REDUCING INEQUALITY Learning Lessons For The Post-2015 Agenda India Case Study 1 REDUCING INEQUALITY Save the Children works for children’s rights in more than 120 countries. In India we work across 15 states. We deliver immediate and lasting improvements to children’s lives worldwide. Save the children works for: • A world which respects and values each child. • A world which listens to children and learns. • A world where all children have hope and opportunity. Published by Save the Children 3rd Floor,Vardhaman Trade Centre 9-11 Nehru Place, New Delhi -110 019 Phone: +91 11 4229 4980 Fax: +91 11 4229 4990 www.savethechildren.in © 2013 Save the Children This publication is protected by copyright. It may be reproduced by any method without fee or prior permission for teaching purposes, but not for resale. For use in any other circumstances, prior written permission must be obtained from the publisher. 2 Acknowledgements From Thomas Chandy, Chief Executive Officer Save the Children India Coming at a time, when inequality is increasingly being discussed as a crucial element to be included in the post-2015 framework of world development, this report takes a comprehensive look at the various dimensions of social and economic inequality in India and attempts to understand the factors responsible for it. The successful and timely completion of this study was possible with the financial and managerial support of Save the Children UK. I would like to express my gratitude to the Save the Children UK team, in particular to Alison Holder, Jessica Espey, Nuria Molina and Sara Godfrey. I express my gratitude to Jayanti Ghosh, C.P Chandrashekhar, Amitayu Sengupta, Malini Chakravarty, Smitha Francis, Deepanwita Dutta at Economic Research Foundation for conducting the study with the required academic rigour and attention to detail. At Save the Children India Office, I would like to thank Shireen Vakil Miller for giving leadership to this project. Deepali Nath, Prasann Thatte, Shailey Hingorani and Resmi Bhaskaran gave important inputs into the report at various stages and the Media and Communications Team ensured its publication in a professional manner. During the process of finalizing the report, we also received valuable feedback from a number of external experts, including Mr. Joaquin Gonzalez-Aleman, Chief of Social Policy, Planning, Monitoring and Evaluation at UNICEF Delhi. I hope that this research report will provide new evidence to the civil society in India to demand more attention and engagement of our policy-makers towards addressing the root causes of inequality and to push for a more inclusive policy-making. Contents Executive Summary 6 I INTRODUCTION 11 Inequalities in India 11 Social Inequalities 12 Economic Inequalities 14 Methodology14 2 Evidences on Inequalities in India 15 Inequalities amongst Children: Gender 15 Inequalities in Income and Consumption 16 Inequalities in Calorie Intake 20 Inequalities in Health Outcome Indicators 27 Child Labour 33 Inequalities in Educational Outcomes 36 Inequalities in Acces to Some Basic Household Facilities 40 3 Understanding the Determinants of Inequalities 44 Trends in Employment and Wage Shares of Income 45 Trends in Wage Shares of Income 47 Impact of Macroeconomic Policy Choices and their Interactions 54 Impact of Social Policies on inequality 61 Liberalisation, Public Distribution System and Exclusion of the Poor 62 Health and Education 66 Health Expenditure by the Centre and States 69 The Integrated Child Development Services (ICDS) 70 Education73 Government Expenditure as share of GDP 74 Child Protection 80 4 Conclusion and Recommendations Policy Recommendations 83 85 References88 REDUCING INEQUALITY EXECUTIVE SUMMARY Introduction Rising inequality has emerged as one of the most important problems confronting societies across the world. Within the Asian region, South Asia has experienced rapid increases in income/ consumption inequality during the recent period of its rapid growth. This is quite evident in case of India, the largest economy in the region with over a billion people. This study attempts to arrive at a holistic understanding of inequalities in India and how it affects children, recognise the factors that create and affect the inequalities, and suggest strategies to rectify the problem. Inequalities in India are observed in terms of income, health, education and other dimensions of human development as well as between the states, rural and urban areas and different social groups. Besides economic factors, there are certain sociological factors that affect inequalities in India. This report considers the two most prevalent social inequalities: caste and gender. This study attempts to cover the changes in the various parameters over time, mainly from 1993-94 onwards till the present, in order to get a sense of the impact of the economic liberalisation programme that India embarked upon in the early 1990s. 6 Evidence of Inequality amongst Children The latest Census data indicates that although there was an increase in the overall sex ratio from 933 in 2001 to 940 in 2011, the child sex ratio deteriorated. Among the states, the lowest child sex ratio has been observed in the states of Haryana (830), Punjab (846) and Jammu and Kashmir (859). There is evidence to suggest that the poorer sections of India were actually further marginalised under the neoliberal economic regime introduced in India in the early 1990s. Poorer states like Bihar, Uttar Pradesh and Orissa witnessed only a marginal improvement in terms of per capita NSDP (Net State Domestic Product), whereas the richer states like Gujarat, Maharashtra, etc witnessed substantial rises. States that witnessed greater rise in per capita NSDP during the period 199394 to 2004-05 also witnessed higher rise in state-level Gini coefficients. This implies that the states that experienced more ‘growth’ actually had worsening inequalities. Significantly, within States, the rural-urban divide worsened. Urban consumption levels were double that of rural consumption levels. The social factor of caste plays a major role in determining household Monthly Per Capita Expenditure (MPCE) levels. The Social Category “Others” had higher MPCEs across both rural and urban sectors in India compared to the other categories, viz. the Scheduled Castes (SC), Scheduled Tribes (ST) and Other backward Classes (OBC). Inequality is observed in terms of health indicators as well. In 2011, the Birth Rates (CBR) were higher (23.3) in rural areas as compared to urban areas (17.6). Similar high levels of differences in terms of rural-urban divide were seen in Infant Mortality Rates as well. .In 2011, IMR for rural areas was 48 per 1000, l as compared to 29 for urban areas. . Among the social groups, infant mortality rates substantially declined for the SC category over the period 93 to 2006, although they remain higher than for any other social group. One of the big challenges for children above the age of 5 is the problem of child labour. NSSO data shows that children belonging to Scheduled Castes or Scheduled Tribes are more likely to be engaged in ‘gainful economic activities’ than children belonging to the Social Category ‘Others’. There is a large section of the population belonging to age group 5-14, who are counted as Nowhere Children (NWC), thus called as they are neither counted as child labourers, nor are enrolled in any schools. It is often argued that this section should be counted as part of child labour as more often than not, they are engaged in some form of work. In education, Gross Enrollment Ratio (GER) and Gender parity Index (GPI) show improvements over time, even for SC and ST children. However, school dropout rates continue to remain very high, especially in the elementary and secondary levels. Dropout rates at the elementary level for girls (65.2%) were higher than that of boys (58.2%) in 2009-10. Moreover, the dropout rates were found to be much higher for the disadvantaged classes (SC and ST categories). executive summary Per capita Calorie intake figures for 2009-10 reveal that national average for per capita calorie intake for the rural region in 2009-10 was 2020 calories, while that for the urban region was 1946 calories. Significantly, in both cases, the minimum calorie requirement (2400Cal in the rural regions and 2100Cal in the urban regions) was not met in a single state of India in 2009-10. Tamil Nadu was the only state that witnessed a rise in calorie intake between 1993-94 and 2009-10. While consumption expenditures in both rural and urban regions rose, this was not reflected in a commensurate rise in expenditure on food. This suggests that rising costs of other essential commodities, or services like health and education forced the population to lower the proportion of food expenditure, thereby lowering calorie intake. Rural-urban inequalities exist within the country with regard to access to safe drinking water and improved sanitation facilities. According to the latest Census figures (2011), more than half (65%) of urban India gets water within their homes while, only 35% of the rural population gets drinking water in their homes; again 69% of households in rural areas are without any sanitation facilities compared to the 19% in urban areas. Understanding the Determinants of Inequality While there were many deep-rooted forms of economic and social inequalities in India well before the process of economic liberalisation, the latter has exacerbated the problem. The report shows that while India witnessed rapid output growth especially from 200304 onwards, it was not manifested in rapidly growing employment in productive sectors or in the expansion of decent work. In fact, income generating opportunities have been getting severely limited for both rural and urban households, whether headed by males or females. More than half of all India’s workers remain self-employed and there has been a significant rise in casualisation of the workforce in both rural and urban sectors. All casual and self-employed, and a significant proportion of 7 REDUCING INEQUALITY regular workers, are unsupported by any form of social security. At the same time, having employed parents does not seem to ensure equal socio-economic development outcomes for children even in households with some employment, because of the inequities in the labour market. Critically, the unorganised sector employment accounts for the overwhelmingly dominant share (more than 94 per cent) of all workers. However, its share of national income has been falling sharply even through the recent period of rapid economic growth. As a result, the per-employee NDP of the organised and unorganised sectors have diverged dramatically, which accelerates sharply from 1999-2000 onwards. Within the organised sector, the inequalities are evidenced by the fact that while there has been stagnation in organised sector real wages per worker on the one hand, there has been a dramatic increase in non-wage salaries and incomes accruing to persons earning profits, rents and financial incomes on the other. The trend in real wage stagnation in organised manufacturing can be considered indicative of what has happened to the incomes of a large category of households dependent on casual, irregular and informal work in agriculture and non-agriculture. This labour market inequality has worsened under deflationary macroeconomic policies.. In post-liberalisation India, while central government expenditure as a proportion of GDP has shown a clear declining trend, state governments’ expenditure to GDP ratio has stagnated, except for a brief duration in the early 2000s. Share of developmental expenditures as proportion of total expenditure showed a decline for both Central and State Governments until 2004-05 after which there was a slight rise. However, astonishingly, they are still lower than the level of the early 1990s. This expenditure squeeze was perhaps partly because the period of high growth was not sufficiently exploited to generate fiscal resources 8 for the necessary expansion in public spending. While there was improvement in the tax-toGDP ratio on account of increased corporate tax collections and the service tax mobilisation, it was not because of increase in tax rates, but due to the fact that the corporate sector has been increasing its share of national income. The systematic withdrawal of the State from social welfare activities has undermined the previous progress towards universal access and has resulted in increased inequality and exclusion. In the realm of food-based interventions in India, for instance, reduction of fiscal subsidies and the attendant move from a universal Public Distribution System (PDS) to a targeted system in the 1990s has resulted in widespread exclusion of poor and needy households from the PDS. Moreover, the introduction of targeting has adversely affected its functioning and endangering the economic viability of the PDS network, leading to a situation where the delivery system itself has collapsed in several states. The revival of the PDS in some states in the last couple of years has positively impacted access to the PDS and food security situation in these states. However, in the official circles, the view that the public distribution scheme should be replaced with a system of coupons or cash transfers has been gaining ground. This needs further discussion as it can have severe implications in terms of increasing inequality in access to food, both across different segments of the population as well as across States. In both health and education, government expenditure continues to be woefully inadequate. With respect to health expenditure, such a pattern of financing has resulted in a rise in household expenditure on health care as a proportion of total household consumption, at least until 2004-05, especially in rural areas. Low public financing and the resultant high out-of-pocket expenditures are the two major factors that affect equity in health financing and Policy Recommendations Child Protection, which has traditionally been a neglected area, has witnessed some increase in Central government expenditure with the initiation of the Integrated Child Protection Scheme (ICPS). However, even at present the budget allocated remains much below that required for fulfilling the objectives of the scheme. • In particular, public investments in agriculture, agricultural research and rural infrastructure have to be increased significantly. One of the positive moves in the period of liberalisation has been the initiation of the employment guarantee programme, MGNREGA. Studies show that MGNREGA, where successful, has helped to reduce both economic and social inequalities. Increased spending in the initial period resulted in a sizeable rise in the number of rural households getting work under MGNREGA. However, with the economic crisis hitting India, Central government funding for the programme has reduced drastically. As a result, the enormous potential of MGNERGA has to reduce inequality is to be realized. While mapping of inequalities are necessary, understanding inequality outcomes necessitate an immediate focus on process indicators. Macroeconomic policies have a direct link to development and reduction of inequalities, and must be designed to encourage employment creation directly and indirectly. executive summary financial risk protection. In the area of education, even though there has been some increase in public spending as percentage of GDP in the last two decades, it continues to remain much below the target set by the Report of the Education Commission (1964-66) or even that set by the UPA-I government in the mid-2000s. Lack of adequate government spending on education has given rise to processes that have the potential to exacerbate inequality. Among various such processes, the significant ones relate to dilution of quality norms in education and increasing reliance on private education even for schooling. The increasing role of private institutions in education has constrained access, especially among the less well-off sections of the population. Some of the fiscal policy choices that reduce inequalities are the following: • The low level of capital expenditure has to be increased significantly to create domestic productive and infrastructural capacities. • Public expenditure in the social sectors has to increase substantially to increase both availability and access to basic public goods and services. • Tax exemptions for capital gains should be removed, both from the point of view of reducing income and asset inequalities and for increasing revenue mobilisation domestically. This would also make the tax structure significantly more progressive. There is a need to remove the deflationary bias of monetary policies by moving away from a single-minded focus on interest rate management and including financial policies that reduce vulnerability to crisis. This would involve: • directed credit and other ways such as guarantees for encouraging banks to lend to more employment-generating sectors • a focus on financial inclusion of small producers in informal activities; 9 REDUCING INEQUALITY • creation of specific packages for sectors such as agriculture and small-scale enterprises. • creation of specific packages for regions identified as priority areas for addressing regional disparity issues; etc. • Dynamic management of capital flows to reduce the possibility of financial booms and busts and to ensure that current account deficits are financed with stable and nondebt creating forms of foreign capital inflows. Education • Increase public funding on to at least 6 per cent of GDP and the Union government should shoulder the major part of the responsibility of garnering resources to finance RTE Act. • Bring in measures to regulate the private education sector. Health • Increase public funding to 5 per cent of GDP and universalise basic health services. • Spending on child health and nutrition needs to be increased and the ANMs, AWWs and AWHs need to be paid adequate remuneration and their employment regularised. • Bring in measures to regulate the private medical sector. The Public Distribution System • Expand and revamp universal PDS. Cash transfers must be additions to public provision, not substitutes. • Improve domestic food supply through measures like remunerative crop prices, credit to small farmers, etc. 10 Water and Sanitation • Investment should be prioritised in as much as the regions lagging behind the most should be targeted first. I INTRODUCTION Inequalities in India Rising inequality has emerged as one of the most important problems across the world. At the global level, recent findings show that inequality has been growing since the late decades of the 20th century. Income (or consumption) inequality has been increasing in countries that account for more than 80% of the world’s population. The growing gaps between the rich and the poor raise serious questions on the adequacy of current development models and generate feelings of injustice. The recent UNUWIDER study finds that in most countries the Gini index (see box 1 below) ranges from 0.35 to 0.45 percent for income inequality. In Asian region, out of the 36 countries with available data for the 2000s, 13 had a Gini coefficient at or greater than 0.4 (Asian Development Outlook 2012), while the average for the 36 countries was 0.37. Inequality has worsened in the previous two decades in 11 of these countries. Within the Asian region, South Asia used to be described as one of the less unequal in the developing world, particularly in contrast with Latin America and more recently with China. However, it has experienced rapid increases in income/consumption inequality during the recent period of its rapid growth. This is quite evident in case of India, the largest economy in the region with over a billion people. The Gini index or Gini coefficient is a measure of inequality of income or wealth. It is defined mathematically based on the Lorenz curve. A Lorenz curve plots the cumulative percentages of total income received, against the cumulative percentages of recipients, starting with the poorest household. For the construction of a Lorenz curve, first all the households in a country are ranked by their income level, from the poorest to the richest. Then all of these households are divided into deciles. Each decile represents 10%, or one tenth, of all households and the income of each decile is calculated and expressed as a percentage of GDP. Next the income shares received by these deciles are plotted until the total of 100 per cent of the population. Joining all the points, starting with the 0 percent share of income received by 0 percent of the population, the Lorenz curve is obtained for a particular country. The Gini index measures the area between the Lorenz curve and a hypothetical line of absolute equality, expressed as a percentage of the maximum area under the line. Thus a Gini index of 0 represents perfect equality, while an index of 1 implies perfect inequality. In reality, neither perfect equality, nor perfect inequality is possible. Thus Gini indexes are always greater than 0 but less than 1. The deeper a country’s Lorenz curve, the less equal its income distribution. 11 REDUCING INEQUALITY This study attempts to arrive at a holistic understanding of inequalities in India and how it affects children, recognise the factors that create and affect the inequalities, and suggest strategies to rectify the problem. Percentage of total income 100 80 lity ua 60 f eo 40 Lin t olu s ab q ee 20 0 0 Poorest 20 40 60 Percentage of total poulation 80 100 Richest The Indian economy faced major challenges of poverty and inequality even before the period of economic liberalisation since the early 1990s. Although the subsequent period of relatively rapid growth has witnessed a moderate decline in poverty, it has been associated with substantial increases in inequalities of income and wealth as well as in terms of access to food, water, health care, housing and employment. For obvious reasons, inequality is interlinked to poverty. Excessive inequality adversely impacts the quality of life of people leading to higher incidence of poverty. Besides, the impacts of inequality and poverty are very significant for children because children experience them differently from adults. Children have special developmental needs for which they are dependent on their parents or guardians, due to which they are particularly vulnerable to exploitation and abuse. Poverty and inequalities hinder their chances of acquiring skills, capacities and confidence needed to reach their full potential. While the ill-effects of poverty may not be permanent in adults, the consequences of not having basic needs fulfilled could be permanent in children. Thus, childhood poverty can have implications for development in the rest of the life cycle of the child and may have cascading impact on future generations, thereby aggravating inequality in society. 12 Inequalities in India are observed in terms of income, health, education and other dimensions of human development as well as between the states, rural and urban areas and different social groups. Besides economic factors, there are certain sociological factors that affect inequalities in India. This report considers the two most prevalent social inequalities; caste and gender, and also economic inequalities. Social Inequalities a. Caste Indian society since time immemorial has been characterised by exclusion-linked deprivation. In India, exclusion revolves around the societal interrelations and institutions that exclude, discriminate, isolate, and deprive some groups on the basis of group identities like caste and ethnicity. The caste system in India is a complex system of social exclusion which is unique to Indian society. Caste- and ethnicity-based exclusions reflect the inability of individuals and groups like dalits1, adivasis2 to participate in and benefit from the social, economic and political life of the general community. The Indian society has an official classification of four categories of castes: the Scheduled Caste (SCs)3, Scheduled Tribes (STs)4, Other Backward Classes (OBCs) and others. This kind of exclusion has both direct and indirect economic effects that 1 2 3 4 Dalits in India are the poor, deprived and socially backward class who has been involved in a long struggle to abolish untouchability and caste discrimination. Adivasis are the ethnic and tribal groups claimed to be the aboriginal population of India. They comprise a substantial indigenous minority of the population of India. The lowest level in the hierarchy, constitute around 16% of the Indian population, a large percentage of who live in rural areas and are landless agricultural labourers. Suffer economic and social deprivation. They comprise around 8% of India’s population. OBCs and forward castes together comprise 76% of India’s total population Thorat5 argues that there are three broad ways in which caste-based exclusion works: Through absolute denial of access in markets: exclusion can be practised in the labour market through denial of jobs and lower wages for the same jobs; in the capital market through the denial of access to capital; in the land market through denial of sale or purchase or leasing of land; in input markets through the denial of sale and purchase of factor inputs as they get lower prices for the goods that they sell; and in consumption goods markets through the denial of sale and purchase of commodities as they pay higher prices for the goods that they buy, as compared with the market price or the price paid by other groups. For example, a study of 565 villages in eleven Indian states (Action Aid 2000)6 found that SC workers were denied casual employment in agriculture in 36 per cent of the villages. They were not allowed to sell any goods in around one-third of the villages, and in nearly half the villages they were not allowed to sell milk or dairy products. They also received lower wages for the same work in 25 per cent of the surveyed villages. Through differential and reduced access to social needs supplied by the government or public institutions, or by private institutions in education, housing, and health, including common property resources like water bodies, grazing land, and other land of common use. In more than one-third of the villages in the study quoted above, SC people were denied access to irrigation water for agriculture. In one-fifth of the villages, they faced exclusion from common property resources like grazing land and fishing ponds. 5 6 Thorat, Caste, Social Exclusion and Poverty Linkages: Concept, Measurement and Empirical Evidence Action Aid, 2000, ‘Untouchability in Rural India (by Ghanshyam Shah, Satish Deshpande, Sukhdeo Thorat, Harsh Mander and Amita Baviskar and Research and other Regional Staff, Delhi Through participation in certain categories of jobs, because of the notion of purity and pollution of occupations, and engagements in so-called unclean occupations. In nearly thirty per cent of villages surveyed, SC workers were not allowed to participate in house construction because their normal occupations were viewed as “unclean”. INTRODUCTION contribute to the form and extent of poverty and inequality. The disadvantages created by such forms of social exclusion can affect income poverty and also contribute to inequality and multidimensional poverty7. For instance, multidimensional poverty among the SC and ST is alarmingly high with over two-thirds of SC and over three-fourths of ST population considered to be multi-dimensionally poor. The human development indicators for the SCs and STs in India are very low compared to the non SC/ST categories. The Census 2001 data showed that the literacy rate among the SCs was 54.69 per cent and that of the STs was 47.1 per cent as against the national average of 64.84 per cent. According to Human Development Report (2011), the value of the Human Development Index is 29 per cent lower for SC and 54 per cent lower for ST than the non SC/ST communities (UNDP 2011). b.Gender Another form of social exclusion that is often observed within the Indian society is gender discrimination. Due to discriminatory systems 7 It is increasingly being realised that poverty is not just a lack of adequate income. It is a multidimensional phenomenon; it is the deprivation of one’s ability to live as a free and dignified human being, with the full potential to achieve one’s goals in life. The UN World Summit for Social Development of 2006 described poverty as follows: “Poverty has various manifestations, including lack of income and productive resources sufficient to ensure sustainable livelihoods; hunger and malnutrition; illhealth; limited or lack of access to education and other basic services; increased morbidity and mortality from illness; homelessness and inadequate housing; unsafe environments; and social discrimination and exclusion. It is also characterized by a lack of participation in decisionmaking and in civil, social and cultural life.” (Source: UN DESA Report on the World social Situation 2010, United Nations, New York, 2009, p.8). This is why recently there have been efforts to develop broader concepts of poverty that recognize its multidimensional nature and allow for interventions that address different dimensions of poverty. 13 REDUCING INEQUALITY based on cultural biases, it is often found that women and girls are commonly more vulnerable to deprivation of basic needs than men and boys. In order to understand the nature of gender inequalities that exist in India we need to examine the status of women, men, gender roles and relations in the society. Economic Inequalities The broader economic inequality in society reflects in the inequalities that exist amongst children. Children have little or no role in the level of family income or expenditure determinants, but have to bear the consequences of the inequalities that exist. Lower household consumption figures for the poor directly translate into lower consumption for the children belonging to these households. Similarly, inequalities in access to basic requirements by households (for whatever socio-economic reasons) affect children by denying them some of their basic needs. Thus children are the silent victims of the inequalities that their families face. Methodology This study attempts to trace inequalities by measuring some basic parameters pertaining to general consumption levels, food intake, education and health. The analysis also tries to take into account the various social factors that determine inequalities in India. The factors considered here are gender, rural-urban (Sectors) divide and caste (Social Categories). The social categories ST, SC and OBC are special categories in India, as there are reservations and other special provisions for these categories as part of various types of affirmative action in India. The category ‘Others’ is also referred to as General Category to distinguish it from the categories that have special reservations. 