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Educational access in developing countries has improved significantly in recent years, but less evidence is available on learning and learning progress in comparative perspective. This paper employs data from Young Lives to examine levels and trends in cognitive skill development and the links to enrolment in school across the four study countries for pupils aged five to 15. Non-continuous patterns of enrolment are linked to lower learning levels in all countries, as are key indicators of home background disadvantage. Large differences in learning and learning progress are also found between the four countries' education sytems, with "learning gains" being typically highest in Vietnam and much lower in India (Andhra Pradesh) and Ethiopia. Inequalities linked to prior learning and home backgrounds are wide in Peru, while in Ethiopia and India relatively low levels of learning progress are a more general concern. In Ethiopia, both enrolment and quality improvements remain priorities for policy, while in India high levels of primary school enrolment, at younger ages than in the other study countries, suggest that comprehensive quality improvements may be required, nonetheless with a focus on disadvantaged pupils and those with low attainment in the early years.

In November 2016, the Government of India (GOI) demonetized the commonly used Rs500 and Rs1,000 denominations. This was a short-term economic policy, known as notebandi, implemented as a means to address black money, counterfeit currencies, and terrorist activities. Notebandi was unrolled in a chaotic, confusing, and complex manner, leaving many people with limited access to cash in their daily activities. And the poor, who tend to earn their livelihoods from cash, were faced with economic exclusion and even destitution. In this paper, we argue that demonetization had disproportionately negative consequences on the poor and trace the main pathways between demonetization and the health of the poor. We conclude by calling on public health researchers to monitor and evaluate the health consequences of India's latest demonetization and to rapidly assess future policy initiatives in order to help advise governments in devising and implementing economic policies that does not harm the health of people, especially the poor.

India is often characterized as an emerging economic super power. The huge demographic dividend, the high quality engineering and management talent, the powerful Indian diaspora and the emerging Indian transnational--kneeling the optimism. In contrast, there is another profile of India which is rather gloomy. This is the country with the largest number of the poor, illiterates and unemployed in the world. High infant mortality, morbidity and widespread anaemia among women and children continue. India suffers from acute economic and social disparities. This article addresses four dimensions of such disparities, viz. regional, rural-urban, social, and gender. There is empirical evidence to indicate that during the last two decades all these disparities have been increasing. As a result of economic reforms, the southern and western States experienced accelerated economic and social development as compared to northern and eastern States. This has led to widening gap in income, poverty and other indicators of development between the two regions. Rural-urban divide also widened in the wake of reforms. While large and medium cities experience unprecedented economic prosperity, the rural areas experience economic stagnation. As a result, there is widespread agrarian distress which results in farmers' suicide and rural unrest. Socially backward sections, especially scheduled castes and tribes (SCs and STs) have gained little from the new prosperity which rewards disproportionately those with assets, skills and higher education. STs have often been victims of development as a result of displacement. The gender gap in social and economic status, traditionally more in India as compared to other societies; has further widened by the economic reforms and globalization. The approach paper to the Eleventh Plan stresses the importance of more inclusive economic growth. It emphasizes the need for bridging the divides discussed in this article. Unless these are achieved in a time-bound manner, there could be serious adverse implications for the Indian economy, society and politics.

This paper assesses the feasibility of sustainable development for various low-income countries in the context of prospective population growth. In that context, development that is sustainable is development that does not endanger the natural systems that support life on earth. Since a short time has elapsed since the Mexico City Conference, not all the developmental goals highlighted at that meeting could be reviewed. Emphasis in this paper is placed on an assessment of recent trends in food production and availability, employment and poverty issues, with an emphasis on India, China, and a few other Asian countries on which the author has had access to information. In the view of the author, the key to sustained development in the face of likely continued population growth up to the end of the 21st century lies in technological change and effective use of the human and physical resources in developing countries. Adequate planning and judicious adaptation of the institutional framework can help to avoid the suffering and misery of millions of people currently alive and also those who will be born during further decades.

Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make decisions, to describe the decision-making tools they used and identify challenges encountered when using these tools. A systematic literature review, following PRISMA guidelines, was undertaken. Experts were consulted about key sources of information. A search strategy was developed for 14 online databases of peer reviewed and grey literature. The resources were screened independently by two reviewers using pre-defined inclusion criteria. The 14 papers included were assessed for the quality of reported evidence and a descriptive evidence synthesis of the review findings was undertaken. We found 12 examples of tools to assist district-level decision-making, all of which included two key stages-identification of priorities, and development of an action plan to address them. Of those tools with more steps, four included steps to review or monitor the action plan agreed, suggesting the use of HMIS data. In eight papers HMIS data were used for prioritization. Challenges to decision-making processes fell into three main categories: the availability and quality of health and health facility data; human dynamics and financial constraints. Our findings suggest that evidence is available about a limited range of processes that include the use of data for decision-making at district level. Standardization and pre-testing in diverse settings would increase the potential that these tools could be used more widely. [ABSTRACT FROM AUTHOR]

