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<p>As Under-5 mortality rate (U5MR) in India&#xa0;is still high; this study examined temporal progress and regional inequality over three decades to measure progress and persisting gap between and within the region of country. The study used ‘health equity framework’ and ‘social construct’ to examine progress and regional inequality at sub-national level. The five consecutive rounds of National Family Health Survey (NFHS) conducted between 1992/93 and 2019/21 is employed. Other than descriptive measures, concentration index and binomial logit regression is employed to delineate results and corroborated findings. The study finds differential trends of progress in declining U5MR over three decades. Central region still percolates highest burden of U5MR followed by east and west regions. Disaggregating regional level inequality, emerging findings reflect 18 percent difference between U5MR and IU5MR at national level varies from a comparatively&#xa0;low of 11–12 percent in Central and East region to a high of 25 percent in South region. The high developed regions resemble more inequality between bottom and top category on a specific variable, needs attention. The findings reveal importance of ‘region-specific policies’, considering intra-regional disparity. The decentralized and micro-level welfare measures need reconsidering socio-economically marginalised groups separately even in high developed region for equity in saving life of under-5 children in the country.</p>

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Regional disparities in under-5 mortality in India over the last three decades

  • 期刊论文

  • 发表日期：

    2025年5月3日

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  • Rajesh Raushan

摘要

As Under-5 mortality rate (U5MR) in India is still high; this study examined temporal progress and regional inequality over three decades to measure progress and persisting gap between and within the region of country. The study used ‘health equity framework’ and ‘social construct’ to examine progress and regional inequality at sub-national level. The five consecutive rounds of National Family Health Survey (NFHS) conducted between 1992/93 and 2019/21 is employed. Other than descriptive measures, concentration index and binomial logit regression is employed to delineate results and corroborated findings. The study finds differential trends of progress in declining U5MR over three decades. Central region still percolates highest burden of U5MR followed by east and west regions. Disaggregating regional level inequality, emerging findings reflect 18 percent difference between U5MR and IU5MR at national level varies from a comparatively low of 11–12 percent in Central and East region to a high of 25 percent in South region. The high developed regions resemble more inequality between bottom and top category on a specific variable, needs attention. The findings reveal importance of ‘region-specific policies’, considering intra-regional disparity. The decentralized and micro-level welfare measures need reconsidering socio-economically marginalised groups separately even in high developed region for equity in saving life of under-5 children in the country.