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Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, south India
Authors:Subrata Mukherjee  Slim Haddad  Delampady Narayana
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
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.
Keywords:
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