Unhealthy Shock: Changes in Household Expenditures in the First Wave of COVID-19 in India

This article uses nationally representative household survey data between June 2019 and 2020 from India to examine changes in household consumption expenditure following the first wave of the COVID-19 pandemic. We find that across rural and urban households, there was a strong reduction in overall expenditures, in particular, related to food and health. This corroborates findings from existing literature on food insecurity during the first lockdown in India (March–April 2020) and provides the first set of estimates on changes in health expenditure for this period. Although there were expansions to health insurance and subsidized COVID-related healthcare costs in India, our findings likely do not reflect this. We discuss implications for policy and outline future work. © 2023 Indian Institute of Health Management Research.

We're very grateful: moral emotions, role models, and trust predict vaccine uptake intent in India

This study investigated determinants of the willingness to get vaccinated in India and examined the relationship between engagement in preventive behaviours and vaccine uptake intent. A large-scale online survey covering aspects of COVID-19 preventive behaviours, vaccination status, moral emotions, trust in others, role models, and socio-demographics was used. A total of 953 Indians participated in the survey between May and June 2021, of which 770 contained valid data on vaccination status. Past preventive health behaviours (PHBs) such as avoiding social gatherings, higher interpersonal trust, and moral emotions were robustly associated with the willingness to take a COVID-19 vaccine. Results also showed that unvaccinated individuals were less likely to follow other PHBs, like wearing a mask;past COVID-19 infection status was associated with similar lower adherence to PHBs. Given the strong associations between positive moral emotions, like gratitude, and vaccine uptake intent (especially in the unvaccinated subsample), targeted communication interventions can boost uptake intent, and subsequently vaccine uptake, in jurisdictions with low vaccination rates. Copyright © The Author(s), 2023. Published by Cambridge University Press.