The “Haves” and “Have Nots”: Why Are There Disparities?

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To prepare for this Assignment, review your Learning Resources this week. Consider how certain large populations within a single political entity can still display disparate health outcomes. Think about how areas such as Kerala can have remarkably different health outcomes than the countries they are in. What makes those areas different from the rest of the country?

The Assignment (3–4 pages):

  • Describe two health outcomes for which India and China have had different experiences in the last half century.
  • Explain the reasons for the disparities noted.
  • Describe the experience for those outcomes in Kerala and suggest reasons for why they are similar or different from the rest of India.
  • Expand on your insights utilizing the Learning Resources.

Use APA formatting for your Assignment and to cite your resources. 

Wilkinson, R., & Pickett, K. (2010). The spirit level: Why greater equality makes societies stronger. New York, NY: Bloomsbury Press.
Chapter 13, “Dysfunctional Societies” (pp. 173–196)
Averina, M., Nilssen, O., Brenn, T., Brox, J., Arkhipovsky, V. L., & Kalinin, A. G. (2005). Social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated quality of life in Russia: A population-based study in Arkhangelsk. Social Psychiatry and Psychiatric Epidemiology, 40(7), 511–518.
Note: Retrieved from Walden Library databases.
Dummer, T. J. B., & Cook, I. G. (2008). Health in China and India: A cross-country comparison in a context of rapid globalisation. Social Science & Medicine, 67(4), 590–605.
Note: Retrieved from Walden Library databases.
Frieden, T. R. (2010). A framework for public health action: The health impact pyramid. American Journal of Public Health, 100(4), 590–595.
Note: Retrieved from Walden Library databases.
Jones, C. P., Jones, C. Y., Perry, G. S., Barclay, G., & Jones, C. A. (2009). Addressing the social determinants of children’s health: A cliff analogy. Journal of Health Care for the Poor and Underserved, 20(Suppl. 4), 1–12.
Note: Retrieved from Walden Library databases.
Kanjilal, B., Mazumdar, P. G., Mukherjee, M., & Rahman, M. H. (2010). Nutritional status of children in India: Household socio-economic condition as the contextual determinant. International Journal for Equity in Health, 9(1), 19–31.
Note: Retrieved from Walden Library databases.
Mukherjee, S., Haddad, S., & Narayana, D. (2011). Social class related inequalities in household health expenditure and economic burden: Evidence from Kerala, south India. International Journal for Equity in Health, 10(1), 1–13.
Note: Retrieved from Walden Library databases.
Perlman, F., & Bobak, M. (2008). Socioeconomic and behavioral determinants of mortality in post transition Russia: A prospective population study. Annals of Epidemiology, 18(2), 92–100.
Note: Retrieved from Walden Library databases.
Ray, R., Gornick, J. C., & Schmitt, J. (2010, July). Who cares? Assessing generosity and gender equality in parental leave policy designs in 21 countries. Journal of European Social Policy, 20(3), 196–216.
Note: Retrieved from Walden Library databases.
Stuckler, D., King, L., & McKee, M. (2009). Mass privatisation and the post-communist mortality crisis: A cross-national analysis. Lancet, 373(9661), 399–407.
Note: Retrieved from Walden Library databases.
Tang, S., Meng, Q., Chen, L., Bekedam, H., Evans, T., & Whitehead, M. (2008). Tackling the challenges to health equity in China. Lancet, 372(9648), 1493–1501.
Note: Retrieved from Walden Library databases.
The PLoS Medicine Editors. (2010). Social relationships are key to health, and to health policy. PLoS Medicine, 7(8), 1–2.
Note: Retrieved from Walden Library databases.
van Doorslaer, E., Masseria, C., & Koolman, X. (2006). Inequalities in access to medical care by income in developed countries. CMAJ: Canadian Medical Association Journal, 174(2), 177–183. A
Note: Retrieved from Walden Library databases.
National Informatics Centre, Government of India. (2014). Know India—Kerala health. Retrieved from http://knowindia.gov.in/knowindia/state_uts.php?id=60 
National Rural Health Mission. (2012). RSBY-Rashtriya Swasthya Bima Yojnab. Retrieved from http://www.rsby.gov.in/  



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