AccScience Publishing / IJPS / Volume 2 / Issue 2 / DOI: 10.18063/IJPS.2016.02.004
RESEARCH ARTICLE

Infant mortality differentials among the tribal and non-tribal populations of Central and Eastern India

Mukesh Ranjan1* Laxmi Kant Dwivedi2 Rahul Mishra1 Brajesh Sharma1
Show Less
1 International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai-400088, India.
2 Department of Mathematical Demography & Statistics, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai-400088, India.
© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Higher infant mortality among tribal populations in India is well-documented. However, it is rare to compare factors associated with infant mortality in tribal populations with those in non-tribal populations. In the present paper, Cox proportional hazards models were employed to examine factors influencing infant mortality in tribal and non-tribal populations in the Central and Eastern Indian states using data from the District Level Household Survey-III in 2007-2008. Characteristics of mothers, infants, and households/communities plus a program variable reflecting the place of pregnancy registration were included in the analyses. We found that the gap in infant mortality between tribal and non-tribal populations was substantial in the early months after birth, narrowed between the fourth and eighth months, and enlarged mildly afterwards. Cox regression models show that while some factors were similarly associated with infant mortality in tribes and non-tribes, distinctive differences between tribal and non-tribal populations were striking. Sex of infants, breastfeeding with colostrum, and age of mother at birth acted similarly between tribes and non-tribes, yet factors such as state of residence, wealth, religion, place of residence, mother’s education, and birth order behaved differently. The program factor was non-significant in both tribal and non-tribal populations.
                

Keywords
Infant mortality
Scheduled Tribes
Non-tribes
Central and Eastern India
DLHS-3
Cox hazard model
References
[1]

Aber J L, Bennett N G, Conley D C, et al. (1997). The effects of poverty on child health and development. Annual Review of Public Health, 18(1), 463-483. http://dx.doi.org/10.1146/annurev.publhealth.18.1.463.

[2]

Baqui A H, Williams E, Darmstadt G., et al. (2007). Newborn care in rural Uttar Pradesh. The Indian Journal of Pediatrics, 74(3), 241-247. http://dx.doi.org/10.1007/s12098-007-0038-6.

[3]

Barrett H, and Browne A. (1996). Health, hygiene and maternal education: Evidence from Gambia. Social Science & Medicine, 43(11), 1579-1590. http://dx.doi.org/10.1016/S0277-9536(96)00054-8.

[4]

Bhalotra S. (2007). Spending to save? State health expenditure and infant mortality in India. Health Economics, 16(9), 911-928.DOI:10.1002/hec.1260.

[5]

Bhalotra S, and Van Soest A. (2008). Birth-spacing, fertility and neonatal mortality in India: Dynamics, frailty, and fecundity. Journal of Econometrics, 143(2), 274-290.http://dx.doi.org/10.1016/j.jeconom.2007.10.005.

[6]

Bhalotra S, Valente C, and Van Soest A. (2010). The puzzle of Muslim advantage in child survival in India. Journal of Health Economics, 29(2), 191-204.http://dx.doi.org/10.1016/j.jhealeco.2009.11.002.

[7]

Bicego G T, & Boerma J T. (1993). Maternal education and child survival: a comparative study of survey data from 17 countries. Social Science &Medicine, 36(9), 1207-1227.doi:10.1016/0277-9536(93)90241-U.

[8]

Caldwell J C. (1993). Health transition: The cultural, social and behavioural determinants of health in the Third World. Social Science and Medicine, 36(2), 125-135. http:// dx.doi.org/10.1016/0277-9536(93)90204-H.

[9]

Cleland J G and Van Ginneken J K. (1988). Maternal education and child survival in developing countries: The search for pathways of influence. Social Science & Medicine, 27(12), 1357-1368. http://dx.doi.org/10.1016/0277-9536(88)90201-8.

[10]

Cleves M A, Gould W W, Gutierrez R G, et al. (2008). An introduction to survival analysis using Stata, 2nd edition. College Station TX: Stata Press. Retrieved on April 3, 2015 from http://www.stata.com/bookstore/saus.html.