Trickle-down has been addressed, so far, using income-based measures of inequality and poverty. However concerns over the inequality in access to other dimensions important for quality of life remains. I revisit trickle-down using the Alkire and Foster (J Public Econ 95(7-8), 2011) class of measures to estimate multidimensional poverty in India. Using NSS data estimates are presented for the 16 major states and are compared to income-based measures. Adding dimensions in poverty measurement results in the reversal of several income-based conclusions about poverty across regions. The paper also finds that contrary to income-based findings, Muslims are less poor than Hindus under the multidimensional criteria. [ABSTRACT FROM AUTHOR]

Low-resource settings often have limited use of local data for health system planning and decision-making. To promote local data use for decision-making and priority setting, we propose an adapted framework: a data-informed platform for health (DIPH) aimed at guiding coordination, bringing together key data from the public and private sectors on inputs and processes. In working to transform this framework from a concept to a health systems initiative, we undertook a series of implementation research activities including background assessment, testing and scaling up of the intervention. This first paper of four reports the feasibility of the approach in a district health systems context in five districts of India, Nigeria and Ethiopia. We selected five districts using predefined criteria and in collaboration with governments. After scoping visits, an in-depth field visit included interviews with key health stakeholders, focus group discussions with service-delivery staff and record review. For analysis, we used five dimensions of feasibility research based on the TELOS framework: technology and systems, economic, legal and political, operational and scheduling feasibility. We found no standardized process for data-based district level decision-making, and substantial obstacles in all three countries. Compared with study areas in Ethiopia and Nigeria, the health system in Uttar Pradesh is relatively amenable to the DIPH, having relative strengths in infrastructure, technological and technical expertise, and financial resources, as well as a district-level stakeholder forum. However, a key challenge is the absence of an effective legal framework for engagement with India's extensive private health sector. While priority-setting may depend on factors beyond better use of local data, we conclude that a formative phase of intervention development and pilot-testing is warranted as a next step. [ABSTRACT FROM AUTHOR]

This paper estimates the effects of gender and social caste on poverty in India using measures of household wealth from the National Family Health Survey (NFHS). Our asset-based measures of poverty are conceptually different than official measures based on consumption expenditures. For the period 2005-2006, we find that female-headed households and households belonging to marginalized social classes are more likely to be poor than their counterparts. Whether a household belongs to marginalized social class is more strongly associated with poverty than the gender of the household head. [ABSTRACT FROM AUTHOR]

This paper aims to explore the linkage between poverty and inequality in malnutrition through decomposition analysis using data from the National Family Health Survey-3 (NFHS-3) conducted in 2005-2006. Association between inequality in malnutrition and income inequality and poverty is observed at the state level. Inequality is analysed using the concentration index, which is further decomposed to identify the factors associated with inequality in malnutrition. Poverty, in terms of the wealth index, has considerable impact on average rates of malnutrition, indicating a disproportional burden of malnutrition on the poor. At the macro-economic level, overall socio-economic inequality correlates moderately with the inequality in malnutrition. On decomposition, poverty alone explains more than half of the inequality in malnutrition, which justifies the poverty-nutrition inequality linkage. The paper highlights the influence of poverty in worsening malnutrition, leading to unequal nutritional outcomes among children in India. [ABSTRACT FROM AUTHOR]

The recent growth pattern of India is set in the context of the parallel experience of China, the experience of poverty reduction is reviewed, and a number of papers illuminating India's development are introduced. [ABSTRACT FROM AUTHOR]

This paper explores an attempt to bring biotechnology more directly within the ambit of civil society in general and resource-poor farmers in particular. The Andhra Pradesh Netherlands Biotechnology Programme (APNLBP) was one of four country programmes initiated by Dutch aid in the early 1990s. It is coming to an end as an aid project next year. The broad objective of the programme was to contribute to poverty alleviation through biotechnologies but to do so in a rather unique way. Instead of having R&D laboratories develop a raft of new technologies and then ‘disseminating’ these to farmers, the emphasis was put on direct interaction with farmers and related stakeholder groups such as non-governmental organizations (NGOs). The paper describes the programme's inception and evolution, outlines key governance aspects and sets the analytical discussion within the context of modern ‘innovation systems’ discourse. Two aspects in particular are emphasized. The first is the degree of connectivity among the different stakeholders that are part of the system. It is now well recognized that it is the flow of information across stakeholder groups that often determines the degree of technological development that occurs, although clearly there are other factors also involved. The second is the importance of institutions and institutional change in enabling successful innovation to take place. [ABSTRACT FROM AUTHOR]