14 This study attempts to cover the changes in the various parameters over time, mainly from 1993-94 onwards till present to get a sense of the effect of economic liberalisation programme that India embarked upon in the early 1990s. These include NSSO Figures covering different time periods (1993-94, 2004-05 and 2009-10) which are household level statistics. For parameters relating to health, education, household amenities etc, different data sources have been referred to. Inequalities amongst Children: Gender The NSS 66th round reports that there are a total of 385,565,332 individuals who are under the age of 18 in India. Uttar Pradesh, which is one of the largest and most populated states in India, has the highest number of children under the age of 18 and accounts for 20 per cent of the total population. Bihar ranks second with 10 per cent of all children in India. It must also be noted that both Uttar Pradesh and Bihar are two of the poorest states in India. Almost all states and across the different social categories, there is a higher prevalence of male children as compared to females. This trend is also evident across rural and urban India. Historically India has been exhibiting a negative sex ratio that is unfavourable to women. Although there have been fluctuations in the trends since 1971, it hovered around 930 females per 1000 males. The latest Census data Chart 1: Child sex Ratio and Overall Sex ratio in India: 1961-2011 990 980 Females per 1000 males 970 976 964 962 960 950 940 945 941 930 930 920 927 927 914 910 900 940 933 934 1961 Census Years Source: Census 2011 1971 1981 1991 Sex ratio 0-6 2001 2011 Overall sex ratio indicate an increase in the overall sex ratio from 933 in 2001 to 940 in 2011. While this is a slight but still encouraging increase, the sex ratio for children in the age group of 0-6 years has continued to deteriorate. Chart 1 presents the sex ratio of the total population and the child population (0-6 years) over the period 19612011. Evidences on Inequalities in India II Evidences on Inequalities in India Among the states, the lowest child sex ratio has been seen in the states of Haryana (830), Punjab (846) and Jammu and Kashmir (859). The situation is quite distressing as sharp falls have been reported from Jammu and Kashmir, Dadra and Nagar Haveli, Lakshadweep, Maharashtra, Rajasthan, Manipur, Uttarakhand, Jharkhand, Madhya Pradesh and Nagaland during 2001-11. Moreover, North-Eastern States like Sikkim and Arunachal Pradesh have shown a declining trend. This deterioration in the child sex ratio can be decomposed into a decrease in the sex ratio at birth (associated with the use of technologies that enable prenatal sex selection) and an increase in the mortality of girl children compared with the mortality of boy children (NFHS 3, 2005-06). It is a commonly accepted fact that there has been a strong preference for a boy child (0-6 years) in Indian society. Due to this and the low status of women in many regions in India, girl children have generally faced discrimination. Recognising the extent of the problem, various policy initiatives have been adopted. The Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act prohibiting the use of prenatal diagnostic techniques for the purpose of prenatal sex determination was passed as early as 1994 in recognition of the widespread use of ultrasound 15 REDUCING INEQUALITY and related technologies to eliminate unwanted female foetuses. Also, the National Population Policy of 2000 suggested policy initiatives directed toward ending discriminatory practices that adversely affect the health of the girl child (Ministry of Health and Family Welfare, 2000). However, a shocking revelation of the NFHS 3 Survey Report raises questions about the implementation of these laws. According to the report, in India 24 per cent of all pregnancies in the five years preceding NFHS-3 received an ultrasound diagnostic testing that can help choose or determine the sex of the foetus. Sex ratios at birth estimated separately for pregnancies with and without ultrasound testing provided clear evidence that many families are using ultrasound tests for sex selection. The sex ratio of completed pregnancies of women belonging to the highest wealth quintile (with an ultrasound test) was found to be much lower (818) than for pregnancies (with an ultrasound to women) in any other wealth quintile (854905). This suggests that women in the highest wealth quintile are more likely than women in the lower wealth quintiles to be using ultrasound tests for sex selection. Moreover, contrary to the popular expectation Chart 2: Sex ratios of completed pregnancies in the five years preceding NFHS-3 with and without an ultrasound test by wealth quintile, NFHS-3, India Females per 1,000 males 1,000 950 955 935 923 905 900 850 954 859 911 881 854 818 800 Lowest Second Middle Fourth Highest Wealth quintile Ultrasound test during pregnancy No ultrasound test during pregnancy Source: Gender Equality and Women’s Empowerment in India, NFHS-3, 2005-06 16 that education will enable women to become aware and empowered in ways that would help reduce the preference of a boy child, the NFHS 3 study reveals that pregnancies of women with 10 or more years of education result in a somewhat lower sex ratio at birth (830) than those of women with less or no education at all (841-878). Thus, more highly educated women are more likely to use ultrasound techniques to enable sex selection than less educated women. Chart 3: Sex ratios of completed pregnancies in the five years preceding NFHS-3 with and without an ultrasound test by mother’s education, NFHS-3, India Females per 1,000 males 1,050 1,000 950 900 850 800 956 943 866 841 878 830 750 None 0-9 years 10+years Mother’s education Ultrasound test during pregnancy No ultrasound test during pregnancy Source: Gender Equality and Women’s Empowerment in India, NFHS-3, 2005-06 Inequalities in Income and Consumption It is argued that the process of economic liberalisation in India was done on the grounds that the resulting economic growth would help a developing nation like India overcome its challenges of poverty, inequality, etc. The free market paradigm promised to provide benefits equally to all sections of society. However, the experience has been otherwise. There is evidence to suggest that the poorer sections of India were actually further marginalised under the neoliberal economic regime. As Chart 4 clearly shows, the states that were comparatively richer (measured in terms of per capita Net State Domestic Product 45000 40000 35000 30000 25000 20000 15000 10000 5000 0 Per Capita NSDP 1993-94 Chandigarh Goa Delhi Puducherry Haryana Maharashtra Gujarat Andaman &... Punjab Tamil Nadu Kerala Himachal Pradesh Sikkim Karnataka Andhra Pradesh Arunachal Pradesh Tripura West Bengal Nagaland Meghalaya Uttarakhand Rajasthan Jammu & Kashmir Jharkhand Chhattisgarh Manipur Madhya Pradesh Orissa Assam Uttar Pradesh Bihar Per Capita NSDP 2004-05 Source: Gender Equality and Women’s Empowerment in India, NFHS-3, 2005-06 or NSDP) managed to garner a greater share of the growth as compared to their poorer counterparts. During the period 1993-94 to 2004-05, the inequalities between the states actually worsened. Thus states like Bihar, Uttar Pradesh and Orissa witnessed only a marginal improvement in terms of per capita NSDP, whereas the richer states like Gujarat, Maharashtra witnessed substantial rises. Throughout the 1980s, the per capita NSDP in Goa was around 4.5 times that of Bihar. In the 1990s, however, this difference increased sharply and continuously, reaching a peak of nearly 11 times in 1998-99. In the subsequent and most recent decade, the ratio fell slightly but stabilized around a high level, at an average of nearly ten times. Evidences on Inequalities in India Chart 4: Per Capita Net State Domestic Products Clearly, the economic reforms that began in 1991 were associated with processes that generated rising horizontal inequality, which peaked around the close of that decade. In the 2000s, state per capita income divergences remained high, but did not keep increasing. The growing inequality between states is better understood by studying the change in the co-efficient of variation of per capita real NSDP over time. The Chart below (tracing data for 24 states) shows that there was a marked rise during the ‘90s, which was the initial period of the growth process under liberalization. During the 2000s, the differences stabilized, although at the very high levels. The extent of the inequality can be gauged by comparing per capita NSDPs of the richest state (Goa) as a proportion of per capita NSDP of the poorest state (Bihar) over time. Coefficient of Variation of per capita NSDP for 24 States Ratio of Highest (Goa) to Lowest (Bihar) per capita NSDP 60.0 12.00 55.0 10.00 50.0 8.00 45.0 6.00 40.0 4.00 35.0 2.00 30.0 SOURCE: Growing Differences in State Per capita Incomes, C.P. Chandrasekhar and J. Ghosh, Business Line, 14 May 2012 2008-09 2009-10 2003-04 2004-05 2005-06 2006-07 2007-08 2001-02 2002-03 1999-00 2000-01 1997-98 1998-99 1995-96 1996-97 1991-92 1992-93 1993-94 1994-95 1990-91 1987-88 1988-89 1989-90 1985-86 1986-87 1981-82 1982-83 1983-84 1984-85 1980-81 2008-09 2009-10 2003-04 2004-05 2005-06 2006-07 2007-08 2001-02 2002-03 1999-00 2000-01 1997-98 1998-99 1995-96 1996-97 1991-92 1992-93 1993-94 1994-95 1987-88 1988-89 1989-90 1990-91 1985-86 1986-87 1981-82 1982-83 1983-84 1984-85 1980-81 0.00 SOURCE: Growing Differences in State Per capita Incomes, C.P. Chandrasekhar and J. Ghosh, Business Line, 14 May 2012 17 1 18 The consumption expenditure surveys of NSSO are based on recall periods, where the respondents are asked about their expenditures over a certain period of time. Over time, NSSO has adopted different reference periods to get better estimates of expenditures. However, data based on different reference periods over time are often incomparable. Thus, NSSO follows the practise of reporting different forms of MPCE, based on different reference periods. The MPCE URP refers to MPCE based on Usual Reference Period, which is the oldest reference period and can be most easily used to compare with historical records. A comparison across the major states of India Chart 5: Change in Per Capita NSDP and Gini Coefficients, 1993-94 to 2004-05 7000 0.45 0.4 0.35 0.3 0.25 0.2 0.15 0.1 0.05 0 6000 5000 4000 9000 2000 1000 Gujarat Haryana Kerala Himachal Pradesh Tamil Nadu Maharashtra Andhra Pradesh West Bengal Punjab Karnataka Orissa Rajasthan Jammu & Kashmir Uttar Pradesh Madhya Pradesh Bihar Assam 0 total Gini 2004 - 05 total Gini 1993 - 94 per capita NSDP change 1993-94 and 2004-05 Source: Per capita NSDP Figures from RBI Handbook of Statistics. Gini coefficients from Vakulabharanam and Motiram (2012) reveals that the states that witnessed greater rise in per capita NSDP during the period 1993-94 to 2004-05 also witnessed some of the highest rise in state level Gini coefficients. This implies that the states that experienced more ‘growth’ actually had worsening inequalities. This should be juxtaposed with the evidence that many of the better performers in terms of per capita NSDP already had higher Ginis during 1993-94 when compared to the some of the poorer states. Chart 6: Change in Per Capita NSDP and Gini Coefficients, 2004-05 to 2009-10 12000 0.5 0.45 0.4 0.35 0.3 0.25 0.2 0.15 0.1 0.05 0 10000 8000 6000 4000 2000 Gini total 2004 - 05 Gini total 2009 - 10 Gujarat Maharashtra Haryana Tamil Nadu Kerala Andhra Pradesh Punjab Karnataka West Bengal Himachal Pradesh Orissa Rajasthan Madhya Pradesh Bihar Jammu & Kashmir 0 Uttar Pradesh The NSSO statistics reveal that inequality was prevalent not only between states, but within the respective states as well.Vakulabharanam and Motiram (2012) in their study provide evidence that in terms of consumption expenditures, the inequalities within the states also worsened. Analyzing the NSSO consumption expenditure surveys for the 50th Round (1993-94), 61st Round (2004-05) and the 66th Round (2009-10), the authors report that inequality has increased in both rural and urban India. The analysis takes into consideration the Monthly Per capita Consumption Expenditure_ Usual Reference Period (MPCE URP) as reported by the NSSO surveys1. Inequality is measured by the Gini Coefficient of MPCE URP distribution as reported by the different NSSO rounds. At a more detailed level, during the period 1993-94 to 2004-05, urban inequality increased for all states, whereas rural inequalities increased for a larger number of states. During the period 2004-05 to 2009-10, some states witnessed slight decrease in inequalities in rural regions, while almost all states saw a rise in inequality in the urban regions (Chart 5). Assam REDUCING INEQUALITY Per capita NSDP does not capture the actual distribution amongst the population as it assumes equal shares for all. The easiest method of measuring actual distribution is by analysing differences in consumption expenditures, as given by the National Sample Survey Organization (NSSO) periodic sample survey reporting. While analysing this data, it is important to bear in mind that household consumption data tend to understate the extent of inequality by underestimating the tails of the distribution (excluding the very rich and the very poor) and because the poor are more likely to consume as much or even more than their income while the rich are more able to save. per capita NSDP change 2004-05 and 2009-10 Source: Per capita NSDP Figures from RBI Handbook of Statistics. Gini coefficients from Vakulavaranam and Motiram (2012) The inequalities in consumption have been expressed not just in spatial differences (across states, between rural and urban areas, between “dynamic” and “backward” regions) but also in terms in significantly increased vertical inequalities. Chart 7 below provides some evidence of how the gaps between average consumption of different categories of the population have changed over time. Chart 7: Average Consumption by Rural-Urban Deciles 16.00 12.30 12.00 11.38 10.45 10.33 10.00 9.14 8.00 6.96 7.14 6.00 5.68 5.06 5.63 5.94 4.00 0.00 Chart 8: Share of Rural Decile Groups in Increased Rural Consumption between 1993-94 and 2009-10 50.0 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 36.4 14.6 3.0 3.8 4.6 5.5 6.2 1 2 3 4 5 7.0 6 8.5 7 10.5 8 9 10 Chart 9: Share of Urban Decile Groups in Increased Urban Consumption between 1993-94 and 2009-10 50.0 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 45.0 16.4 8.4 1.6 2.3 3.3 4.6 0.9 1 2 3 4 5 11.2 6.3 6 7 8 9 10 14.32 14.00 2.00 However, even this does not give a full idea of the increasing disparities. It is well known that NSSO data underestimate the consumption of the richest groups, which is also reflected in the growing discrepancy between aggregate consumption as emerging from the NSSO and aggregate private final consumption expenditure as given by the national accounts data. But even if we examine only the increased consumption according to the NSSO estimates, it has been distributed very unequally. Charts 8 and 9 provide the share of the decile groups in rural and urban areas respectively, of the total increased consumption between 1993-94 and 2009-10. Evidences on Inequalities in India The rise in Ginis have been less over the period 2004-05 to 2009-10, as states with higher per capita NSDP rise showed lower increases in inequality. In fact, some states like West Bengal, Punjab and Tamil Nadu show minor decreases in Gini coefficients during this period. However, it must be kept in mind that the two time periods being compared are not equal. While the period under consideration in the first case is more than a decade, in the second case it is barely 5 years, because of which, much of these changes are bound to be much less compared to the former. However, it is quite clear that the unequal growth (in terms of per capita NSDP) continues unabated as there is very little change in the positions of the states in terms of their ranking in this regard. The states that were the poorest to start within 1993-94 continue to have some of the lowest growth while the richer states are benefiting more, and thus the horizontal inequality has only continued to widen even after two decades of economic liberalisation. 1.50 1.62 1.91 1.96 Urban to rural average consumption 1983 Urban top to bottom decile 1993-94 Rural top to bottom decile 2004-05 Urban top to rural bottom decile 2009-10 Note: Price adjusted to CPI, agricultural labourers for rural and industrial workers for urban. They show that in rural India, more than 36 per cent of the total increased consumption over this period of relatively high growth was appropriated by the top ten per cent of the population, while the bottom decile only received 3 per cent and the bottom forty per cent of rural households together only managed to get slightly more than 15 per cent. In urban areas, the inequality in consumption gains was even worse: the top ten per cent managed to garner 45 per cent of the total increased 19 REDUCING INEQUALITY consumption expenditure, while the bottom ten per cent got less than one per cent, and the bottom forty per cent as a group only received 8 per cent of the additional consumption (all in constant 1993-94 prices terms). Chart 10: MPCE by Social Categories, 2009-10 3000 2500 2000 1500 1000 500 0 Rural India Mean MPCE Chart 11a: Per capita Calorie Intake Rural, 2009-10 Urban India Mean MPCE All India mean MPCE Source: NSSO 66th Round (Unit Level Analysis) The social factor of caste plays a major role in determining household MPCE levels. As is evident from Chart 10 the Social Category ‘Others” has higher MPCEs across both rural and urban sectors in India compared to the other categories. It is interesting to note that the rural urban divide in MPCEs is a very strong factor as the MPCE level of even the SCs and STs in the urban sector exceed the MPCE of the social category ‘Others’ in the rural sector. However, the presence of caste based differentiation in even the urban sector reveals that the socio-economic factor of caste is not limited to the backward rural society, but is very much present in the so called more advanced urban society of India as well. 20 reference period for food items which obviously give different estimates of calorie intake, as the recall periods for some of the items are different between the 2 schedules. Here, the findings of Schedule 1 are reported as they are comparable with previous rounds. Calorie intake Figures are reported in terms of Kilo Calories (Kcal or Cal). Punjab Rajasthan Haryana Uarakhand Orissa Uar Pradesh Maharashtra Andhra Pradesh All india Gujarat Assam Kerala Madhya Pradesh Bihar West Bengal Chhasgarh Tamil Nadu Karnataka Jharkhand 2223 2191 2180 2179 2126 2064 2051 2047 2020 1982 1974 1964 1939 1931 1927 1926 1925 1903 1900 0 500 1000 1500 2000 2500 3000 Table 1a: Fall in Rural Calorie Intake Rural States Change in Calorie Intake Haryana -311 West Bengal -284 Rajasthan -279 Uttar Pradesh -243 Madhya Pradesh -225 Punjab -195 Bihar -184 Karnataka -170 All India -133 Orissa -73 Inequalities in Calorie Intake Gujarat -12 Assam -9 Andhra Pradesh -5 Kerala -1 Food intake is one of the most important measures of well being and hence forms a very important parameter for judging standard of living for any population. This study only takes into account Calorie (kilo calories) intake. The NSSO 66 round has a two Schedules of consumption Survey for 2009-10 with different Tamil nadu Maharashtra 41 112 Based on Nutritional Intake in India, NSSO Report No. 540 & 405. The States of Jharkhand, Chhattisgarh and Uttarakhand were only formed in 1999-2000 out of Bihar, Madhya Pradesh and Uttar Pradesh respectively and hence separate estimates for these states for the 1993-94 rounds are not available Comparison with 1993-94 levels reveals that barring Tamil Nadu and Maharashtra, all states have witnessed a fall in Calorie intake in the rural sectors. Punjab, Rajasthan and Haryana, the top three states in terms of calorie intake in 2009-10 have witnessed some of the sharpest falls. The national average of Calorie intake decline of 133Cal is exceeded by most major states. It is interesting to note that Orissa, which is one of the poorest states, actually shows lower than average decline in Calorie intake. Gujarat, which has lower than average Calorie intake levels in 2009-10 also shows lower than average decline in Calorie intake from 1993-94. Chart 11b: Per capita Calorie Intake Urban, 2009-10 Table 1b: Fall in Urban Calorie Intake from 1993-94 Orissa Punjab Jharkhand Rajasthan Bihar Assam Karnataka Uarakhand Gujarat Andhra Pradesh Tamil nadu Chhasgarh All india Kerala Harayana Uar Pradesh Maharashtra Madhya Pradesh West Bengal 2096 2062 2046 2014 2013 2003 1987 1984 1983 1975 1963 1949 1946 1941 1940 1923 1901 1854 1851 1700 1750 1800 1850 1900 1950 2000 2050 2100 2150 Table 1b: Fall in Urban Calorie Intake from 1993-94 Urban States Change in Calorie Intake West Bengal Madhya Pradesh Haryana Uttar Pradesh Bihar Rajasthan Orissa All India Assam Maharashtra Gujarat Karnataka Punjab Kerala Andhra Pradesh Tamil nadu -280 -228 -200 -191 -175 -170 -165 -125 -105 -88 -44 -39 -27 -25 -17 41 Based on Nutritional Intake in India, NSSO Report No. 540 & 405. Evidences on Inequalities in India In the rural sector, Punjab has the highest per capita Calorie intake of 2223 Cal while Jharkhand had the lowest of 1900 Cal. It is interesting to note that some of the poorer states like Orissa and Uttar Pradesh had Calorie intakes higher than the national average while comparatively richer states like Gujarat and Tamil Nadu had lower than the national average rate of Calorie intake. The States of Jharkhand, Chhatisgarh and Uttarakhand were only formed in 1999-2000 out of Bihar, Madhya Pradesh and Uttar Pradesh respectively and hence separate estimates for these states for the 1993-94 rounds are not available For the urban regions, Orissa shows the highest per capita Calorie intake of 2096Cal, while West Bengal shows the least intake of 1851 Cal. Majority of the states rank above the national average of 1946Cal. Interestingly, Haryana, which has one of highest Calorie intake levels in the rural sector, report very low Calorie intake level in the urban Sector. In contrast, Tamil Nadu, that showed lower than average Calorie intake for the rural sector, shows higher than average Calorie intake for the urban sector. As in the rural sector, even the urban sector shows a fall in Calorie intake compared to 199394. Tamil Nadu is an exception in this regard and is one state that stands out from the rest as Calorie per capita Calorie intake shows a rise in both rural and urban sectors for this state. West Bengal shows the maximum decline in urban Calorie intake with a fall of 280 Cal, which is more than double the national average decline. It is interesting to note that for most states, the rural Calorie intake levels are higher than urban Calorie intake levels. This is in accordance with Calorie requirements norms, as rural Calorie 21 REDUCING INEQUALITY requirements are higher than urban Calorie requirements. However, in most cases, the minimum Calorie requirement (2400 Cal in the rural regions and 2100 Cal in the urban regions) is not met in any state. In 1993-94, Punjab Haryana and Rajasthan had over 2400 Cal intake for the rural regions while Rajasthan, Haryana and West Bengal were some of the states that had over 2100Cal Calorie intake for the urban regions. However, by 2009, all states have come under the minimum requirement levels, mainly due to the uniform decline in Calorie intake witnessed in India over a long period. While per capita Calorie intake gives a general idea of Calorie availability, the NSSO also provides data on calorie consumption per consumer unit, which is a better measure of levels of nutrition. Consumer unit is a unit used as an indicator of the energy requirement of a group of persons of different sexes and ages. Taking the calorie requirement of an average male in the age group 20-39 in the rural sector doing sedentary work as the norm, the average Chart 11c: Rural Calorie per consumer unit per diem Himachal Pradesh Lakshadweep Jammu Kashmir Punjab A&N Islands Tripura Rajasthan Orissa Haryana Uarakhand Chandigarh Pondicherry Uar Pradesh Maharashtra Andhra Pradesh Mizoram Kerala All India Gujarat Arunachal Pradesh Daman & Diu Sikkim Assam Tamil Nadu Madhya Pradesh West Bengal Karnataka Chhasgarh Bihar Goa Manipur Jharkhand Nagaland Delhi D&N Haveli Meghalaya 3020 3005 2867 2729 2727 2724 2703 2696 2695 2675 2662 2620 2557 2547 2520 2511 2496 2489 2431 2425 2419 2417 2408 2382 2372 2362 2357 2357 2352 2350 3244 2335 2307 2261 2063 2049 0 500 1000 1500 2000 2500 3000 3500 Based on Nutritional Intake in India, NSSO Report No. 540 & 405. The States of Jharkhand, Chhatisgarh and Uttarakhand were only formed in 1999-2000 out of Bihar, Madhya Pradesh and Uttar Pradesh respectively and hence separate estimates for these states for the 1993-94 rounds are not available 22 calorie requirements of males and females of other age groups are expressed as a ratio to this norm. Defining each household in terms of consumer units, taking into account the age and sex composition of the members of the family helps give a measure of the calorie requirement of the household. The nominal requirement for 1 consumer unit is 2700Kcal per day. Table1c: Change in Rural calorie intake, 2009-10 State Delhi Lakshadweep Haryana Rajasthan Meghalaya West Bengal Nagaland Uttar Pradesh Madhya Pradesh Manipur Daman & Diu Jammu Kashmir Bihar Punjab Karnataka Arunachal Pradesh All India Mizoram Orissa Andhra Pradesh Gujarat Assam Chandigarh Tamil Nadu Kerala D&N Haveli Goa Himachal Pradesh Maharashtra Sikkim Pondicherry Tripura Rural Change in Calorie Intake -845 -516 -414 -387 -381 -371 -360 -342 -325 -320 -302 -287 -285 -278 -218 -195 -194 -65 -44 -39 -39 2 9 35 45 75 80 104 120 136 170 374 For the rural sector, the national average of 2489 Kcal per consumer Unit is way below the basic requirement of 2700Kcal per diem. However, there are many states that do have per consumer unit Calorie consumption above the nominal requirement. Himachal Pradesh has the highest per consumer unit Calorie consumption of 3020 Kcal. Of the major states, Punjab and Rajasthan have above norm Calorie intake as well. Some of the poorer states like Orissa and Comparison of per consumer unit Calorie intake Figures over time (1993-94 to 2009-10) based on the 50th and 66th Round NSS Surveys in these years, it is seen that per consumer unit calorie intakes have mostly fallen across the country, with a national average of -194 Kcal. Delhi has the maximum fall of -845Kcal, while Tripura shows maximum rise of 374 Kcal. Some of the better off states like Tamil Nadu and Maharashtra have shown rise in per consumer Calorie intakes, while for others like Gujarat and Punjab, there have been declines. The magnitudes of declines are much larger than the increases in some of the states, which explain the overall decline in the national average. It is interesting to note that amongst the states that in 2009-10 have above the nominal norms of per consumer Calorie intake, barring Himachal Pradesh, there have been declines in per consumer Calorie intake in all these states. Chart 11d: Urban Calorie per consumer unit per diem 2009-10 Urban Lakshadweep Tripura Himachal Pradesh Jammu Kashmir Chandigarh Pondicherry Sikkim Orissa Mizoram Punjab Jharkhand A&N Islands Kerala Bihar Gujarat Tamil Nadu Karnataka Andhra Pradesh Assam Uarakhand Goa Harayana All India Chhasgarh Arunachal Pradesh Uar Pradesh Maharashtra Manipur West Bengal Daman & Diu D&N Haveli Nagaland Madhya Pradesh Delhi Meghalaya 2864 2780 2768 2757 2670 2528 2499 2471 2456 2454 2443 2435 2431 2428 2425 2420 2413 2392 2385 2385 2348 2343 2336 2326 2295 2286 2281 2276 2265 2088 1957 500 1000 1500 2000 2500 3000 State Delhi Arunachal Pradesh Meghalaya Nagaland West Bengal Madhya Pradesh Uttar Pradesh Rajasthan A&N Islands Bihar Haryana Daman & Diu Manipur Jammu Kashmir Orissa Chandigarh All India Mizoram Himachal Pradesh Assam Maharashtra Goa Karnataka Gujarat Punjab Andhra Pradesh Kerala D&N Haveli Tamil Nadu Sikkim Pondicherry Tripura Change in Calorie Intake -807 -639 -565 -307 -292 -291 -272 -248 -247 -224 -224 -221 -213 -193 -193 -169 -157 -151 -146 -123 -96 -66 -57 -56 -41 -30 9 28 65 161 225 292 Based on Nutritional Intake in India, NSSO Report No. 540 & 405. The States of Jharkhand, Chhatisgarh and Uttarakhand were only formed in 1999-2000 out of Bihar, Madhya Pradesh and Uttar Pradesh respectively and hence separate estimates for these states for the 1993-94 rounds are not available For the urban sector, the All India average is 2385Kcal, which too is much lower than the nominal requirement. Lakshadweep has the highest per consumer Calorie intake in urban India at 2864Kcal, while Meghalaya has the least at 1957Kcal. Fewer states have higher than nominal requirement level per consumer Calorie intake in the urban sector than the rural sector, although a greater proportion of states have above national average levels. 2665 2663 2561 2536 0 Table 1d: Change in Urban Calorie Intake Evidences on Inequalities in India Uttar Pradesh have above the national average per consumer unit intake, although lower than the nominal requirement. Some of the well off states like Gujarat and Tamil Nadu show lower than national average per consumer Calorie figures in the rural areas. 