Are Investments in Daughters Lower When Daughters Move Away?

In much of the developing world daughters receive lower education and other investments than do their brothers, and may even be so devalued as to suffer differential mortality. Daughter disadvantage may be due in part to social norms that prescribe that daughters move away from their natal family upon marriage, a practice known as virilocality. We evaluate the effects of virilocality on female disadvantage using data from the Indonesia Family Life Survey. We find little support for the hypothesis. There is no evidence that the overall pattern of rough equality in the treatment of boys and girls in Indonesia masks differences according to post-marital residential practice. Virilocal groups do not have "missing daughters." Nor is there other evidence of son preference, such as in relatively low height for- age or education for girls and women in virilocal areas. Explanations of daughter disadvantage as due to virilocality should be subject to further scrutiny and contextualization.

Development, modernization, and son preference in fertility decisions

A family preference for sons over daughters may manifest itself in different ways, including higher mortality, worse health status, or lower educational attainment among girls. This study focuses on one measure of son preference in the developing world, namely the likelihood of continued childbearing given the gender composition of existing children in the family. The authors use an unusually large data set, covering 65 countries and approximately 5 million births. The analysis shows that son preference is apparent in many regions of the developing world and is particularly large in South Asia and in the Eastern Europe and Central Asia region. Modernization does not appear to reduce son preference. For example, in South Asia son preference is larger for women with more education and is increasing over time. The explanation for these patterns appears to be that latent son preference in childbearing is more likely to manifest itself when fertility levels are low. As a result of son preference, girls tend to grow up with significantly more siblings than boys do, which may have implications for their wellbeing if there are quantity-quality trade-offs that result in fewer material and emotional resources allocated to children in larger families.Population Policies,Gender and Development,Gender and Law,Adolescent Health,Primary Education

Schooling and Parental Death

Loss of a parent is one of the most traumatic events a child can face. If loss of a parent reduces investments in children, it can also have long-lasting implications. This study uses parametric and semi-nonparametric matching techniques to estimate how one human capital investment, school enrollment, is affected by a parent's recent death. We analyze data from 600,000 households from Indonesia's National Socioeconomic Survey (SUSENAS) during 1994-96. We find a parent's recent death has a large effect on a child's enrollment. We also use this shock to test several theories of intra-household allocation and find little differential treatment based on the gender of the child or the deceased parent.

Lowering Child Mortality in Poor Countries: The Power of Knowledgeable Parents

Why do over 20% of children die in some poor countries, while in others only 2% die? We examine this question using survey data covering 278,000 children in 45 low-income countries. We find that parents' education and a mother's propensity to seek out modern healthcare are empirically important when explaining child survival, while the prevalence of common diseases, along with infrastructure such as improved water and sanitation, are not. Using a GINI coefficient we construct for treatment services, we find that public and private health systems are "equally unequal", that is, both tend to favor children in relatively well-off households, and neither appears superior at improving outcomes in very poor communities. These facts contrast with a common view that a much-expanded public health sector is necessary to reduce child mortality. Instead, we believe the empirical evidence points to the essential role of parents as advocates for their child's health. If we can provide better health knowledge and general education to parents, a private healthcare sector can arise to meet demand. We provide evidence that this alternative route to low mortality is indeed a reason behind the current success of many countries with low child mortality, including Vietnam, Indonesia, Egypt, and the Indian state of Kerala. Finally, we calculate a realistic package of interventions that target education, health knowledge and treatment seeking could reduce child mortality by 32%.

Trends and socioeconomic gradients in adult mortality around the developing world

The authors combine data from 84 Demographic and Health Surveys from 46 countries to analyze trends and socioeconomic differences in adult mortality, calculating mortality based on the sibling mortality reports collected from female respondents aged 15-49. The analysis yields four main findings. First, adult mortality is different from child mortality: while under-5 mortality shows a definite improving trend over time, adult mortality does not, especially in Sub-Saharan Africa. The second main finding is the increase in adult mortality in Sub-Saharan African countries. The increase is dramatic among those most affected by the HIV/AIDS pandemic. Mortality rates in the highest HIV-prevalence countries of southern Africa exceed those in countries that experienced episodes of civil war. Third, even in Sub-Saharan countries where HIV-prevalence is not as high, mortality rates appear to be at best stagnating, and even increasing in several cases. Finally, the main socioeconomic dimension along which mortality appears to differ in the aggregate is gender. Adult mortality rates in Sub-Saharan Africa have risen substantially higher for men than for women—especially so in the high HIV-prevalence countries. On the whole, the data do not show large gaps by urban/rural residence or by school attainment.Population Policies,Health Monitoring&Evaluation,Demographics,Statistical&Mathematical Sciences,Early Child and Children's Health

Screening for Park Access during a Primary Care Social Determinants Screen.

