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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 6 Issue 5, July-August 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1202
Women Healthcare Expenditure in Punjab
Manpreet Kaur
Ph.D. Scholar, Department of Economics, Punjabi University, Patiala, Punjab, India
ABSTRACT
Women health has remained comparatively a neglected area. Women
utilize health care resources to a lesser degree than men and they get
affected by various types of diseases. Also, awareness regarding
diseases, its symptoms and risks are insufficient among them. The
objective of the paper is to examine the extent of diseases among
women and their expenditure level on diseases. The Chi- square test
has been applied to know the association between various socio-
economic characteristics of the women respondents. The socio-
economic characteristics like age of women respondents, their
housing structure, family structure, education level, employment
status and income level have been examined. It has been found that
women have been ignoring their health issues and spending very less
on diseases. On the basis of findings of this study the women
education and income level are required to enhance.
KEYWORDS: Health, women, expenditure, diseases
How to cite this paper: Manpreet Kaur
"Women Healthcare Expenditure in
Punjab" Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-6 |
Issue-5, August
2022, pp.1202-1205, URL:
www.ijtsrd.com/papers/ijtsrd50622.pdf
Copyright © 2022 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Healthy and empowered women are the finest assets
of any society. In the 21st
Century, though women
enjoy more autonomy and power than ever before,
but they are still disadvantaged when compared to
men in all aspects of life. They are deprived of equal
access to education, healthcare, capital/property and
decision-making powers in the political, social and
economic sectors. They are entitled to a lower size of
household resources due to their weak bargaining
power within the household. Therefore, they utilise
health care resources to a lesser degree than men.
Women with low educational status, living in rural
areas face several difficulties regarding their access to
advanced medical facilities (Gupta, 2018). Due to
this, women get affected by various types of diseases
like- obesity, cardiovascular diseases, hypertension,
diabetes mellitus, arthritis and osteoporosis, cancer,
malaria, leprosy, HIV/AIDS and more which are the
main leading cause of death among them globally
(WHO, 2008). In Punjab, women are disadvantaged
in case of health care due to social, economic, and
cultural factors those directly influence their health
and hinder their access to health related awareness.
That means, they spent less on their health. Also,
male child received better health care services as
compared to girls in most of the rural areas of Punjab
(Das Gupta, 1998). All these issues point towards the
poor health status of women. They lack the access to
main services needed for their good health (World
Bank, 1996). All this point out the need for creating
awareness and developing healthy attitude among
women toward diseases so that women may have a
good living and contribute in the process of economic
development.
Objectives of the Study
The objective of the paper is:
1. To examine the extent of diseases among women
and
2. To study the healthcare expenditure of women.
Research Methodology
The primary data have been used to analyse the type
of diseases faced by women and their expenditure
level on diseases in the Punjab state during 2019. The
study is confined to two districts i.e. Hoshiarpur and
Mansa selected on the basis of highest and lowest
literacy rate, as per 2011 Census. Information was
collected from 500 women respondents residing in
urban as well as rural areas of both the selected
districts. Survey method was used to get the required
information. A well designed and pre-tested
questionnaire was used for the study. An effort has
IJTSRD50622
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1203
been made in the present study to examine the
relationship between age, education, income,
employment, standard of living of the respondents
with expenditure on diseases. For the presentation and
analysis of the data, statistical tools like Per cent ages
and Chi-square test have been used.
Results and Discussion
Socio-economic characteristics of the respondents
The socio-economic characteristics of the women
respondents include their age, housing structure,
family structure, education level, employment status,
income level and expenditure done on diseases. As
revealed by Table 1, majority of the women
respondents i.e. 45 per cent were young and belonged
to age group 20-40 years. Near about 76 per cent of
women respondents were living in their own houses
whereas 24 per cent lived in rented house. 56 per cent
of women had joint family structure. 48 per cent of
women respondents belonged to Sikh community
whereas 41 per cent respondents belonged to Hindu
and 11 per cent to other religions. Near about 40 per
cent of women were qualified up to matriculation
level. Very few of them were qualified up to post
graduate level i.e. 8 per cent whereas 21 per cent of
them were illiterate. Majority of women respondents
i.e. 65 per cent of them were housewives and were
dependent on their husbands/parents for meeting their
economic needs. Near about 50 per cent , 41 per cent
and 9 per cent women had average, good and bad
living standard, respectively. Majority of women lied
in the lowest income group i.e. up to Rs. 10,000. In
case of expenditure done on diseases, 36 per cent of
women spent between below Rs. 1000 per month.