Using Foucault's notion of governmentality, this paper argues that colonial governmentality in India sought to effect a new relationship between resources, population, and discipline. Drawing theoretical insights from the 'critical accounting literature' to bear on the regulation of economic activity in colonial India, the paper shows how the discursive practices of colonial governance, in particular the modalities of measurement, accounting, and classification, enabled the constitution of the 'economy'. Such statistical data generated as part of colonial administration opened up the possibility of a nationalist accounting of the exploitation of India by the colonial power. [ABSTRACT FROM AUTHOR]

Lack of access to finance is identified as one of the major causes of poverty and unemployment. Microfinance is considered to be one of the important tools for expanding access to financial services like savings, credit, insurance, and remittances. MFIs are social enterprises, and have to manage their financial resources without depending on subsidies and grants. In this context, the efficiency of MFIs becomes an important factor in deciding the sustainability of the organizations. Previous studies on MFI efficiency have been mainly cross-country comparisons. No study has attempted to explore the relation between size and efficiency of MFIs. This paper raises a basic question: 'Does size of the organizations affect efficiency of the MFIs? The study is based on secondary data. Based on their gross loan portfolio, the study classified MFIs across three categories: small (less than Rs.1,000 m), medium (Rs.1,000 m - 5,000 m) and large (more than Rs.5,000 m). The data was collected for 89 MFIs across these categories on four parameters: two parameters for inputs (asset and operating expense); and two parameters for outputs (loan outstanding and number of active borrowers). By using the data envelopment analysis (DEA) technique the study tries to identify the most efficient MFIs in each category along with average efficiency and minimum efficiency of these categories. The findings reported a clear linkage between the size and efficiency of the organizations. This study justifies the recent step of asset capping for Indian MFIs by the Reserve Bank of India. Keywords: data envelopment analysis (DEA), microfinance institutions (MFIs), efficiency Lack of access to finance has been identified as one of the major causes of poverty and unemployment. Microfinance is defined as provision of varied financial services such as savings, credit, insurance, and money transfers to poor people. Affordable, timely, and adequate credit plays an important role in expanding access to finance. The provision of finance for poor people has remained an integral part of India's inclusion policy for over 100 years. The objective of the cooperative Act of 1904 was to save farmers from indebtedness by providing them with affordable credit. Since then, various policy amendments have been made to increase the financial inclusion of farmers. Microfinance in some form or other has always remained an important intervention by policy-makers in developing countries. In addition to financial services, microfinance institutions (MFIs) also help in increasing the profitability of agriculture by providing technical support to farmers. [ABSTRACT FROM AUTHOR]

Using the unit data from the 64th round of the National Sample Surveys, 2007-08 on employment, unemployment, and migration, covering 125,578 households, this paper estimates the level, depth, and severity of poverty among nonmigrants and intra-state migrants, inter-state migrants, and emigrants in India. Based on the out-migration of any members of the household for employment at place of origin and using place of last residence definition, households are classified into intrastate migrants, inter-state migrant, emigrants, and non-migrant households. Economic well-being of migrant's households at the place of origin is measured by consumption expenditure (income). A set of poverty indices, the poverty headcount ratio, poverty gap ratio, and square poverty gap, are estimated from the household consumption expenditure to measure the level, depth, and severity of poverty among migration categories. The official state-specific poverty line is used in estimating the poverty indices. Descriptive analyses and logistic regression analyses are used in the analyses. Results suggest that the level, depth, and severity of poverty among migrant households is lower than that among non-migrant households; however, it varies across migrant categories. The poverty head count ratio was 41 % among inter-state migrants, 31 % among intra-state migrants, 20 % among emigrants, and 39 % among non-migrants in India. The poverty gap ratio and squared poverty gap were highest among inter-state migrants. Two broad patterns emerge from the state level analyses. Barring Kerala and Punjab that have a higher percentage of emigrants, inter-state migration accounts for a larger share of employment-related migration from the less developed states of Uttar Pradesh, Bihar, Jharkhand, Chhattisgarh, and Odisha while intra-state migration accounts for a larger share in the developed states of Maharashtra, Gujarat, Karnataka, and Tamil Nadu. Second, the level, depth, and severity of inter-state migrants from less developed states is higher than that of intra-state migrants and non-migrants; however, the pattern is reversed in the more developed states of India. Adjusting for socioeconomic correlates, the odds of poor among intra-state migrants are lower than those among inter-state migrant's households. The study supports the proposition that migration and remittances in India are not panacea to structural development constraints and that poor long-distance migrants need to be integrated in poverty alleviation programs. [ABSTRACT FROM AUTHOR]