[11]

Cutler D, Deaton A, and Lleras-Muney A. (2006). The determinants of mortality. The Journal of Economic Perspectives, 20(3), 97-120.https://doi.org/10.1257/089533006780387634.

[12]

Cox D R. (1972). Regression models and life-tables. Journal of the Royal Statistical Society. Series B (Methodological), 187-220.

[13]

Das M B, Kapoor S, and Nikitin D. (2010). A closer look at child mortality among Adivasis in India. World Bank South Asia Region Policy Research Working Paper WPS5231, Vol. March 2010 .

[14]

Das M B, Hall G, Kapoor S, and Nikitin D. (2014). The scheduled tribes. In GH Hall and HA Patrinos.(eds.) Indigenous Peoples, Poverty and Development (pp.205-248). Cambridge University Press: New York.

[15]

Das Gupta M. (1990). Death clustering, mothers' education and the determinants of child mortality in rural Punjab, India. Population Studies, 44(3), 489-505. http://dx.doi.org/10.1080/0032472031000144866.

[16]

DaVanzo J, Butz W P, and Habicht J P. (1983). How biological and behavioural influences on mortality in Malaysia vary during the first year of life. Population Studies, 37(3), 381-402.DOI: 10.2307/2174505.

[17]

Deb R, Basu D, Balgir R,et al. (2001,September). Tribal Health Bulletin . Paper presented at the Proceedings of the 5th Germ Cell Tumour Conference,Sep 13-15;University of Leeds, UK.

[18]

Defo B K (1997). Effects of socioeconomic disadvantage and women's status on women's health in Cameroon. Social Science &Medicine, 44(7), 1023-1042.http://dx.doi.org/ doi:10.1016/S0277-9536(96)00228-6.

[19]

Dhar A. (2013). Misconstruing order, Chhattisgarh tribals denied sterilisation for three decades: The Hindu http://www. thehindu. com/news/national/misconstruing-order-chhattisgarh-tribals-denied-sterilisation-for-three-decades/article4048484. ece accessed on 3 september,2015.

[20]

Engle P L. (2002). Infant feeding styles: barriers and opportunities for good nutrition in India. Nutrition Reviews, 60(5), S109-S114. http://dx.doi.org/10.1301/00296640260130849.

[21]

Gaiha R, Kulkarni V S, Pandey M K, et al. (2011). On hunger and child mortality in India. Journal of Asian and African Studies, 0021909611427015. http://dx.doi.org/10.1177/0021909611427015.

[22]

Goswami R. (2003). “A revolution in infant survival.” India Together, October 2003. Accessed in August 2009 from http://www.indiatogether.org/2003/oct/hlt-nodoctors.htm.

[23]

Gragnolati M, Shekar M, Das Gupta M, et al.(2005). India’s undernourished children: a call for reform and action. Washington, DC: Health. Nutrition, and Population Division, World Bank.

[24]

Guillot M and Allendorf K. (2010). Hindu-Muslim differentials in child mortality in India. Genus, 66(2), 43-68. http://www.jstor.org/stable/genus.66.2.43.

[25]

Gunasekaran S. (2008). Determinants of infant and child mortality in rural India. Delhi: Kalpaz Publications.

[26]

Huffman S L, Zehner E R, and Victora C. (2001). Can improvements in breast-feeding practices reduce neonatal mortality in developing countries? Midwifery, 17(2), 80-92. http://dx.doi.org/10.1054/midw.2001.0253.

[27]

International Institute for Population Sciences (IIPS). (2010). District Level Household and Facility Survey (DLHS-3), 2007-08: India. Mumbai: IIPS. http://rchiips.org/pdf/india_report_dlhs-3.pdf

[28]

Lozano R, Wang H, Foreman K J, et al. (2011). Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. The Lancet, 378(9797), 1139-1165.http://dx.doi.org/10.1016/S0140-6736(11)61337-8.

[29]

LeVine R A, LeVine S E, Richman A, et al.(1991). Women's schooling and child care in the demographic transition: A Mexican case study. The Population and Development Review, 459-496.http://dx.doi.org/10.2307/1971950.