Table 1-Distribution of sample according to their socio-economic characteristics in the study area
n=500
Sr. no. Socio economic characteristics
Women respondents
Frequency Per cent age
1. Age group
20-40 years 225 45
40-60 years 204 40.8
60-80 years 71 14.2
2. Housing structure
Own 381 76.2
On rent 119 23.8
3. Family structure
Nuclear 220 44
Joint 280 56
4. Religion/Caste category
Hindu 206 41.2
Sikh 239 47.8
Muslim 37 7.4
Parsi 18 3.6
5. Education Level
Upto Matric 200 40
Senior Secondary 69 13.8
Graduation 66 13.2
Post Graduation 41 8.2
Other qualification 19 3.8
No education 105 21
6. Employment Status
Wage employment 103 20.6
Self employment 72 14.4
Unemployed/Housewife 325 65
7. Income Level (in Rs.)
Upto 10,000 392 78.4
10,000-20,000 45 9
20,000-30,000 34 6.8
30,000-40,000 12 2.4
Above 40,000 17 3.4
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1204
8. Standard of living
Good 205 41
Average 251 50.2
Bad 44 8.8
9. Range of expenditure (in Rs.)
Up to 1000 181 36.2
1001-2000 181 36.2
2001-3000 80 16
3001-4000 28 5.6
4001-5000 19 3.8
Above 5000 11 2.2
Field survey, 2019
Extent of diseases
In this research study, it has been found that women were suffering from various type of diseases. Among all
diseases, BP& Depression has been found more common among the sampled women respondents. Research
Study shows that out of 500 women respondents 23 per cent of them were facing Sugar & BP, BP, Cholesterol
and Depression, 17.4 per cent from Sugar, 12.6 per cent from the problem of Arthritis/joint pain & back pain and
11 per cent women respondents were suffering from Cervical/Migraine. Out of 500, 49 women respondents i.e.
9.8 per cent were suffering from Asthma/Thyroid. Heart/Stroke related problems covered the 7.6 per cent of
women respondents whereas 4.4 per cent women were suffering Cancer. 14.2 per cent women were suffering
from various diseases like- allergies, kidney, liver related diseases which have been considered under the
category of other (Table 2).
Table 2: Type of disease faced by women respondents
1. Types of diseases No. of Women Per cent age
Sugar 87 17.4
Cervical, Migraine 55 11
Depression, BP, Cholesterol, Sugar+BP 115 23
Asthma, Thyroid 49 9.8
Arthritis/Joint pain, Back pain 63 12.6
Heart, Heart+BP, Stroke 38 7.6
Cancer 22 4.4
Other diseases 71 14.2
Field survey, 2019
In order to examine the degree of association between the type of diseases faced by women with various
determinants like age, education, income, employment, living standard of the respondents and their expenditure
on diseases, Chi-square test has been applied at 5% level of significance. Table 3 shows that in case of
association between type of diseases faced by women has been found to be positively correlated with various
determinants. The Chi-square test shows that there is a significant association between age, education, income,
employment status, expenditure level and living standard with the type of disease faced by women respondents.
Table 3: Association of type of diseases with various determinants of women respondents.
Determinants
Calculated Chi-
Square Value
Degree of
freedom
Table value of
Chi-Square
Remarks
Age 59.84 14 23.7 S
Education 102.37 35 49.8 S
Employment status 34.33 14 23.7 S
Income level 49.98 28 41.3 S
Standard of living 64.7 14 23.7 S
Expenditure level 162.99 35 49.8 S
Field survey, 2019
Note: S=Significant: P< 0.05; NS=Not significant: P > 0.05 tested at 5% level of significance.