While there is evidence that access to nature and parks benefits pediatric health, it is unclear how low-income families living in an urban center acknowledge or prioritize access to parks.MethodsWe conducted a study about access to parks by pediatric patients in a health system serving low-income families. Adult caregivers of pediatric patients completed a survey to identify and prioritize unmet social and economic needs, including access to parks. Univariate and multivariate analyses were conducted to explore associations between lack of access to parks and sociodemographic variables. We also explored the extent to which access to parks competed with other needs.ResultsThe survey was completed by 890 caregivers; 151 (17%) identified "access to green spaces/parks/playgrounds" as an unmet need, compared to 397 (45%) who endorsed "running out of food before you had money or food stamps to buy more". Being at or below the poverty line doubled the odds ( Odds ratio 1.96, 95% CI 1.16-3.31) of lacking access to a park (reference group: above the poverty line), and lacking a high school degree nearly doubled the odds. Thirty-three of the 151 (22%) caregivers who identified access to parks as an unmet need prioritized it as one of three top unmet needs. Families who faced competing needs of housing, food, and employment insecurity were less likely to prioritize park access (p < 0.001).ConclusionClinical interventions to increase park access would benefit from an understanding of the social and economic adversity faced by patients

Parental Education and Child Health: Evidence from a Natural Experiment in Taiwan

This paper exploits a natural experiment to estimate the causal impact of parental education on child health in Taiwan. In 1968, the Taiwanese government extended compulsory education from six to nine years. From that year through 1973, the government opened 254 new junior high schools, an 80 percent increase, at a differential rate among regions. We form treatment and control groups of women or men who were age 12 or under on the one hand and between the ages of 13 and 20 or 25 on the other hand in 1968. Within each region, we exploit variations across cohorts in new junior high school openings to construct an instrument for schooling. We employ this instrument to estimate the causal effects of mother's or father's schooling on the incidence of low birthweight and mortality of infants born to women in the treatment and control groups or the wives of men in these groups in the period from 1978 through 1999. Parents' schooling, especially mother's schooling, does indeed cause favorable infant health outcomes. The increase in schooling associated with the reform saved almost 1 infant life in 1,000 live births, resulting in a decline in infant mortality of approximately 11 percent.

Intertemporal Welfare Dynamics

human development, technology

Contraceptive use among illiterate women in India: does proximate illiteracy matter?

Illiterate women comprise a particularly vulnerable section of the community. They lack empowerment, are unable to voice their choice with respect to contraceptive use, and also lack access to health services. However, their lack of literacy may be compensated if their partners are literate. Contraceptive use of such illiterate women (proximate literates), may be higher than that of illiterate women whose partners too are illiterates (isolate illiterates). The study uses the third wave of the Demographic Health Survey data for India (2005-2006).The 34,108 currently married illiterate women for whom data is available in the Individual file was divided into two groups, based on whether their partners were literate. Current use of modern contraceptives was compared between these two groups for socio-economic and demographic correlates. This was followed by multivariate analysis based on a logit model. Current use of modern methods was regressed on a dummy representing whether the partner was literate, along with relevant control variables. The results of the All-India (Rural+Urban) and All-India (Rural) models indicated that literacy of partners did lead to a significantly higher level of use of modern contraceptive methods. For the urban sub-sample, however, the study failed to find any significant transmission of information from the literate partner to the respondents. Disaggregate-level analysis also revealed that such transmission was restricted to only specific situations and communities. The study argued that the results may be explained by: [a] Reluctance of the male partner to share information; [b] Lack of information about family planning methods, even when there is communication; and [c] Presence of alternative channels of information reducing dependence of illiterate women on her partner. There should be an attempt to increase information of both partners through face to face interaction, rather than relying solely on public media. Simultaneously, women should be encouraged to develop contacts outside her household as this can reduce her dependence of partner for family planning related knowledge.Contraceptives, Literacy, Reproductive Health, India

Women's Status and Children's Food Security in Pakistan

This study examines the role of women's intra-household status relative to men in children's food security in Pakistan. Data from the 1991 Pakistan Integrated Household Survey (PIHS) yield a measure of evidence of a positive relation between women's intra-household status and children's food security.Pakistan, women, children, food security, anthropometric