dr.(med.) Pavitra PAUL, PhD.(health economics) 

List of publications

•  Eduardo Daniel López-Vila and Paul Pavitra (2025): ”The burden of diseases and injury through the lens of Standard Expected Years of Life Lost: the lost productivity and the distribution of health attainment in countries of different health systems”. Epidemiology Biostatistics and Public Health, 20(1), https://doi.org/10.54103/2282-0930/23489

• [Using country-specific subnational level data, we have quantified the burden of diseases and the consequential lost productivity with our 3P approach (population, participation and productivity) in two lower middle-income countries i.e., India and Kyrgyzstan; three upper middle-income countries i.e., Belarus, Kazakhstan and the Russian Federation; and one high-income country, France. Thus, this study offers an approach that has the potential to be used in the poverty alleviation programme in low – and middle-income countries]. 

• Chanel Olivier and Paul Pavitra (2022): “Do Differences in Brute Luck influence preferences for redistribution in favour of the Environment and Health?” Humanit Soc Sci Commun 9(338),   https://doi.org/10.1057/s41599-022-01346-7

[This paper investigates how differences in perceived brute luck influence individual preferences for redistribution in favour of two public policies: “health intervention” and “environmental actions”].

• Paul Pavitra, Nguemdjo Ulrich, Ngami Armel, Kovtun Natalia and

Ventelou Bruno (2022): “Do Efficiency and Equity move together? - Cross-dynamics of Health System Performance and Universal Health Coverage”.

Humanit Soc Sci Commun 9(293),  https://doi.org/10.1057/s41599-022-01271-9  

[This study examines the direction of causality between progress towards Universal Health Coverage and the performance of the national health system].

• Paul P., Nguemdjo U., Kovtun N. and Ventelou B. (2021): “Does Self-Assessed Health Reflect the True Health State?” Journal of Environmental Research and Public Health, 18(21):11153,  https://doi.org/10.3390/ijerph182111153

[This study operationalises a recursive semi - ordered probit model to examine endogeneity problem of perceived health and finds the answer to the question of effect of diagnosed chronic disease, on different levels of perceived health status].

• Paul P., Arra B., Hakobyan M., Hovhannisyan MG. and Kauhanen J. (2021): ”The determinants of under-5 age children malnutrition and the differences in the distribution of stunting — A study from Armenia”. PLoS ONE, 16(5):e0249776,  https://doi.org/10.1371/journal.pone.0249776

[This study (1) identifies the determinants of malnutrition and distribution of stunting within socioeconomic groups, (2) examines the malnutrition gap between poor and non-poor and (3) estimates the magnitude of inequality in stunting in Armenia].

• Paul Pavitra (2019): “The distributive fairness of out-of-pocket healthcare expenditure in the Russian Federation”. International Journal of Health Economics and Management, 20(1),  https://doi.org/10.1007/s10754-019-09268-9 

[This study examines the effect of (1) changes in the distribution of socioeconomic position on out-of-pocket healthcare expenditure distribution and (2) urban-rural segmentation of population in the distribution of out-of-pocket healthcare expenditure].

• Paul Pavitra, Berlin C., Maessen M. and Valtonen Hannu (2018): "A comparison of regret-based and utility-based discrete choice modelling – an empirical illustration with hospital bed choice". Applied Economics,  https://doi.org/10.1080/00036846.2018.1444260 

[This empirical study compares two approaches - regret minimization and utility maximization in choice modelling using Swiss hospitalisation data (2005-2012)].

• Berķe-Berga Anželika, Paul Pavitra and Valtonen Hannu (2017): “Examining Health Inequalities in Latvia – “A Decade of Association between Socioeconomic Position and Perceived Health Status”. BioMed Research International,  https://doi.org/10.1155/2017/7541416 

[This study identifies the determinants of health inequalities in Latvian population and estimates the changes over time in proportional contribution of different socioeconomic strata related determinants in Latvian health inequalities].