As we talk about the women expenditure on diseases it has been found that most of the women spent below Rs.
2000 per month. In order to examine the degree of association between the expenditure level of women with
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1205
various determinants like age, education, income, employment, and living standard of the respondents, Chi-
square test has been applied at 5% level of significance. The chi-square test confirms the correlation between
expenditure level of women respondent with their education, income level and living standard (Table 4). Chi-
Square test shows confirms this association whereas depicts no association between expenditure level of women
respondent with their age and employment status.
Table 4: Expenditure level of women on diseases and various determinants.
Determinants
Calculated Chi-
square Value
Degree of
freedom
Table value of
Chi-square
Remarks
Age 16.41 10 18.3 NS
Education 56.25 25 37.7 S
Employment status 12.53 10 18.3 NS
Income level 52.49 20 31.4 S
Standard of living 65.66 10 18.3 S
Field survey, 2019
Note: S=Significant: P< 0.05; NS=Not significant: P > 0.05 tested at 5% level of significance.
Conclusion and Suggestions
The research study highlights that women were
ignoring their health issues as they are not willing to
spent much on their health and diseases. So, the need
is to enhance their knowledge regarding their health
issues. Taking this fact in view, there is an urgent
need to aware women about the dangers of various
types of diseases. The main recommendations of the
study are as:
Firstly, education is the pre requisite. Government
should provide free and quality education to the
women of all religions.
Government should initiated programmes which
helps to generate guaranteed employment
opportunities for women to make them
empowered.
References
[1] Das Gupta, M. (1998). Selective
discrimination against female children in rural
Punjab, India. Population and Development
Review , 13, 77-100.
[2] Gupta, S. (2018). Women Health: Awareness,
Attitude and Expenditure . Swastik
Publications, New Delhi.
[3] WHO. (2008). The global burden of disease.
World Health Organisation.
[4] World Bank. (1996). Improving Women's
Health in India: Development in practice.
Washington D.C.: The World Bank.

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Women Healthcare Expenditure in Punjab

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 6 Issue 5, July-August 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1202 Women Healthcare Expenditure in Punjab Manpreet Kaur Ph.D. Scholar, Department of Economics, Punjabi University, Patiala, Punjab, India ABSTRACT Women health has remained comparatively a neglected area. Women utilize health care resources to a lesser degree than men and they get affected by various types of diseases. Also, awareness regarding diseases, its symptoms and risks are insufficient among them. The objective of the paper is to examine the extent of diseases among women and their expenditure level on diseases. The Chi- square test has been applied to know the association between various socio- economic characteristics of the women respondents. The socio- economic characteristics like age of women respondents, their housing structure, family structure, education level, employment status and income level have been examined. It has been found that women have been ignoring their health issues and spending very less on diseases. On the basis of findings of this study the women education and income level are required to enhance. KEYWORDS: Health, women, expenditure, diseases How to cite this paper: Manpreet Kaur "Women Healthcare Expenditure in Punjab" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-6 | Issue-5, August 2022, pp.1202-1205, URL: www.ijtsrd.com/papers/ijtsrd50622.pdf Copyright © 2022 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Healthy and empowered women are the finest assets of any society. In the 21st Century, though women enjoy more autonomy and power than ever before, but they are still disadvantaged when compared to men in all aspects of life. They are deprived of equal access to education, healthcare, capital/property and decision-making powers in the political, social and economic sectors. They are entitled to a lower size of household resources due to their weak bargaining power within the household. Therefore, they utilise health care resources to a lesser degree than men. Women with low educational status, living in rural areas face several difficulties regarding their access to advanced medical facilities (Gupta, 2018). Due