Background: Millennium Development Goal (MDG) 5 is focused on reducing maternal mortality and achieving universal access to reproductive health care. India has made extensive efforts to achieve MDG 5 and in some regions much progress has been achieved. Progress has been uneven and inequitable however, and many women still lack access to maternal and reproductive health care. Objective: In this review, a framework developed by the Commission on Social Determinants of Health (CSDH) is used to categorize and explain determinants of inequity in maternal and reproductive health in India. Design: A review of peer-reviewed, published literature was conducted using the electronic databases PubMed and Popline. The search was performed using a carefully developed list of search terms designed to capture published papers from India on: 1) maternal and reproductive health, and 2) equity, including disadvantaged populations. A matrix was developed to sort the relevant information, which was extracted and categorized based on the CSDH framework. In this way, the main sources of inequity in maternal and reproductive health in India and their inter-relationships were determined. Results: Five main structural determinants emerged from the analysis as important in understanding equity in India: economic status, gender, education, social status (registered caste or tribe), and age (adolescents). These five determinants were found to be closely interrelated, a feature which was reflected in the literature. Conclusion: In India, economic status, gender, and social status are all closely interrelated when influencing use of and access to maternal and reproductive health care. Appropriate attention should be given to how these social determinants interplay in generating and sustaining inequity when designing policies and programs to reach equitable progress toward improved maternal and reproductive health. [ABSTRACT FROM AUTHOR]

Background: India launched a national conditional cash transfer program, Janani Suraksha Yojana (JSY), aimed at reducing maternal mortality by promoting institutional delivery in 2005. It provides a cash incentive to women who give birth in public health facilities. This paper studies the extent of program uptake, reasons for participation/ non participation, factors associated with non uptake of the program, and the role played by a program volunteer, accredited social health activist (ASHA), among mothers in Ujjain district in Madhya Pradesh, India. Methods: A cross-sectional study was conducted from January to May 2011 among women giving birth in 30 villages in Ujjain district. A semi-structured questionnaire was administered to 418 women who delivered in 2009. Socio-demographic and pregnancy related characteristics, role of the ASHA during delivery, receipt of the incentive, and reasons for place of delivery were collected. Multinomial regression analysis was used to identify predictors for the outcome variables; program delivery, private facility delivery, or a home delivery. Results: The majority of deliveries (318/418; 76%) took place within the JSY program; 81% of all mothers below poverty line delivered in the program. Ninety percent of the women had prior knowledge of the program. Most program mothers reported receiving the cash incentive within two weeks of delivery. The ASHA's influence on the mother's decision on where to deliver appeared limited. Women who were uneducated, multiparious or lacked prior knowledge of the JSY program were significantly more likely to deliver at home. Conclusion: In this study, a large proportion of women delivered under the program. Most mothers reporting timely receipt of the cash transfer. Nevertheless, there is still a subset of mothers delivering at home, who do not or cannot access emergency obstetric care under the program and remain at risk of maternal death. [ABSTRACT FROM AUTHOR]

This paper attempts to examine the growth performance and its impact on inequality and poverty in China and India. The recent upsurge in growth rates in China and India is seen widely as the 'success' story of globalization. It is also claimed that these developments will make a significant impact on the reduction of global inequalities and poverty. Although a number of scholars have analysed the recent economic performance of China and India, these studies, however, have not taken into account the past policies and their impact on current performance. We find there is a gap in the current discussion, which overlooks historical and economic factors on the recent performance. This article critically assesses the claimed fall in global poverty due to mainly the rise of China and India in recent years. The article questions the 'pro-globalization' argument, which suggests that there is a link between 'market liberal' free market policies and falling poverty. It is argued instead that the evidence concerning poverty reduction is ambiguous, and it is not that the most successful economies have adopted pro-globalization policies. Studying the developmental changes taking place in these two countries is important because they together account for 37.5% of the global population. These populous neighbours, regarded as symbols of poverty and failure until two decades ago, contain large numbers of people living below the officially defined poverty line. [ABSTRACT FROM AUTHOR]

This paper examines whether spending on tobacco crowds out expenditure on basic needs and whether it has implications on nutrition intake and household resource allocation in India. The paper uses a household sample survey from India for the year 1999–2000. A system of quadratic conditional Engel curves was estimated for a set of 10 broad groups of commodities. The results suggest that tobacco consuming households had lower consumption of certain commodities such as milk, education, clean fuels and entertainment which may have more direct bearing on women and children in the household than on men suggesting possible ‘gender effects’ and biases in the allocation of goods and services within the household. Tobacco spending was also found to have negative effects on per capita nutrition intake. The nature of crowding out was found to be similar in low- and high-income households. [Copyright &y& Elsevier]

The article focuses on poverty and the link between poverty alleviation and reduction of hunger in India. It notes that the decline in the food grain production leads to decrease in the income of the Indians. It states that the people especially poor farmers and landless workers have few means to avoid production changes and price shocks that can put their livelihood at risk. Furthermore, the Indian experience shows that failure in entitlement for food remains a serious problem.