3500 In the urban region, barring Maharashtra, all the well off states have above national average per consumer Calorie intake levels. Of the 23 REDUCING INEQUALITY be noted that the better off states like Gujarat, Maharashtra or Punjab show lower fall in urban per consumer Calorie intake figures than others. poorer states, Bihar and Orissa have above national average levels while Madhya Pradesh, Chhattisgarh and Uttar Pradesh rank much lower. The fall in the national average of urban per consumer unit Calorie intake figures is lower than that for the rural sector. In terms of change from 1993-94 levels, the All India average fell by 157Kcal for urban India. Delhi shows the maximum fall for the urban sector as it did for the rural sector, while Tripura shows the maximum rise for the urban sector, as it did for the rural sector. Barring Tamil Nadu, none of the well off states shows a rise in urban per consumer Calorie intakes. However, it must These findings on calorie intake values point towards a continuation of what has often been referred to as the ‘calorie consumption puzzle’ of India. Average calorie intake figures in India have been consistently falling over time despite rises in consumption expenditure. On this issue, contrasting viewpoints have been put forward by different economists trying to explain the apparent anomaly. Chart 12: Average Per Capita Expenditures (Total And Food) Over Time 700 70 600 60 500 63.18 57.03 54.65 51.69 50 400 45.93 38.40 40 300 30 200 20 100 10 0 Average per capita expenditure Average per capita food expenditure Average per capita expenditure 1993-94 Average per capita food expenditure Average per capita expenditure 2004-05 Average per capita food expenditure 0 1993-94 2009-10 2004-05 2009-10 % of consumpon on food items out of total consumpon expenditure rural % of consumpon on food items out of total consumpon expenditure urban urban rural Chart 12 shows while the average per capita expenditures have been rising over time (which can be read as a rise in disposable incomes), the expenditure on food has not witnessed a commensurate rise. As a result, the proportions of expenditure on food items out of total expenditures have been steadily declining for both the rural and the urban sector. The rural sector continues to have a higher proportion of total expenditure being spent on food, which is understandable given the lower MPCE figures in rural vis-à-vis urban India. Chart 13a: Food Expenditure as percentage of Total Expenditure, Rural 60 50 40 72.97 66.45 64.45 65.02 72.44 63.74 71.54 62.17 70.42 61.56 69.42 59.69 67.45 58.15 65.55 55.56 61.74 52.14 47.78 38.11 30 20 10 0 1 Decile 2 Decile 3 Decile 4 Decile 5 Decile 6 Decile 7 Decile 8 Decile 9 Decile 10 Decile 24 2009-10 70 1993-94 Food as % of total expenditure Rural 80 80 70.65 Food as % of total expenditure Urban 70 60 50 62.55 69.54 59.1 67.8 56.4 66.11 54.11 64.23 51.13 62.05 59.43 49.04 46.35 40 55.79 43.38 52.24 39.06 39.21 1993-94 2009-10 30 25.43 20 10 0 1 Decile 2 Decile 3 Decile 4 Decile 5 Decile 6 Decile 7 Decile 8 Decile 9 Decile 10 Decile Based on NSSO reports over time. Proportions calculated at constant prices as reported in each round. Decile classes as reported in each round. Analysis of expenditure breakup by decile classes show that the fall in food expenditure as proportion of total expenditure has taken place across all deciles across rural and urban areas in India. The upper deciles of urban areas show some of the sharpest falls, and there are systemic falls across all decile classes. The lower deciles of the rural sector, in 1993, showed a rise in proportion of food expenditure with increase in income, which shows that the poorest segment of the rural society tried to raise food intake levels with income rise. However, even this segment today shows falling proportion of food expenditures, like the urban sector. The commonality of the trends across both sectors suggests that there are some common economic factors driving this trend. The most plausible explanation is rising costs of other essential commodities or services like health and education have forced the population to lower the proportion of food expenditure, thereby of lowering Calorie intake. In addition, there has been the effect of the shift away from the more calorie-intensive traditional staples like jowar, ragi and bajra to less calorie-intensive cereals like wheat and rice. In terms of different categories of food items, Shalini Gupta (2012) reports that there has been a fall in consumption of cereals, pulses and sugar across both rural and urban sectors in India, with an increase in consumption of milk and milk products. Such declines have been particularly sharp during the period 2004-05 to 2009-10. Evidences on Inequalities in India Chart 13a: Food Expenditure as percentage of Total Expenditure, Rural Cereal consumption has always been higher in the rural sector compared to the urban sector and still continues to be so. However, the difference has reduced over time as the rural sector has been experiencing a sharper fall in cereal intake over time. Amongst cereals, the consumption of certain traditional staples like Jowar and Bajra (as compared to rice and wheat) has shown considerable fall, especially in the rural sectors. These traditional cereals were earlier priced relatively cheaper than rice and wheat, and formed the staples for some of the poorest segments of community in India. The steady decline of cereal consumption coupled with a sharper fall in the consumption of some of the options traditionally favoured by the poor suggests that the consumption of the poorest segment have been hit more drastically and hints at the possibility of rise in absolute hunger amongst the poorer sections of the society. Similarly, in the case of pulses it is reported that the urban rural gap in consumption (urban consumption of pulses have always been higher than rural consumption) has been increasing, 25 REDUCING INEQUALITY as the fall in consumption in the rural sector is much sharper than that in the urban sector. Consumption of milk in the rural areas actually declined during the period 1993-94 to 2004-05, but shows a rise during the periods 2004-05 to 2009-10, while urban consumption of milk has been always higher over the periods (Shalini Gupta, 2012). All this indicates that rural food consumption has been worse hit. Falls from an already low and often critical level reiterates the food crisis that the marginalised section of India is facing across the country, despite economic growth and rise in consumption expenditures. The increases in per capita NSDPs fail to capture the absolute pauperisation of a large section of society. In fact, calorie availability figuresdonotrelatedirectlywithMPCE figuresaswell,asstateswithhigherMPCEsdo not necessarily imply have higher per capita calorie consumption, and increases in MPCE within states over time also are not necessarily associated with rises in calorie intake. The problem of low calorie intake is linked to the broader issue of social policies pertaining to food security and the Public Distribution System HUNGER INDEx FOR SELECTED STATES States Prevalence of Calorie Under Nourishment (Percent) Proportion of Underweight Children Less than 5 years of Age (Percent) Under Five Mortality Rate (Per 100) Hunger Index Rank as Per Punjab 11.1 24.6 5.2 13.63 1 Kerala 28.6 22.7 1.6 17.63 2 Andhra Pradesh 19.6 32.7 6.3 19.53 3 Assam 14.6 36.4 8.5 19.83 4 Haryana 15.1 39.7 5.2 20.00 5 Tamil Nadu 29.1 30.0 3.5 20.87 6 Rajasthan 14.0 40.4 8.5 20.97 7 West Bengal 18.5 38.5 5.9 20.97 8 Uttar Pradesh 14.5 42.3 9.6 22.13 9 Maharashtra 27.0 36.7 4.7 22.80 10 Karnataka 28.1 37.6 5.5 2373 11 Orissa 21.4 40.9 9.1 23.80 12 Gujarat 23.3 44.7 6.1 24.70 13 Chhattisgarh 23.3 47.6 9.0 26.63 14 Bihar 17.3 56.1 8.5 27.30 15 Jharkhand 19.6 57.1 9.3 28.67 16 Madhya Pradesh 23.4 59.8 9.4 30.87 17 India 20.0 42.5 74 23.30 SOURCE: India Human Development Report, 2011 in India, which are dealt with in detail later. The India Human Development Report 2011 reports abysmal levels of hunger and malnutrition in select states across India. The lowest hunger index is above 10, which is a 26 reflectionofthemagnitudeoftheproblem. Punjab,whichisoneofthemostaffluentstates with a very strong agrarian basis is the rural sector is the best performer with a Hunger Index of 13.63. The poorer states Like Madhya In India increased inequality is observed in terms of health indicators as well. Although the health indicators like Crude Birth Rate (CBR) and Crude Death Rate (CDR) have declined over the period for the country, large disparities are observed within the regions of the country. The trend in the CBR shows a slow decline from 29.5 (1991) to 21.8 (2011). However, CBR is higher (23.3) in rural areas as against urban areas (17.6). Chart 14: Crude Birth Rate: Rural, Urban, Total 70 63.18 57.03 60 54.65 51.69 50 45.93 38.40 40 30 20 10 0 1993-94 2004-05 2009-10 % of consumpon on food items out of total consumpon expenditure urban % of consumpon on food items out of total consumpon expenditure rural Source: Family Welfare Statistics in India, 2011 & SRS Bulletin, Volume 47, No. 2 45 42.8 42.8 Chart 15: Per cent Decline in CBR, 2001-2011 40 35 30 16.8 13.4 16.8 15.8 15.8 23.6 19.3 14.5 14.5 19.3 13.2 13.2 15.3 12.1 15.3 12.1 18.7 14.8 11.9 18.7 11.2 14.8 11.9 4.6 4.6 5 5 7.4 7.4 10 6.0 6.0 15 10 14.2 20 11.2 15 14.2 20 25 00 INDIA INDIA Inequalities in Health Outcome Indicators 30 13.4 25 35 20.9 23.6 40 20.9 45 42.8 It is shocking to note that even states like Maharashtra or Gujarat in the Western region, which have some of highest per capita NSDP and even higher than average MPCEs and rank amongst the richest states in the country, have very poor rankings in the Hunger Index. This proves that economic growth alone cannot resolve the problems of hunger and the growth process that India has experienced has often lead to very high levels poverty amongst the population, reflecting stark inequalities. When it comes to state-wise performance, some of the major states still have high CBR, for instance, Uttar Pradesh recorded the highest CBR (27.8) in 2011 followed by Bihar (27.7), Madhya Pradesh (26.9) and Rajasthan (26.2). In terms of the rate of decline in CBR, Andhra Pradesh and Assam’s achievements have been commendable with the highest rate of decline over the last decade 2001-2011. On the other hand, Delhi, which is the richest state in the country (with per capita NSDP is Rs 108,876) has recorded a very poor rate of decline over the last decade. 42.8 Pradesh and Chhattisgarh in the Central Zone or Bihar and Jharkhand in the East, that show some of the lowest lower levels of MPCE, not surprisingly, reflect some of the highest hunger indices. The gap between the best and worst performer is also relatively large, which reflects the high levels of inequality in terms of hunger that only worsens the problem. Evidences on Inequalities in India Inequalities in Health Outcome Indicators Source: Family Welfare Statistics 2011 & SRS Bulletin,Vol. 46 no.1 27 Chart 16: CBR in Rural and Urban Regions of some of the major states of India, 2011 28.8 11.5 16.0 15.7 18.1 23.7 27.4 22.5 20.1 17.3 15.8 21.0 14.7 16.8 15.2 26.3 19.0 19.7 17.2 15.4 14.4 13.1 19.5 19.1 22.9 19.0 22.9 26.3 23.3 15 18.3 19.3 17.2 15.5 20 17.6 17.5 17.8 25 22.8 24.0 30 28.8 35 28.4 REDUCING INEQUALITY Andhra Pradesh and Assam. In these two states, Andhra Pradesh and Assam, higher CBR has been reported from the urban region in 2011, with a small gap between the rural and urban regions. The rural urban gap in CBR is found to be higher in the comparatively poorer states of Bihar (per capita NSDP in 2010-11 Rs 13,632), Orissa (per capita NSDP in 2010-11 Rs 25,708), Jammu and Kashmir and also West Bengal and Madhya Pradesh; evidently the rural regions of the states recording higher CBR, excepting Rural 10 Urban 5 West Bengal Uar Pradesh Tamilnadu Rajasthan Orissa Punjab Maharashtra Kerala Madhya Pradesh Karnataka Jharkhand Jammu & Kashmir Haryana Gujarat Delhi Chhasgarh Bihar Assam Andhra Pradesh INDIA 0 Source: Family Welfare Statistics 2011 & SRS Bulletin,Vol. 46 no.1 their rural counterparts (61.2 and 62.7 years respectively). Among the states, Kerala has the highest (74 years) overall life expectancy as well as for males and females. It is the lowest in Madhya Pradesh (58 years) where the female population has lower life expectancy (57.9) than males (58.1) (Table I in Appendix). A significant dimension of health is life expectancy, which has been increasing over the years. It has increased more for females than males. According to 2002-06 estimates, life expectancy at birth for males was 62.6 years as compared to 64.2 years for females. Also the urban male (67.1 years) and urban female (70 years) have longer life spans as compared to Chart 17: Expectation of life at birth, India and bigger States, 2002-06 80 70 60 74 63.5 64.4 58.9 61.6 69.4 67.2 64.1 66.2 65.3 58 59.6 62 66.2 60 64.9 50 40 30 20 10 0 Source: Sample Registration System Statistics, from Databook for DCH, Planning Commission, April 2012 28 In terms of rate of decline in IMR, the states of Tamil Nadu, Maharashtra and West Bengal have shown rapid decline since 1991 followed 60 50 58.3 54.5 45 49.6 49.3 41.1 40 32.1 36.2 61.4 54 54.9 43.4 40.6 35.3 41.2 34.2 30 25 20 10 0 Calculated from the Sample Registration System Statistics from Databook for DCH, Planning Commission, April 2012 & SRS Bulletin,Volume 47, No. 2, October 2012 Gujarat, which has one of the highest per capita incomes of all major states (per capita net state domestic product (NSDP) at constant (2004-05) prices of Rs 52,708 in 2010-11), has only been a moderate performer in this regard. Gujarat’s IMR in 2011 is close to that of much poorer and less developed Bihar despite the much higher per capita income in that state (per capita NSDP of Bihar in 2010-11 is Rs.13,632). The Southern State of Kerala has shown one of the lowest infant mortality rates historically. Its IMR has been many times less than the Indian average. Kerala’s performance is more creditable than any other states as it has managed to reduce the already low IMR even further over the period. High levels of sectoral differences in terms of rural-urban divide exist in IMR rates in India. The IMR is very high in rural areas (48 per 1000 live births) as compared to urban areas (29) in 2011. Chart 19: Infant Mortality Rate (Rural/Urban/All India), 1992-2011 90 80 70 85 69 79 60 53 50 63 48 40 40 44 38 30 29 20 10 Rural Urban 2011 2010 2009 2008 2007 2006 2005 2004 2003 2001 2002 2000 1999 1998 1997 1996 1995 1994 0 1993 The North Eastern States, while having low IMR rates, show some signs of worsening, with Meghalaya, Mizoram and Nagaland showing signs of increase. Assam in this region has very high IMR, and some districts in Assam actually have the highest IMR rates in the country. [Appendix: IMR Table] 70 1992 The Central states of Chhattisgarh and Madhya Pradesh both have very high levels of IMR. It must be noted that in 1991, Chhattisgarh was part of Madhya Pradesh itself. Hence the data for 1991 for Madhya Pradesh incorporates those for Chhattisgarh as well. Chart 18: Percent decline in IMR over 1991-2011 Per '000 live births In the Eastern region, Orissa shows the highest IMR, despite making some major improvements since 1991. The relatively better-off state of West Bengal has had the best record in lowering IMR in this region. by Madhya Pradesh and Himachal Pradesh. The relatively richer states of Gujarat and Haryana, on the other hand, have shown slower improvements in lowering IMR. Evidences on Inequalities in India One of the most important measures for children is the basic measure of Infant Mortality Rate (IMR). IMR denotes the number of infant deaths (less than one year of age) per 1,000 live births. Infant and child mortality rates reflect a country’s level of socio-economic development and quality of life and are used for monitoring and evaluating population and health programmes and policies. India has had historically high IMR. Despite major improvements a lot remains to be done in this area. Furthermore, there are significant differences in IMRs across states, both in terms of absolute levels and changes over time. The highest IMR was reported (in 2011) from Madhya Pradesh (59 per 1000 live births) followed by Orissa (57), Uttar Pradesh (57) and Assam (55), while Kerala has the lowest IMR (12 per 1000 live births). The states that have performed well over the period 1999-2011 are Tamil Nadu, Maharashtra, Punjab, Karnataka and West Bengal, all of which have shown relatively rapid decline in IMR since 1999. Total Source: Sample Registration System Statistics from Databook for DCH, Planning Commission, April 2012 & SRS Bulletin,Volume 47, No. 2, October 2012 29 REDUCING INEQUALITY The most recent data indicate that the highest IMR was reported from rural areas of Madhya Pradesh (63) followed by Uttar Pradesh (60) and Orissa (58) while Kerala recorded the lowest rural IMR (13) in the country. Kerala had the lowest IMR (11) in urban areas too while Uttar Pradesh, Orissa and Chhattisgarh recorded some of the highest IMRs in urban areas (Source: SRS Bulletin,Volume 47, No. 2, October 2012). Some states show very large rural-urban gaps like Rajasthan, Madhya Pradesh and Assam and interestingly, rural IMRs remain high in some of the relatively richer states like Gujarat, Haryana and Delhi. It is surprising to note that even urban IMR is high in the states of Delhi and State expenditure in social sectors, both as a percentage of GSDP and as a percentage of total expenditure, has declined more than the average decline in other comparable States and stands below the national average pointing to a clear shift in the priorities. (Source: Sood, Poverty amidst Prosperity). The study also observed that there is a decline in the usage of government health services in both rural and urban areas of Gujarat and a very high reliance on the private sector. In urban areas, the decline has been quite significant for the lowest income group. (Source: Development Dynamics in Gujarat) 70 60 50 40 30 63 58 48 47 29 31 45 49 41 34 34 48 48 36 35 43 41 39 20 10 41 33 30 33 32 25 26 24 19 17 13 9 60 57 40 39 28 28 26 26 27 58 Rural Urban West Bengal Uar Pradesh Tamilnadu Rajasthan Punjab Orissa Maharashtra Madhya Pradesh Kerala Karnataka Jharkhand Jammu & Kashmir Haryana Gujarat Delhi Chhasgarh Bihar Assam Andhra Pradesh INDIA 0 Source: SRS Statistics from Databook for DCH, Planning Commission, April 2012 & SRS Bulletin,Vol. 47, No. 2, Oct. 2012 Gujarat. In this context it is important to note that the rapid economic growth that Gujarat has experienced over the past decade has been of the nature of exclusionary growth where goals like social equality, sustainable livelihoods, access to education and health, justice and peace have been abandoned in the race for high-speed growth. A recent study2 has observed that the 2 30 Poverty Amidst Prosperity: Essays on the Trajectory of Development in Gujarat (Aakar Publication, forthcoming), Data for some select states of IMR for 2010 (based on availability) reveal that across all states and across regions, the IMR for females are relatively higher. This is a clear reflection of the gender bias that exists in India even today. The Western states of Gujarat and Rajasthan and Northern state of Uttar Pradesh show higher differences than the other states. Incidentally, states like Orissa or Madhya Pradesh, which has historically had very high IMR in the country Table 2: Infant Mortality Rate by Gender, 1997 and 2010 MALE FEMALE States 1997 2010 1997 2010 India* 70.3 46 72.2 49 Andhra Pradesh 64.2 44 62.0 47 Assam 74.4 56 77.8 60 Bihar 71.6 46 71.1 50 Delhi 29.0 29 29.2 31 Gujarat 62.2 41 62.5 47 Haryana 68.3 46 68.1 49 Karnataka 50.8 37 54.2 39 Kerala 11.5 13 12.9 14 Madhya Pradesh Maharashtra Odisha 98.3 49.7 94.5 62 27 60 90.0 44.7 98.1 63 after Census 2001 revealed skewed sex ratios in the country. Among the social groups, infant mortality rates have substantially declined for the SC category over the period 1992-93 and 2005-06, although they are still higher than for other social groups. The IMR is lower for the STs compared to the SC category. During this period there was an increase in the IMR among SC children in Jammu and Kashmir (from 44.3 in 1998-99 to 62.6 in 2005-06) and Himachal Pradesh (from 43.7 in 1998-99 to 56.4 in 2005-06, and ST children in Gujarat (from 60.3 in 1998-99 to 86 in 200506)3. Chart 21: Social Gap in IMR for three periods, 1992-93*, 1998-99 and 2005-06 120 107.3 100 29 61 60 Punjab 48.3 33 54.2 35 Rajasthan 74.7 52 96.2 57 20 Tamil Nadu 48.0 23 57.3 24 0 Uttar Pradesh 81.3 58 90.3 63 West Bengal 59.2 29 51.0 32 A comparison in the change in IMR over the period 1997-2010 for these select states reveals that in some of the states (Northern state of Uttar Pradesh and Punjab, Rajasthan in the West, southern states of Tamil Nadu and Karnataka and Orissa in the East) female IMRs have reduced more than male IMRs (see table in Appendix). The Northern states have some of the worse sex ratios and have very high levels of gender bias that has been sought to be addressed through various missions and programmes. Gender specific programmes have been introduced all across the country especially 83 84.2 76 61.8 40 Source: SRS Bulletin, April 1999 and SRS Statistics from Databook for DCH, Planning Commission, April 2012 90.5 82.2 80 * 1997 figure excludes data for Jammu & Kashmir due to partreceipt of returns NOTE: SRS data for IMR by gender is available from 1997, which is why 1997 is taken as base year for comparison. Evidences on Inequalities in India show lower differences, which reveals that the problem of IMR is more endemic in these states. However, these differences today are much lower than in 1990s. 66.4 62.1 SC 56.6 ST 48.6 OBC Other 1992-93*(NFHSI) 1998-99(NFHS2) 2005-06(NFHS3) Note: * 1992-93 NFHS round did not collect data separately for OBCs and those who are not SC, ST and OBCs. Source: NFHS1, NFHS 2 and NFHS 3 One of the reasons for the fall in IMR may be the increase in medical attention at the time of live births over the period. However, data of the Family Welfare Department (Family Welfare Statistics in India, 2011) show that more than 31 per cent of rural women are still attended by untrained functionaries during delivery as against 4.7 per cent of urban females. The Under-5 mortality rate (U5MR) among the SCs and STs has been quite high compared to the OBCs and others. The trends in the under-5 mortality shows that the average annual rate of reduction in U5MR between 1998-99 and 200506 among SCs (4.2%) and STs (3.9%) was lower than that among OBCs (4.8%) and the rest of the population (4.6%) (Rama Baru et. al.) 3 India Human Development Report, 2011, 31 REDUCING INEQUALITY Chart 22: Social Gap in Under-5 Mortality for three periods, 1992-93*, 1998-99 and 2005-06 160 140 149.1 135.2 126.6 119.3 115.5 120 103.1 100 82.6 88.1 95.7 SC ST 72.8 80 OBC 59.2 60 Other 40 20 0 1992-93*(NFHSI) 1998-99(NFHS2) 2005-06(NFHS3) * 1992-93 NFHS round did not collect data separately for OBCs and those who are not SC, ST and OBCs. Source: NFHS1, NFHS 2 and NFHS 3 Interestingly, SCs in states like Delhi, Tamil Nadu, Maharashtra, and West Bengal have a lower U5MR (51.3, 48.3, 50.2 and 46.6 respectively) as compared to the national average for upper castes (59.2). This is also true for OBCs in Delhi, Haryana, Himachal Pradesh, Kerala, Punjab and Tamil Nadu, where they perform even better than the national average for upper castes (India Human Development Report, 2011). Another important indicator to map health conditions in general and particularly the condition of women in the society is the Maternal Mortality Rate (MMR). The Office of the Registrar General, India provides data on maternal mortality in India on a regular basis for the period of three years averages. However, the first survey in maternal mortality was conducted in 1997 and hence the first report released data from 1997. The performance of West Bengal has been remarkable in reducing MMR since 1997. The latest report (2007-09) shows that Maharashtra again has been an achiever in reducing the maternal mortality and has joined Kerala to realize the MDG target of reduction in maternal mortality in the country (chart 23). On the other hand, Gujarat again has proved to be a poor performer as the MMR has actually gone up in Gujarat over the period 1997-98 to 2007-09 recording a negative rate of decline. The states of the north western region Uttar Pradesh, Rajasthan and Bihar still show quite high rates of maternal mortality (Chart 24). 15.1 9.1 22.5 10.8 9.2 4.1 8.9 5.6 5.2 12.8 16.1 13.5 17.2 6.9 24.4 11.3 25.1 9.2 34.8 16.3 40 64.7 35.9 55.4 27.4 29.7 19.5 65.1 30.1 58.7 27.5 100 90 80 70 60 50 40 30 20 10 0 86.7 Chart 23: Maternal Mortality Rates 1997-98 and 2007-09 Source: Sample Registration System, Office of Registrar General, India 32 1997-98 2007-09 100 53.2 50 53.8 50.5 34.3 44.5 53.9 39.7 59.9 55.4 52 53.7 63.3 53.2 37.1 16.1 0 -50 -100 -150 -146.2 -200 Evidences on Inequalities in India Chart 24: Per cent Drop in Maternal Mortality Rates over 1997-98 and 2007-09 Source: Sample Registration System, Office of Registrar General, India Child Labour One of the big challenges for children over 5 years of age in India is the problem of child labour. Child labour is a social evil that denies children their right to survival, development, education, and adequate standard of living. Children engaged in work miss out on opportunities for developing personality, talents, mental and physical abilities. There is also a high level of abuse and neglect associated with this problem. Although there is unanimity about eradicating child labour, it is a complex and enormous social problem that has proved to be difficult to eradicate in India. A major issue regarding child labour is estimating its extent. Official statistics are inadequate in this regard. In India, the decennial Census and the NSSO Statistics are the only sources for estimating child labour. The extent of child labour has to be calculated from age-wise distribution of workers. The narrow definitions of the term ‘work’ and consequently ‘worker’ fail to capture the rights-based approach required to deal with child labour. Moreover, the differences in data definition and collection methodology between the Census and NSS mean that the estimates from these studies are different. Here, we have tried to collect evidences from different data sources to capture the extent and nature of child labour in India. Census 2001 reported that on one hand, there is considerable increase in the absolute number of child labour between 1991 and 2001 in the states of Uttar Pradesh, Rajasthan, Jharkhand, Chhattisgarh, Bihar, West Bengal, Haryana, Uttaranchal, Himachal Pradesh, Punjab, Nagaland, Assam, Meghalaya, and Delhi. On the other hand, Maharashtra, Andhra Pradesh, Madhya Pradesh, Tamil Nadu, Karnataka, Orissa, Gujarat and Kerala have shown significant decline in the number of child labor. Sikkim had the highest Child Work Participation Rate (WPR) in the country with 12.04 % child labourers among total children in the age group of 5-14 years, followed by Rajasthan 8.25 % and Himachal Pradesh (8.14%) during 2001. The other states having higher than the national average of 5% WPR for children are Andhra Pradesh (7.7%), Chhattisgarh (6.96%), Karnataka (6.91%), Madhya 33 REDUCING INEQUALITY Pradesh (6.71%), J&K (6.62%), Arunachal Pradesh (6.06%), Jharkhand and Assam (5.07%). (Children in India 2012- A statistical appraisal, MOSPI). The NSSO surveys report Age Specific Worker Population Ratios (ASWPR) that reports the number of persons usually employed in a particular age-group per 1000 persons in that age-group. The NSSO reports for it for Primary Status and also All Workers (taking into account Primary and Subsidiary Status workers). Chart 25: ASWPR for age group 5-9 Years of Age 12 12 10 10 8 8 6 6 4 4 2 2 0 0 Rural male 1993-94 Rural Female 1999-2000 Urban male 2004-05 Rural male Urban Female 1993-94 2009-10 Rural Female Urban male 1999-2000 2004-05 Urban Female 2009-10 The Chart on the left is for Primary Status while the Chart on the right is for All Workers. Chart 26: ASWPR for age group 10-14 Years of Age 120 100 80 60 40 20 0 Rural male 1993-94 Rural Female 1999-2000 Urban male 2004-05 Urban Female 160 140 120 100 80 60 40 20 0 Rural male Rural Female 1993-94 1999-2000 2009-10 Urban male 2004-05 Urban Female 2009-10 The Chart on the left is for Primary Status while the Chart on the right is for All Workers. The NSSO surveys report a steady decline in ASWPR denoting fall in child labour in India over time. The age group 10-14, which is the most vulnerable age group for child labour, shows considerable fall in both Primary Status and All Workers Status. Unsurprisingly, child labour is higher in rural regions than urban regions across time. Much of rural child labour is concentrated in the Agriculture and Allied Activities sector as much of the rural economy itself is predominantly agriculture based in India. In the urban areas, All Workers category actually reports higher figures for Females in the 0-5 age group, a highly disturbing trend. 