to this, women get affected by various types of diseases like- obesity, cardiovascular diseases, hypertension, diabetes mellitus, arthritis and osteoporosis, cancer, malaria, leprosy, HIV/AIDS and more which are the main leading cause of death among them globally (WHO, 2008). In Punjab, women are disadvantaged in case of health care due to social, economic, and cultural factors those directly influence their health and hinder their access to health related awareness. That means, they spent less on their health. Also, male child received better health care services as compared to girls in most of the rural areas of Punjab (Das Gupta, 1998). All these issues point towards the poor health status of women. They lack the access to main services needed for their good health (World Bank, 1996). All this point out the need for creating awareness and developing healthy attitude among women toward diseases so that women may have a good living and contribute in the process of economic development. Objectives of the Study The objective of the paper is: 1. To examine the extent of diseases among women and 2. To study the healthcare expenditure of women. Research Methodology The primary data have been used to analyse the type of diseases faced by women and their expenditure level on diseases in the Punjab state during 2019. The study is confined to two districts i.e. Hoshiarpur and Mansa selected on the basis of highest and lowest literacy rate, as per 2011 Census. Information was collected from 500 women respondents residing in urban as well as rural areas of both the selected districts. Survey method was used to get the required information. A well designed and pre-tested questionnaire was used for the study. An effort has IJTSRD50622
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1203 been made in the present study to examine the relationship between age, education, income, employment, standard of living of the respondents with expenditure on diseases. For the presentation and analysis of the data, statistical tools like Per cent ages and Chi-square test have been used. Results and Discussion Socio-economic characteristics of the respondents The socio-economic characteristics of the women respondents include their age, housing structure, family structure, education level, employment status, income level and expenditure done on diseases. As revealed by Table 1, majority of the women respondents i.e. 45 per cent were young and belonged to age group 20-40 years. Near about 76 per cent of women respondents were living in their own houses whereas 24 per cent lived in rented house. 56 per cent of women had joint family structure. 48 per cent of women respondents belonged to Sikh community whereas 41 per cent respondents belonged to Hindu and 11 per cent to other religions. Near about 40 per cent of women were qualified up to matriculation level. Very few of them were qualified up to post graduate level i.e. 8 per cent whereas 21 per cent of them were illiterate. Majority of women respondents i.e. 65 per cent of them were housewives and were dependent on their husbands/parents for meeting their economic needs. Near about 50 per cent , 41 per cent and 9 per cent women had average, good and bad living standard, respectively. Majority of women lied in the lowest income group i.e. up to Rs. 10,000. In case of expenditure done on diseases, 36 per cent of women spent between below Rs. 1000 per month. Table 1-Distribution of sample according to their socio-economic characteristics in the study area n=500 Sr. no. Socio economic characteristics Women respondents Frequency Per cent age 1. Age group 20-40 years 225 45 40-60 years 204 40.8 60-80 years 71 14.2 2. Housing structure Own 381 76.2 On rent 119 23.8 3. Family structure Nuclear 220 44 Joint 280 56 4. Religion/Caste category Hindu 206 41.2 Sikh 239 47.8 Muslim 37 7.4 Parsi 18 3.6 5. Education Level Upto Matric 200 40 Senior Secondary 69 13.8 Graduation 66 13.2 Post Graduation 41 8.2 Other qualification 19 3.8 No education 105 21 6. Employment Status Wage employment 103 20.6 Self employment 72 14.4 Unemployed/Housewife 325 65 7. Income Level (in Rs.) Upto 10,000 392 78.4 10,000-20,000 45 9 20,000-30,000 34 6.8 30,000-40,000 12 2.4 Above 40,000 17 3.4