The present paper aims to analyze the spatial variations in the incidence of poverty and level of deprivation in India. The causal relationship between poverty rate (dependent variable) and twenty five selected socio-economic variables (independent variables) of deprivation has been also taken into account. The state/union territory has been taken as the smallest unit of study. The entire research work is based on secondary sources of data. The study reveals that the level of poverty is low in northern and southern states of India, and it is high in central-eastern states extending from the state of Maharashtra in the west to the state of Bihar in the east. The level of deprivation is high in the states extending from Rajasthan in the west to Orissa in the east, medium level in the southern, north-western and north-eastern states and it is low in the northern and southern most states of India. [ABSTRACT FROM AUTHOR]

Objective To quantify the impact of tobacco use and the related medical expenditure on poverty in India. Methods Tobacco expenditure and associated medical expenditure attributable to tobacco use were subtracted from the household monthly consumption expenditure in order to derive an appropriate measure of household disposable income. The 2004 National Sample Survey, a nationally representative survey of Indian households, was used to estimate the true level of poverty. Results Our estimates indicate that accounting for direct expenditure on tobacco would increase the rural and the urban poverty rates by 1.5% (affecting 11.8 million people) and 0.72% (affecting 2.3 million people), respectively. Similarly, the out-of-pocket costs of tobacco-attributable medical care result in 0.09% higher poverty rates in rural areas (affecting 0.7 million people) and in 0.07% higher poverty rates in urban locations (affecting 0.23 million people). Conclusions Tobacco consumption impoverishes roughly 15 million people in India. Hence tobacco control measures would not only improve public health, but would also reduce poverty in India. [ABSTRACT FROM AUTHOR]

The measurement of poverty is important yet problematic and controversial. This study assesses livelihood asset indicators from the sustainable livelihood approach as a multidimensional inverse proxy for poverty. The study develops and contrasts different asset-based proxies building on the five livelihood capitals: natural, physical, human, social and financial. The Indian Indo-Gangetic Plains with 280 million rural inhabitants and covering 0.47 million km2 are used as an empirical case to illustrate and contrast the multidimensional proxies, drawing on secondary data for 18 quantitative district-level indicators. Principal components derived directly from the district-level indicators proved to be a good proxy for the district-level poverty head count ratio (adjusted R2 = 0.51). A composite livelihood asset index aided interpretation but at a significant cost of overall explanatory power (adjusted R2 = 0.42). Alternative models derived from the five livelihood assets provide more acceptable trade-offs between explanatory and interpretational power. Livelihood asset-based approaches can thus provide an inverse proxy for absolute poverty. [ABSTRACT FROM AUTHOR]

Summary: The larger part of the economy in most developing countries is outside the regulative control of the state. When defined in this way, it has two types of expression: first, self-employment (with some wage-work) in unregistered or unincorporated small enterprises; second, unregistered and unregulated activity and workers inside and around large registered organizations such as firms, public sector enterprises, and the state itself. This paper reviews the literature, mainly but not exclusively from India, with three objectives. First, it questions what brings order to such economic activity and how economic and social insecurity is instituted. Second, it examines the counter intuitive proposition that social security rights are de facto, if not de jure, dependent upon work rights. Third, it explores the dynamics of, and responses to, informalization. [Copyright &y& Elsevier]

The present paper attempts to understand beggary as a growing socio-economic problem and an extreme form of destitution and poverty in urban India. It analyses beggary from a developmental perspective and as an inevitable outcome of exploitation and criminalisation of poor under the vicious force of political economy. The present discourse further explores the possible solutions to deal with beggary under the existing Beggary Laws, the role of NGOs and of Civil Society. [ABSTRACT FROM AUTHOR]

India is perceived to be one of the most attractive Non-Annex I countries for CDM project development. There are more than 350 projects in the CDM pipeline, largely in the areas of renewable energy, energy efficiency in industries and fossil fuel switching. This paper examines the socio-economic component of sustainable development commitments of the CDM projects to see if they can make any impact on rural poverty in India, since the goal of poverty alleviation lies at the core of the country's development priorities. The study concludes that CDM is not contributing to rural poverty alleviation to any notable extent. Nearly all the projects have a business orientation and are not directed to the development of rural poor. Even the renewable energy projects will have limited role in up-liftment of the masses below poverty line due to their weak resource base. For CDM to emerge as a "win--win" strategy for poverty alleviation projects should be aimed at the rural communities and designed to accelerate agricultural growth in the rainfed regions of the country. [ABSTRACT FROM AUTHOR]