[30]

Macro, I. O. (2001). National Family Health Survey, India 1998–99: Madhya Pradesh. Mumbai: IIPS.

[31]

Maharatna, A. (2000). Fertility, mortality and gender bias among tribal population: An Indian perspective. Social Science & Medicine, 50(10), 1333-1351. http://dx.doi.org/10.1016/S0277-9536(99)00342-1.

[32]

Martin T C, and Juarez F. (1995). The impact of women's education on fertility in Latin America: Searching for explanations. International Family Planning Perspectives, 21(2), 52-80. http://dx.doi.org/ 10.2307/2133523.

[33]

Marwar N, and Jain D. (1997). Maternal and child health in rural and tribal areas of Madhya Pradesh. Tribal Health Bulletin, 3, 9-11.

[34]

Measham A R, Rao K D, Jamison D T, et al.(1999). Reducing infant mortality and fertility, 1975-1990: performance at all-India and state levels. Economic and Political Weekly, 1359-1367. http://www.jstor.org/stable/4408024.

[35]

Miller J E, Trussell J, Pebley A R, et al.(1992). Birth spacing and child mortality in Bangladesh and the Philippines. Demography, 29(2), 305-318.http://www.jstor.org/stable/2061733.

[36]

Mistry M B. (2005). Muslims in India: A demographic and socio-economic profile. Journal of Muslim Minority Affairs, 25(3), 399-422.http://dx.doi.org/10.1080/13602000500408468.

[37]

Mota, (2013). Statistical Profile of Scheduled Tribes in India New Delhi: Ministry of Tribal affairs (mota), Statistics Division,Government of India.,3-9 . http://tribal.nic.in/WriteReadData/userfiles/file/Statistics/StatisticalProfileofSTs2013.pdf

[38]

Murthi M, Guio A C, and Dreze J. (1995). Mortality, fertility, and gender bias in India: A district-level analysis. Population and DevelopmentReview, 745-782.http://dx.doi.org/10.2307/2137773.

[39]

Nair K. (2007). Malnourishment among Children in India: A regional analysis. Economic and Political Weekly, 3797-3803. http://www.jstor.org/stable/40276399.

[40]

National Sample Survey. (2011). Employment and Unemployment Situation in India 2009-10. National Sample Survey Office,Ministry of Statistics and Programme Implementation, Government of India New Delhi: NSS,NSS Report No.537(66/10/1),November,2011.

[41]

Pandey G. (1988). A Study of Demographic Characteristics of Tribals in Rural Madhya Pradesh: Some Observations for Health and Family Welfare Planning. Indian Journal of Preventive and Social Medicine, 19(4), 119-138.

[42]

Pandey A,Choe M K, Luther N Y,et al.(1998). Infant and child mortality in India. NFHS Subject Reports Number 11, International Institute for Population Sciences, Mumbai. http://hdl.handle.net/10125/3477.

[43]

Pandey G, and Tiwari R. (2001). Socio-cultural reproductive health practices of primitive tribes of Madhya Pradesh: Some observations. Journal of Family Welfare, 47(2), 27-33.

[44]

Planning Commission. (2011). State Human Development Reports. Retrieved on January 1, 2016 from
http://planningcommission.nic.in/plans/stateplan/shdr.php?state=b_shdrbody.htm

[45]

Rahi M, Taneja D, Misra A, et al. (2006). Newborn care practices in an urban slum of Delhi. Indian Journal of Medical Sciences, 60(12): 506–513. 

[46]

Ramalingaswami V, Jonsson U, and Rohde J. (1996). Commentary: The Asian enigma. In UNICEF (eds.) The
Progress of Nations, 1996. (pp. 11–17). New York: UNICEF.

[47]

Reddy H, Pradhan M R, Ghosh R, et al. (2012). India’s progress towards the Millennium Development Goals 4 and 5 on infant and maternal mortality. WHO South-East Asia Journal of Public Health, 1(3): 279–289. Retrieved on June 14, 2015 from http://www.searo.who.int/publications/journals/seajph/whoseajphv1i3p279.pdf.

