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2. For instance, most of the countries with a low 'human development index' are in
South Asia or sub-Saharan Africa. Cambodia, Haiti, Papua New Guinea and
Yemen are among the few exceptions of countries with high levels of extreme
3. Even though South Asia and sub-Saharan Africa share problems of high
incidences of poverty, they are not, of course, similarly placed in every respect.
a. Living conditions are now, in many ways, considerably better in South Asia
(including India) than in sub-Saharan Africa, partly reflecting a faster rate
b. For instance, per capita income is now about 50% higher in South Asia
than in sub-Saharan Africa, unlike in 1990, when it was much the same in
4. However, some social indicators are not much better — if at all — in South Asia
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5. For instance, female literacy rates are still much the same in South Asia and Sub
Saharan Africa, not only among adult women (50% and 55% respectively) but
also in the younger age groups (e.g. 72% and 67%, respectively, in the age group
of 15-24 years).'
6. Further, in at least one field — that of nutrition and especially child nutrition —
South Asia fares distinctly worse than sub-Saharan Africa. More than 40% of
South Asian children (and a slightly higher proportion of Indian children) are
7. In fact, despite rapid economic expansion in recent years, India remains one of
the poorest countries among those outside sub-Saharan Africa. According to the
World Bank, only 15 countries outside sub-Saharan Africa had a 'gross national
income per capita' lower than India's in Afghanistan, Bangladesh, Burma,
Cambodia, Haiti, Kyrgyzstan, Laos, Moldova, Nepal, Pakistan, Papua New Guinea,
Tajikistan, Uzbekistan, Vietnam and Yemen.
8. How badly India does in terms of non-income features of living standards even
9. India's rank among these 16 poor countries is 10th or worse in most cases. Not
only are India's figures worse than the average for the other 15 countries for all
social indicators presented here (except for the total fertility rate and male
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literacy rate), its rank in this group is an inglorious 10th for child mortality, 11th
for female literacy and mean years of schooling, 13th for access to improved
sanitation and DPT immunization, and absolutely the worst (along with Yemen) in
Table 3.1: Selected Indicators for the World's 16 Poorest Countries, Outside Sub-Saharan Africa
births)
births)
woman)
Female
74 79 11
Male
88 85 9
Underweight (Wasted)
43 30 15
Stunted
48 41 13
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Child immunization rates, 2011 (%)
DPT 72 88 13
Measles 74 87 11
a. Vietnam fares enormously better than India in terms of all these indicators,
in spite of being poorer than India.
b. So, incidentally, does Nicaragua, with virtually the same per capita GDP as
India (just a little higher, so that Nicaragua is not included in Table).
c. Uzbekistan, too, is far ahead of India in many respects, with, for instance,
d. Another striking contrast is between India and Nepal, which has much the
same social indicators as India, with barely one third of India's per capita
income.
11. It could be argued that one would expect India not to fare as well, in many ways,
as other countries at a similar level of per capita income, because India is growing
quite fast and it takes time for higher per capita incomes to translate into better
social indicators. In a country growing at 7% per year in per capita terms, per
capita income would double in 10 ten years, but it could quite possibly take
longer, even with significant efforts, to bring social indicators level with those of
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12. That is a point worth noting, and is itself a good reason not to rely on income
13. This is not to disparage India's achievements, but to put them in perspective, and
to focus on the deficiencies that plague India most and which have to be
overcome.
doing spectacularly better than these countries in terms of the growth of per
capita income.
3. No less intriguing is the case of Nepal, which with all its problems of politics and
governance seems to be catching up rapidly with India, and even overtaking India
in some respects.
a. Around 1990, Nepal was far behind India in terms of almost every
development indicator.
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b. Today, countries are more similar (sometimes a little better in India still,
sometimes the reverse), in spite of per capita income in India being about
3 times as high as in Nepal.
(Top = 1, Bottom = 6)
2. Life Expectancy 4 5
children
*Ambiguous rank due to missing data for Bhutan (or Nepal, in the case of 'underweight
children').
4. In terms of the rate of expansion of income per head, India is now at the top of
this group (as it is of most groups of countries in the world). But in most other
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respects, India's rank has worsened, in fact quite sharply in many cases. Overall,
only one country in South Asia (Sri Lanka) clearly had better social indicators than
India in 1990, but now India looks second worst, ahead of only Pakistan.
6. Yet there is a great deal to learn from looking around us within South Asia. Many
size and rapid economic growth compared with its neighbours, India may have
much to learn from them.
1. Bangladesh is still one of the poorest countries in the world, and large sections of
its population continue to lack many of the bare essentials of good living. Still,
some particular features of the Bangladeshi experience are of special relevance to
India.
2. The roots of Bangladesh's social achievements are not entirely transparent, and
deserve much greater scrutiny than they have received so far. However, some
likely clues are immediately worth noting. Perhaps the most important clue is a
pattern of sustained positive change in gender relations.
3. As Table 3-5 shows, many gender-related indicators are now much better in
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4. This, along with greater female literacy and education, has led to Bangladesh
now higher than those of boys, in contrast with India where a substantial gender
bias (against girls) persists. Indeed, Bangladesh is now one of the few countries in
the world where the number of girls exceeds the number of boys in school.
5. Even the share of women in Parliament, while much below one half in both
India Bangladesh
males)
Secondary 92 113
Female 74 78
Male 88 75
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(%)
Women 27 31
Men 50 39
6. Women's agency and gender relations may partially account for the fact that
Bangladesh has caught up with, and even overtaken, India in many crucial fields
a. For instance, the fact that both female literacy and women's participation
b. The subjugation of women in South Asia has also been plausibly invoked
in the past as a major explanation for the 'South Asian enigma' — the fact
that child undernutrition rates are higher in this region than in many
8. Some of its achievements, in fact, build in a fairly direct and transparent way on
women's agency. For instance, very large numbers of Bangladeshi women have
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9. According to the authors no comparable change can be observed in India as a
11. Even though the overall size of public expenditure on health on health is still very
low in Bangladesh, there have been substantial progress with essential, low-cost
measures, particularly related to public health.
India Bangladesh
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12. Another area of particular interest is family planning in the two countries.
time - from around 7 children per woman in the early 1970s to 4.5 in 1990 and
2.2 in 2011 (very close to the 'replacement level' of 2.1).
country).
14. Bangladesh has also made early strides in the development and distribution of
low-cost generic drugs through public or non-profit institutions. It is partly by
focusing on these and other 'basics' that the country has been able to improve
people's health in spite of its very low per capita income.
15. A third pointer relates to the importance of social norms in health,education and
many years.
16. India, of course , has also initiated programmesof this sort, but it still has much to
learn from Bangladesh, both about the required intensity of these
communication and mobilization efforts, and about the need to overcome the
social barriers that often stand in the way of such initiatives.
1. The BRIC countries (Brazil, Russia, India and China) do have some important
features in common, starting with their gigantic populations.
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2. As Table 3-7 illustrates, however, India is actually an exception within this group,
literacy in the younger age groups, India is still quite far from this goal.
Twenty percent of all Indian men in the age group of 15-24 years, and 25%
all women in the same age group, were unable to read and write in 2006.
d. To some extent, this pattern reflects the fact that India is still much poorer
than other BRIC countries: India's per capita GDP (adjusted for PPPis less
than half of China's, one third of Brazil's, and one fourth of Russia's.
3. In other words, the required catching up pertains not only to per capita incomes
but also — very importantly — to public services, social support and economic
distribution. It is, in fact, worth noting that among these 4 countries, India is the
only one that has not (at least not yet) gone through a phase of major expansion
4. Dreeze and Sen emphasize that China made enormous progress (especially in
comparison with India) very early towards universal access to elementary
education, health care and social security — much before embarking on market-
oriented economic reforms.
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5. They are quick to point out that while there were some setbacks in some of these
fields in the 1980s and 1990s, notably in the field of health care, China's growth-
oriented policies during that period benefited a great deal from the solid
foundations of human development that had been laid earlier. Further, the
undoing of socialized health care in the 1980s and 1990s, for which China paid a
heavy price, was reversed again from around 2004.It appears that nearly 95% of
the people are now covered by the revamped, publicly funded health system.
6. Russia, too, had put in place a comprehensive system of social protection and
public services during the Communist period. As in Chinathe system came under
a. There was, eventually, an economic take-off of a limited sort (in the 2000s),
but, according to Dreze and Sen, only after the economy and social
infrastructure had been substantially ruined, or handed over to business
particularly men, who now have the same sort of life expectancy as Indian
men (see Table 3-7).
b. And as in China, there have been major efforts to rebuild public services
and the social security system in Russia in recent years, with help from
sustained economic growth from the turn of the century.
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(see Table 3-7), even though they reached a Similar situation through very
different routes.
8. According to Dreze and Sen, for a long time, Brazil combined rapid economic
growth with what they call repressive governance, massive inequality and
endemic deprivation. However, as discussed in the next section, this picture has
9. Dreze and Sen in an earlier book, we also discussed the pitfalls of 'unaimed
opulence', which they define as - the indiscriminate pursuit of economic
10. According to Dreze and Sen, in the late 1980s, Brazil was in many ways a fitting
illustration of this pattern. In the 1960s and 1970s, it had one of the fastest-
growing economies in the world, but living conditions remained deplorably low
a. They feel that there is a fair amount of unaimed opulence in India today.
12. On the other hand, Brazil has substantially changed course, and adopted a more
inclusive approach based on active social policies. This change has been largely
driven by the flourishing of democracy.
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13. Notable aspects of this new orientation include
14. The right to health was included in the new democratic constitution. It is aimed at
providing free health care to everyone without discrimination, and also launched
an ambitious Family Health Programme.
a. The system involves both public and private health care providers, but is
publicly funded.
b. It has led to a major expansion of access to health care, particularly for the
underprivileged — according to the World Health Organization, 75% of
c. Brazil's health indicators are reasonably good., with, for instance, universal
15. A special feature of Brazil's new health care project is that it is rooted in strong
popular movements. Brazil's experience also reminds us that, in a democracy
16. Martin Ravallion (2011) compared the speed and causes of poverty reduction in
Brazil, India and China between 1981 and 2005. During the 2ndhalf of this period
(between 1993 and 2005), Brazil's per capita GDP grew at just 1% or so,
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compared with nearly 5% in India. Yet the share of poverty reduction was much
economy.
18. Indeed, Brazil is still one of the most unequal countries in the world (along with
India, China and South Africa).
19. Less well known than Bolsa Família or Fome Zero (Zero Hunger), Brazil's food
b. Government schools, for their part, have gone through major reforms. For
instance, municipalities have started assuming the main responsibility for
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attendance; and (very importantly) Brazil has invested heavily in pre-school
education, which has been extended to more than 80% of young children.
20. The results have been impressive. At least 3 major educational improvements
age group of 6-14 years was 98%, and literacy in the age group of 5-24
years was also 98%.
For instance, the Gini coefficient of years of schooling dropped from 0.41
in 1995 to 0.29 in 2009. Education reforms helped the lagging regions
21. Social spending as a proportion of GDP is now higher in Brazil (about 25%) than
in any other Latin American country except Cuba (about 40%), and about four
times the corresponding ratio in India (6% or so).
22. These achievements and the speed of change — most of this happened within 20
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1. While India has much to learn from international experience, it also has a great
deal to learn from the diversity of experiences within this large country. The
regional records are very diverse indeed.
a. A number of Indian states - Kerala and Tamil Nadu, for example - would
be at the top of the South Asian comparisons if they were treated as
separate countries, and others - Uttar Pradesh and Madhya Pradesh, for
example — would do enormously worse.
b. These contrasts are indeed sharp. For instance, whereas female life
2. Dreze and Sen believe that the Indian states that have done well tend to have
been those which had laid solid foundations of participatory development and
social support early on, and actively promoted the expansion of human
3. Seven major states (with a combined population of 545 million in 2011, about
50% of India's population) have had poor social indicators for a long time, as well
a. For instance, that less than 50% of all children aged 8-11 years are able to
pass a very simple reading test (going a little beyond liberal definitions of
'literacy') in some of these states, only 23% of young children are fully
immunized in Uttar Pradesh, and more than 50% of the population in Bihar
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b. In international perspective, some of these states are not very different
c. For instance, multi-dimensional poverty index' (MPI) place states like Bihar
Madhya Pradesh, Odisha, Rajasthan and Uttar Pradesh) are more or less on
a par — taken together — with the 27 poorest countries of Africa, and
5. Looking at the other end of the scale, (Table 3-.9), three major states distinguish
a. Kerala,
c. Tamil Nadu.
8. Arvind Subramanian is of the opinion that Prior to 1980, the growth rate of the
Indian states was mediocre but relatively uniform. After 1980, however, the
fortunes of the states diverged considerably (Ahluwalia 2000).
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9. There is clear evidence of fortunes of the States diverging in the 1980s but
remained latent and could not find expression until the economic
environment changed.
12. Thus it was the interaction between pre-existing capabilities and the twin triggers
of liberalization and decentralization that explains how the different states fared.
14. According to Subramanian, this capability was something more than a state's
level of development or educational level or geography.
rates. The relationship is strongly negative, that is, the less concentrated the
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manufacturing base to begin with (or the more diversified it was), the faster the
subsequent growth.
