Question

Discuss the socio economic determinant of state politics in india

Answer 1

The Rashtriya Swasthya Bima Yojana(RSBY), which was introduced in 2008 in India, is a social health insurance scheme that aims to improve healthcare access and provide financial risk protection to the poor. In this study, we analyse the determinants of participation and enrolment in the scheme at the level of districts. We used official data on RSBY enrolment, socioeconomic data from the District Level Household Survey 2007–2008, and additional state-level information on fiscal health, political affiliation, and quality of governance. Results from multivariate probit and OLS analyses suggest that political and institutional factors are among the strongest determinants explaining the variation in participation and enrolment in RSBY. In particular, districts in state governments that are politically affiliated with the opposition or neutral parties at the centre are more likely to participate in RSBY, and have higher levels of enrolment. Districts in states with a lower quality of governance, a pre-existing state-level health insurance scheme, or with a lower level of fiscal deficit as compared to GDP, are significantly less likely to participate, or have lower enrolment rates. Among socioeconomic factors, we find some evidence of weak or imprecise targeting. Districts with a higher share of socioeconomically backward castes are less likely to participate, and their enrolment rates are also lower. Finally, districts with more non-poor households may be more likely to participate, although with lower enrolment rates.

Answer 2

Any signs of poor or imprecise targeting among the socio-economic variables. Districts with a greater proportion of social deprived castes are less likely to vote, and have lower enrolment rates.

Finally, areas with more non-poor families, but with lower graduation rates, could be more likely to vote.

Explanation:

• Given the fast economic growth that has pulled millions out of poverty in recent decades; the slow speed of progress in India's population's health has created a heated debate on India's health policy.
• Although public health services are affordable (in terms of out - of-pocket spending) and geographically accessible to many households, low quality care, high absenteeism rates, a scarcity of infrastructure leads to the loss of access to healthcare.
• Such shortcomings have made private practitioners the dominant providers of care for the vulnerable, especially in rural areas.

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Socio economic determinant of state politics in india

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