34 NSSO data also reveal high caste bias in incidence of child labour as well. Children belonging to Scheduled Tribes or Scheduled Tribes are more likely to engage in to be engaged in ‘gainful economic activities’ than children belonging to the Social Category ‘Others’ (NCPCR). This is accordance with general poverty trends between Social Categories as discussed before, and also reflects in terms of school dropout rates and other educational parameters discussed later in this report. There are certain caveats to the NSSO statistics that have to be kept in mind while judging The rise in difference between Primary Status and All Workers that takes into account Subsidiary Status can perhaps be partially explained by the rise in informal employment of children. Given rise in School enrolment figures post 2004-05, a section of children now report primary occupation as Students while at the same time, they are engaging in other various form of work, that come under the subsidiary status. There is a large section of the population belonging to age group 5-14, who are counted as Nowhere Children (NWC), thus called as they are neither counted as Child labourers, nor are enrolled in any schools. This includes children who are not attending school for one reason or the other, maybe generally working but not counted by enumerators as part of the labour force because of the sporadic nature of their work, or because many of the activities they engage in are not formally counted as work. For example, girl children who do not attend schools because they have to look after other children in the home are counted under this category. The proportion of Nowhere Children is quite significant, especially in the rural sectors. Evidences on Inequalities in India the trends. Firstly, given the illegality of child labour in India, there is in any case the problem of under reporting, as neither parents nor employers are forthcoming about giving exact details. Secondly, NSSO 2004-05 had shown that overall, informal sector employment had increased substantially in the country over the period. The extent of self employed rose across sectors with bare subsistence levels of remuneration. It has been argued that the rise in informalisation or marginalised workers in the country has had worsening impact on children as well. This is because of the fact that while selfemployed categories often involve the labour inputs of entire families and children are also involved in these efforts in varying degrees or extent, they are often being missed by official statistics as the latter fails to categorise them effectively. In such a situation, the NSSO figures have certain limitations in capturing the extent of child labour in the country. Chart 27: Nowhere Children as percentage of Total Child Population 40 37.4 35 32.3 29.4 30 Percentage 25.6 25 22.6 19.8 20 15 1993-4 17.5 16.7 12 11.9 10 15.1 14.5 14.2 7.9 9.7 11.1 2007-8 13 8.8 5 0 Male Female Persons Rural Male Female Persons Urban Male Female Persons Total Source: India Human Development Report 2011, Planning Commission of India 35 REDUCING INEQUALITY 36 A Time Use Based Survey, conducted by the Department of Statistics in 1998-99 as a pilot project, helps throw some light in this regard. The Survey covering 18,686 households across 6 states collected data on how people, including children above 6 years, spend their time in different activities, based on one day recall period. The data showed that for children, the most important economic activity is cattle grazing (11.47% of boys and 10.69% of girls), with an average of 2 to 3 hours spend daily. The second most important activity was collecting fuel wood, fodder, water, etc., although a disproportionately higher percentage of girl children (13.76%, compared to only 4.51% of boys) were engaged in these activities. The survey found that while 67.13% of children engaged in educational activities and 17% in pure economic activities, the balance 15.87% engaged in various other activities that would qualify as work, but is not incorporated in official statistics which are based on System of National Accounting (SNA) activities (i.e. activities that are counted as ‘economic activities’ and incorporated in calculating the National Accounts). Much of these engagements are in extended SNA activities (not under SNA but covered under ‘General Production Boundary, like household maintenance, caring for siblings and the elderly, etc) and non SNA activities. (Indira Hirway (2002) “Understanding Children’s Work in India: An Analysis Based on Time Use Data”). necessary for development is considered to be a child labour as, more often than not, they have to engage in activities that even if not remunerative do qualify as some form of work. Keeping in view these complications, it has been argued that a better method to estimate child labour is to estimate all those children who are not going to school. In the Indian context, any child not going to school can be assumed to be engaged in either domestic work, or helping out in the family based self employment activity or involved in some form of remuneration based employed activity. This is where the a holistic rights based approach to identifying Child labour becomes crucial; where any child who is denied the basic rights to education and all basic means 40 Inequalities in Educational Outcomes Education is universally accepted as being among the most important determinants of economic well-being of households. Recognising the pivotal role it plays for development and the existing inequalities in access to education, achieving universal primary education is an important target of the Millennium Development Goals. Progress in the educational attainment of girls and women has several positive impacts on children as well as on economic status of a family. In India, although universalisation of education has been quite high on the development agenda, gender gaps in education still remain significant. In terms of literacy and education, India still has the largest number of illiterate people and illiterate women. The progress of improvement in literacy has been very slow, as is evident from the chart below. Chart 28: Literacy rates and Gender gap in Literacy in India, 1971-2011 90 30 80 25 70 20 60 50 15 30 10 20 5 10 0 0 1961 1971 Male 1981 Female 1991 2001 2011 Gender Gape Source: Census 2011 The Gross Enrolment Ratio (GER) is the ratio between children of a specific age group in corresponding educational institutions as a ratio of total child population of that age. It must be noted that GER can be above 100% because of for girls. However, many states, especially those in the North East show very high figures above 100% which probably reflects age related problems there. Chart 29a: Gross Enrolment Ratios at Primary School stages- (I-V), Age 6-10 years Chart 29b: Gross Enrolment Ratios at Middle School stages- (VI-VIII), Age 11-13 years 140 90 120 115.3 113.9 97.1 100 104.1 100.8 112.6 81.5 115.6 80 115.4 95.7 85.5 80 79.4 76.6 70 67.8 67.2 60 85.2 50 60 40 40 30 66.9 74.4 84.5 78.3 57.7 47 49.8 49.7 20 20 10 0 1990-91 1995-96 1999-2000 2003-04 Boys Girls 2007-08 0 2009-10 1990-91 1995-96 1999-2000 Boys 2003-04 2007-08 Evidences on Inequalities in India grade repetition or children of above or under age categories being admitted in the grades for which GER is being calculated. School enrolment ratios show a significant increase across India over the period 1995-96 to 2009-10, including 2009-10 Girls Source: Planning Commission Dataset, April 2012 Historically, among the states, the Western and the Southern parts have the best record of around 100% GER over the time period, while the Northern and Eastern States show signs of improvement from comparatively lower levels (see table in Appendix). Chart 30: Gross Enrolment Ratio in some states 160 140 120 100 80 60 2004 40 2009 20 0 Source: Selected Educational Statistics, MHRD, 2004-05 & 2009-10, NOTE: State-wise data is available only from 2004 given by MHRD However, even with these data there is need for caution in interpretation. While the “usual status” category (which shows the response to the question “what do you usually do over the course of a year?”) indicates substantial increase in education for these age groups, the daily status and weekly status categories show much lower participation in education, esp. among girls. This suggests that even when children, especially girls, are formally registered in schools and therefore feel that is their usual activity, they may not be attending regularly for a variety of reasons. (Chandrasekhar & Ghosh, Women in India: A Status Report) If we look at the Gender Parity Index (GPI) that measures the progress of gender equity in terms of education, it is observed that the GPI for India has increased over time. The figure increased from 0.82 and 0.80 for primary and elementary levels respectively in 1995-96 to 0.95 and 0.93 (provisional data) in 2004-05 and finally to 1.0 and 0.97 in 2009-10. The states like Assam, Gujarat Haryana, Meghalaya, Tamil Nadu, Uttar Pradesh, Uttarakhand, West Bengal, Delhi, Daman and Diu are high on GPI index (usually more than 1) for primary level of education which indicates that gender disparities are less in these states and boys and girls get more or less equal opportunities for learning. Incidentally, the GPIs for the SCs and STs have also increased over time. The GPI for the SC category stood at 1.01 and 0.99 for the 37 REDUCING INEQUALITY primary and elementary level respectively and for ST category the figures are 0.98 and 0.96 respectively in 2009-10. GPI for the SC category is high in the states like Andhra Pradesh, Goa, Gujarat, Haryana, Meghalaya, Daman and Diu and Uttar Pradesh (Statistics of School Education, 2009-2010). One of the biggest challenges, especially for India, is the problem of school dropouts. Although the dropout rate over the period has come down, the rates are still quite high for the elementary (class I-VIII) and secondary (class I-X) levels. Chart 31: Dropout Rates 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 1992-93 Class I-V 2004-05* 2009-10 Class I-VIII Class I-X Poor educational facilities coupled with economic distress often force children to dropout of schools, mostly to look for employment. The problem is more acute in the rural regions where large number of children drop out because of lack of access and basic infrastructure of schools, for instance, inadequate number of teachers, school is far away, unfriendly atmosphere in school, non availability of lady teachers and non availability of ladies’ toilets. (Source: Sikdar & Mukherjee). At the elementary level, the 2009-10 school education data shows a higher rate of dropout for girls (65.2 per cent) than that of boys (58.2 per cent). This indicates that more girls discontinue their education between standard I and VIII. Household atmosphere (parents not interested, education not considered necessary) and domestic duties (looking after younger siblings and to attend to other domestic chores) have been major hindrances towards access to educational facilities for the girl children especially in the rural region. Sources: Selected Educational Statistics, 2004-05, MHRD, GOI and Statistics of School Education, 2009-2010. Note: 2004-05 data is Provisional as only provisional data is available in the Selected Educational Statistics, 2004-05 Chart 32a: Dropout Rates for the primary level (I-V) 50.0 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 43.8 46.7 45.0 Chart 32b: Dropout Rates for the elementary level (I-VIII) 70.0 60.0 65.2 58.2 61.1 50.5 51.3 50.8 50.0 31.8 25.4 29.0 30.3 27.3 28.9 40.6 40.0 30.0 20.0 10.0 0.0 1992-93 1992-93 2004-05 Boys Girls 2004-05 2009-10 2009-10 Boys Girls Total Sources: Selected Educational Statistics, 2004-05, MHRD, GOI and Statistics of School Education, 2009-2010. Note: 2004-05 data is Provisional as only provisional data is available in the Selected Educational Statistics, 2004-05 38 44.4 42.4 Total dropout rates for boys as well as girls, the latter being marginally higher in some states. The rates vary from 30-65 per cent which is quite high compared to other parts of the country. Moreover, the dropout rates are found to be much higher for the disadvantaged classes (SC and ST categories) as has been depicted by Table 3. Table 3: Dropout Rates by social Category between 1990-91 and 2009-10 Class I-V All Boys Girls Total Boys Girls Total Boys Girls Total 1990-91 40.1 46.0 42.6 46.3 54.0 49.4 60.3 66.1 62.5 2004-05* 31.8 25.4 29.0 32.7 36.1 34.2 42.6 42.0 42.3 2009-10 30.3 27.3 28.9 32.7 25.3 29.3 35.2 33.7 34.5 Class I-VIII All Boys Girls Total Boys Girls Total Boys Girls Total 1990-91 59.1 65.1 60.9 64.3 73.2 67.8 75.7 82.2 78.6 2004-05* 50.5 51.3 50.8 55.2 60.0 57.3 65.0 67.1 65.9 2009-10 40.6 44.4 42.4 50.6 52.0 51.3 55.2 60.6 57.8 Class I-X All Boys Girls Total Boys Girls Total Boys Girls Total 1990-91 67.5 76.9 71.3 74.3 83.4 77.7 83.3 87.7 85.0 2004-05* 60.4 63.9 61.9 69.1 74.2 71.3 77.8 80.7 79.0 2009-10 53.4 52.0 52.8 58.5 59.7 59.0 74.71 75.85 75.21 SC ST SC Evidences on Inequalities in India Among the states of India, the dropout rates for girls at the primary level are found to be very high in the states like Bihar (40.9), Rajasthan (52.1) and Uttar Pradesh (41.7) in 2009-10, while there are some other that show negative dropout rates for girls like Punjab (-10.67), Goa (-4.29), Kerala (-11.02) and Chandigarh (-18.06). The North Eastern States show higher ST SC ST Sources: Selected Educational Statistics, 2004-05, MHRD, GOI and Statistics of School Education, 2009-2010. *Note: 2004-05 data is Provisional as only provisional data is available in the Selected Educational Statistics, 2004-05 Thus despite improvements, the dropout rates in most states are around 40-60%, which are very high, as almost half of registered students do not complete their basic education in this country. While increasing enrolment figures are a welcome sign, unless the dropout rates can be significantly reduced, the benefits of increasing initial enrolment will be lost. Gender, community and caste based differentiations put certain sections of society at greater risk. ASER 2011 has observed two clear trends regarding the trends in enrolment and changes in learning levels in case of India. One is that private school enrolment in most states is 39 REDUCING INEQUALITY Annual Status of Education Report 2011 (ASER) increasing although the Right to Education Act for free and compulsory education is in place. Over 25% of rural India’s children go to private schools and it is expected that the numbers will increase in coming years as education and wealth increase. In states of Uttarakhand, Rajasthan, Uttar Pradesh, Maharashtra, Andhra Pradesh, Kerala, Manipur and Meghalaya there has been an increase of over 10 percentage points in private school enrolment in the last 5 years. In 2011, private school enrolment is over 35% in rural areas of Jammu &Kashmir, Punjab, Haryana, Rajasthan, Uttar Pradesh, Andhra Pradesh, Kerala, Nagaland, Manipur and Meghalaya. The second observation made by ASER is that India’s level of learning has been declining at an alarming rate. Trends over the last five-six years indicate that learning levels have been gradually dropping in most large Northern and Eastern states while they are steady or improving slowly in the Southern and Western states. The All Inequalities in Access to Some Basic Household Facilities Rural-urban inequalities are also observed within the country with regard to access to safe drinking water and improved sanitation facilities, which are considered to be backbone of an effective public health system. India figure for the proportion of children in Standard 5 able to read a Standard 2 level text has dropped from 53.7% in 2010 to 48.2% in 2011. ASER data shows that since 2010 there has been a significant drop in estimated reading levels in the states of Uttarakhand, Rajasthan, Madhya Pradesh, Chhattisgarh, Bihar, Jharkhand, Maharashtra, Assam and Meghalaya for children in Standard 5 who can read Standard 2 level text. For Gujarat, Punjab and Tamil Nadu, however, there have been some improvements since 2010. Several states in the north-eastern region of India also show positive change; while for Karnataka and Andhra Pradesh the numbers remain unchanged from last year. Also basic arithmetic levels, as observed by the Report, show a decline which is worrying and needs immediate attention. (Source: Annual Status of Education Report (Rural) 2011) More than half (65 per cent) of urban India gets water within their homes, while only 35 per cent of the rural population gets drinking water in their homes. On the other hand, 21 per cent of urban population and 43 per cent of rural population have to collect drinking water from near the premises. Chart 33: Availability of Drinking Water by Place of Residence 80 70 60 50 40 30 20 10 0 71.2 65.4 35 28.7 51.8 42.9 22.1 19.5 Within the Near the premises premises Rural 40 Away 25.2 2001 20.7 9.4 8.1 Within the Near the premises premises Urban 2011 Away Source: Census of India 2011 are hand pumps (52 per cent), although there has been an increase in the use of tap water since 2001. Chart 34: Source of Drinking Water by Place of Residence 80 68.770.6 70 60 48.9 50 40 30 51.9 30.8 24.3 22.2 20 21.4 20.8 2001 13.3 10 2011 7.7 6.2 4.5 4 2.3 2.5 0 Rural Evidences on Inequalities in India Tap water, as a source of drinking water, is more common in urban areas and high income households while in villages, the most common Urban Source: Census of India 2011, Note: Other sources includes river, canals, springs, tank/pond/lake It is also observed that states with high income have piped water as the source for more households. For instance, 86 per cent of households in Punjab have water within their premises as compared with only 16 per cent in Manipur. Members of the households without piped water need to fetch water from sources that are often away from their premises or involve waiting in long queues. Most of this burden of fetching drinking water for the households falls on women members. In most of the houses it is the responsibility of women to collect water, and they may have to travel several miles for the task. Almost 83 per cent of rural women are engaged in this job as against 11 per cent of males. Often the female members are helped by children of the household and girls under age 15 are four times as likely as male children of the same age to fetch drinking water. Chart 35: Persons collecting drinking water by gender/age, 2005-06 120 100 1.2 80 0.6 3.3 20.3 1.1 0.4 4.7 10.7 1.1 0.4 4.4 12.6 60 40 74.2 82.7 81 20 0 Urban Adult Female 15+ Adult Male 15+ Rural Female child under age 15 Total Male child under age 15 Other Source: NFHS- 3. Note: 0.4 per cent of households do not know the answer or data missing across all categories 41 REDUCING INEQUALITY Sometimes multiple trips have to be made to collect water in order to meet a household’s minimum daily drinking water needs. The process involves quite a lot of time. Twelve per cent of Indian households spend an average time of 30 minutes or longer fetching water, which is a substantial loss of time from the household’s quality of life and productivity. Most urban households have drinking water on their premises while in the rural areas, for one in seven households, each round trip to collect water takes at least half an hour (NFHS-3). Chart 36: Average Time Spent in Collecting Water, 2005-06 100% 80% 6.9 11.9 14.4 22.4 36.5 43.3 60% 40% 70.2 20% 42.1 51.3 Rural Total 0% Urban Water on premises Less than 30 minutes 30 minutes or longer Note: 0.2 per cent of households do not know the answer or data missing across all categories, Source: NFHS- 3 The proportion of the world’s population using improved sanitation facilities has increased from 54 per cent in 1990 to 61 per cent in 2008, but there is a vast disparity in the use of improved sanitation between urban areas (68 per cent) and rural areas (40 per cent) in the developing countries. The incidence of open defecation, the riskiest sanitation practice, declined from 25 per cent in 1990 to 17 per cent in 2008 but that still leaves 1.1 billion people practising open defecation. (Source: Progress for Children, UNICEF 2010). In India, only 166 million people have gained access to improved sanitation since 1995 and very little progress has been made in the poorest households. Equity remains elusive in this sector and progress for the poorest remains lagging. (Source: Progress for Children, UNICEF 2010) 42 Chart 37: Trends in the use of sanitation facilities in India, by household wealth quintile 100% 20 80% 64 83 95 60% 56 6 0 2 4 94 94 5 83 94 99 0 75 40% 4 20% 2 0 3 1 0% 1995 2008 Poorest 20% 4 0 0 13 6 1995 2008 Second 20% 32 17 1995 2008 Middle 20% 44 1995 2008 Fourth 20% Source: UNICEF Progress for Children 2010, Achieving The MDGs with Equity (Number 9, September 2010) http://www. unicef.org/publications/files/Progress_for_Children-No.9_ EN_081710.pdf 1995 2008 Richest 20% and 2011 show that 69 per cent of households in rural areas are without any sanitation facilities compared to the 19 per cent in urban areas. Chart 38: Percentage of Households in India without any Sanitation 90 80 78.1 69.3 70 6 63.6 60 53.1 50 40 30 26.3 18.6 20 Evidences on Inequalities in India Stark inequalities are observed between rural and urban areas regarding use of different kinds of toilets as well. The Census figures for 2001 10 0 2001 2011 Rural Urban n Total Source: Census 2011 In a number of Indian states, a large percentage of the population still practise open defecation. More than 70 per cent of population is without any sanitation in the states of Orissa (78 per cent), Jharkhand (78 per cent), Bihar (77 per cent), Chhattisgarh (75 per cent) and Madhya Pradesh (71 per cent). All three are among India’s poorest states with sizeable population. On the other hand, in states like Kerala and Mizoram the figures stand at 5 per cent and 8 per cent respectively in 2011 that have come down from 16 per cent and 11 per cent respectively in 2001. In many states households still have human excreta removed by manual scavengers. The more developed states in terms of improved sanitation facilities are the states of Sikkim where 75 per cent of households are using Water Closet (flush/pour flush latrine connected to piped sewer system or septic tank) followed by Goa (74 per cent), Gujarat (53 per cent), the North-eastern states of Mizoram (61 per cent), Nagaland (48 per cent) and Manipur (47 per cent) (See table in appendix). The inequalities in access to basic facilities like drinking water or sanitation play a big role in the standards of health and hygiene of the children and can create other burdens on them. For example, access to drinking water has a direct connection with the extent of household chores and unpaid work that children often have to engage in. The issue of sanitation is directly linked to numerous epidemics and other forms of illnesses to which children are more vulnerable than others. These measures also reflect deprivation in basic standards of living and the basic rights of children in India. 43 REDUCING INEQUALITY 44 III Understanding the Determinants of Inequalities The inequalities evidenced in India are direct results of long-term features of socioeconomic development as well as some more recent processes. While there were many deep-rooted forms of economic and social inequalities in India well before the process of economic liberalisation, the latter has certainly exacerbated the problem. social policies affect livelihoods as well as the social and political situations of individuals and households. They thus directly affect the horizontal and vertical inequalities facing children, who initially depend on their parents and other adults in the household, economically, socially, and in terms of their dignity and status in the community. Apart from shifting to a paradigm of private sector-led economic growth strategy through domestic deregulation, the launch of the economic liberalisation policies in 1991 also altered the terms of India’s integration with the world economy significantly through trade and financial liberalisation policies. Since then, the government’s economic policymaking has been preoccupied with raising the growth rate of the economy, with an underlying assumption that higher growth will translate into higher incomes for the population. But the distributional outcomes associated with any economic growth trajectory (and the associated inequalities) are determined by the volume of employment generated, as well as by the pattern and nature of employment. These, in turn, are determined by the nature of the growth process and the underlying development strategy and associated policies. Only appropriate sets of macroeconomic policies can promote equitable growth that includes the creation of productive, remunerative and satisfying employment for individuals, which affect children’s development prospects. Further, government services have to help make up for the inadequacy of citizens’ primary incomes. By affecting employment, incomes, prices and the provision of services and essential goods like food, economic and Therefore, apart from the growth rate of the economy, the pattern and composition of economic growth are key determinants of child survival and development and so it is crucial to look at policies designed to shape that growth. Fiscal policies have a direct impact on jobs because of the impact of government expenditure as well as the indirect effects of public investment. The state’s ability to tax to finance its development expenditures, constraints on government borrowing and its impact on public expenditures, links between government’s fiscal stance and the possibilities for counter-cyclical macroeconomic policies and measures1, all of these affect the developmental activities of the government with implications for employment generation and inequalities. The level and structure of allocation of government’s social expenditures and the design of the general as well as women- and child-specific policy measures are also linked to the development framework and macroeconomic stance. Similarly, 1 During a recession, an expansionary macroeconomic policy tries to increase output by relying on either an expansionary fiscal stance (through a bigger government deficit) or looser monetary policy (by lowering the interest rate and easing bank credit). By contrast, during an economic boom, a contractionary or deflationary macro-economic policy relies on a tighter fiscal stance (by reducing government deficits through increased taxation and reduced expenditures) or tighter monetary policy (by increasing interest rate and tightening bank credit). The following sections try to explain the inequalities described in the previous sections by analysing the various policy level determinants. The study covers both general macroeconomic developments in post-liberalisation India, and also tracks the changes brought about in social policies during the same period. While at a level both these factors are entwined, a separation in analysis is necessary to understand causalities between the various factors and how they end up affecting inequalities. We will first examine the nature of employment response to economic growth and the trends in national income shares of employees in relation to the structural changes in the economy, as well as the various macro policies that have had implications for the observed inequality outcomes. Trends in Employment and Wage Shares of Income India’s post-liberalisation economic performance has not been one of steady or continuous growth. Although post-liberalisation there was an initial increase in aggregate GDP growth from the levels attained in the 1980s,2 there was a 2 It is now widely acknowledged that the Indian economy breached the post-independence trend growth rate of about 3 per cent per year in the sixties and seventies to annual rates of 5.4 per cent in the 1980s, well before the 1991 economic reforms were implemented. six-year period of slightly subdued growth in the second half of the 1990s. It was only from 2003-04 onwards that the economy shifted to an 8-9 per cent growth trajectory. Meanwhile, the evidence presented in this section suggests that whatever moderate increase in employment was generated during the years of high growth, it was not manifested either in the productive sectors or in forms that have been termed by the ILO as ‘decent work’ of one kind or another. As Table 4 below on the distribution of all workers by status of employment shows, although there was a declining trend in selfemployment in the rural sector from 1993 onwards (except for the period 1999-2000 to 2004-05), the decrease during 2004-2010 was sharper. Further, it is very important to note that more than half of the rural population (54%) is still dependent on self-employment. Evidently, this is linked to the fact that even though its proportionate contribution to the nation’s GDP has been reducing over time3, agriculture is the mainstay of the rural economy. This is in addition to the well known fact that this sector is also characterised by underemployment, especially disguised unemployment. But given that the performance of the sector continues to be rainfall-dependent, employment opportunities in this sector are erratic. This is also reflected in the trends in the share of casual employment among rural workers, which has shown a steady rise (except for the period between 1999 and 2005) and increased sharply during 2004-10. Casual workers accounted for as much as 39 per cent of total rural employment in 2009-10. Regular employment in the rural sector has hovered around an abysmal 7 per cent of total rural workers. 3 Understanding the Determinants of Inequalities monetary policies focussed on inflation targeting also leads to a deflationary fiscal stance and thus impacts upon government’s productive investments and social sector spending in a number of ways. Trade liberalisation and financial liberalisation also impact upon government’s fiscal and monetary policy choices and therefore children’s survival and development opportunities in important ways. Thus, examining the growth and employment implications of macro policies that accompany economic liberalisation becomes imperative. In 2010-11, its contribution to GDP stood at 14.5 per cent. 45 REDUCING INEQUALITY Table 4: Percentage Distribution of All Workers by Status of Employment, 1993-2010 199394 19992000 200405 200910 Self-Employed 58.0 55.8 60.2 54.2 Regular 6.5 6.8 7.1 7.3 Casual 35.6 37.4 32.8 38.6 Self-Employed 42.3 42.2 45.4 41.1 Regular 39.4 40.0 39.5 41.4 Casual 18.3 17.7 15.0 17.5 Years Rural Urban Source: DGET (2011), Based on various NSSO Rounds When it comes to the urban sector too, the share of the self-employed category shows a slight declining trend (except during 1999-2005), which became sharper between 2004 and 2010. On the other hand, the share of regular workers, after stagnating at around 40 per cent of total urban employment since 1993, showed a two percentage increase during the period 2004-05 and 2009-10. In 2009-10, the self-employed and regular employed workers accounted for equal (41 per cent) shares in total urban employment. However, the share of casualisation, which was showing a declining trend between 1993 and 2005, increased by nearly 3 percentage points to 18 per cent of urban employment in 2009-10. While there was a significant pick-up in the rates of growth of employment between the 55th and 61st NSSO Rounds relating to 19992000 and 2004-05 (NSSO, 2001 and 2006),4 the subsequent years of high growth witnessed a dramatic deceleration in the rate of employment generation. As seen in Chart below, total employment growth (on the basis of usual principal status activity) decelerated from an annual rate of around 2.7 per cent in the fiveyear period between 1999-2000 and 2004-05 to 4 46 Ironically, this period includes the phase of moderate growth rates mentioned earlier. only 0.8 per cent in the period between 200405 and 2009-10 (Chandrasekhar and Ghosh, 2011a). Net employment growth during the period 2004-05 to 2009-10 on usual principal and subsidiary status (UPSS) taken together was even lower at just 0.28 per cent per annum (DGET, 2011). This slowdown in employment generation during the rapid growth period is evident across both rural and urban areas. This decline in the generation of employment opportunities at least partly explains the rising inequalities evidenced in India despite high economic growth. Further, given that the rate of employment growth was already lower in rural India, the nearly stagnant rural sector employment generation (0.42 per cent) would have contributed to severe economic and social stress in the rural households and explains the growing rural-urban (income and consumption) inequalities. Chart 39: Rates of Growth of Employment (Usual Principal Status Activity, 15+ group, annual compound rates %) 5.00 4.00 4.00 3.00 3.14 2.66 2.49 2.00 1.00 2.21 1.92 1.70 0.83 1999-2000 to 2004-05 2004-05 to 2009-10 0.42 0.00 -1.00 -2.00 Total Male Rural Female Urban -1.72 -3.00 Source: Chandrasekhar and Ghosh (2011a) The abysmal growth in employment during the period 2004-05 to 2009-10 was mainly on account of the fall in female employment. Growth rate in female employment, which was 3.14% between 1999-2000 and 2004-05 actually turned negative (-1.72%) for the latter period. The biggest element of the decline in female employment related to women’s selfemployment5 (Chandrasekhar and Ghosh, 2011a). However, self-employment has also fallen for rural male workers. Further, self-employment 5 Self-employment among rural females showed a decline of more than 20 per cent compared to 2004-05. It is important to note that even as regular employment in rural India has been largely stagnant during the period between 2004-05 and 2009-10, the increase in employment has been in casual work for both rural male and female workers, though it was especially marked for men. As of 2009-10, 40% of rural women workers were employed as casual workers (compared to 39.6% in 2004-05), while the same share for urban female workers was around 20% (compared to 16.7% in 2004-05). On the other hand, the increase in regular employment has been marginal for both categories. But notably, in 2004-05, when the urban female regular employment figures were higher at 35.6%, the largest increase had come in the form of domestic help, which is not the most desirable form of employment (Chandrasekhar and Ghosh, 2011a). Again, for both males and females, casual employment has increased to a greater extent. Thus while there is a decline in self employment in the period between 2004 and 2010, even when seen against the back drop of longer term trends, more than half of all India’s workers continue to remain self-employed. Simultaneously, there has been a significant rise in casualisation of the workforce (in both rural and urban sectors) and only some improvement in regular employment. Both casual and selfemployed are unsupported by any form of social security. Evidently, the rapid economic growth trajectory followed by India has not generated a commensurate rise in decent work opportunities for the population. While females have had to face the worst brunt, even male employment shows quite a sharp deceleration during the high growth period between 2004-05 and 2009-10. In general, income generating opportunities have been getting severely limited for both rural and urban households, whether headed by males or females. This would have extremely adverse distributional and social welfare implications with attendant negative impacts on children’s survival and development. On the other hand, while open unemployment is not very significant, the fact of having employed parents does not seem to have been guarantee against inequalising economic and social development outcomes for children even in households with any kind of employment, because of the inequities in the labour market. Trends in Wage Shares of Income The apparent disconnect between output growth and employment generation can be related to the changes in production structure across sectors and within sectors in the economy (Ghosh, 2011). These structural changes get reflected in the changes in factor shares (or incomes accruing to different factors of production). Factor shares are arrived at by looking at the share of national income received by employers, workers, those receiving “mixed incomes” (usually because of self-employment), and those receiving incomes from financial investments (including interest, rent, etc).6 Understanding the Determinants of Inequalities has decreased for both men and women in urban India too. The implications of aggregate income growth for the conditions of workers, self-employed and casual persons can be estimated at one level from the break-up of national income between the organised and the unorganised (or informal) sectors. Even as unorganised sector employment accounts for the overwhelmingly dominant share (> 94 per cent) of all workers, its share of national income (or NDP) has been falling sharply even through the recent period of rapid economic growth (see Chart 40). 