[48]

Registrar General of India. (2011). Census of India,Office of The Registrar General and Census Commissioner, India, New Delhi, Ministry of Home Affairs, Government of India. http://www.censusindia.gov.in/2011census/population_enumeration.html.

[49]

Registrar General of India. (2014). Sample Registration System (SRS) Bulletins, Office of The Registrar General and Census Commissioner, India, New Delhi, Ministry of Home Affairs, Government of India. http://www.censusindia.gov.in/2011-common/Sample_Registration_System.html.

[50]

Sastry N. (1997). Family-level clustering of childhood mortality risk in Northeast Brazil. Population Studies, 51(3), 245-261. 10.1080/0032472031000150036.

[51]

Sastry N. (1997). What explains rural-urban differentials in child mortality in Brazil? Social Science & Medicine, 44(7), 989-1002. http://dx.doi.org/10.1016/S0277-9536(96)00224-9.

[52]

Sahu D, Nair S, Singh L, et al. (2015). Levels, trends and predictors of infant and child mortality among Scheduled Tribes in rural India. The Indian journal of medical research, 141(5), 709. http://dx.doi.org/10.4103/0971-5916.159593.

[53]

Sharma M, Sarangi B L, Kanungo J, et al.(2009). Accelerating malnutrition reduction in Orissa. IDS Bulletin, 40(4), 78-85.http://dx.doi.org/ 10.1111/j.1759-5436.2009.00062.

[54]

Sharma R K. (2010). Newborn care among tribes of central India Experiences from micro level studies. Social Change, 40(2), 117-137. http://dx.doi.org/10.1177/004908571004000202.

[55]

Singh A, and Ram F. (2006). Jharkhand since Independence: A demographic analysis. Social Change, 36(4), 19-47. http://dx.doi.org/10.1177/004908570603600402.

[56]

Singh A, Kumar A and Kumar A. (2013). Determinants of neonatal mortality in rural India, 2007-2008.PeerJ, 2013(1) ,e75, DOI 10.7717/peerj.75.

[57]

Singh P K, Rai R K, Alagarajan M, et al. (2012). Determinants of maternity care services utilization among married adolescents in rural India. PloS one, 7(2), e31666.http://dx.doi.org/10.1371/journal.pone.0031666.

[58]

Stockwell E G, Swanson D A, and Wicks J W. (1988). Economic status differences in infant mortality by cause of
death. Public Health Reports, 103(2): 135–142.

[59]

Subramanian S V, Nandy S, Irving M, et al. (2006). The mortality divide in India: the differential contributions of gender, caste, and standard of living across the life course. American Journal of Public Health, 96(5), 818-825.doi: 10.2105/AJPH.2004.060103.

[60]

Trussell J, and Hammerslough C. (1983). A hazards-model analysis of the covariates of infant and child mortality in Sri Lanka. Demography, 20(1), 1-26.doi:10.2307/2060898.

[61]

United Nations Development Program (UNDP). (2016). Sustainable Development Goals. Retrieved on November 13, 2015 from http://www.undp.org/content/undp/en/home/sdgoverview/post-2015-development-agenda.html.

[62]

United Nations (UN). (2015). India and the MDGs: Towards a sustainable future for all. Retrieved on December 7, 2015 from
http://www.unic.org.in/items/India_and_the_MDGs_small_web.pdf

[63]

van Dillen S. (2006). Child health and mortality in Western Orissa: A report based on a longitudinal household survey in Bolangir District. USA: World Bank. 

[64]

Virmani A. (2007). The sudoku of growth, poverty and malnutrition: Policy implications for lagging states. Planning Commission, Working Paper No. 2/2007-PC. Retrieved on May 4, 2016 from
http://planningcommission.nic.in/reports/wrkpapers/wp07StJl12.pdf.

[65]

World Bank. (2007). Achieving the millennium development goals (MDG) in India’s poor states: Reducing child mortality in Orissa. New Delhi: World Bank. Retrieved on July 30, 2016 from
http://documents.worldbank.org/curated/en/984851468267868657/pdf/398550IN.pdf.

Share
Back to top
International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing