International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Volume 8 Issue 5
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Determinants of Child Health-care Utilisation and Health Outcomes in Salem District, Tamil Nadu: a Health-economic Analysis

Author(s) Mr. PARAMESWARAN D, Dr. SENTHILKUMAR M, Dr. MANIKANDAN D
Country India
Abstract The study uses district-level secondary data and recent Indian literature. First-trimester antenatal care (ANC) rose from 69.7% to 74.7%, and four or more ANC visits from 78.7% to 85.0%. Iron-folic acid (IFA) consumption for at least 100 days climbed from 63.9% to 82.2%, and full vaccination of children aged 12-23 months from 73.6% to 77.0%. Nutrition improved as well, but in NFHS-5 23.6% of children under five were still stunted, 20.8% underweight and 10.1% wasted. Services have grown faster than nutrition has improved. Read through Grossman's health-capital model and a household health-production framework, this pattern is not surprising: medical care is only one input, and household income, maternal education, food security and sanitation decide how far it turns into health. The paper argues that policy in Salem should now focus on the quality and continuity of care, complete immunisation, nutrition security and support for poorer households. Because the data are district averages, the study makes no causal claims. It ends by proposing a household-level econometric framework for future work.
Keywords child health; health-care utilisation; health economics; maternal health; child nutrition; immunisation; NFHS; Salem District; Tamil Nadu; human capital
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-10-14
DOI https://doi.org/10.36948/ijfmr.2026.v08i05.89530
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