6 Thus factor shares give us another way of looking at income distribution in an economy. See Ghosh and Chandrasekhar (2012). 47 REDUCING INEQUALITY Chart 40: Share of Unorganised sector in National Income, 1980-2010 70.0 650.0 68.0 550.0 66.0 450.0 64.0 62.0 350.0 60.0 250.0 58.0 150.0 56.0 50.0 Index of real NNP (left axis) 2009-10 2008-09 2007-08 2005-06 2006-07 2003-04 2004-05 2002-03 2001-02 2000-01 1999-00 1998-99 1997-98 1996-97 1995-96 1994-95 1993-94 1992-93 1991-92 1990-91 1989-90 1988-89 1987-88 1986-87 1985-86 1984-85 1983-84 1982-83 1981-82 1980-81 54.0 Share of unorganised to total NDP (%) Source: Chandrasekhar and Ghosh (2012). The organised sector consists of the public sector as well as the registered private sector with more than 10 employees. It is important to note that subsequent to the adoption of liberalisation and privatisation policies (and the divestment of shares in public sector undertakings), public sector’s share in aggregate output (NDP) and in total organised sector output declined between 1990-91 and 2007-08 – from a fourth to a fifth, and from 64 per cent to 45 per cent, respectively (Majumdar 2012b). On the other hand, the private corporate sector’s share in aggregate output, which had steadily stayed below 15 per cent till 1991, increased to nearly a quarter by 2007-08. Data from the Directorate General of Employment and Training (DGET) shows that there has been a persistent decline in public organised manufacturing sector employment too.7 As a result, the overall increase in total organised manufacturing employment has been marginal, even though there has been some recovery in employment in the private organised manufacturing sector between 2004 and 2007 (Chandrasekhar, 2011c). 7 48 The figures available from the Annual Survey of Industries (ASI) suggest that there has been no absolute decline in employment between the mid-1990s and the mid-2000s. See Chandrasekhar, 2011c for a detailed discussion. But while the private corporate sector has grown faster than the rest of the economy and played the leading role in driving Indian growth, there have been significant inter-sectoral changes (which also have impacted the nature of India’s employment growth). Since the mid1990s, services and construction have shown a marked tendency to leave behind the agriculture and industrial sectors (Majumdar, 2012b). As the Table shows, nearly the entire increase in the private corporate sector’s share in aggregate output has been on account of the expansion in services and construction. Table 5: Role of Industry and Services in the Growth of GDP, at 2004-05 prices Growth Rate (per cent per annum) Contribution to Increase in GDP, 1990-91 to 2010-11 (percentage shares) 199091 to 199697 199798 to 200203 200304 to 200708 200809 to 201011 Industry excluding Construction 7.38 4.37 8.96 6.83 19.71 Services and Construction 6.47 7.82 9.95 9.58 71.61 Sector Source: Majumdar (2012a) These structural changes are also reflected in sectoral distribution of workers since 1993. Primary Secondary Construction Chart 42: Trends in Organised and Unorganised Sector NDP per Employee, 1983-2010 (At constant 2004-05 prices) Tertiary 70 60 7,00,000 % of workers 50 Unorganised sector NDP per Employee (Rs) 40 5,90,766 6,00,000 Organised sector NDP per Employee (Rs) 30 5,00,000 20 4,20,505 10 4,00,000 0 1993-94 1999-2000 2004-05 2009-10 Note: Share of employment is estimated based on UPSS workers from various NSSO Rounds. Source: DGET, 2011. 2,83,851 3,00,000 1,81,488 2,00,000 1,11,826 1,00,000 20,617 At the same time, the chart below shows that in the post-liberalisation period, the trends in per-employee NDP of the organised and unorganised sectors have diverged dramatically, which accelerates sharply from 1999-2000 onwards. Organised sector NDP per employee, which was already 6 times the unorganised sector NDP per employee in 1988, increased to nearly 11 times by 2004-05. Despite a rise in unorganised sector NDP per employee subsequently, it was still lower than the organised sector NDP per employee by about 11 times in 2009-10. 23,649 27,718 36,507 39,202 56,042 0 1983 In 2009-10, the contribution of agriculture to total employment declined by about 5 per cent as compared to that in 2004-05 and the share of the manufacturing sector also registered a slight decline; it was tertiary sector and construction that showed an increase. The major increase in the sectoral share of employment in 2009-10 was registered in construction, followed by financing and real estate. The categories of hotels, restaurants and trade, as well as public administration and community services registered a marginal increase in their share in 2009-10, as did transport, storage and communication. 1,38,812 1988 1994 1999 - 2000 2004 -05 2009-10 Note: Per-employee organised and unorganised sector NDP values have been obtained by dividing the respective sectoral NDP at factor costs (at constant 2004-05 prices) by the number of workers in that sector. (Source: RBI Handbook, CSO and DGET). While the per-employee NDP values have increased for both the organised and unorganised sectors, the performance of the share of NDP components captures the distributional inequalities within the organised sector itself. Data calculated from the CSO’s statistics on factor incomes (current price variables) shows that in terms of overall NDP, there has been a slight and slightly uneven decline in the share of compensation of employees. Understanding the Determinants of Inequalities Chart 41: Percentage Share of Employment in Different Sectors across Different Years* Even as the organised sector’s share in total NDP steadily went up from about 35 per cent in the 1980s to 42 per cent during the period between 2002-03 and 2009-10 (see chart below), the share of compensation of employees in total NDP declined from an average of 39 per cent in the period 1991-92 to 2001-02 to about 34 per cent during the period between 200203 and 2009-10 (Chandrasekhar and Ghosh, 2012). As the chart below shows, the decline of compensation of employees within organised sector NDP was much sharper, with the share falling from 71 per cent in 1990-91 to about 51 per cent in 2009-10. On the other hand, the share of surplus/profits increased from 29 per cent in the 1980s to nearly 49 per cent by 200910. 49 REDUCING INEQUALITY Chart 43: Factor Shares in Net Domestic Product (NDP), 1980-2010 1991--92 to 2001-02 1980-81 to 1990-91 20 02-03 to 2009-10 48.8 50.0 42. 1 45.0 34.6 40.0 39..4 38.0 39.4 37.9 34.3 29.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 Organised sector to total ND DP Compensati on o of employees to o to otal NDP Share of surpl us to organised NDP Source: Based on Chandrasekhar and Ghosh (2012) shows a marginal rising trend from around 2001 onwards, in 2007-08, this share was still lower than that in 1990-91 (Majumdar, 2012). There is also evidence that even though the share of compensation of employees in the private organised sector in aggregate NDP Chart 44: Share of Private Organised NDP and its Components in Aggregate NDP (1999-00 base year series) 25.00 23.44 20.00 18.56 16.62 16.22 15.00 14.07 11.96 10.40 10.00 7.72 5.82 6.82 6.61 5.00 0.00 Pvt Org Compensation of Employees Pvt Org Operating Surplus Pvt Org NDP Source: Majumdar (2012a) Given that compensation of employees includes wages as well as salaries, its share depends on both the levels of these two as well as labour productivity. It would be true that some 50 categories of private corporate sector white collar employees in both manufacturing and services sectors have certainly experienced exceptional gains in salaries during the period interest and wages rose only marginally over a long period, the increase in emoluments, which include managerial salaries, was substantial (Chandrasekhar and Ghosh, 2012). Chart 45: Components of Net Value Added, 1981-2010 35000000 30000000 25000000 Emoluments Rent Interest Profits Wages to workers 20000000 15000000 10000000 0 1980-81 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 Rs. Lakh 5000000 Understanding the Determinants of Inequalities of liberalisation (Chandrasekhar 2011; and Majumdar 2012a and 2012b). This is reflected in the trends in Chart below, which depicts trends in the different components of net value added. As observed, even as the nominal value of rent, Source: Chandrasekhar and Ghosh (2012), ‘Of Profits and Growth’ But this is not true of wages. The average real wage paid per worker employed in the organized sector, calculated by adjusting for inflation as measured by the Consumer Price Index for Industrial Workers [CPI(IW) with 1982 as base], rose from Rs. 8467 a year in 1981-82 to Rs. 10777 in 1989-90 and then fluctuated around that level till 200910 (Chandrasekhar and Ghosh, 2012). The stagnation in real wages after liberalisation meant that the share of the wage bill in net value added, which stood at more than 30 per cent through the 1980s, declined drastically to 11.6 per cent by 2009-10. This is despite the fact that labour productivity, as measured by net output per worker adjusted for inflation, registered a close to five-fold increase over the 30-year period beginning 1981-82.8 This is related to the fact that since the early 1990s, when liberalisation permitted much freer import of technology and equipment from abroad and opened the doors to broader range of foreign investment flows than earlier, organised manufacturing has been able to expand and modernise using imported technologies. This has been abetted by a continuous liberalisation of the regulations relating to foreign direct investment (FDI) inflows and terms of operation of foreign direct investment companies since the 1991 Industrial Policy Act, which accelerated from around the mid-2000s (Francis, 2011). At the same time, there has also been a reduction or dismantling 8 Net value added (or the excess of output values over input costs and depreciation) per employed worker measured in constant 2004-05 prices, rose from a little over Rs. 1 lakh to more than Rs. 5 lakh (Chandrasekhar, 2011). Meanwhile, the organised manufacturing sector has witnessed a sharp rise in the capital-output ratio, reversing the trend observed in the 1980s (Majumdar, 2012b). 51 REDUCING INEQUALITY deficit vis-a-vis all its major regional partners shows a drastic deterioration in the period of high growth. This reflects the growing import dependence of manufacturing sector growth and clearly points to the interplay between continuing market failures and the trade and investment liberalisation that has been carried out in the last two decades in the absence of coordinated industrial and trade policy support (Francis and Kallummal, 2011). Chart 46: Region-wise Trends in India’s Trade Balance, 2001-2012 (US$ Millions) 4000 2000 0 -2000 Mar-Apr 2011 Mar-Apr 2010 Mar-Apr 2009 Mar-Apr 2008 Mar-Apr 2007 52 Indigenisation or ‘local content’ policies are used to mandate the local sourcing of a specific proportion of inputs used in manufacturing, in order to help establish effective forward and backward linkages in the economy. In coordination with import controls, the former allow domestically grounded industrial development which is more employment generating and sustainable from both supply and demand sides. Mar-Apr 2006 9 Mar-Apr 2005 Thus the post-liberalisation period has been marked by a clear and decisive trend of worsening of India’s trade deficit, where as an adverse movement in the current account situation was kept in check by the large invisibles surplus on account of services exports and remittances. Indeed, India’s trade Mar-Apr 2004 -8000 But even as liberalisation of imports and other restrictions has led to greater productivity growth and while India’s export to GDP ratio has increased significantly, as argued by Chaudhuri (2010), the sharp increase in Indian imports and the slowdown in the export growth of advanced technology products since 2001 would point to a lack of dynamic industrial competitiveness and a failure to develop new industries. This is supported by the available evidence on India’s technological lag and absence of broad-based industrial growth (Alessandrini et al, 2009; Chandrasekhar and Ghosh, 2008 and 2011; Joseph and Reddy (2010); etc. among others). Mar-Apr 2003 -6000 Mar-Apr 2002 -4000 Mar-Apr 2001 of a plethora of industrial policy instruments in India, which had been used to help improve domestic manufacturing capabilities and create the conditions for the development of technologies in the post-independence decades. Apart from import protection and a regulated FDI policy, coordination of plans/strategies, public sector manufacturing, directed credit, etc., these included small-scale industrial policy, patent protection, strong indigenisation policies,9 controls on imports of final products as well as intermediates and components, etc. These were successful in a broad range of industries, and particularly in textiles and garments, pharmaceuticals, automobiles, iron and steel and other metal-based industries, light and heavy electrical machineries, etc. -10000 -12000 -14000 -16000 Europe Africa America CIS & Baltics Unspecified Region Total Trade balance Source: Department of Commerce This import-dependent and capital-intensive nature of industrial growth explains why the private organised sector’s rapid growth has not been accompanied by sufficient additional employment to compensate for the decline in public sector employment, as mentioned earlier. At the same time, there is a clear rise in the share of profits. The ratio of profits to net value added, which has been on a rising trend, soared after 2002-03, and reached a peak of 61.8 per cent in 2007-08 (Chandrasekhar and Ghosh, 2012). That is, in the period of rapid growth, while that growth has been focussed on the organised sector in aggregate income (NDP) terms (while not in employment), there has been stagnation in organised sector real wages per worker on the one hand and a dramatic increase in nonwage salaries and incomes (accruing to persons earning profits, rents and financial incomes) on the other. Asia & ASEAN It is known that the registered manufacturing sector is an important provider of decent employment. Thus the trend in real wage stagnation in organised manufacturing – even as organised sector NDP per employee (see Chart 42) was growing rapidly under liberalisation – can be considered indicative of what has happened to the incomes of a large category of households dependent on casual, irregular and informal work in agriculture and non-agriculture. According to the NSSO (2011), during 200910, members of about 47 per cent of rural households and nearly 35 per cent of the urban households had income from selfemployment. Another 40 per cent of all rural households were rural labour households. Among urban households, regular wage/salaried employment was the mainstay of only 40 per cent of households. Meanwhile, during the period 2004-05 and 2009-10, the proportion of households depending mainly on regular wage/salaried employment had decreased by 1 percentage point, while those depending mainly on casual employment had increased by 1 percentage point (NSSO, 2011; See also Table 4 on ‘Percentage Distribution of All Workers by Status of Employment, 1993-2010’). It is important to note that while the proportion of regular wage/salaried employees is lesser in informal sector than that in ‘all’ enterprises, the proportion of self-employed persons is more in the informal sector than that in ‘all’ enterprises.10 Indeed, in 2009-10, among selfemployed non-agricultural workers, about 92 per cent in the rural areas and 95 per cent in the urban areas worked in the informal sector. 10 The proportion of casual labour is almost the same in these two sectors. Among the non-agricultural workers who were casual labourers (engaged in works other than public works), again a substantial chunk was employed in the informal sector – 73 per cent in both rural and urban areas.11 It is evident that the exclusion of such a large majority of households depending on irregular and informal work (with significantly lower earnings and irregular source of incomes and insecure working conditions) from the growth process explains the observed disparities in income and consumption levels among different sections of the population. Such inequalities in labour market outcomes have had severe adverse effects on the survival and development prospects of children in such households. In the case of agriculture, which is related to the wellbeing of at least half of the population, there was a decade-long period of output slowdown beginning in the mid-1990s (Chand, Raju and Pandey, 2007). The combination of the agrarian crisis and greater use of mechanised techniques of cultivation has reduced the demand for labour per unit of output in this sector (Ghosh 2011). Employment growth has also been affected by the slowdown or reduction in government expenditure, which has strong direct and indirect employment generating effects. In particular, growth in the stock of public sector capital formation in agriculture declined from 3.94 per cent between 1980-81 and 1990-91 to 1.87 per cent between 199091 and 1996-97, and increased very marginally to 1.97 per cent during 1996-97 to 2004-05 (Chand, Raju and Pandey, 2007). Such a decline in capital expenditure has led to undercapitalisation of the rural sector at both the social and infrastructure level, implying a degradation of the rural conditions of life. Meanwhile, the liberalisation of trade meant that a downward trend in international prices of agricultural 11 Understanding the Determinants of Inequalities N This nature of organised manufacturing employment with declining share of wages in national income and increasing import dependence during the period of high GDP growth and high manufacturing sector growth has been a major factor behind the observed increase in vertical inequalities. However, among the regular wage/salaried non-agricultural workers, a much lower proportion was employed in the informal sector: 39 per cent in the rural areas and 40 per cent in the urban areas. Source: NSSO, 2012, Informal Sector and Conditions of Employment in India: NSS 66th Round Report no. 539. 53 REDUCING INEQUALITY commodities after 1997-98 was transmitted to domestic prices, thus contributing to the severe pressure on farm incomes. On the other hand, despite optimism regarding growth in service sector employment, the employment generation in this sector is also low and has not been commensurate with the high rates of income growth and also show inequities in earnings and job security (see earlier chart on sectoral shares of employment and the table on service sector’s contribution to GDP growth). Ramaswamy and Agrawal (2012) found that during the period of dynamic service sector growth in India (1999-2000 to 2009-10), there has been no evidence of any acceleration in the service-sector employment growth relative to manufacturing even in the urban areas of India. Further, sub-sectoral analyses of service sector employment have established the dualistic nature of service sector employment, with high income and better quality jobs limited to a small section of the workforce, while the vast majority remains trapped in low wage income and relatively insecure occupations (DGET, 2011; and Ramaswamy and Agrawal, 2012). In the servicesector, those with more skills have received higher increases in real wage. Thus, whatever increase in employment has occurred in the service sector has come with greater duality in services sector in terms of the incidence of informality and wage inequalities. All these various inequalities in employment and labour market outcomes have led to the observed inequalities in consumption levels between rural and urban areas, as well as across states. While the structural changes induced by liberalisation policies in combination with trade and financial liberalisation have set in motion a self-reinforcing dynamics of imbalanced and less employment-generating growth with significant 54 labour market inequalities, these have got worsened under deflationary macroeconomic policies that have been pursued by the government. Impact of Macroeconomic Policy Choices and their Interactions While fiscal policies – in terms of the pattern of mobilisation of public resources and the pattern of government expenditure – affect the economic and social conditions of all persons in a household, they have disproportionate impact on children because of latter’s dependence on their parents for fulfilling their socioeconomic needs. During a period of overall less employment generation and income squeeze, lower government spending leads households to cut back on their spending and prioritise among competing household needs, and weaken the capabilities of households to invest in children. Similarly monetary policy measures for inflation control like higher interest rates can lead to higher unemployment and thereby worsen poverty and inequalities. In post-liberalisation India, central government expenditure as a proportion of GDP has shown a clear declining trend as seen in the chart below. From 18 per cent of GDP in 199091, central government expenditure declined sharply to 14 per cent in 1996-97. Although there was a slight recovery during 2000-03, expenditure/GDP ratio registered a significant decline during the high growth period and touched a low of 13.6 per cent in 2006-07. The expenditure ratio shows a slight increase only following the fiscal stimulus implemented by the government in the aftermath of the 2008 global financial crisis, and it fell again to below 15 per cent of GDP in 2011-12. 20.0 18.0 Expenditure/GDP 18.0 Tax Revenue/GDP (Net) 16.5 16.6 16.0 15.7 15.9 15.6 15.0 14.2 13.6 14.0 14.3 14. 9 12.0 10.0 8.0 8.8 7.3 6.7 6.0 7.3 5.8 6.0 7.9 7.3 8.2 7.5 7.1 5.7 4.0 2.0 0.0 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 0 - 91 - 92 - 93 - 94 - 9 5 - 9 6 - 9 7 - 9 8 - 9 9 - 0 0 - 01 - 02 - 03 - 04 - 05 - 0 6 - 0 7 - 0 8 - 0 9 - 1 0 - 1 1 9 19 19 19 19 19 19 19 19 19 19 20 20 20 20 20 20 20 20 20 20 20 20 Source: Compiled from the Indian Public Finance Statistics, Ministry of Finance. On the other hand, the central government’s tax revenue mobilisation was suffering and net tax-GDP ratio declined through the nineties’ decade of liberalisation (from about 7.3 per cent in 1990-91 to about 6 per cent in 2001-02). Subsequently, it registered an increase during the period of rapid growth, reaching a peak of about 9 per cent in 2007-08. With the slowdown in domestic economic growth following the Global Recession starting in 2008, tax-GDP ratio has declined again and stood at an estimated 7.5 per cent in 2011-12. At the same time, the chart below reveals that states’ expenditure to GDP ratio has also shown a declining trend in the 1990s. After a touching a low in 1996-97, it recovered and reached a preliberalisation peak in 2004-05. However, it has also declined subsequently and stood at nearly the same level as during 1990-91. Meanwhile, the states’ tax-to-GDP ratio (wherein states’ tax revenue constitutes both their share in central taxes as well as states’ own taxes) has registered an increase since 2003-04 and has hovered around 9 per cent since 2006. Understanding the Determinants of Inequalities Chart 47: Central Government’s Tax and Expenditure Ratios, 1990-2012 (As percentage of GDP) Chart 48: State Governments’ Tax and Expenditure Ratios, 1990-2012 (As percentage of GDP) 20.0 18.0 16.0 14.0 12.0 10.0 8.0 18.1 15.5 16.0 16.2 15.2 15.1 15.7 16.1 15.7 8.3 9.0 8.4 14.0 7.6 7.9 7.8 6.0 4.0 2.0 7.8 9.4 53 0.0 States' Exp./GDP States' Tax Revenues/GDP Note: State governments’ tax revenue = State’s own taxes + States’ prescribed share in central taxes12.Source: Source: Compiled from the Indian Public Finance Statistics, Ministry of Finance. 12 States’ share in respect of various Central taxes was 29.5 percent for the period 2000-01 to 2004-05, while it was 30.5 per cent during 2005-06 to 2009-10. For the five years commencing from 2010-11 onwards, it is 32 per cent. 55 REDUCING INEQUALITY Thus since the initiation of liberalisation and economic reforms, while central government expenditure has fallen from 18 per cent of GDP in 1990-91 to about 15 per cent of GDP in 2011-12, state governments’ expenditure to GDP ratio appears to have stagnated in the range of 15-16 per cent of GDP, except for a brief duration in the early 2000s. In order to examine the extent to which these expenditure trends were related to any decline or change in the pattern of tax revenue mobilisation, we examine these below. The chart below on the composition of central government tax revenues reveals that the share of indirect tax revenue in GDP declined during the nineties. However, it increased significantly from around 2001, and by 2006-07 had reached nearly the same level as in 1990-91 (about 6 per cent), before registering a decline with the onset of the recession. On the other hand, the share of direct tax in GDP began increasing significantly from around 2001 onwards and reached just above 6 per cent of GDP in 200708, before declining slightly with the slowdown in GDP growth. Chart 49: Direct and Indirect Tax Components of Central Government’s Tax Revenue (Percentage of GDP) 7.0 6.0 6.2 5.8 4.9 5.0 4.8 4.0 3.0 1.8 2.0 5.3 4.3 4.4 4.0 1.0 5.3 1.8 4.0 2.1 3.7 4.1 4.4 6.3 5.7 5.7 5.7 5.2 5.6 4.6 5.1 4.0 5.9 4.5 2.3 1.2 0.0 DirectTaxes Indirect Taxes Note: These tax figures of the central government are net of states’ share in central taxes till 2001-02. So they do not add up to the total tax/GDP ratios given in the earlier chart for that period. Source: Compiled from Indian Public Finance Statistics, Ministry of Finance. The chart below shows the trends in the contribution of various components of central government’s total tax revenue as a percentage of GDP. When it comes to indirect taxes, it is clearly seen that trade liberalisation led to a sharp fall in the share of customs revenue, especially after 2000. On the other hand, the share of excise duties, which declined during the 1990s, increased from 2000 onwards and, on average, remained higher than the 1990-91 level 56 during the entire high growth period 2000-08. While the share of service tax in GDP also registered an increase from around 2004 and has hovered around one per cent of GDP, it can be seen that the increase in the share of indirect tax revenue in GDP is primarily attributable to the increase in excise duties in this period. The post-2008 decline in the share of excise duties was related to the fiscal stimulus measures undertaken to counter the economic slowdown. Chart 50: Contribution of various Direct and Indirect Taxes to Central Government’s Tax Revenue (Percentage of GDP) Excise duties Corporation tax Income tax Customs duties Service tax 4.1 3.8 3.5 3.1 2.9 2.8 2.8 2.4 2.4 1.8 1.7 0.9 0.0 1990-91 0.4 0.1 1995-96 1.8 1.8 1.9 1.4 1.6 1.5 1.3 0.2 1.9 1.8 1.6 1.5 0.5 0.7 0.1 1999-2000 1.0 1.9 1.7 0.9 0.2 2001-04 2004-2008 2008-2011 2011-12 (BE) Note: These tax figures of the central government are net of states’ share in central taxes till 2001-02. Source: Compiled from Indian Public Finance Statistics, Ministry of Finance. We saw in the earlier section that the period of rapid GDP growth was a period of significant increase in inequalities in job opportunities as well as wage incomes not just between the formal and informal sectors but also within the formal sector. The period after 2002-03 has seen a sharp rise in profits in India’s organised sector. However, the government has reduced tax rates and offered substantial tax concessions to the private sector in the process of creating an investor-friendly environment. As a result, marginal tax rates have come down sharply during the liberalisation years. Even though marginal rate of taxes on personal income was already brought down from 62 to 50 per cent and the corporate tax rate from around 60 to 50 per cent in 1985-86, they were further reduced in 1992-93 and 1994-95. Currently, they stand at around 33 per cent. Thus, while the improvement in the tax-to-GDP ratio was on account of increased corporate tax collections and the service tax mobilisation, Understanding the Determinants of Inequalities corporation tax has registered a significant rise from an average 1.7 per cent during 2001-04 to an average 3.1 per cent during 2004-08 and further to 3.8 per cent during 2008-11. As for direct taxes, both personal income tax and corporation tax show a rise. However, while personal income tax share began rising from around 2000, its share in GDP has stagnated since 2006-07. At the same time, the share of this was due to the fact that the corporate sector has been increasing its share of national income (as seen earlier) and not because of increase in tax rates. Moreover, the fact that the central government’s total tax-GDP ratio in 2011-12 was only marginally higher than the level in 1990-91 (prior to the liberalisation-led high growth in the economy), these trends mean that the growth in direct taxes has still not been commensurate with the growth in profit shares and growing inequalities in the economy. On the other hand, the increase in excise tax share in GDP reveals the increasing burden of regressive sales taxes on an already highly unequal society with the large majority having insecure and lowpaying jobs. Meanwhile, considering them as essential for economic growth (despite no such proven direction of causality), liberalised financial markets and open capital markets have been an integral part of India’s economic liberalisation policies, just like in other developing countries. 