Assessing the socio-economic status of a population based on health will require all the factors that contribute to disparities in health among humans, such as access to health care, nutritional factors, environmental exposure and social support. The health related behaviors of people in a society can be based on the individual position of its people most of the time (Kirby L. Jackson, Jennifer L. Waller, Carol Z. Garrison 1998). Even Hamm TE. Kaplan, J.R. Clarkson (1983) have summarized as top people live longer.
As far as India's socio-economic scenario is concerned, four socio-economic scenarios were developed for India, in line with Intergovernmental Panel on Climate Change guidance, for use with the climate scenarios and for input to the modeling of climate impacts on different sectors (International Institute for Population Sciences & ORC Macro 2001). The socio-economic scenarios for India are consistent with national growth plans in the short and medium term. Policy direction and social values are the two dimensions on which the socio-economic framework of India is based on. In which, policy orientation can be either inward looking or globally integrated and social values focus on either economic growth or environmental consciousness. Mahal, A., J. Singh (2000) further explains it saying 'the alternative directions along the policy axis correspond to India's level of integration on global policy issues and frameworks for supporting development. Quadrants I and II reflect a more inward-looking approach to global policies and treaties, coupled with command and control-style policies for regulation at a domestic level. Quadrants III and IV reflect stronger integration with the global community, and a shift towards market-based mechanisms as a basis for regulation and economic growth. The social values axis reflects the range of possibilities from a pure focus on economic growth, to emphasis on environmental and social protection. Quadrants I and III correspond to activities that promote economic and industrial development, along with stronger participation by the private sector in traditionally public sector activities. Quadrants II and IV, by contrast, reflect social values that place a higher concern for social and environmental issues above economic growth'.
However, S.C. Tiwari, Aditya Kumar and Ambrish Kumar (2004) stated that the commonly used available scales for measurement of socio-economic status (SES) with some cross regional applicability are old and have lost their relevance. There is a need for the development of a valid and reliable instrument for measurement of SES in rural and urban communities in India. On appropriate and feasible measures, the socio-economic status is assessed on the static and dynamic condition of physical infrastructure- by the numbers of paramedical, technician and medical staff employed, as well as figures for attendance and gender breakdown; by the supply, quality and range of drugs; by availability and usage of decentralized untied and maintenance funding of centers;