• Paul Pavitra and Valtonen Hannu (2016): “Health inequality in the Russian Federation: An examination of the changes in concentration and achievement indices from 1994 to 2013”. International Journal for Equity in Health, 15(36),  https://doi.org/10.1186/s12939-016-0325-9 

[This paper estimates the magnitude of health inequalities ascribed to socioeconomic strata from 1994 to 2013 in the Russian Federation].

• Paul Pavitra, Hakobyan Mihran and Valtonen Hannu (2016): “The Association between self-perceived health status and satisfaction with healthcare services: Evidence from Armenia”.  BMC Health Services Research, 16(67), https://doi.org/10.1186/s12913-016-1309-6 

[This paper examines the relationship between the perceived health status of the population and the satisfaction with healthcare services].

• Paul Pavitra and Valtonen Hannu (2016): “Inequalities in perceived health in the Russian Federation, 1994–2012”. BMC Public Health, 16(165),  https://doi.org/10.1186/s12889-016-2810-x 

[This paper examines health inequalities and estimates the contributions of demography and socioeconomic strata in the production of perceived health over time].

• Paul Pavitra (2013): "Productive efficiency analysis of primary healthcare services in Afghanistan: A DEA study". International Journal of Behavioural and Healthcare Research, 4(2),  https://doi.org/10.1504/IJBHR.2013.057374  

[This study analyses the relative efficiency of primary healthcare services facilities and identifies the factors associated with the efficiency of health facilities in Afghanistan].

• Paul Pavitra and Valtonen Hannu (2012): “The Association of Health Determinants with Socioeconomic Status and Districts in Afghanistan”. International Journal of Development and Conflict, 2(3),  https://doi.org/10.1142/S2010269012500123 

[This study examines the distribution of health determinants, identifies the relationship between the structural and material determinants of health, and estimates the effects of the Afghan districts on health determinants in Afghanistan].

Publication [other than English language]

Павитра Пол, Ханну Валтонен, Ковтун Наталья. Социально-экономическое неравенство населе-ния в области здоровья в постсоветской России // Народонаселение. — 2019 –Т. 22. — № 1 — С.61-78. [English translation: Pavitra Paul, Hannu Valtonen, Kovtun Natalia. Socioeconomic inequalities in health in the post-Soviet Russia. Narodonaselenie (Population) - 2019. Vol. 22. No. 1. P. 61-78].

Chapter in the Book 

Pavitra Paul. “The Russian Federation” in Public Policy Challenges in Rethinking Public Health, (eds.) Katherine Fierlbeck (a McCulloch Research Professor and Chair of the Department of Political Science at Dalhousie University) and Peter Berman (a Professor Emeritus at the University of British Columbia School of Population and Public Health, and an Adjunct Professor of Global Health at the Harvard TH. Chan School of Public Health); World Scientific Publishing, Singapore, 2024 -  https://www.worldscientific.com/worldscibooks/10.1142/13934#t=aboutBook  .

Manuscripts under review

1.  Paul Pavitra and Eduardo Daniel López-Vila (2024): Perceived health, life satisfaction and CASP: an insight into the interconnectedness of “wellbeing” indicators in older adults.

[This study aims to unfold the interconnectedness of three dimensions of perceived    “wellbeing” – perceived health, life satisfaction and CASP – 12 for the older adults from diverse social and cultural milieu].

2.  Paul Pavitra and Yuvaraj Krishnamoorthy (2024): ”How diverse is India’s diversity? - An Empirical illustration from the Life Years Lost and the Lost Productivity  between 2013 and 2019”.

[This study establishes the need for the disease specific SEYLL computation for an efficient allocation of resources in the states of India].

3.  Paul Pavitra, Gilev Denis and Mateu Guillermo (2023): “Choice for primary healthcare services and Welfare: an empirical illustration from the Russian Federation”.

[This study measures welfare derived from availing primary healthcare services based on individual attributes and freedom of choice, and empirically illustrated a potential opportunity for social choice and decision theory to converge for bringing efficiency in health system].