Gender Disparities in Health Care Financing Strategies for Inpatient Care in India
Moradhvaj, Nandita Saikia
Jawaharlal Nehru University, New Delhi, India

Abstract

Despite the presence of vast literatures on healthcare financing strategies (HCFS) in developing countries, limited evidence exists on gender disparity in HCFS for hospitalization. We examines gender disparity in HCFS for inpatient care in India, a South Asian population giant widely known for gender-based discrimination. Using large-scale population based survey, we investigated the relationship between gender of the patient and sources of healthcare financing.  Percent distribution, cross-tabulation, Chi2 tests and multinomial logit regression used to examine the role of gender on sources of healthcare financing for inpatient care. Average healthcare expenditure is lower for females across all age groups. Over all, females are hospitalized lesser than males, females are discriminated more when healthcare requires borrowing, sale of assets, or contribution from relatives. Multinomial logit results show, that the probability of distressed financing is less for females, compared to males (Borrowing: b=-0.19*** selling assets/contribution: b=-0.21***). The predicted probability of using healthcare finance reveals, that men’s health during adult age is considered to be more important, to resort to distressed financing, compared to the female counterpart. Women in India are discriminated during the process of hospitalization because of distressed health care financing and because of their gender.