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In boys than in girls (Daga.1992; Srivastava and Nayak,1995). On the other hand, there<br />

are studies that have not shown any significant gender difference In immunization<br />

coverage (Ghildiyal et a1..1992. Samantaray and Jena.1995). In the current study, the<br />

data collected during census showed a significantly lower proportion <strong>of</strong> girls (84.7%)<br />

than boys (90.1%) completely immunized with DPT and OPV(p < 0.05). However, cross<br />

secbonal morbidity survey did not reveal any significant difference between the genders<br />

with respect to BCG vacdnat~on (p > 0.05). These data suggest a marginal preference<br />

<strong>of</strong> boys over girls as far as immunization coverage was concerned.<br />

AS In the case <strong>of</strong> preventive aspects, the curative aspects also show a heterogene~ty <strong>of</strong><br />

gender bias in India. In India the male: female hospitalization ratio varied from 2.1 to<br />

1 3 1, the latter being mainly from the South (Ghosh,1986). A study from Bombay<br />

showed that the ratio <strong>of</strong> male: female hospltal attendance was 1.4:l (Ghildiyal et<br />

ai.1992). In a hospital from Ludhiana, it was observed that 65.2% <strong>of</strong> the attendance<br />

was boys and 34.8% was girls in the pediatric outpatient department (UNICEF,1994b).<br />

In the same place, it was also found that boys received earlier <strong>medical</strong> attention than<br />

g~rls dunng their terminal illness (Kielman,l991). In a study from Salem, it was reported<br />

lhat boys were taken to doctors, whereas girls were given home medication<br />

(Samantaray and Jena,1995). These data suggest greater utllizatlon <strong>of</strong> health service3<br />

for slck sons than sick daughters in some parts <strong>of</strong> the country resulting in a higher<br />

mortality and morbidity in girls<br />

(Ghosh,1992; Ghildiyal et a1.,1992; Oko~1e,1994).<br />

However, Basu (1989) observed that in Tamil Nadu, the chances <strong>of</strong> survival In early<br />

ch~ldhood, were almost equal for girls and boys. This implied that the health care for<br />

gldS was not different from that <strong>of</strong> boys, in Tamil Nadu. In the current study, no<br />

S19nlflcant gender difference was observed in JIPMER hospital atlendance, be~ng

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