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Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016
India is currently one of the most demographically diverse regions of the world. Fertility and mortality rates are known to show considerable variation at the level of regions, states and districts. Little is known however, about the spatial variations of the contraceptive usage—a critical variable...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8549954/ https://www.ncbi.nlm.nih.gov/pubmed/34722854 http://dx.doi.org/10.1007/s40980-021-00092-9 |
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author | Joshi, Shareen Uttamacharya Borkotoky, Kakoli Gautam, Abhishek Datta, Nitin Achyut, Pranita Nanda, Priya Verma, Ravi |
author_facet | Joshi, Shareen Uttamacharya Borkotoky, Kakoli Gautam, Abhishek Datta, Nitin Achyut, Pranita Nanda, Priya Verma, Ravi |
author_sort | Joshi, Shareen |
collection | PubMed |
description | India is currently one of the most demographically diverse regions of the world. Fertility and mortality rates are known to show considerable variation at the level of regions, states and districts. Little is known however, about the spatial variations of the contraceptive usage—a critical variable that is relevant to fertility as well as health policy. This paper uses data from four national population-based household surveys conducted between 1998 and 2016 to explore district-level variations in the contraceptive prevalence rate. We find no clear evidence of convergence. The gap between the best and worst performing districts is more than 70 percent across the four rounds and does not diminish over time. We also find considerable evidence of spatial clustering across districts. Districts with high prevalence concentrate in Southern states and more recently, in the Northeast of the country. Our analysis suggests that female literacy and health care infrastructure are important correlates of spatial clusters. This suggests that investments in women’s human capital and health-care infrastructure play a role in expanding women’s opportunities to time their births. |
format | Online Article Text |
id | pubmed-8549954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-85499542021-10-29 Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 Joshi, Shareen Uttamacharya Borkotoky, Kakoli Gautam, Abhishek Datta, Nitin Achyut, Pranita Nanda, Priya Verma, Ravi Spat Demogr Article India is currently one of the most demographically diverse regions of the world. Fertility and mortality rates are known to show considerable variation at the level of regions, states and districts. Little is known however, about the spatial variations of the contraceptive usage—a critical variable that is relevant to fertility as well as health policy. This paper uses data from four national population-based household surveys conducted between 1998 and 2016 to explore district-level variations in the contraceptive prevalence rate. We find no clear evidence of convergence. The gap between the best and worst performing districts is more than 70 percent across the four rounds and does not diminish over time. We also find considerable evidence of spatial clustering across districts. Districts with high prevalence concentrate in Southern states and more recently, in the Northeast of the country. Our analysis suggests that female literacy and health care infrastructure are important correlates of spatial clusters. This suggests that investments in women’s human capital and health-care infrastructure play a role in expanding women’s opportunities to time their births. Springer International Publishing 2021-08-19 2021 /pmc/articles/PMC8549954/ /pubmed/34722854 http://dx.doi.org/10.1007/s40980-021-00092-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Joshi, Shareen Uttamacharya Borkotoky, Kakoli Gautam, Abhishek Datta, Nitin Achyut, Pranita Nanda, Priya Verma, Ravi Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title | Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title_full | Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title_fullStr | Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title_full_unstemmed | Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title_short | Spatial Variation in Contraceptive Practice Across the Districts of India, 1998–2016 |
title_sort | spatial variation in contraceptive practice across the districts of india, 1998–2016 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8549954/ https://www.ncbi.nlm.nih.gov/pubmed/34722854 http://dx.doi.org/10.1007/s40980-021-00092-9 |
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