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The life expectancy of marginalised communities in India is declining

A recent study has uncovered the disproportionate impact of COVID-19 on the country’s most vulnerable. It shows stark disparities in the decline of life expectancy across social groups, gender, and age – evidence of how the pandemic has exacerbated existing inequalities nationwide.

Though the pandemic left an indelible mark on societies across the globe, nowhere has its impact on inequality been more evident than in India.

A recent study of data compiled by the National Family Health Survey (NFHS-5) highlights this, uncovering how disproportionately COVID-19 has affected the country’s most vulnerable, widening pre-existing social and economic gaps.

To come to this conclusion, researchers conducted the first-ever comprehensive analysis of mortality rates across various demographics in India using high-quality empirical records from the NFHS-5.

Their findings paint a concerning picture of how significantly the pandemic has deepened societal divides, with marginalised communities suffering the highest declines in life expectancy.

As revealed, India’s overall life expectancy in 2020 plummeted by 2.6 years compared to 2019.

The Muslim population has been the hardest hit, witnessing a dramatic decline of 5.4 years – more than four times that of higher-caste Hindus, who saw a decline of just 1.3 years.

Adivasis (scheduled tribes) and Dalits (scheduled castes) have also suffered disproportionately, with respective declines in life expectancy of 4.1 and 2.7 years.

This is comparable and/or far higher than that of Native Americans, Black people, and Hispanics in the United States during the same year.

It draws attention to long-standing social and economic inequalities in India that have left marginalised communities much more at-risk during global health emergencies.

The issue extends beyond caste and religious lines, however, with gender disparities also rife.

Indian women have seen a decline in life expectancy one year greater than that of men.

This disparity was observed across various social groups, with the exception of Adivasi women.

As researchers confirm, gender inequality worsened during the pandemic.

This is evidenced by the levels of household spending on healthcare at the time, which demonstrates that women faced numerous challenges, including a loss of access to menstrual hygiene products and contraception, as well as a staggering increase in domestic violence.

Age-related impacts also varied, with women aged 0-19 and 60-79 experiencing the largest declines in life expectancy. For men, mortality rates were at their highest between 40 and 59 years old.

In addition to these worrying revelations, the most alarming to emerge from the study is that India’s official COVID-19 death toll may have been grossly underestimated.

It’s thought that excess deaths in 2020 were about eight times higher than the official number states.

This discrepancy raises serious questions about the adequacy of India’s pandemic response and the accuracy of its public health data.

It also brings to the forefront the difficulties faced by the country in assessing the virus’ impact on somewhere so vast and diverse.

Serving as a wake-up-call for policymakers, healthcare professionals, and Indian society at large, there is clearly an urgent need for targeted interventions to address the disproportionate impact of health crises on marginalised communities.

Moreover, this emphasises the importance of robust, transparent data collection and reporting mechanisms to guarantee an accurate understanding of public health challenges.

As India continues to grapple with the long-term consequences of COVID-19, the research provides a crucial foundation for developing more equitable and effective health policies.

It calls for a renewed focus on addressing systemic inequalities that leave certain populations more vulnerable to health crises and for the strengthening of healthcare infrastructure in underserved areas.

As the country moves forward, this study must be reflected on to inform a more inclusive and resilient approach to public health – one that ensures no community is left behind in the face of future crises.

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