Objective: To determine whether Rojiroti microfinance, for poor Indian women, improves child nutrition.Design: Cluster randomised trial.Setting: Tolas (village communities) in Bihar State.Participants: Women and children under 5 years.Interventions: With Rojiroti microfinance, women form self-help groups and save their money to provide loans to group members. After 6 months, they receive larger external loans. Tolas were randomised to receive Rojiroti immediately or after 18 months.Outcome Measures: The primary analysis compared the mean weight for height Z score (WHZ) of children under 5 years in the intervention versus control tolas who attended for weight and height measurement 18 months after randomisation. Secondary outcomes were weight for age Z score (WAZ), height for age Z score, mid-upper arm circumference (MUAC), wasting, underweight and stunting.Results: We randomised 28 tolas to each arm and collected data from 2469 children (1560 mothers) at baseline and 2064 children (1326 mothers) at follow-up. WHZ was calculated for 1718 children at baseline and 1377 (674 intervention and 703 control) at follow-up. At 18 months, mean WHZ was significantly higher for intervention (-1.02) versus controls (-1.37; regression coefficient adjusted for clustering β=0.38, 95% CI 0.16 to 0.61, p=0.001). Significantly fewer children were wasted in the intervention group (122, 18%) versus control (200, 29%; OR=0.46, 95% CI 0.28 to 0.74, p=0.002). Mean WAZ was better in the intervention group (-2.13 vs -2.37; β=0.27, 95% CI 0.11 to 0.43, p=0.001) as was MUAC (13.6 cm vs 13.4 cm; β=0.22, 95% CI 0.03 to 0.40, p=0.02). In an analysis adjusting for baseline nutritional measures (259 intervention children and 300 control), only WAZ and % underweight showed significant differences in favour of the intervention.Conclusion: In marginalised communities in rural India, child nutrition was better in those who received Rojiroti microfinance, compared with controls.Trial Registration Number: NCT01845545. [ABSTRACT FROM AUTHOR]

Proven links between disability and poverty suggest that development programmes and policies that are not disability-inclusive will leave persons with disabilities behind. Despite this, there is limited quantitative evidence on livelihood opportunities amongst adults with disabilities in Low and Middle Income Countries. This study adds to the limited evidence base, contributing data from one African and one Asian Setting. We undertook a population-based case–control study of adults (18+) with and without disabilities in North-West Cameroon and in Telangana State, India. We found that adults with disabilities were five times less likely to be working compared to age-sex matched controls in both settings. Amongst adults with disabilities, current age, marital status and disability type were key predictors of working. Inclusive programmes are therefore needed to provide adequate opportunities to participate in livelihood prospects for adults with disabilities in Cameroon and India, on an equal basis as others. These findings are of crucial importance at this stage of the Sustainable Development Agenda, to ensure that the mandate of inclusive development is achieved. [ABSTRACT FROM AUTHOR]

The low quality of health care in developing countries reduces the poor's incentives to use quality health services and their demand for health insurance. Using data from a field experiment in India, I show that randomly offering insurance policyholders a free preventive checkup with a qualified doctor has a twofold effect: receiving this additional benefit raises willingness to pay to renew health insurance by 53%, doubling the likelihood of hypothetical renewal; exposed individuals are 10 percentage points more likely to consult a qualified practitioner when ill after the checkup. Both effects are concentrated on poorer households. There is no effect on health knowledge and healthcare spending. This suggests that exposing insured households to quality preventive care can be a cost-effective way of raising the demand for quality health care and retaining policyholders in the insurance scheme. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Introduction: In high-income countries, secondhand smoke (SHS) exposure is higher among disadvantaged groups. We examine socioeconomic inequalities in SHS exposure at home and at workplace in 15 low- and middle-income countries (LMICs).Methods: Secondary analyses of cross-sectional data from 15 LMICs participating in Global Adult Tobacco Survey (participants ≥ 15 years; 2008-2011) were used. Country-specific analyses using regression-based methods were used to estimate the magnitude of socioeconomic inequalities in SHS exposure: (1) Relative Index of Inequality and (2) Slope Index of Inequality.Results: SHS exposure at home ranged from 17.4% in Mexico to 73.1% in Vietnam; exposure at workplace ranged from 16.9% in Uruguay to 65.8% in Bangladesh. In India, Bangladesh, Thailand, Malaysia, Philippines, Vietnam, Uruguay, Poland, Turkey, Ukraine, and Egypt, SHS exposure at home reduced with increasing wealth (Relative Index of Inequality range: 1.13 [95% confidence interval [CI] 1.04-1.22] in Turkey to 3.31 [95% CI 2.91-3.77] in Thailand; Slope Index of Inequality range: 0.06 [95% CI 0.02-0.11] in Turkey to 0.43 [95% CI 0.38-0.48] in Philippines). In these 11 countries, and in China, SHS exposure at home reduced with increasing education. In India, Bangladesh, Thailand, and Philippines, SHS exposure at workplace reduced with increasing wealth. In India, Bangladesh, Thailand, Philippines, Vietnam, Poland, Russian Federation, Turkey, Ukraine, and Egypt, SHS exposure at workplace reduced with increasing education.Conclusion: SHS exposure at homes is higher among the socioeconomically disadvantaged in the majority of LMICs studied; at workplaces, exposure is higher among the less educated. Pro-equity tobacco control interventions alongside targeted efforts in these groups are recommended to reduce inequalities in SHS exposure.Implications: SHS exposure is higher among the socioeconomically disadvantaged groups in high-income countries. Comprehensive smoke-free policies are pro-equity for certain health outcomes that are strongly influenced by SHS exposure. Using nationally representative Global Adult Tobacco Survey (2008-2011) data from 15 LMICs, we studied socioeconomic inequalities in SHS exposure at homes and at workplaces. The study showed that in most LMICs, SHS exposure at homes is higher among the poor and the less educated. At workplaces, SHS exposure is higher among the less educated groups. Accelerating implementation of pro-equity tobacco control interventions and strengthening of efforts targeted at the socioeconomically disadvantaged groups are needed to reduce inequalities in SHS exposure in LMICs. [ABSTRACT FROM AUTHOR]

