Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, south India |
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Authors: | Subrata Mukherjee Slim Haddad Delampady Narayana |
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Institution: | (1) Institute of Development Studies Kolkata, Calcutta University Alipore Campus 1, Reformatory Street, 5th Floor, 700027 Kolkata, West Bengal, India;(2) International Health Unit CRCHUM, University of Montreal, 3875 Rue Saint-Urbain, 5th Floor, H2W 1V1 Montreal, Quebec, Canada;(3) Centre for Development Studies, Prasanth Nagar Road, 695011 Ulloor Thiruvananthapuram, Kerala, India |
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Abstract: | Background In the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability
status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the
private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study
examines caste-based inequalities in households' out-of-pocket health expenditure in the south Indian state of Kerala and
provides evidence on the consequent financial burden inflicted upon households in different caste groups. |
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