Multi-level determinants of regional variations in infant mortality in India: A state level analysis (pp. 173-191)
Authors: Shamindra Nath Roy
Abstract: The present study attempts to identify the key factors determining the interregional variations of infant mortality in India at different levels of operations and examines some of the relevant relationships between those factors based on a cross-section analysis of NFHS III data. Appropriate Bi-Variate analyses are worked out to see the gross effect of different level factors (namely individual, household and community level) over infant mortality. Multivariate analysis is worked out to show the net effect of selected individual, household and community level factors over infant mortality. Here a distinction have been made between Neo-natal and Post neo-natal mortality to demonstrate that the determinants of these two types of mortality are different, and that the use of the overall infant mortality rate masks some of these important differences. Results show that the gross effect of all the individual level factors like percentage women having all kinds of recommended antenatal care or index of vaccination have higher gross effect on infant deaths, although the net effects of all these factors are lower because many of them are linearly related to the next level, i.e. household or community level factors. Both gross and net effect of the household level factors like motherís empowerment and poverty is very high over infant deaths as many of these factors often controls householdís access to different community level facilities as well as individualís ability to shield against infant deaths. Hence, the study concludes that the interplay of both kinds of factors at different levels of child birth can take major role in reducing infant mortality.