming greater significance with the emerging development dynamics and it... more In India migration is assuming greater significance with the emerging development dynamics and its ensuing implications. Although migration as a process has different aspects, this paper primarily focuses on empirically examining the 'sustainability' potential of migrants from two statistical approaches: sustainability through 'probabilistic approach' and 'distributional approach'. It was found that from the probabilistic view point, the migrants with educational reason progress slower to longer duration of stay as against migration with employment, implying employment as a reason more sustainable when seen as progression. Conversely, from the distributional perspective, education led migration has higher cumulating migrant stock in the initial period and hence in the distributional sense more sustainable.
Social Change, Mar 1, 2018
Women's maternal health is an important concern all over the world, especially in sub-Saharan Afr... more Women's maternal health is an important concern all over the world, especially in sub-Saharan Africa and Asia; this includes India, the world's second most populous country. Despite the implementation of various programmes by the government, India has a large number of women dying because of pregnancy-related problems. Tracking the progress of the Millennium Development Goals (MDGs)-5 which specifically aim to reduce the maternal mortality ratio (MMR), one sees that India is lagging in achieving the required reduction in maternal deaths. To be sure, institutional deliveries, one of the significant interventions to reduce maternal deaths, are being promoted significantly by initiating cash transfer schemes. However, this initiative has not achieved the desired results when one compares various socioeconomic groups across India. This study analyses the degree of relative deprivation by using district-level household data to examine disparity in terms of achieving institutional deliveries among different socioeconomic groups by using the relative deprivation index (RDI). Examining the severity of relative deprivation, we find that illiteracy and poor economic status are major contributors in creating inequality in achieving acceptable levels of institutional delivery.
Journal of Health Medicine and Nursing, 2013
Under-nutrition is an ugly face of deprivation witnessed in the country that is experienced by ad... more Under-nutrition is an ugly face of deprivation witnessed in the country that is experienced by adults and children alike. The phenomenon of under-nutrition has a regional divide within the country and makes population groups of specific characteristics and identity more vulnerable than others. With this pretext, the present study is a modest attempt at understanding the dynamics of the nutritional deprivation in the state of Jharkhand with the dual distinction of poverty and predominance of tribal population. The unit level National Family Health Survey data was employed to report the under-nutrition among children according to the three anthropometric measures-stunting, wasting and underweight. Logistic regression was run to analyse the effect of various predictor variables on the three measures. Almost 50% of children were stunted, 57% underweight and 35% wasted in the state. Not surprisingly, it was commonly the children who belonged to tribal communities and hailed from poorer households. The result of the multivariate analysis reveals that age, mother's education status and household wealth status determined stunting among the children in Jharkhand; whereas for underweight it was mother's education status, her nutritional status and household status. Finally for wasted, mother's nutritional status, schedule caste category and her employment status had severe influence.
Journal of Health Management, 2015
Huge investments have been made in improving the health system of India since early independence,... more Huge investments have been made in improving the health system of India since early independence, which has resulted in health outcomes such as infant and maternal maternity rates and life expectancy levels to exhibit impressive reductions and increments, respectively. Although at the national level these have been impressive, it is appalling at the state level. States such as Kerala and Tamil Nadu have always topped in displaying low infant and maternal mortality rates associated with high levels of health workers and infrastructure in contrast to states like Bihar and Uttar Pradesh. In the present study, we use data envelopment analysis (DEA) to assess and compare the health system across states of India. Using DEA, we attempt to derive desired levels of health manpower and infrastructure to be emulated, to make the health systems efficient. The study limits to two outputs and two inputs for 27 states of India and used the output oriented DEA. It was found that of the 27 states on...
Gates Open Research
Health economics is a sub-discipline of economics that has significant relevance to public health... more Health economics is a sub-discipline of economics that has significant relevance to public health. The academic discipline of health economics has not evolved in India till now. Since India became independent country, the public health practice in India has revolved largely around public health systems; the private health system has functioned in parallel with negligible regulatory control by the government. The recent launch of a large health insurance program by the Indian government has opened the door of public resources for the private sector in health. It is envisaged that a substantial portion of public money will be diverted to the private sector with little regulation. This situation will potentially change the landscape of public health care delivery in the country. With this change, the role of health economists is bound to increase, given the increased demand for economic evaluation. Ironically, there is a complete dearth of educational institutions offering specialised...