Nutritional deprivation, Anaemia huge concerns in India: Inequality Report

New Delhi, May 18 (Agency) Nutrition profile among children has improved compared to 2015-16 (NFHS 4), like stunting in children has gone down from 38.4% and wasting from 21%, and 7.7% are severely wasted. Additionally, 32.1% of children (under five years) were reported to be underweight. As per Rural Health Statistics 2019-20, as of March 2020, there are 155404 Sub Centres (SC), 24918 Primary Health Centres (PHC), and 5183 Community Health Centres (CHC) in rural India. In 2019-20, the Gender Parity Index was more than 1 across all levels of education at the all-India level. The Gender Parity Index (GPI) based on GER reflects the representation of females in schools in relation to the population of girls in the corresponding age group. A value of 1 shows a favourable picture, while anything less than 1 shows relative underrepresentation. India’s unemployment rate is 4.8% (2019-20), and the worker population ratio is 46.8%. In 2019-20, among different employment categories, the highest percentage was of self-employed workers (45.78%), followed by regular salaried workers (33.5%) and casual workers (20.71%). The share of self-employed workers also happens to be the highest in the lowest income categories.

Inequities in health, education, household characteristics and the labour market sectors make the population more vulnerable and trigger a descent into multidimensional poverty. Inequality is not simply a lack of resources but a more profound experience of dearth relative to others. It is living in vulnerability and deprivation with restricted means of upward mobility. Consisting of two parts – Economic Facets and Socio-Economic Manifestations – the report looks at five key areas that influence the nature and experience of inequality. These are income distribution and labour market dynamics, health, education and household characteristics. It is a study that cuts across the intersections of class, gender, and region and highlights how inequality affects society. Instead, emphasis should be given to dynamic variables like income distribution that determine capital flow and measure the purchasing power of the households. In this respect, the income data for 2017-18, 2018-19 and 2019-20 has been taken from PLFS to highlight the level of income disparity in the country. Notably, a monthly salary of Rs 25,000 is already amongst the top 10% of total incomes earned. The top 1% accounts for 6-7% of total incomes earned, and the top 10% holds almost one-third share of all incomes earned. In terms of the labour market, the labour force participation rate (LFPR) has registered a slight growth from 49.8% in 2017-18 to 53.5% in 2019-20. The gender disparity in the labour market continues to be stark over the three years in 2019-20, the female LFPR was at 30%, in contrast the male LFPR is recorded at 76.8%. In the health sector, there has been an increase in the number of Sub-Centres, Primary Health Centres, and Community Health Centres, from 1,72,608 health centres in 2005 to 1,85,505 in 2020. As per NFHS-5 (2019-21), 70% of women have received antenatal check-ups in the first trimester. 78% of women received postnatal care from a doctor or auxiliary nurse within two days of delivery, and 79.1% of children received postnatal care within two days of delivery. Issues of concern remain nutritional deprivation – overweight, underweight, stunted and wasted growth.

The condition of education infrastructure has improved, with 95% of schools having functional toilet facilities on the school premises (95.9% functional boy’s toilets and 96.9% functional girl’s toilets), and 80.16% of schools having functional electricity connections. Additionally, 97.5% of schools have established access to safe drinking water. Investment in these kinds of infrastructural development ensures that a safe and sound learning environment is provided to the learners. It is emphasised that education and cognitive development from the foundational years is a long-term corrective measure for inequality. Regarding improvement in household conditions, emphasis on providing access to sanitation and safe drinking water has meant leading a dignified life for most households. According to NFHS-5 (2019-21), 97% of households have electricity access, 70% have improved access to sanitation, and 96% have access to safe drinking water.

The great utility on different kind of inequality which is not the personal distribution but it is the spatial distribution. We know there are differences between states, we know that the government i.e., union as well as state government have been trying to ensure basic necessities.” However, in the income vs growth debate, as a policymaker, we need to focus on income which should be the immediate goal.” We need to revisit Indian values to tackle inequality and poverty in the country which go beyond materialistic matrics and focus on values and happiness.” For policy measures to tackle inequality there are four important aspects, the first is employment opportunities, the second should be facilitating empowerment, the third focuses on enhancing security and the fourth there is a need to link poverty and inequality and social cohesion.”Recommendations like creating income slabs that provide class information, establishing universal basic income, creating jobs, especially among the higher levels of education and increasing the budget for social protection schemes have been made. It is an interaction between social and economic aspects of inequality, which helps us holistically drive policy action through social protection frameworks.