Introduction: Many low- and middle-income countries (LMICs) have enacted legislation banning smoking in public places, yet enforcement remains challenging. The aim of this study was to assess the feasibility of using a validated low-cost methodology (the Dylos DC1700) to provide objective evidence of smoke-free (SF) law compliance in hospitality venues in urban LMIC settings, where outdoor air pollution levels are generally high.Methods: Teams measured indoor fine particulate matter (PM2.5) concentrations and systematically observed smoking behavior and SF signage in a convenience sample of hospitality venues (bars, restaurants, cafes, and hotels) covered by existing SF legislation in Mexico, Pakistan, Indonesia, Chad, Bangladesh, and India. Outdoor air PM2.5 was also measured on each sampling day.Results: Data were collected from 626 venues. Smoking was observed during almost one-third of visits with substantial differences between countries-from 5% in India to 72% in Chad. After excluding venues where other combustion sources were observed, secondhand smoke (SHS) derived PM2.5 was calculated by subtracting outdoor ambient PM2.5 concentrations from indoor measurements and was, on average, 34 µg/m(3) in venues with observed smoking-compared to an average value of 0 µg/m(3) in venues where smoking was not observed (P < .001). In over one-quarter of venues where smoking was observed the difference between indoor and outdoor PM2.5 concentrations exceeded 64 µg/m(3).Conclusions: This study suggests that low-cost air quality monitoring is a viable method for improving knowledge about environmental SHS and can provide indicative data on compliance with local and national SF legislation in hospitality venues in LMICs.Implications: Air quality monitoring can provide objective scientific data on SHS and air quality levels in venues to assess the effectiveness of SF laws and identify required improvements. Equipment costs and high outdoor air pollution levels have hitherto limited application in LMICs. This study tested the feasibility of using a validated low-cost methodology in hospitality venues in six LMIC urban settings and suggests this is a viable method for improving knowledge about SHS exposure and can provide indicative data on compliance with SF legislation. [ABSTRACT FROM AUTHOR]

Macro studies reveal that internal migration is of considerable extent in India, however disaggregated studies on specific migrant groups are lacking from India. The present study is based on a scientifically drawn sample of 10,428 migrant households living in Delhi and the objective is to present socio-economic profile of the socioeconomically disadvantaged migrants living in Delhi. Migration is predominantly male in character and is dominated by younger ages. Migrants form a considerable proportion of the city's population and are indispensable for the city's growth. The other characteristics of migrants reveal that migrants are marginalized in the city and have denied access to basic amenities and compromise to live in such conditions in order to earn a livelihood and better incomes. Since migrants are an indispensable population in the cities, they should be recognized as a specific vulnerable group for the provision of basic services and there is a need for policy formulation ensuring rights of the migrants. [ABSTRACT FROM AUTHOR]