57 REDUCING INEQUALITY real estate sub-sectors within the service sector. The government catalysed that growth with multiple concessions at central and state levels for private investors, important among which were easy access to and low taxes on imports of technology, capital equipment and intermediates as well as low cost access to land and mineral and other scarce resources (Chandrasekhar and Ghosh, 2012). The result has been that huge amount of speculative foreign capital flows in, especially due to the low interest rates that have been prevailing in the developed country markets. Successive liberalisation of global capital flows to India since 1992-93 led to a rise in the inflows of foreign direct investment (FDI) and especially of portfolio capital to the country, with capital account surpluses much in excess of that needed to finance the current account deficit the country was experiencing. Another consequence of external financial liberalisation has been that monetary policy in India has been subject to the constraints arising out of the liberalised capital account, which makes the central bank’s tasks of managing the real exchange rate of the rupee at a competitive level, while controlling inflation simultaneously extremely difficult. Given that excessive foreign capital inflows lead to appreciation of the rupee, avoiding appreciations of the exchange rate meant that the central bank has to neutralise the influx of foreign exchange by purchasing the latter in the foreign exchange market. This contributes to expansions in the level of official reserves (Chandrasekhar; Ghosh; Majumdar, 2012a, Sen, 2012, etc.). One consequence of financial liberalisation and the excess liquidity in the system created by the inflow of foreign financial capital has been the growing importance of credit provided to individuals for purchases of property, automobiles and consumer durables of various kinds. The liquidity thus infused into the system led to a boom in debt-financed investments in housing (and real estate) and debt-financed purchases of automobiles and durables. This indeed explains the faster growth experienced from around 2004 onwards by specific segments of the manufacturing sector, the construction industry as well as the telecom, financial and Chart 51: India’s Balance of Payments, 2000-2011 150000 100000 50000 10 -1 1 0 20 -1 09 20 08 -0 9 8 20 -0 07 20 06 -0 7 6 20 -0 05 20 04 -0 5 4 20 -0 03 20 02 -0 3 2 20 -0 01 20 20 -5000 00 -0 1 0 -100000 -150000 Source: Chandrasekhar and Ghosh (2012), “India’s External Sector”, The Business Line, January 9. 58 Trade balance Current account Capital account Change in reserves Apart from the fact that India’s external reserves were growing largely because of non-reliable types of capital inflows dominated by portfolio inflows and external commercial borrowing (ECBs), it is also true that no amount of foreign exchange reserves may prove sufficient to support a concerted speculative attack on an emerging market currency as the East Asian crises of the late 1990s showed. But at the same time, the thrusts towards accumulating both primary surpluses and foreign exchange reserves have been severely problematic on several accounts. First of all, the RBI’s attempt to reduce money supply associated with foreign capital inflows and accumulation of foreign exchange reserves – by means of bond sales to the public – leads to an increase in interest payments in the budget. This adds to expenditure in the fiscal budget (Sen, 2012). As a consequence of the rising expenditure on account of interest payments, the government has been under continuous pressure to reduce the primary deficit (which is overall/gross fiscal deficit minus interest payments), measured as a proportion of GDP. The primary deficit is an indicator to assess whether government expenditure is constrained by interest payments. If interest payments absorb a large part of current revenues, expenditures other than on interest payments would be limited if there are constraints on mobilising additional revenues or on raising government borrowing. The latter was the case with the FBRM Act requiring the Central Government to reduce the fiscal deficit by 0.3 per cent of GDP each year starting from 2004.13 Further, the Act prohibits the Central Government from borrowing from the RBI (that is deficit financing, involving the printing of money) to meet its deficit, and thus unnecessarily forces the government to pay much higher interest on all its debt, instead of allowing for some low interest debt to the RBI. This raises the interest cost of the government and thereby the total revenue expenditure, perversely making it harder to achieve the revenue deficit targets (Chandrasekhar and Ghosh, 2004). The chart below reveals this situation starkly. There is a consistent decline in central government’s gross primary deficit/GDP ratio from the early 1990s. But in particular, during the fast growth period of 2004-08, when the most rapid accumulation of foreign exchange reserves occurred, government expenditures other than on interest payments was squeezed to the extent that gross primary balance was in surplus (0.2 per cent of GDP). During the entire post-liberalisation period, it is only because of the fiscal stimulus package introduced in the aftermath of the 2008 global financial crisis that the central government’s gross primary deficit shows an increase. Understanding the Determinants of Inequalities But the accumulation of official reserves far in excess of the current account deficit leads to an increase in money supply, which has been contributing to pressures on the Reserve Bank of India (RBI) to adopt policies towards inflationtargeting. Faced with expansions in money supply, the RBI has been selling government bonds (to absorb some of the excess liquidity), among other kinds of contractionary monetary policy measures to deal with inflation. 13 The Act requires the Central Government to reduce the fiscal deficit by 0.3 per cent of GDP each year, and the revenue deficit by 0.5 per cent each year, beginning with 2004, regardless of the prevailing macroeconomic circumstances. If this is not achieved through higher tax revenues, the necessary adjustment has to be made by cutting expenditures. See Chandrasekhar and Ghosh (2004) 59 REDUCING INEQUALITY Chart 52: Fiscal Indicators of the Central Government, 1990-2012 (Per cent) 7.0 GrossFiscal Deficit/GDP 5.7 5.7 6.0 5.8 GrossPrimary Deficit/GDP 5.0 4.0 3.4 3.0 2.6 1.7 2.0 1.3 1.0 -0.2 0.0 1990-1997 1998-2003 2004-2008 2009-2012 -1.0 Source: RBI Handbook of Statistics, 2011-12 Meanwhile, the chart below reveals the break-up of central government expenditure and captures the clearly secular decline in capital expenditure as a percentage of GDP. The share of capital expenditure to GDP, which was just below 5 per cent in 1990-91, declined sharply to less than 3 per cent of GDP by the mid-1990s, continued to plummet well into the mid-2000s. In 200304, central government’s capital expenditure declined in absolute terms (recording negative 0.1 per cent of GDP). Although the ratio has recovered slightly since 2005, it hovers around an average 1.7 per cent of GDP since 2008 less than half the level in 1990-91. On the other hand, the ratio of revenue expenditure to GDP, which stood at 12.5 per cent in 1990-91 and increased slightly during 1998-2003 and 2008-10, was again at 12.3 per cent in 2011-12. Chart 53: Major Heads of Central Government Expenditure (Percentage of GDP) 20.0 Total Expenditure 12.8 10.0 12.5 12.4 12.9 11.4 11.4 4.7 2.8 2.4 1.8 1.9 2.0 5.0 1.6 1.9 13.4 11.9 11.9 14.0 12.0 12.811.8 1.1 -0.1 0.6 2003-04 11.2 12.0 2002-03 15.0 Revenue exp./GDP 14.0 13.7 12.3 1.5 1.2 2.2 1.5 1.7 2.0 1.7 2011-12 (BE) 2010-11 (RE) 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05 2001-02 2000-01 1999-2000 1998-99 1997-98 1996-97 1995-96 -5.0 1990-91 0.0 Source: Compiled from the Indian Public Finance Statistics, Ministry of Finance. Thus the major brunt of the pressure to accumulate primary surplus has been on public expenditures for capital formation, which has significant implications in creating in supply bottlenecks as well as in the provision of basic amenities to the population. Together with the reduction in publicly provided goods and services, which thereby force the poor to pay more on essential services like power and water, health, sanitation and education, this fiscal stance has been exacerbating the inequalities 60 already facing the large majority of households particularly belonging to the informal sector with irregular jobs and insecure working conditions. Secondly, to make its efforts to absorb the excess money supply by means of sales of government securities in the domestic market attractive, the RBI has had to offer higher interest rates (than would be warranted by real economy needs). Thus there was an upward push in interest rate from the mid-1990s especially, which continued pocket expenditure, particularly for the poor, and increased inequality and exclusion. But high interest rate and tight monetary policies work against children by bringing about a decline in access to credit particularly among farmers and other small producers. High interest rates are particularly bad for informal sector enterprises and others who already have less access to finance. It can thus lead to broader adverse impact by reducing overall employment. All these lead to reduction in household incomes, which affects children the worst. As the chart below shows, Government expenditures for both Centre and States in developmental activities as percentage of total expenditures have gone down substantially since the early 1990s. While there has been some recovery in this trend in the very recent past, in the case of state governments it still remains significantly below the levels prevailing in the early 1990s. And this has been happening precisely at the time when the growth process has failed to generate adequate, decent employment and has instead given rise to an increasing percentage of the population being pushed into low paying, insecure and low productivity informal jobs with no social security whatsoever for this vast mass of the population engaged in informal work. Some positive moves by the central government after 2004, such as the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) and associated programme, and enhanced spending on rural areas and on education operated slightly to reverse this process, but could not effectively counter the continuing low levels of public spending on essentials that have exacerbated the inequalities generated by market processes. Thus the surge in foreign capital inflows under external financial liberalisation has thus not only constrained India’s monetary policies and made it more contractionary, but has also changed the composition of public expenditure away from the developmental goals of the country. Apart from reducing subsidies to the people and privatising public sector assets, the typical measures that have been undertaken by the government to keep fiscal deficit targets under the FBRM Act involved: cutting down welfare expenditure, raising administered prices, making the State retreat from the responsibility of providing the essential services needed by the people, increasing the burden of indirect taxes to close the fiscal deficit, etc. Impact of Social Policies on inequality The impact of such neoliberal polices has been the delinking of economic policies and social policy. A systematic withdrawal of the State from 75.00 social welfare manifested in terms of reduction of budgetary allocation, increasing 70.00 commercialisation of services and/or handing 65.00 over of service provision and its financing to private parties and introduction of cost60.00 recovery measures such as user fees for public 55.00 services. In the process, the previous progress 50.00 towards universal access has been thoroughly undermined and has resulted in rise in out-of 45.00 40.00 35.00 30.00 Understanding the Determinants of Inequalities until the onset of the global financial crisis during the third quarter of 2008 (Sen, 2012) Chart 54: Government Developmental Expenditures as % of Total Expenditures 75.00 70.00 Developmental Expenditure of C Government (% 65.00 60.00 Developmental Expenditure of Government (% 55.00 50.00 45.00 40.00 35.00 Developmental Expenditure of Central Government (%) 30.00 Developmental Expenditure of Central Government (%) Developmental Expenditure of State Government (%) Source: Compiled from RBI Handbook of Statistics on Indian Developmental Economy Expenditure of State Government (%) 61 REDUCING INEQUALITY There are several ways that reduced government expenditure on social sector has affected public provisioning of and people’s access to important goods and services. So important areas of public spending such as the Public Distribution System (PDS), or education, health, ICDS, etc., did not receive the impetus required to provide for good quality universal provision. Despite some recent increases in education and ICDS spending, the amounts are still far below even the most minimal requirements and have not grown sufficiently despite that fact that high aggregate income growth rates would have generated greater fiscal and policy space for the central government to enable more such spending. Each of these services has strong implications for reducing inequalities and generating more equitable outcomes for poor children and their families. We look at some of the specific social welfare instruments meant to ensure food security and access to cheap food by the poor such as the PDS; programmes meant to ensure public provisioning of health and education. We also analyze one of the programmes that aim to address the problems of high unemployment and social security for those engaged in informal employment and finally examine the programmes meant for ensuring protection for children. Liberalisation, Public Distribution System and Exclusion of the Poor One of the biggest food-based interventions in India is the system of public distribution of food. The PDS was established in the British period as a rationing system during the World War II and after independence was made universal in 1965. As noted by Swaminathan, 2009, from being a rationing scheme in the pre-independence period, the PDS was converted into a universal programme with the aim of providing cheap food and subsequently it also became an 62 important component of poverty alleviation strategy. The basic aim of the PDS was to (i) ensure stability in the prices of essential commodities; (ii) provide food entitlements to the population at affordable prices; and (iii) keep “a check on private trade, hoarding and black-marketing” (Ramakumar, R. 2010). While the outcomes of the PDS in the pre-liberalisation period in terms of reaching India’s population and reducing regional disparities in food grain consumption was mixed, the National Sample Survey Organisation (NSSO) 42nd round sample survey on the utilisation of the PDS showed that for India’s population “subsidised purchases from the PDS acted as an important supplement to other sources of purchase of food” (Ramakumar, R. 2010). Since 1997 however, in line with the neoliberal agenda of reducing fiscal subsidies, the earlier universal PDS was converted into a targeted scheme with different price rates operating for different groups. Under the new targeted PDS (TPDS) only Below Poverty Line (BPL) households are eligible for subsidised purchases of commodities from ration shops (later on, under the Antyodaya programme another new category, denoting the “poorest of the poor”, have been introduced for whom rice and wheat are made available at prices that are lower than that for BPL households). Other households are supposed to access food grain at the “economic cost” to the government, which is lower than the market prices but not subject to subsidy. Since the state governments also have the power to provide their own subsidies in addition to this, there is significant variation between states in terms of actual provision. Some states, such as Tamil Nadu, Kerala, Andhra Pradesh and most recently Chhattisgarh, have tried to provide extremely subsidised grain (at Rs. 1 or 2 per kilogramme) to a very large proportion of the population or close to universal provision – and interestingly, these are also the states where the lowest levels of leakage from the The report of the “High Level Committee on Long Term Grain Policy” (2002), noted that “the narrow targeting of the PDS based on absolute income-poverty is likely to have excluded a large part of the nutritionally vulnerable population from the PDS”. Indeed other studies based on empirical data corroborate the above observation and establishes that the Targeted PDS has failed to benefit the poor and has led to large scale exclusion of the needy. Other than not benefiting the poor, as the Performance Evaluation by the Planning commission (PEO 2005), notes, “the transition from universal PDS to TPDS” has not even “helped reduce budgetary food subsidies”. What is more, the introduction of targeting has adversely affected the very core of the PDS, impairing its functioning as well as endangering the economic viability of the PDS network, leading to a situation where the delivery system itself has collapsed in several states (Swaminathan, M. 2010). As noted earlier, the closer the system is to universal in certain state, the better and more accountable the delivery system. Indeed, the argument that targeting benefits the poor and is more cost effective fly in the face of evidence from many poor developing countries where the practice of targeting benefits to only those considered as poor and “needy” has been increasingly used in recent years. These problems substantially reduce the scope of such policies as instruments of reducing inequality and poverty. This is because targeting always involves direct and indirect costs, some of which are: • Exclusion and inclusion errors: Targeting often leads to the actual poor not getting the benefits (Type I error, also known as exclusion error), and leakage to better-off or to those who do not ‘need’ the benefit (Type II error or inclusion error)14. • Regressive: Because of problems such as wrong identification of the poor, class interests that influence the distribution of resources, leakages and so on, targeted programmes could also turn out to be regressive, i.e. transfer less resources to the poor than a universal scheme would have done. A World Bank study, evaluating 122 antipoverty targeting interventions in 48 countries in various parts of the world, shows that one out of four targeted programmes turn out to be regressive.15 Understanding the Determinants of Inequalities PDS have been reported (Dreze and Khera 2011). However, given the uncertain financial position of many states, it is obviously necessary to have a national policy of universal provision, which has so far not been forthcoming. In such a context, the TPDS has operated to limit the amount of grain that state governments can access at subsidised rates. This affects the poorest states the most, and since most of the children suffering from under-nutrition live in these states, this has a direct effect on their nutritional and health indicators. The lack of the universal policy has therefore had unfortunate effects for inequalities in access to basic food for children as well. • Differentiation of service: Targeting often creates two-tiers of service provision, one for the better-off and other for the poor, with poor quality services provided to the latter (T. Mkandawire, 2005, UNRISD). • Stigmatisation: Most targeting methods often require the intended beneficiaries to openly declare their vulnerable status, which sometimes can be stigmatising. In India, for example, benefits like subsidised food items are provided to ‘deserted women’. This often forces ‘deserted women’ to face the ‘stigma’ of being deserted simply to be able to get the benefits (Jhabvala, R. and G. Standing, 2010). • High administrative costs: For the identification of beneficiaries and reaching benefits to them, targeting often requires 14 For details see Cornia, Giovanni Andrea and Frances Stewart, 1993. 15 Coady et al, 2004. 63 REDUCING INEQUALITY complex methods and advanced institutional capacity. These, in turn, translate into high administrative costs, which often consume a large chunk of allocated funds. Studies based on simulations of transfer programmes in low-income countries show that total administrative costs for targeted programmes can be as high as 30 per cent, compared to 15 per cent for universal programmes.16 Some of the general problems associated with targeted schemes, especially with regards to exclusion of large number of the poor, are evident in the case of targeted PDS in India as well. Evidence from a Government of India report “Public Distribution System and Other Sources of Household Consumption 20042005” (GOI, 2007), corroborates the fact of high rates of exclusion of needy households from the Public Distribution System.17 The report, further establishes that even in States like Kerala where the universal PDS was most effective, there has been a significant deterioration of coverage after the introduction of the targeted PDS (Swaminathan, M., 2008). The extent of exclusion of the poor from the PDS is evident from the fact that in 200405 at the all-India level, more than seventy per cent of rural households either did not possess any card or held an APL card (in several States there is negligible difference between APL prices and market prices, which amounts to effectively excluding households with APL cards from the PDS). State-wise data show that in 2004-5 an extremely large proportion of the rural households had no access to the PDS(Table 6), with only three States, namely Andhra Pradesh, Karnataka and Tamil Nadu, being exceptions to this trend. Even in Andhra Pradesh and Karnataka, where a simple majority of households possess a BPL or Antyodaya card, the proportion amounted to a mere 56.5 per cent and 51.7 per cent respectively. 16 17 64 Cited in Dutrey, Alexander Peyre, 2007. Originally cited in Swaminathan, M., 2008. Table 6: Percentage of Rural Households having No Card or Holding an APL card, 2004-05 State Percentage of Rural households Having No Card or Holding an APL card Assam 87.7 Uttar Pradesh 83.5 Himachal Pradesh 83.2 Bihar 82 Rajasthan 81.5 Uttaranchal 73.4 Source: Swaminathan, M., 2010, based on the report titled Public Distribution System and Other Sources of Household Consumption 2004-2005 (GOI, 2007) In addition, there are significant inequalities of access to PDS that are determined by caste, occupation, land ownership and consumer expenditure category. “The data from the 61st round of the NSS make it quite clear that a high proportion of agricultural labour and other labour households, of households belonging to the Scheduled Castes and the Scheduled Tribes, of households with little or no land and households in the lowest expenditure classes, are effectively excluded from the PDS” (Swaminathan, M., 2008).18 More recent evidence suggests that revival of the PDS in some states in the last couple of years (e.g. in Chhattisgarh, Orissa, and Uttar Pradesh), which can be traced, in large part, to a renewed political interest, has positively impacted access to the PDS and food security situation in these states. Studies show that the States which have well functioning PDS have brought in policy reforms in terms of raising the number of BPL households entitled to PDS commodities, beyond the caps imposed by the central government. In addition, in some states, APL households have been included in the PDS. In Kerala, for instance, from 2009-10, in order to reduce exclusion of needy households classified previously as APL households, all Dalit households, adivasi households, fisherperson 18 For details see, Swaminathan, M., 2008. Several States have also reduced the PDS prices at which grains are made available, with Tamil Nadu providing free grain since June 2011. In short, some States have instituted quasi-universal PDS and thereby helped raise access to the PDS by the poor (Khera, 2011 and Puri, 2012). The experience of these States provides additional lessons as to why universalising the PDS, along with taking steps to plug leakages, makes Fair Prices Shops (FPS) viable, etc. are necessary to reach the poor. It is well known that not only are universal schemes easier and less costly to administer, they are definitely more appropriate in countries where poverty rates are high and the poor face different kinds of social and economic discrimination. Further, as Mkandawire (2005) notes, universal access is most effective in ensuring “political support by the middle class of taxes to finance welfare programmes”. In this context, the proposed National Food Security Bill (NFSB) has raised some important concerns about the future of the PDS in India. Ironically, instead of taking lessons from the States that have been reviving PDS or have well-functioning PDS, the Central Government’s idea of ensuring access to food by the poor at affordable prices has been to exclude 25 per cent of rural India and 50 per cent of urban India from the PDS. Further, the purported Bill is said to even allow State governments to replace physical provision with a system of cash transfers to those identified as poor (Ghosh, 2010). In fact, in the official circles the view that the PDS should be replaced with a system of coupons or cash transfers has been gaining ground in the recent period (Basu, 2010). To this end, the Government of Delhi has already embarked on a pilot project to replace food grain distribution under the PDS with cash transfers (Ghosh, 2011). While, in the past decade, cash transfers have been gaining in popularity as a preferred strategy for poverty reduction in different parts of the world, it is critical to understand the specific context of and reasons that can make cash transfers a success. Most of all, they should be seen as additions to, rather than substitutes for, public provision of goods and services.Two significant aspects of the well-known success stories of cash transfers, for example in Latin America, are: These have typically complemented public provision of essential social services. In most programmes of conditional cash transfers in Latin America, the conditionalities often mandated the use of government-managed facilities such as schools and clinics. Understanding the Determinants of Inequalities households and destitute persons have been brought under the purview of the system of subsidized food provisioning (Isaac, T.M. Thomas and R. Ramakumar, 2010). Further, in 2010-11, the scope of PDS was further expanded to “include all agricultural labourer households and all traditional industrial worker households to be eligible for subsidized rice, irrespective of their BPL/APL status”, thereby including all workers and producers in the unorganized sector in the BPL list (Isaac, T.M. Thomas and R. Ramakumar, 2010). Typically, extensive efforts were simultaneously made to expand and improve the public delivery of such services and facilities. So the success of cash transfer schemes has been associated with continued and enlarged investment in public services. Clearly, it is important to combine different strategies to ensure social protection, and emphasis on any one instrument (such as cash transfers) should not lead to the exclusion or even diminution of other redistributive measures and social policies. Despite this, in India, there is a growing tendency is to see cash transfers as a substitute for publicly provided goods and services. There are several reasons why such a move may not be desirable and may fail to deliver on its stated objective. 65 REDUCING INEQUALITY • Rising prices in deregulated markets: The most immediate threat of direct public provision of some essential goods (like food and fuel) being substituted by cash transfers to consumers, is that of rising prices in these deregulated markets. Rise in prices would render such goods unaffordable for the lower-income segments, i.e. those who need them most. Typically, in situations of volatile and rising prices, the real value of cash transfers can get quickly eroded. While it can be argued that cash transfer systems can be indexed to inflation (for example in the case of food items, to the price index for the foods in question) to get around this problem, it is well known that in most developing countries the systems of price indexation of such transfers are typically slow and inadequate to cover the price increases. Given the lags in public response to price changes, depending on price indexation to take care of the problem of rising prices is unlikely to prevent erosion of the entitlements of the poor. • Ensuring that the cash transfer actually goes to the intended beneficiaries: The possibility of cash transfers being diverted for expenditure that do not meet the intended purpose is another issue that can pose serious problems. Even when the poor household is correctly identified, structures of power within households as well as social constructions of gender behaviour can affect decisions about how the money is spent, in ways that are not always expected or desired. The argument that handing over the cash payments directly to women will solve this problem is not necessarily correct. Especially with respect to food, it has been found (particularly in south Asia) that women and girls are guilty of voluntary self-denial rather than being forced into choices that reduce their own consumption (Ghosh, 2011). These problems perhaps explain why poor people in general prefer public provision of the 66 good or service in question at a defined price, when it is of reasonable quality. In fact, several studies show it is the relatively better off who prefer cash, while the poor are more likely to prefer provision in kind.19 In short, it is better to view cash transfers as complements that will enhance the effectiveness of public provision, rather than as alternatives. Poor families are better able to get the benefits of cash transfers when there are public services and provision of goods that they can access with those payments. What this means is that for reducing inequalities in access to affordable food and essential commodities it is essential to increase public funding for not just revamping the PDS but also for building stronger backward linkages for strengthening supply of food by way of providing remunerative prices for farm products for making cultivation viable, providing inputs at affordable prices, more public investment in agricultural research and extension services and so on. Health and Education The need for increased public funding is equally urgent in other areas of the social sector, in particular in health and education. This is especially so as there are large positive externalities associated with health and education spending, which makes such spending clear merit goods. This also means that with greater reliance on private delivery of health and educational infrastructure and services, these are likely to be socially underprovided by private agents, and also deny adequate access to the poor. In the case of India, it is widely recognised that health expenditure is dominated by private spending as government expenditure remains abysmally low (Chart below) — WHO estimates that as much as 70 per cent of total expenditure on health is accounted for by private expenditure. 