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1204 8. Standard of living Good 205 41 Average 251 50.2 Bad 44 8.8 9. Range of expenditure (in Rs.) Up to 1000 181 36.2 1001-2000 181 36.2 2001-3000 80 16 3001-4000 28 5.6 4001-5000 19 3.8 Above 5000 11 2.2 Field survey, 2019 Extent of diseases In this research study, it has been found that women were suffering from various type of diseases. Among all diseases, BP& Depression has been found more common among the sampled women respondents. Research Study shows that out of 500 women respondents 23 per cent of them were facing Sugar & BP, BP, Cholesterol and Depression, 17.4 per cent from Sugar, 12.6 per cent from the problem of Arthritis/joint pain & back pain and 11 per cent women respondents were suffering from Cervical/Migraine. Out of 500, 49 women respondents i.e. 9.8 per cent were suffering from Asthma/Thyroid. Heart/Stroke related problems covered the 7.6 per cent of women respondents whereas 4.4 per cent women were suffering Cancer. 14.2 per cent women were suffering from various diseases like- allergies, kidney, liver related diseases which have been considered under the category of other (Table 2). Table 2: Type of disease faced by women respondents 1. Types of diseases No. of Women Per cent age Sugar 87 17.4 Cervical, Migraine 55 11 Depression, BP, Cholesterol, Sugar+BP 115 23 Asthma, Thyroid 49 9.8 Arthritis/Joint pain, Back pain 63 12.6 Heart, Heart+BP, Stroke 38 7.6 Cancer 22 4.4 Other diseases 71 14.2 Field survey, 2019 In order to examine the degree of association between the type of diseases faced by women with various determinants like age, education, income, employment, living standard of the respondents and their expenditure on diseases, Chi-square test has been applied at 5% level of significance. Table 3 shows that in case of association between type of diseases faced by women has been found to be positively correlated with various determinants. The Chi-square test shows that there is a significant association between age, education, income, employment status, expenditure level and living standard with the type of disease faced by women respondents. Table 3: Association of type of diseases with various determinants of women respondents. Determinants Calculated Chi- Square Value Degree of freedom Table value of Chi-Square Remarks Age 59.84 14 23.7 S Education 102.37 35 49.8 S Employment status 34.33 14 23.7 S Income level 49.98 28 41.3 S Standard of living 64.7 14 23.7 S Expenditure level 162.99 35 49.8 S Field survey, 2019 Note: S=Significant: P< 0.05; NS=Not significant: P > 0.05 tested at 5% level of significance. As we talk about the women expenditure on diseases it has been found that most of the women spent below Rs. 2000 per month. In order to examine the degree of association between the expenditure level of women with
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD50622 | Volume – 6 | Issue – 5 | July-August 2022 Page 1205 various determinants like age, education, income, employment, and living standard of the respondents, Chi- square test has been applied at 5% level of significance. The chi-square test confirms the correlation between expenditure level of women respondent with their education, income level and living standard (Table 4). Chi- Square test shows confirms this association whereas depicts no association between expenditure level of women respondent with their age and employment status. Table 4: Expenditure level of women on diseases and various determinants. Determinants Calculated Chi- square Value Degree of freedom Table value of Chi-square Remarks Age 16.41 10 18.3 NS Education 56.25 25 37.7 S Employment status 12.53 10 18.3 NS Income level 52.49 20 31.4 S Standard of living 65.66 10 18.3 S Field survey, 2019 Note: S=Significant: P< 0.05; NS=Not significant: P > 0.05 tested at 5% level of significance. Conclusion and Suggestions The research study highlights that women were ignoring their health issues as they are not willing to spent much on their health and diseases. So, the need is to enhance their knowledge regarding their health issues. Taking this fact in view, there is an urgent need to aware women about the dangers of various types of diseases. The main recommendations of the study are as: Firstly, education is the pre requisite. Government should provide free and quality education to the women of all religions. Government should initiated programmes which helps to generate guaranteed employment opportunities for women to make them empowered. References [1] Das Gupta, M. (1998). Selective discrimination against female children in rural Punjab, India. Population and Development Review , 13, 77-100. [2] Gupta, S. (2018). Women Health: Awareness, Attitude and Expenditure . Swastik Publications, New Delhi. [3] WHO. (2008). The global burden of disease. World Health Organisation. [4] World Bank. (1996). Improving Women's Health in India: Development in practice. Washington D.C.: The World Bank.