HEALTH SURVEY BY
NATIONAL COUNCIL OF APPLIED
ECONOMIC RESEARCH
D R . S H R I R A M V G O S AV I
Introduction
 Founded in 1956 by ministries of Industry & Finance in co-
operation with Ford Foundation.
 Objective: To undertake survey-assisted research into problems in
applied economics, both for public & private sectors on themes
that directly relevant to formulation of plans, particularly at
regional level.
 Primarily does large-scale sample survey on income and other
development related indicators including various consumer
products
Health Surveys conducted by NCAER
 Survey on health care along with ‘Market information Survey on
Households (MISH)
- First survey: 1990
- Second survey: 1993
 Human Development Profile of India (HDPI)
- First Survey: 1994
- Second Survey: 2004 – 05
 Socio-economic impact of HIV/AIDS (2004)
 Research on various aspects of workforce management and
rational use of infrastructure in health sector
 Several small scale surveys; e.g. Morbidity pattern, health care
utilization and health expenditure pattern of urban poor
Survey on health care, 1990
 First Survey on health care in 1990 focused on:
- Type of illness suffered by household member
- Source of treatment
- Type of medical care sought
- Cost of medical care by household
Survey on health care, 1993
 Second round of the survey in 1993 added several new features.
- Health expenditure in greater details
- Socio-economic characteristics of the households and its
relation with morbidity pattern and health expenditure
- Distance travelled to seek treatment
- Data on illness episode requiring hospitalization collected
separately
Survey on health care:
methodology and sample design
 All India survey of the household covering both urban & rural area (
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21 states & union territories)
First round of survey:
In rural area
- used a stratified sample design
- 371 district ( 2-5 villages) with probability proportional to
population of village (1981)
- 1061 villages ( 269,000 household listed) using simple random
sampling
In urban:
- 632 cities ( first stage sampling unit)
- 1,873 blocks (228,000 household listed)
Second round of survey:
- 18,693 household (2,339- urban & 6354- rural)
Human Development Profile of India, 1994
 In 1994 conducted a multifaceted empirical study Human
development profile of India-I (HDPI-I)
 Study rich source of data on various aspect of health
 Collect information on prevalence of a short term and major
morbidity, treatment seeking and expenditure pattern
 Collect data on maternal & child health services
Human Development Profile of India, 2004 - 2005
 Underlying idea to carry forward the work begun in the previous
survey and understand human development through survey
research
 Main objective:
- resurvey the HDPI-I
- for comparison and account change over last
ten year in the indicator of human development
- provide continuity & sustainability to building framework
for understanding & developing policy tools
Health Development Profile of India-I:
methodology and sample design
 16 states & union territories
- stratified three stage sample design
- household listed ( religion, caste, household size,
source of income, cultivable land operated where
source of income is cultivation)
- 33,230 household (1,765 villages )
- 2,500 household ( 16 urban centers)
major
Health Development Profile of India-II:
methodology and sample design
 19 major states & union territories
 Rural:
- 14,181 household resurveyed rural area
- 3,787 household rural refresher (old villages)
- 8,935 household rural refresher (new villages)
 Urban:
- 14,580 household from urban area
Survey instrument used for HDPI
HDPI-I
HDPI-II
 thee structured
 Five structured questionnaire
questionnaire
- part-I: socio-economic &
educational profile
- part-II: health profile of
household
- part-III: village schedule
( information on
infrastructure )
- household questionnaire
- village questionnaire
- education questionnaire
- primary school
questionnaire
- medical facility
questionnaire
HDPI-I & II survey training of investigator
 In every state, local institutions entrusted with task of collecting
data
 HDPI-I: 150 supervisor & 600 investigators trained for collection
& compiling of data
 HDPI-II:
- nine training centers to train field invest.
- classroom lecture, pre-testing in field (for 10 d)
- 400 invest. & supervisor
- for selection of coordinating agencies, workshop in Delhi,
Bangalore & Kolkata
Socio-economic impact of HIV/AIDS conducted in
2004-05
 Objective:
- to understand the nature & type of economic
impact of HIV /AIDS on household
- assessed net economic impact of HIV/AIDS on states &
national level economic performance
Survey on ‘Health problems of urban poor’
 Conducted in two cities: Chennai & Delhi
 Study focuses on
- to examine the morbidity patterns
- health care utilization
- expenditure pattern of urban poor
- information on health problem urban poor
- access to treatment & type of treatment sought
- public vers. private care
- gender differences in health seeking behavior
Poverty head count ratio (HCR) by state in rural India, 199394 & 2004-05: NSSO (CES) & NCAER (HDPI-I & II)
states
NSS 1993-94
NSS 2004-05
NCAER
1993-94
HCR
HCR
HCR
NCAER
2004-05
HCR
Andhra Pradesh
15.9
10.5
20.8
7.3
Assam
Bihar
Gujarat
Haryana
Himachal Pradesh
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Orissa
Punjab
Rajasthan
Tamil Nadu
Uttar Pradesh
West Bengal
Total
45.2
57.7
22.2
28.0
30.4
30.1
25.3
40.9
38.1
49.9
11.5
26.3
32.9
42.2
41.2
37.1
22.1
43.4
18.9
13.2
10.5
20.7
13.2
37.9
29.6
46.9
9.0
18.3
23.0
33.7
28.4
28.4
31.3
44.7
37.0
24.9
42.5
38.1
29.1
36.9
30.2
52.7
30.1
42.2
30.8
41.9
56.3
38.3
32.0
29.7
15.4
14.2
6.0
18.8
17.0
53.7
29.8
53.7
6.0
29.1
26.7
34.1
29.5
29.0