19 Parsai, Gargi (2011. Also see, Puri, Raghav (2012). 1.68 26.70 Public Expenditure Private Expenditure External Flow 71.62 Source: National Health Profile, 2011 In the period since the 1990s, barring the last couple of years, central government expenditure has remained below 1% of GDP. Although there has been some increase in the share of government expenditure in the last couple of years, it still remains among the lowest in the world and ahead of only four countries— Burundi, Myanmar, Pakistan, Guinea and Laos. The situation is even worse when per capita health expenditures are assessed. At purchasing power parity $ per person, India’s health expenditure is only about half that of Sri Lanka’s and a third of China’s and Thailand’s (Kumar et al, 2011). What is of particular significance is that India, which is currently seen internationally as an economic powerhouse and one of the success stories of global economic growth in the past decade, has one of the lowest ratios of public to private health expenditure in the world, including the poorest countries. Further, a large proportion of private expenditure (Chart 56) in India is constituted by out-of-pocket expenses. This is inherently regressive and puts a disproportionate burden of health care on poor households. Chart 56: Private Expenditure on Health as share of Total Health Expenditure 78 76 74 74 72 74.3 74.9 76.1 74.4 74 76.8 77.2 77.3 76.1 75.2 Understanding the Determinants of Inequalities Chart 55: Sources of health spending in India, 2008-09 74.2 72.4 72 70 69.7 70.8 68 66 64 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Private expenditure on health as a percentage of total expenditure on health Source: WHO Such a pattern of health financing has implications for household expenditure on health care. As the chart below shows, spending on health as a proportion of total household consumption has been on the rise, until 2004-05. This is especially notable in rural areas, where household expenditure on health accounted for nearly 7 per cent of total household consumption expenditure in 2004-05, up from 5.4% in 1993-94. While in 2009-10 there has been some decline in household expenditure on health as share of total household consumption, it still remains higher than the 1993-94 levels (Chart 57). On the whole, the more or less consistent increase in health spending of household total expenditure till 2004-05 probably reflects three separate trends: • the greater valuation placed on health such that even poor households are willing to spend and incur debt to ensure minimal health care; • the worsening quality and spread of, and 67 REDUCING INEQUALITY the public health system, as governmentrun hospitals and clinics that are starved of public funds resort to making citizens pay more for medicines, diagnostic procedures and surgical aids (ERF, 2006). therefore the reduced access to, reliable public health services; and • the increase in user charges and other effective charges upon consumers even in Chart 57: Health spending as per cent of household consumption expenditure, 1993-94 to 2009-10 7 6 6.01 6.61 5.3 5.74 4.6 5 5.06 5.19 5.03 4 3 2 1 0 Rural 1993-94 1999-00 Urban 2004-05 2009-10 Source: ERF, 2006 and NSSO (2011), Key Indicators of Household Consumer Expenditure in India, 2009-10. There has, in fact, been a sharp rise in the costs of medical care in the last two decades. As Kumar, et al, 2011 note, “between 1986 and 2004, for instance, the average real expenditure per hospital admission has increased three times in government and private hospitals in rural and urban areas. The sharp increase in the prices of drugs has been one the main reason for the rising costs of medical care, which more than tripled between 1993–94 and 2006–07”. Further, expenditures on inpatient and outpatient health care are consistently higher in private facilities than in public facilities (ERF, 2006 and Kumar, et al, 2011). As mentioned earlier, low public financing and the resultant high out-of-pocket expenditures are the two major factors that affect equity in health financing and financial risk protection. Evidence from national sample surveys of expenditures shows that during the past two 68 decades the proportion of money spent on health has increased most for the poorest households (Chart 58) (Balarajan, et al, 2011). Clearly then, inequalities in health financing have worsened over this period. Inadequate protection against financial shocks arising from high costs of medical treatment has worsened poverty in many households. It has been estimated that high private health spending adds to the proportion of households under the poverty line by 3.6% for the rural and 2.9% for the urban sector. “The effect of health expenditures are greater in rural areas and in poorer states, where a greater proportion of the population live near the poverty line, with the burden falling heavily on scheduled tribes and scheduled castes” (Balarajan, et al, 2011). 160 140 Out-of-pocket expenditure*(%) 120 Episodes 100 Outpatient 1995 -96 80 Outpatient 2004 Inpatient 1995 -96 60 Inpatient 2004 40 20 0 Low High Rural areas Low High Urban areas Note:1. *As a share of income. 2. †Lowest quintile income group. 3. ‡Highest quintile income group. Source: cited in Balarajan, et al, 2011 Health Expenditure by the Centre and States Given that health is mostly seen as a state subject, it is the state governments which are primarily responsible for the funding as well as delivery of health services. However, in addition to direct central government spending on specific budget items, there is a range of centrally mandated expenditures which are also effectively spent by state governments, as well as some joint spending. While there are some specific central interventions, the bulk of the health provision is the result of spending by state governments. What is of significance is that per capita expenditure for health by the Central government is more or less similar across states, irrespective of the different capabilities and health needs of the states. This in turn impacts the statelevel financing of health expenditure and health outcomes. Apart from the problem of the lack of political will to accord priority to health and the limitations of public administration, states with low public health expenditure are fiscally constrained by two factors. “First, the centre’s distribution of revenues across the states does not offset the fiscal deficits of the states that are poor. Second, the fiscal space for development spending in the poor states is small, and these incur a large share of the obligatory expenditures (including salaries, wages, pensions, and interest payments)” (Kumar et al, 2011). Understanding the Determinants of Inequalities Chart 58: Trends in out-of-pocket health expenditures in households per episode, as a share of income by income group and residence The effects of such Centre-State Fiscal relationship in health financing are reflected in the sharp inter-state differences that exist in health financing, outputs and outcomes (Table 7). In general, the southern states fare better than the northern states in terms of these three indicators (Kumar, et al, 2011). In 2004-05, average per capita public expenditure on health in the 14 most populous states of India differed by huge margins, ranging from Rs. 287 in Kerala to as low as Rs. 93 in Bihar. These variations in turn are reflected in health indicators of the states with a group of states (Kerala, Maharashtra and Tamil Nadu) having health indicators similar to those in more developed middle-income countries and the other group of states (Uttar Pradesh, Orissa, Madhya Pradesh and Bihar) showing health indicators similar to sub-Saharan and other low-income countries like Sudan, Nigeria and Myanmar. 69 REDUCING INEQUALITY Table 7: Per capita public health spending and some indicators of health outputs and outcomes in 14 most populous states, 2004–05 State Per person public health expenditure (in Rs.) Proportion of children (age 12–23 months) fully immunised in 2005–06 (%) Proportion of primary healthcare centres with at least 60% staff in 2003 (%) Kerala Punjab Karnataka Tamil Nadu Maharashtra Haryana Gujarat Andhra Pradesh Rajasthan Orissa West Bengal Madhya Pradesh Uttar Pradesh Bihar 287 247 233 223 204 203 198 191 186 183 173 145 128 93 75.3 60.1 55.0 80.8 58.8 64.3 45.2 46.0 26.5 51.8 64.3 40.3 22.9 32.8 91.4 38.0 58.0 96.8 95.6 51.1 85.7 88.4 25.6 0.2 5.7 35.4 52.8 19.6 Source: Kumar, et al, 2011 These regional disparities also extend to the availability of medical personnel which is not only shockingly low, but also much more concentrated in the South and in more developed states (so that in the late-2000s Punjab had more than five times the availability of Uttar Pradesh). Even medical colleges are unevenly spread: the four southern states have the major share of the colleges and the seats. On the other side, the states with the biggest shortfalls in medical personnel are predictably the states which have low public funding for health (in this case Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh, Jharkhand and Chhattisgarh) along with the North-eastern states, Orissa and Haryana (Ghosh, 2009). The Integrated Child Development Services (ICDS) The paucity of adequate public funding is also reflected in some of the ‘flagship’ programmes of the government that had been initiated and designed to ensure holistic development of children. The Integrated Child Development Services (ICDS) is one such programme in 70 operation since 1975. The scheme integrates several aspects of early childhood development, such that in addition to supplementary nutrition, immunisation, health check-ups, etc., the programme also provides non-formal pre-school education to children in the 3-6 age group, as well as health and nutrition education to women in the 15-45 age group. “ICDS services are delivered through a network of over one million anganwadi centres (AWCs), each of which is staffed by anganwadi workers (AWWs) and helpers and reaches more than 70 million children and 15 million pregnant and lactating mothers”(Centre for Policy Research, 2011). The existing public health infrastructure, consisting of health sub-centres, and primary and community health centres deliver three (immunisation, health check-up and referral services) of the eight services under the ICDS scheme. ICDS used Below Poverty Line (BPL) as a criteria for delivery of services prior to 2005, after which, following a 2004 Supreme Court order, ICDS was expanded in 2005 to cover the entire country. At the same, it is also clear that for a scheme that has been in operation for three decades, the benefits are still far too limited, and maternal and child health and nutrition are still areas of major concern for policy. Even today, a high proportion of children are born with low birth weight. The chart below indicates the extent of severe stunting and severe under-nutrition among young children in rural and urban India, both of which are still unacceptably high. Chart 59: Nutritional Status of Children in India, 2011 (in %) Wasting Underweight Stunting 70 60 50 40 30 20 10 Understanding the Determinants of Inequalities By many accounts, thus far the scheme has been a success and most of the studies conducted on the functioning of the ICDS Scheme have recognised its positive role in the reduction of infant mortality rate, in improving immunisation rates, in increasing the school enrolment and reducing the school drop-out rates. 0 100 Focus Districts Districts From Best States Best Districts From Focus States Note: 100 Focus Districts refer to districts that were selected from the bottom of a child development district index developed for UNICEF India in 2009. These 100 districts are located in 6 states (Bihar, Jharkhand, Madhya Pradesh, Orissa, Rajasthan and Uttar Pradesh). Districts from Best states refer to another set of 6 districts, 2 each from the best-performing states - Himachal Pradesh, Kerala and Tamil Nadu. Source: The HUNGaMA (Hunger and Malnutrition) Survey, 2011 The continuing dismal picture of the health status of children can be largely attributed to lack of enough resources devoted to the scheme in relation to the huge requirement it needs to meet in a country like India. For most part of the 1990s until the mid 2000s, spending on ICDS was very inadequate and hardly showed any increase (ERF, 2006). In the 2000s, following the Supreme Court’s judgement about universalising ICDS and the Court’s strictures on the central government for its tardy response have forced some increase in spending in the very recent past. However, even during the period between 2005-06 and 2011-12, when allocations for ICDS in absolute terms have increased significantly from Rs. 3,326 crores in FY 2005-06 to Rs. 9,294 crores in FY 2011-12, there has not been any significant increase in it as a share of GDP (Chart 60). Chart 60: ICDS Allocation as %age of GDP 0.14 0.12 0.10 0.10 0.10 0.11 0.11 2007-08 2008-09 0.12 0.12 2009-10 2010-11 0.11 0.08 0.06 0.04 0.02 2005-06 2006-07 2011-12 ICDS Allocation as %age of GDP Source: Calculated using data cited in Budget Briefs-Integrated Child Development Services,Vol. 3 Issue 3, Accountability Initiative, Centre for Policy Research, February 2011 and Economic Survey, GOI, 2011-12. 71 REDUCING INEQUALITY Thus, despite recent increases in funds allocated for the ICDS (in absolute terms), the fact that it remains inadequate in terms of the requirements is reflected in the different indicators of the programme. While at the all-India level, 84% of the required Anganwadi centres (AWCs) and mini AWCs were operational by March 2010, there are huge inter-state variations in “the number of operational AWCs/mini AWCs vis-à-vis project targets or sanctioned AWCs, suggesting delays in construction of centres in some states”. Thus, while Tamil Nadu and Jharkhand are reported to have completed their AWC/mini AWC requirement as of March 2010, the progress of Chhattisgarh and Haryana has been sluggish with only about 56 and 68 percent respectively of AWCs being operational by the end of March 2010 (Centre for Policy Research, 2011). In terms of fulfilling the requirements of Anganwadi Workers (AWWs), as of March 2010, 78 percent of AWWs were in position. Here too, the all-India figures mask the large inter-state differences. Jharkhand is reported to have not only nearly reached its target in operationalising the required AWCs, it also has 93 percent AWWs in-position. Uttarakhand and Chhattisgarh on the other hand, lagged behind with only 45 percent and 53 percent AWWs respectively (Centre for Policy Research, 2011). The continuing paucity of AWWs for a number of states can be gauged from the inter-state variations in the number of children per AWW. While the all-India average stands at 33 children per AWW, as the chart below shows, some states such as Himachal Pradesh, Kerala and Punjab which had low ratios of children per AWW in 2006, have registered further improvement (or have maintained the low ratio) in this indicator in 2010. These are also the states that have more than 95 per cent of the required AWCs/mini AWCs in place. Uttar Pradesh, on the other hand, not only has a very high density of 65 children per AWW, it has actually gone up from 41 children per 72 AWW at the end of FY 2005-06. Similarly, the performance of the state Madhya Pradesh too has worsened with 43 children per AWW in 2010-11, up from 31 in March 2006 (Chart 61). Chart 61: Number of Children per Anganwadi Worker (AWW) in Various States 41 Uttar Pradesh 65 31 Madhya Pradesh 43 37 38 Jharkhand Maharashtra 44 37 35 Assam 28 Bihar 24 Rajasthan 24 37 36 30 Punjab 21 21 Kerala India: 33 (March 2010) 16 17 9 Himachal Pradesh 0 10 20 30 40 Children/AWW as on March 2006 50 60 70 Children/AWW as on March 2010 Source: Centre for Policy Research, 2011 Lack of resources are also reflected in the fact that AWWs and helpers are still not seen as proper workers and still do not even receive the legal minimum wage. The undervaluation of their services, owing largely to miserliness in government spending on education contributes not only to the low status of women workers but also to the inadequate level of services that ICDS can provide. Lack of resources also means that many anganwadis do not have proper buildings or amenities and related facilities. Clearly then despite 35 years of ICDS and a couple of years of universal ICDS, the programme is yet to fulfil its basic objectives as public funding has continued to lag behind in terms of the sheer scale of the needs ICDS is required to meet. Quite clearly, the required expansion, in terms of allocation of resources for the scheme, including hiring of more workers, paying the workers adequate remuneration, etc. EDUCATION Education services is another area in which public spending is critical as relying on private provision is likely to lead to very substantial under-provision and socially suboptimal outcomes, because the social returns to education far outweigh the private returns. Besides, provision of education based on profit invariably has the effect of excluding a major part of the population and does not ensure adequate representation by gender, class or social group. While in general public spending on education tends to increase with per capita GDP, this is not the inevitable pattern as it can be influenced by public policy attitudes. In the case of India, there has been some increase in public spending as percentage of GDP in the last two decades. However, even at present it continues to remain much below the target set by the Report of the Education Commission (1964-66) –also known as the Kothari Commission Report - way back in the mid-1960s or even that set by the UPA-I government in the mid-2000s, even as the public spending on education has purportedly got a renewed thrust with the National Common Minimum Programme of UPA-1 pledging to raise public spending in education to least 6 per cent of GDP with a significant proportion of it being spent of primary and secondary sectors. In fact, in the decade of 2000s, a number programmes with respect to education have been initiated with the aim of universalising education at the elementary level, increasing literacy, reducing drop-out rates, universalising mid-day meal scheme at elementary level, etc. The major developments in this regard include: “(1) establishment of the Sarva Shiksha Abhiyan (SSA) as the vehicle for universal elementary education; (2) extension of the Mid-day Meal scheme (MDM) in all elementary schools; (3) enactment of the Right to Education Act 2009” (Sikdar and Mukherjee, 2011). Indeed, when seen in absolute terms, there has been a significant increase in budgetary allocation and expenditure by the central government between 2005-06 and 2011-12. Budgetary allocation for education has increased manifold in the period between 2005-06 and 2011-12, with that for secondary education and higher education registering significant jump in allocation (Chart 62). Understanding the Determinants of Inequalities is much greater than is being envisaged by the Government even now. In short, the continuing paucity of public funds and lack of political will to spend even on programmes that are universally acknowledged to be critical for welfare of the country’s children continue to be a major area of policy concern. Chart 62: Central Government Expenditure on Education, 2005-06 to 2011-12 (in Rs. Crores) 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 32,150 12,244 1,723 Elementary Education 12,435 8,692 8,352 2,363 1,478 Secondary Education University and Higher Technical Education Education and Distance Learning 2005-06 (RE) 2011-12 (BE) Note: 1. BE denotes Budget Estimates. RE = Revised Estimates. 2. Components such as Adult Education, Development of Languages and Development of ICT are not shown in this figure. Source: Calculated using Union Expenditure Budget,Vol.2, 2005-06 till 2011-12, the Ministry of Human Resource Development. 73 REDUCING INEQUALITY Government Expenditure as share of GDP However, a rather different picture emerges when total expenditure (by both Centre and States) on education as percentage of GDP is seen. Barring three years in the decade of 2000s, government expenditure on education in the period of liberalization has remained below the peak (of 3.93 per cent) reached in 198990. Although the share of public spending on education as percentage of GDP was highest ever in 2000-01(4.28%), this level could not be sustained in the following years as it has consistently declined until 2004-05. Since 200506 the share has started increasing but at a very slow rate (Chart 63). 3.26 3.34 3.4 2004 -05 2005 -06 2007 -08 3.98 3.8 2010 -11 (BE) Government Expenditure (Centre and States) on Education by Education & OtherDeptts. as % age of GDP 3.51 2003 -04 1997 -98 3.81 2001 -02 3.49 4.28 2000 -01 3.56 1999 -00 3.62 1995 -96 4.19 1993 -94 3.8 1991 -92 3.93 1989 -90 3.73 1987 -88 3.49 1985 -86 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0 2009 -10 (RE) Chart 63: Government Expenditure (Centre and States) on Education as % age of GDP Source: Statement Indicating the Public Expenditure on Education and Analysis of Budgeted Expenditure on Education, 2008-09 to 2010-11, Ministry of Human Resource Development, 2012, http://mhrd.gov.in/statistics_data?tid_2=238 accessed on 31 October 2012 Further, in the total public expenditure on education, the bulk of spending is undertaken by the State Governments. But there are substantial inter-state variations in state spending on education. While states such as Tamil Nadu, Sikkim, Mizoram, Arunachal Pradesh, and Manipur spent 10.2 per cent, 9.8 per cent, 9.1 per cent, 7.1 per cent, and 6.4 per cent, respectively, of their total state Domestic Product (SDP) on education in 2007-08, there were several states (e.g. Maharashtra, Delhi, Gujarat, Haryana, Punjab, Andhra Pradesh, Goa) which spent less than 2 per cent of their SDP on education (India Human Development Report, 2011). At the same, there have been certain positive developments with regard to Centre-State Fiscal relationship in financing education, with the share of the central government in total 74 government expenditure on education having risen from 0.61% in 1999-2000 to 0.93% in 2010-11 (Analysis of Budgeted Expenditure on Education, 2008-09 to 2010-11, MHRD, 2012). The greater involvement of the Centre in providing financing for expansion of school education in the 2000s20 is largely driven by SSA, under which the Centre provided 75 per cent of the funds (at least until 2007)21 with the goal of universalising primary education. This has led to a greater expansion of the school system, especially in States that previously could 20 During the 1990s, the greater involvement of the Centre in providing financing for expansion of school education was on account of the District Primary Education Programme (DPEP) initiated in some districts. 21 However, it also needs to be noted that not only has there been an absolute fall in expenditure after 2007 in the Sarva Shiksha Abhiyan (SSA), the flagship scheme of the Central government, even the share of States’ contribution to the SSA has been raised, and that too without any corresponding increases in total transfers to States (Ramakumar, R., 2009). the poorer states (such as Rajasthan, Jharkhand, and Assam) which have a relatively higher proportion of schools dependent on parateachers. In Jharkhand, for instance, nearly 40 per cent of schools are entirely dependent on para-teachers (India Human Development Report, 2011). As is well known, lack of adequate funds is one of the prime reasons for the prevalence of the phenomenon of parateachers. The increase in Central government funding notwithstanding, the continued paucity of adequate resources spent on education has given rise to processes that have the potential to exacerbate inequality. Among various such processes two most significant ones relate to dilution of quality norms in education imparted in India and increasing reliance on private education even for schooling. Inadequate funding has also meant that pupilteacher ratio (PTR) in India is extremely high as compared to other poor countries. In addition, it continues to be above the 30:1 pupil teacher ratio norm at the primary level set by the RTE Act, 2009. There were also wide inter-state disparities in pupil-teacher ratio in 2007-08. States which are either known to have a good government schooling system (Kerala) or have been seen as recent successes in achieving universal and good quality school education (Himachal Pradesh) have relatively low pupilteacher ratio. At the other end, states (both relatively wealthy as well as less-wealthy) such as Uttar Pradesh, Jharkhand, Bihar, Punjab, Haryana, had extremely high pupil-teacher ratio, especially at the primary level, in 2007-08 (Table 8). Significantly, in 2009-10, number of districts where PTR was above 30 has increased to 304 during 2009-10 compared to 284 in 2008-09. These districts are mainly concentrated in Bihar, Gujarat, Jharkhand, Madhya Pradesh, Orissa, Uttar Pradesh and West Bengal. The combination of the pressure to increase enrolment on one hand and the inadequate rise in public funding on the other, has inevitably resulted in the dilution of quality norms, such that “schools” or rather “educational centres” have been permitted to come up, based on single (often untrained or minimally trained) and underpaid local teachers handling multigrade classes (Ghosh, J., 2010). Data shows that the number of single-teacher schools has risen by nearly 10 percentage points from 2 per cent in 2002-03 to 10 per cent in 200708. Even with regard to the new appointments in primary schools, majority are of a shortterm contract nature, with grossly low salaries paid to these teachers (Ramakumar, R. 2009). In 2007-08, for instance, such teachers (also known as para-teachers, shiksha-mitras, contract teachers) constituted more than 10 per cent of total school teachers. Reports point out that “para-teachers were much more predominant in the rural areas as compared to the urban areas and the proportion of para-teachers was much higher at the primary level than at other levels of school education” (India Human Development Report, 2011). In addition, it is Understanding the Determinants of Inequalities not or would not provide more resources for such growth. The impact of such expansion has been positive in several ways. The findings of The Annual Survey of Education Report (ASER) 2011, for instance, show that the proportion of children out of school in the 6-14 age group has nearly halved, declining from 6.6% 2006 to 3.4% in 2011. There has also been a major drop in percentage of out of school girls in the 11-14 age group (ASER, 2011). 