16. Note: The Herfindhal index is defined as the sum of squares of individual shares i.e. if
there are 2 firms with 50% share each then H Index is defined as (50)2 + (50)2 = 2500 +
2500 = 5000. Anything above 1000 is considered high concentration. The Herfindahl
Index measures concentration of value added across three-digit industries in 1982; the
lower the index, the lower the concentration, or the higher the diversification.
well with the enormous centralizationof economic power, and the inter-state
across states.
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19. The decentralization dynamic canbe seen in yet another way: if decentralization
losses(T&D losses) of State Electricity Boards are used. T&D losses refer to
powerthat is generated but not paid for—in part because someof it is lost
naturally along power lines in the process ofT&D, but also in part because it is
stolen.
22. In other words, we are looking at T&D losses as a proxy for state efficiency.In
areas whereT&D losses are high, the quality of power is low. Thus T&D lossesare
not directly related to capacity, but are determinedby state-level political
23. We find that there is a negative correlationbetween the average T&D losses in
24. In short, economic development results from the interaction of growth triggers
25. According to Subramanian, the boom in the IT sector first awakened observers to
the fact that important cumulative elements (the fundamentals) were had been
built before 1980s and they yielded rewards with a lag.
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26. In other words, these fundamentals were as important as the triggers that
27. The fundamentals were not just the pools of skilled human capital, they also
consisted of the meta institutions of democracy, rule of law, free press, and
technocratic bureaucracy.
28. Looking ahead, Subramanian feels that a big uncertainty relates to the quality of
these institutions. Institutional decline will not just need to be averted at the
national level but also at the level of the states. Higher growth in India is leading
29. So a key question is how the process of divergence within India can be reversed.
governance trap. Because basic state functions such law and order, an
efficient bureaucracy, and competent courts have not been provided, they
have remained poor, which in turn has led to exit of the middle class and
b. If this continues, the process of arresting divergence could take the form
of large labour outflows from the backward states. This would create its
own tensions.
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30. Coming back to the analysis by Dreze and Sen, keeping in mind Subramanian’s
a. First, they do much better than Punjab and Haryana by gender-related and
child-related indicators.
b. Second, Kerala, Himachal Pradesh and Tamil Nadu are all states that were
very poor not so long ago (say in the 1950s and 1960s) — unlike Punjab
and Haryana, which have been relatively prosperous regions of India for a
long time.
31. Kerala's social achievements have a long history and have been widely discussed.
even accelerated, with help from rapid economic growth, which in turn has been
assisted by Kerala's focus on elementary education and other basic capabilities.
32. Like Kerala, Himachal Pradesh launched ambitious social programmes, including
33. Within 40 years or so, Himachal Pradesh has made the transition from severe
social backwardness and deprivation (as the region was seen then) to a relatively
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34. Tamil Nadu started from appalling levels of poverty, deprivation and inequality.
Throughout the 1970s and 1980s official poverty estimates for Tamil Nadu were
higher than the corresponding all-India figures, for both rural and urban areas
35. Tamil Nadu, initiated social programmes such as universal midday meals in
connections, and much more. According to Dreze and Sen this was not just a
reflection of kind-heartedness on the part of the ruling elite, but an outcome of
36. Today, Tamil Nadu has some of the best public services among all Indian states,
37. While each of these experiences tends to be seen, on its own, as some sort of
confined 'special case', it is worth noting that the combined population of these
three states is well above 100 million. Tamil Nadu alone had a population of 72
million in 2011, larger than most countries in the world.
38. The notion that these states are just 'outliers' overlooks the fact that their
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i. The basic principle is that facilities such as school education,
i. There has been little use of recently favoured short-cuts such as the
use of para-teachers (rather than regular teachers), making
centres etc.
iii. These traditional public institutions have left much room for private
initiatives at a later stage of development.
d. Fourth, dealing with social inequality has also been an important part of
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ii. Himachal Pradesh benefited from a more favourable social
e. Fifth, these experiences of rapid social progress are not just a reflection of
constructive state policies but also of people's active involvement in
democratic politics.
39. Thus while not so long ago, Kerala was considered as an anomaly of sorts among
Indian states. Its distinct social history and political culture appeared to set it
apart, and to make it difficult for any other state to follow a similar route. Today,
the situation looks a little different. Other states have also made great strides in
improving the quality of life — not in exactly the same way.
40. Other [remaining] states have good reason to learn from these positive
experiences, even as India also learns from the successes and failures in the rest
of the world.
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