This article presents a comprehensive analysis of popular resistance to dam building in the Narmada Valley, India. Like Indian dam projects more generally, the Narmada projects are characterized by a distributional bias in favor of India's “dominant proprietary classes” and, it is argued, must be understood in terms of the political economy of postcolonial capitalism in India. The article then traces the emergence of popular resistance to dispossession in the form of “militant particularisms” struggling for resettlement and rehabilitation in the dam-affected communities in the riparian state, the transition toward a pan-state antidam campaign—the Narmada Bachao Andolan—embedded in a multiscalar infrastructure of contention, and, finally, the embedding of this struggle in a wider social movement project for alternative development. In conclusion, the author reflects on the strategic lessons that can be drawn from the trajectory of popular resistance to dispossession in the Narmada Valley. [ABSTRACT FROM AUTHOR]

Financial inclusion/exclusion has recently been emphasised as an important policy option aimed at alleviating poverty, minimising social exclusion and enhancing economic growth. In this article, we review the growing interest in financial exclusion and inclusion, define them and demonstrate their existence in developing and developed countries. Our empirical focus is on whether financial inclusion has been successfully implemented in four sites in rural South India where banks claimed that financial inclusion is complete. Although many rural people in South India are financially included, the concept of financial inclusion is more complex than usually portrayed. Our findings show that social and personal deprivation contributes to financial exclusion and should be viewed as key barriers to financial inclusion. We also suggest that financial inclusion is not a monolithic phenomenon and should be studied in a multi-layered fashion, ranging from having a bank account to making full use of modern financial instruments. [ABSTRACT FROM PUBLISHER]

In recent years microcredit has grown rapidly based on its promise to alleviate poverty and empower women. However, as the microcredit industry has grown, the initial emphasis on poverty alleviation and empowerment has changed; some critics argue that the industry now looks like commercial finance. This article explores these criticisms by comparing two microcredit programs in Chennai, India. Both programs work with the same population but take different approaches to credit delivery. Drawing from the participants' testimonies, the findings suggest that in general, the loans do not permanently move participants out of poverty; however, they do reduce some of the vulnerabilities associated with poverty. [ABSTRACT FROM AUTHOR]

Asian countries are arguably the current global leaders in pursuing inclusive development policies, strategies and interventions to address the overarching problems of poverty, inequality and exclusion. This article focuses on inclusive development in Asia by first highlighting certain philosophical perspectives to the subject that include roots in ancient China and India. Next, the raison d'etre for inclusive development is outlined. The current and emerging approaches to inclusive development in Asia are then discussed, including a three-fold typology. Finally, brief concluding remarks are offered. Whether the inclusive growth agendas will result in a modicum of success in tackling poverty, exclusion and inequality remains an open question. However, given the global financial and economic crises, a paradigm shift in Asia is inevitable if both high sustainable growth and inclusive development are being pursued. [ABSTRACT FROM AUTHOR]

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A theoretical analysis and several econometric tests have been undertaken to examine whether the trickle down effect took place in rural India over a long time period. We found little evidence to suggest that the trickle down effect had occurred at all; our analysis suggests that the emergence of capital-labour substitution was primarily responsible for preventing growth from reducing poverty. The decline in poverty and a higher growth rate that took place during the late 1970s and 1980s were largely a result of government anti-poverty measures teamed with the more equitable distribution of credit and inputs to smaller and marginal farmers. [ABSTRACT FROM AUTHOR]

Background: The average expenditure incurred by patients in low- and middle-income countries towards diagnosis and treatment of TB ranges from $55 to $8198. This out-of-pocket expenditure leads to impoverishment of households. One of the three main targets of the End TB Strategy (2016-2035) is that no TB-affected household suffers catastrophic costs due to TB. Study setting was free care under national tuberculosis program (NTP), Puducherry district, India. Objectives: The objectives of the study were among the newly diagnosed and previously treated tuberculosis (TB) patients, to (a) estimate patient costs during diagnosis and intensive phase of treatment, (b) determine the proportion of households experiencing catastrophic costs, and (c) explore coping strategies. Methods: An explanatory mixed methods design comprising both quantitative cost description and qualitative descriptive component was used. Catastrophic cost was defined as total TB care costs exceeding 20% of annual household income. Results: Of 102 TB patients included, two-thirds (69%) were male, 6% were HIV positive, and 45% reported at least one episode of hospitalization for TB care. The median (IQR) total cost of TB care was US$195 (52.1, 492.9) with a direct cost of US$65.3 (22.3, 156.5) and indirect cost of US$50.2 (0.9, 295.1). Overall, 32.4% of households experienced catastrophic costs due to TB care, significantly higher in patients with HIV coinfection (p = 0.009) and hospitalization (p = 0.009). Pledging jewels and borrowing money were major coping strategies. Cash assistance was the expected remedy from the patient perspective. Conclusion: Despite free TB care under NTP, more than a third incurred catastrophic costs towards TB care. [ABSTRACT FROM AUTHOR]