75 REDUCING INEQUALITY Table 8: Pupil–Teacher Ratio at Primary and Upper Primary Levels, 2007–08 State Primary Level Upper Primary Level Kerala Punjab Tamil Nadu Maharashtra Haryana Gujarat Andhra Pradesh Rajasthan Orissa West Bengal Madhya Pradesh Uttar Pradesh Bihar Jharkhand 28 53 44 34 53 30 32.0 43 42 51 41 76 68 73 25 21 54 32 37 37 32.0 32 35 70 33 79 54 55 Source: Statistics of School Education, Ministry of Human Resource Development, 2007–08. The state of educational infrastructure too continues to be poorly developed. As pointed out by Ramakumar, 2009, in 2007-08, 50 per cent did not have a separate girls’ toilet, 27 per cent of schools did not have pucca buildings and 13 per cent did not have drinking water facility. While there has been some improvement in these indicators in 2009-10, educational infrastructure continues to suffer from inadequacies in terms of schools not having pucca buildings (24.4 per cent), lack of separate toilet for girls (41 per cent) and unavailability of drinking water facilities in school (8 per cent). Besides, there are significant inter-state as well as rural-urban divide in educational infrastructure with facilities, in general, being much lower in poor states (e.g. Bihar, Chhattisgarh, and Jharkhand) and in rural areas. absenteeism, there has been a growing reliance on private education even for schooling. ASER 2011 survey shows that overall, private school enrollment has increased from 18.7% in 2006 to 25.6% in 2011. “Increases are visible over time in all states except Bihar. Further, in several states like Uttarakhand, Rajasthan, Uttar Pradesh, Maharashtra, Andhra Pradesh, Kerala, Manipur and Meghalaya, there has been an increase of over 10 percentage points in private school enrollment in the last 5 years. In several states, in recent years private school enrolment has been going up across all grades. In Uttar Pradesh, previously, “private school enrollment was high in middle school years. But recently, private school enrollment has been high across all grade levels. A similar trend is noticed in the case of Tamil Nadu, where enrolment in Private school which is relatively higher in early grades in primary school, has got further strengthened in recent years” (ASER, 2011) (Charts 64 and 65). Chart 64: Private school enrollment 2007-2011: Uttar Pradesh 80 70 60 50 40 30 20 10 0 Std 1 Std 2 Std 3 Std 4 2007 Std 5 2009 Std 6 Std 7 Std 8 2011 Chart 65: Private school enrollment 2007-2011: Tamil Nadu 80 70 60 50 40 30 20 As is known, quality not only is influenced by spending but certainly does play an essential role, and, therefore, it is crucial for that public spending on education to be raised. However, in India, partly because of inadequate public funding of education, and also other problems with the government school system such as teacher 76 10 0 Std 1 Std 2 Std 3 Source: ASER, 2011 Std 4 2007 Std 5 2009 Std 6 Std 7 Std 8 2011 As is generally known, out of pocket expenditure is much higher in private unaided institutions. Thus increasing role of private Equity and inclusion through public expenditure: The potential of Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) As mentioned above the nature of growth process of the Indian economy since the initiation of economic reforms has been associated with increasing unemployment and worsening conditions of employment, that has forced workers to find any other economic activity, in the form of ‘self-employment’, largely as a survival strategy rather than as a positive choice (Ghosh, 2011). Evidence shows that economic growth in the 1990s and 2000s in particular, instead of generating opportunities for decent employment, has mainly translated increasingly into casual employment and selfemployment, which are unsupported by any form of social security. In such a scenario, “inclusive” public expenditure such as on employment programmes assumes great significance in mitigating inequalities generated by market-led development model followed since the period of liberalisation. In this regard, the MGNREGA, at least in the way it had been conceived, has significant potential in generating more equity. The programme, which is generally accepted to be a novel initiative, is very different in conception from earlier government employment schemes since it treats employment as a right and the programme is intended to be demand-driven. Launched in February 2006, the programme has been substantially expanded since. Under the scheme, every rural household is guaranteed up to 100 days of unskilled manual wage employment per year, at the statutory minimum wage for agricultural workers in the state. If employment is not provided within 15 days, the applicant is entitled to unemployment allowance. The scheme aims to provide work on labour-intensive projects focusing on rural infrastructure. Several features of the programme make it necessarily “inclusive” at the most basic level in economic terms. One, it self-targets those who are willing to engage in arduous physical work for a daily wage, i.e. the poorest sections of society. Two, it is designed to offer gainful employment at a wage at which employment is not generally available in the labour market. It also acts as an instrument of social protection for those who need it the most since the government declares that whenever it is unable to ensure the availability of employment on demand to the eligible it would provide a dole which is some proportion of the wage to be paid under the programme. Three, employment programmes of this kind are also an obvious form of social insurance, since they guarantee even those with alternative and better employment a minimum amount of employment in case they are displaced from the labour force. This too has long term implications in reducing inequity as instead of being merely reactive in a situation of need or in the context of a crisis, the programme is designed to provide more pro-active social protection. Understanding the Determinants of Inequalities institutions in education that charge relatively higher fees are likely to constrain access, especially among the less well-off sections of the population, and perpetuate economic and social distinctions. Evidence shows that high out-of-pocket expenditure was a deterrent to educational attainment for the economically disadvantaged who were mostly SCs, STs, and Muslims (India Human Development Report, 2011). Indeed, evidence shows that MGNREGA has been successful in reducing both economic and social inequalities. Field reports suggest that there has been some improvement in consumption of the poor and reduction of distress migration in the areas where the programme has functioned successfully. Further, the programme has also been successful in reducing labour market inequities, especially for women workers in rural areas. As the analysis by Chandrasekhar and Ghosh (2011), based on comparison between 64th Round (2007-08) 77 REDUCING INEQUALITY and 61st Round (2004-05) of the NSS shows, MGNREGA had made a difference in terms of increasing real wages for both the male and female workers in rural areas. This is especially true in the case of rural women workers as there has been significant reduction in the gender gaps in wages since the initiation of the programme. That this is mainly an impact of the MGNREGA can be gauged from the fact that in urban India the gender gap in terms of this indicator worsened in the first half of the past decade and remained at around the same level thereafter. In addition, owing to the exceptionally high participation of rural women in the programme there has been significant increase in rural women’s involvement in paid work with the introduction of the programme. As the chart below indicates, the days of employment of rural women increased from 0.29 in 2004-05 (i.e. prior to the launching of MGNREGA) to 1.44 in 2007-08, i.e. by 4.4 times. Chart 66: Public Works as % of Total Rural Economic Activity 1.6 1.44 1.4 1.2 1.01 1 0.85 0.8 0.6 0.4 0.2 0.21 0.29 0.24 0 rural male rural female 2004-05 rural persons 2007-08 Source: Chandrasekhar and Ghosh (2011) Significantly, the employment guarantee programme has also been successful in being “inclusive” in terms of providing employment to social groups such as Scheduled Castes (SCs) and Scheduled Tribes (STs) that tend to be economically marginalised in India. Evidence shows that in 2008-09, these categories too had disproportionate participation in the programme, relative to their share of population. While this may reflect the fact that they are 78 also more likely to be represented among rural workers, even so it is a sign that the MGNREGA has succeeded in reaching the more socially disadvantaged sections (Chandrasekhar and Ghosh, 2008). However, certain “inclusive” aspects of the scheme seem to have waned somewhat over the years. As the table below shows the share of STs in total workdays generate by the scheme has declined consistently, while that of women has stagnated (Table 9). Table 9: Share of STs, SCs and Women in MGNREGA work Scheduled Castes Scheduled Tribes Women 2007-08 27.44 29.27 42.52 2008-09 29.29 25.43 47.88 2009-10 30.48 20.71 48.10 2010-11 30.6 20.9 47.7 2011-12 22.04 18.16 48.18 Source: Calculated using MGNREGA work from www.nrega.nic. in, accessed on 31 October 2012. At the same time, the number of rural households receiving some work in the scheme has been on the rise in the period between 2007-08 and 2009-10. Given that MGNREGA was initially implemented in 200 districts and was extended to cover all districts within India in FY 2008-09, there has been significant expansion of the official coverage of the scheme in several states. However, while during the period between 2007-08 and 2008-09, most states, barring the northern states of Punjab, Haryana and to a lesser extent Uttar Pradesh, had improved on the provision of job cards between 2007-08 and 2008-09, the percentage of households that had received some work under the scheme had been significantly lower. Only in Chhattisgarh in 2007-08 and in Rajasthan in the 2008-09, more than 50 per cent of estimated rural households had got some work under the scheme. In most states the gap between job card distribution and actual provision of employment remained huge even in 2008-09. Even in Madhya Pradesh, variations in the percentage of rural households that received some work under the scheme persisted even in 2009-10, what is significant is that barring Bihar and Jharkhand, a number of previously low performing states (such as Orissa, Punjab and West Bengal) have registered sizeable increase in the percentage of rural households getting work under MGNREGA (Table 10). Table 10: Progress in MGNREGA Implementation in 2007-08, 2008-09 and 2009-10 Per cent of households with job cards Per cent of households that received some work 2007-08 2008-09 (till August) 2007-08 2008-09 (till August) 2009-10 Andhra Pradesh 58.32 70.70 31.65 32.87 35 Bihar 52.91 57.52 25.56 12.01 10 Chhattisgarh 83.12 92.98 66.04 34.58 48 Gujarat 13.63 32.51 4.58 5.50 18 Haryana 5.35 8.46 2.35 1.51 5 Jharkhand 69.13 73.94 39.25 19.90 16 Karnataka 19.50 28.55 7.04 3.62 8 Kerala 8.45 16.34 3.27 3.23 11 Madhya Pradesh 78.17 119.67 46.94 35.92 36 Maharashtra 25.01 31.90 3.79 2.66 4 Orissa 55.78 65.91 14.95 7.42 22 Punjab 3.11 8.19 1.58 0.72 5 Rajasthan 32.53 87.01 24.61 52.70 59 Tamil Nadu 24.98 55.84 14.02 27.48 34 Uttar Pradesh 29.50 39.21 16.52 8.21 16 West Bengal 65.13 65.51 29.18 15.15 43 Understanding the Determinants of Inequalities where more job cards had been distributed than number of households, only 35 per cent of rural households had actually received some employment under the scheme. In 2009-10, on the other hand, only in one state, namely Rajasthan, that more than 50 per cent of estimated rural households had got some work under the programme. While inter-state Note: (1) The All India Total includes all states and UTs. (2) Rural Households have been projected using 2001 and 2011 census. (3) Corresponding MGNREGA figures for June 2009 to July 2010 have been calculated. Source: Chandrasekhar and Ghosh, 2008 and MGNREGA Sameeksha, MORD, GOI, 2012. In short, even though there have been several challenges and issues with regard to the implementation of MGNREGA, such as delays in wage payments to workers, non-payment of full wages, misappropriation of funds, inadequacy in the number of days of work of provided in relation to demand, it has had some measure of progress in enhancing equity, whether seen in terms of increased involvement of rural women in paid work, reduction in gender gap in rural wages, more than proportionate (to share in population) engagement of socially 79 REDUCING INEQUALITY disadvantaged groups such as SCs and STs in the programme, increased consumption among the low income sections of the population, etc. At the same time there is no doubt that the enormous potential of MGNREGA, among other things, in reducing inequality is still incipient and requires to be substantially supported in many different ways. In this context, other than addressing issues such as utilization of funds, the capacity (including technical and administrative capacity) and willingness of local government and panchayats to plan works and run the programme effectively, increasing awareness about the programme and its guidelines to local people, etc. what is crucial for realizing the potential of MGNREGA is to increase Central government funding. However, what is extremely disconcerting is that Central government funding, after growing significantly in the initial few years since the launch of the programme, has tapered off since 2009-10 and even fallen in absolute terms in 2011-12 (Table 11). In 201213, allocation for MGNREGA is budgeted to increase to only Rs. 33,000 crore. However, since this was in general a period of high inflation, the amount allocated, in all likelihood, has actually declined substantially. reducing inequality and generating “inclusive” growth. Child Protection As is known, India has the highest number of working children in the world and as HAQ: Centre for Child Rights (2010) notes, India also has the highest number of sexually abused children.Yet, government spending on protection for children continues to fare poorly compared to other countries in the world (Budget Analysis for Child Protection, Ministry of Women and Child Development). In fact, among all the childfocused schemes in education, development (relating mainly to interventions for early childhood care and nutrition), health and protection, government spending on protection for children has been the lowest. In 2010-11, for instance, the Central government spending on child protection accounted for a mere 0.04 per cent of the Union Budget (Chart 67). Chart 67: Share of Child Protection in Union Budget 2010-11 .9 Table 11: Allocation for MGNREGA, 2006-07 to 2011-12 Growth 2006-07 In Rs. Crores 8694.25 2007-08 12661.2 45.6 2008-09 30000.2 136.9 2009-10 33539.4 11.8 2010-11 35841.5 6.9 2011-12 29215.1 -18.5 Source: Ministry of Rural Development, various issues of the Budget Such a trend of public expenditure on MGNREGA seems to clearly indicate that for the government, the agenda of containing fiscal expenditure far outweighs its lofty goals of 80 .5 3.2 Education 0.4 Development Health Protection Source: HAQ, 2010 The low priority accorded to child protection is reflected in the fact that over the years, barring the very recent period, even when the proportion of central government spending for child-specific schemes has gone up somewhat, that for child protection has not kept pace (Chart 68). 6 4.91 5 4.87 4.53 4.22 3.86 4.63 4 2.44 3 2 1 0.033 0.034 0.038 0.034 0.031 0.02 0.04 0 2004-05 2005-06 2006-07 2007-08 Share of Total Child Budget in Union Budget % 2008-09 2009-10 2010-11 Share of Child protection in Union Budget % Note: The figure for the year 2010-11 is Budget Estimate, rest all are Revised Estimates. Source: HAQ, 2010 and Budget Analysis for Child Protection, Ministry of Women and Child Development1 Further, there are large gaps between the budgeted estimates and the revised estimates of the budget with the latter being consistently lower than the former in various child-focused schemes in education, health, protection and development (HAQ: Centre for Child Rights, 2010). While the above relates to Union Budget, even spending by States do not fare very well when it comes to child protection. As the Ministry of Women and Child Development website documents point out there are significant inter-state variations in allocations for childfocused expenditures. “States with larger child populations are spending disproportionately less on child-related sectors, with some exceptions and variations” (Budget Analysis for Child Protection, Ministry of Women and Child Development). Understanding the Determinants of Inequalities Chart 68: Outlays for Child Specific Schemes and Child Protection as a Proportion of Union Budget In this scenario the initiation of the Integrated Child Protection Scheme (ICPS) in 2007 under the Ministry of Women and Child Development has been a welcome move. However, even in this case, not only has the revised estimates been consistently lower than the budget allocated for the centrally sponsored programme (Chart 69), even the recent increase in the budget allocated to ICPS has been inadequate. Chart 69: Gap in Budget Estimates and Revised Estimates in Allocation for Integrated Child Protection Scheme (ICPS) in Union Budget (in Rs. Crores) 200 180 160 140 120 100 80 60 40 20 0 180 85.5 54 38.5 2007-08 Budget Estimate (BE) 2008-09 54 44 2009-10 Revised Estimate (RE) Source: HAQ, 2010 1 Union Budget proportion devoted for child-specific schemes provided by CBGA (2012) differ somewhat from those provided by HAQ (2010). 81 REDUCING INEQUALITY Thus while there has been significant increase in allocation for Integrated Child Protection Scheme (ICPS) since 2010-11, as HAQ (2010) notes, this falls far short of the resources needed to implement even the 2001 Juvenile Justice law and the 2006 amendments all over the country.22 Even the increased budget allocation of Rs.400 crore in for 2012-13 is grossly inadequate compared to the target average annual amount of Rs.1,060 crore recommended by the Planning Commission’s working group for ICDS (CBGA, 2012). In short, it is obvious that despite the government’s rhetoric of paying more attention to protection for children, commitments in terms of resources allocated and spent remain measly and fall far short of even recommendations made by various expert groups. 22 82 HAQ, 2010 notes that “the old programmes, such as the Prevention and Control of Juvenile Social Maladjustment, are no longer running”. The inequalities evidenced in India are direct results of long-term features of socioeconomic development as well as some more recent processes. While there were many deep-rooted forms of economic and social inequalities in India well before the process of economic liberalisation, the latter has certainly exacerbated the problem. The analysis of the nature of employment response to economic growth in the post liberalisation suggests that whatever moderate increase in employment was generated during the years of high growth, it was not manifested either in the productive sectors or in forms that have been termed by the ILO as ‘decent work’ of one kind or another. In particular, while India witnessed rapid output growth especially from 2003-04 onwards, it was not manifested in rapidly growing employment in productive sectors or in the expansion of decent work. In general, income generating opportunities have been getting severely limited for both rural and urban households, whether headed by males or females. More than half of all India’s workers remain self-employed and there has been significant rise in casualisation of the workforce in both rural and urban sectors. It is well known that all casual and self-employed, and a significant proportion of regular workers, are unsupported by any form of social security. At the same time, the fact of having employed parents does not seem to have been guarantee against iniquitous economic and social development outcomes for children even in households with any kind of employment, because of the inequities in the labour market. Unorganised sector employment accounts for the overwhelmingly dominant share (more than 94 per cent) of all workers. Meanwhile, its share of national income has been falling sharply even through the recent period of rapid economic growth. As a result, the per-employee NDP of the organized and unorganized sectors have diverged dramatically, which accelerates sharply from 1999-2000 onwards. Organised sector NDP per employee, stood at nearly 11 times the unorganised sector NDP per employee in 2009-10. At the same time, while rapid growth has been focussed on the organised sector in aggregate income terms, there has been stagnation in organised sector real wages per worker on the one hand and a dramatic increase in non-wage salaries and incomes accruing to persons earning profits, rents and financial incomes on the other. The trend in real wage stagnation in organised manufacturing can be considered indicative of what has happened to the incomes of a large category of households dependent on casual, irregular and informal work in agriculture and non-agriculture. Such inequalities in labour market outcomes have had severe adverse effects on the survival and development prospects of children. Conclusion and Recommendations IV Conclusion and Recommendations These labour market inequalities have worsened under deflationary macroeconomic policies pursued by the government. In postliberalisation India, while central government expenditure as a proportion of GDP has shown a clear declining trend, state governments’ expenditure to GDP ratio has stagnated, except for a brief duration in the early 2000s. Share of developmental expenditures as proportion of total expenditure showed a decline for both Central and State Governments until 2004-05 83 REDUCING INEQUALITY after which there was a slight rise. However, they are still lower than the level of the early 1990s. This expenditure squeeze was partly because the period of high growth was not sufficiently exploited to generate fiscal resources for the necessary expansion in public spending. While there was improvement in the tax-to-GDP ratio on account of increased corporate tax collections and the service tax mobilisation, it was not because of increase in tax rates, but due to the fact that the corporate sector has been increasing its share of national income. Further, the huge amount of speculative foreign capital inflow owing to liberalised financial markets and open capital markets have meant that the central bank’s tasks of managing the real exchange rate of the rupee at a competitive level, while controlling inflation simultaneously, have been made extremely difficult. The accumulation of official reserves far in excess of the current account deficit has been contributing to pressures on the Reserve Bank of India (RBI) to adopt inflationtargeting policies. The resultant high interest rates together with the pressure to lower fiscal and revenue deficits under the FBRM Act have had significant deflationary impacts on the economy. The major brunt has been on public expenditures for capital formation. Apart from privatising public sector assets, the systematic withdrawal of the State from social welfare activities have resulted in reduced budgetary allocation, increased commercialisation of services and/or handing over of service provision and its financing to private parties and introduction of costrecovery measures such as user fees for public services. In the process, the previous progress towards universal access has been thoroughly undermined and has resulted in increased inequality and exclusion. Thus, in the realm of food-based interventions in India, for instance, the neoliberal stance of 84 reducing fiscal subsidies and the attendant move from a universal Public Distribution System (PDS) to a Targeted Public Distribution System (TPDS) in the 1990s, has resulted in widespread exclusion of poor and needy households from the PDS. Moreover, the introduction of targeting has adversely affected the very core of the PDS, impairing its functioning as well as endangering the economic viability of the PDS network, leading to a situation where the delivery system itself has collapsed in several states. The revival of the PDS in some states in the last couple of years (e.g. in Chhattisgarh, Orissa, and Uttar Pradesh), owing, in large part, to a renewed political interest, has positively impacted access to the PDS and food security situation in these states. However, in the official circles, the view that the public distribution scheme should be replaced with a system of coupons or cash transfers has been gaining ground. This can have severe implications in terms of increasing inequality in access to food, both across different segments of the population as well as across States. In both health and education, government expenditure continues to be woefully inadequate. With respect to health expenditure, such a pattern of financing has resulted in a general rise in household expenditure on health care as a proportion of total household consumption, at least until 2004-05. This is especially notable in rural areas. Low public financing and the resultant high out-of-pocket expenditures are the two major factors that affect equity in health financing and financial risk protection. Evidence from national sample surveys of expenditures shows that during the past two decades the proportion of money spent on health has increased most for the poorest households, thereby worsening poverty. Even in the case of ICDS, while there has been some increase in public funding, it remains inadequate. In short, the continuing paucity of public funds and lack of political will to spend In the area of education, even though there has been some increase in public spending as percentage of GDP in the last two decades, it continues to remain much below the target set by the Report of the Education Commission (1964-66) or even that set by the UPA-I government in the mid-2000s. At the same, there have been certain positive developments with regard to Centre-State Fiscal relationship in financing education, with the share of the central government in total government expenditure on education having risen from 0.61% in 1999-2000 to 0.93% in 2010-11. The increase in Central government funding notwithstanding, the continued paucity of adequate resources spent on education has given rise to processes that have the potential to exacerbate inequality. Among various such processes, the significant ones relate to dilution of quality norms in education and increasing reliance on private education even for schooling. The increasing role of private institutions in education has constrained access, especially among the less well-off sections of the population. Child Protection, which has traditionally been a neglected area, has witnessed some increase in Central government expenditure with the initiation of the Integrated Child Protection Scheme (ICPS). However, even at present the budget allocated remains much below that required for fulfilling the objectives of the scheme. One of the positive moves in the period of liberalisation has been the initiation of the employment guarantee programme, MGNREGA. Such “inclusive” public expenditure assumes great significance in mitigating inequalities generated by market-led development model followed under liberalization. Studies show that MGNREGA, where successful, has helped to reduce both economic and social inequalities. Increased spending in the initial period resulted in a sizeable rise in the number of rural households getting work under MGNREGA. However, with the economic crisis hitting India, Central government funding for the programme has reduced drastically. In effect then, the enormous potential that MGNERGA has in lowering inequalities is still to be realized. Policy Recommendations While mapping of inequalities are necessary, understanding inequality outcomes necessitate an immediate focus on process indicators. There is a need to consider the processes that generate the observed inequality outcomes, and here policy interventions are most important. Conclusion and Recommendations even on programmes that are universally acknowledged to be critical for welfare of the country’s children continue to be a major concern. Macroeconomic policies have a direct link to development and reduction of inequalities and must be designed to encourage employment creation directly and indirectly. Below are some of the fiscal policy choices that improve distributional outcomes and reduce inequalities. • The low level of capital expenditure has to be increased significantly to create domestic productive and infrastructural capacities. • In particular, public investments in agriculture, agricultural research and rural infrastructure have to be increased significantly. • Tax exemptions for capital gains should be removed, both from the point of view of reducing income and asset inequalities and for increasing revenue mobilisation domestically. This would also make the tax structure significantly more progressive. In a situation when even the organised sector household incomes have not been rising, even 85 REDUCING INEQUALITY relatively low rates of inflation can immediately and directly affect the conditions of children. But an excessive focus on inflation control through consistently higher interest rates can create higher unemployment and thereby worsen inequalities. Removing the deflationary bias of monetary policies require moving away from a single-minded focus on interest rate management and including financial policies that reduce vulnerability to crisis. This would involve: • directed credit and other ways such as guarantees for encouraging banks to lend to more employment generating sectors; • a focus on financial inclusion of small producers in informal activities. • creation of specific packages for sectors such as agriculture and small-scale enterprises; • creation of specific packages for regions identified as priority areas for addressing regional disparities; etc. • Dynamic management of capital flows to reduce the possibility of financial booms and busts and to ensure that current account deficits are financed with stable and nondebt creating kind of foreign capital inflows. Public expenditure in the social sectors has to increase substantially to increase both availability and access to basic public goods and services. Education • Public funding needs to increase to at least 6 per cent of GDP as set by the Kothari Commission report in the mid-1960s. • Recommendations by a sub-group formed by the Ministry of Human Resource Development to review the operationalisation of RTE Act, that the Union government should shoulder the major part of the responsibility (75 percent) of garnering funds to implement RTE Act, needs to be adopted. 86 The recommendations of the Tapas Majumdar Committee Projections for outlays to universalise elementary education need to be followed to reduce inequities in access to education. • Learning outcomes should be emphasised rather than school attendance to improve the quality of elementary education. Teachers as well as the parents should be engaged in the process for an effective assessment. • As per the recommendations of the Right to Education Act, child’s mother tongue should be used as medium of instruction at the primary level. Health • In addition to increasing public funding to at least 3 per cent of GDP, measures to universalise basic health services need to be initiated urgently. • Per capita public spending on health across different states needs to be equalised so as to ensure greater equity in entitlements to essential healthcare for all citizens. • Spending on ICDS needs to be increased in line with the objectives it aims to fulfill. In this context, the AWWs and AWHs need to be paid adequate remuneration and their employment regularised. • Bringing in measures to regulate the private medical sector is also extremely necessary. The Public Distribution System • Given the large exclusion of poor households from the PDS since it was converted into a targeted scheme in the 1990s, strategies for food security must begin with increasing public funding for: • Expanding and revamping a universal PDS; • Improving domestic food supply through measures like remunerative crop prices, credit to small farmers, providing inputs at affordable • Cash transfers must be additions to public provision, not substitutes. Water and Sanitation The overall budget allocation for rural water supply and sanitation has recently increased, but the urban sanitation has not received the due attention. While increased investment is a part of the challenge, there are several other issues that need to be addressed: • Investment should be prioritised in a sense that the regions that are lagging behind the most should be targeted first. Conclusion and Recommendations prices, more public investment in agricultural research and extension services, etc. • While advocating for sanitation programmes especially in rural regions, it is important to consider the cultural factors and levels of literacy and try to create awareness among the community and generate effective demand from them. • For household sanitation and effective drainage system, affordable and sustainable options need to be explored. • Although government has been emphasising on Public Private Partnership (PPP) projects, there are limitations for the state and local bodies to implement such projects. Hence effective implementation of PPP is needed to overcome the limitations of the local bodies. 87 REDUCING INEQUALITY References ADB (2012), ‘Confronting Rising Inequality in India’, Asia Development Outlook 2012, Asian Development Bank Chandrasekhar C.P. and Jayati Ghosh (2011), ‘Health Outcomes across the Major Indian States’, Business Line, April 19, 2011. 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