IDEAS home Printed from https://ideas.repec.org/a/eee/deveco/v168y2024ics0304387824000129.html
   My bibliography  Save this article

A mother’s voice: Impacts of spousal communication training on child health investments

Author

Listed:
  • Nyqvist, Martina Björkman
  • Jayachandran, Seema
  • Zipfel, Céline

Abstract

This study evaluates a communication training program for mothers in Uganda, motivated by prior evidence suggesting that mothers often prioritize children’s needs more than fathers. The program aims to enable women to effectively communicate their knowledge and preferences about child health to their husbands, thereby increasing investments in children’s health. Using a randomized experiment, we find that the program increases spousal discussion about the family’s health, nutrition, and finances. It also increases women’s and children’s intake of animal-sourced foods, as well as household spending on these foods. We find that birthweight of newborns increases. However, the program did not increase households’ adoption of measured health-promoting behaviors or improve other child anthropometric measures.

Suggested Citation

  • Nyqvist, Martina Björkman & Jayachandran, Seema & Zipfel, Céline, 2024. "A mother’s voice: Impacts of spousal communication training on child health investments," Journal of Development Economics, Elsevier, vol. 168(C).
    • Handle: RePEc:eee:deveco:v:168:y:2024:i:c:s0304387824000129
    DOI: 10.1016/j.jdeveco.2024.103263
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0304387824000129
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jdeveco.2024.103263?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Esther Duflo, 2003. "Grandmothers and Granddaughters: Old-Age Pensions and Intrahousehold Allocation in South Africa," The World Bank Economic Review, World Bank, vol. 17(1), pages 1-25, June.
    2. Fitzsimons, Emla & Malde, Bansi & Mesnard, Alice & Vera-Hernández, Marcos, 2016. "Nutrition, information and household behavior: Experimental evidence from Malawi," Journal of Development Economics, Elsevier, vol. 122(C), pages 113-126.
    3. Derek Headey & Kalle Hirvonen & John Hoddinott, 2018. "Animal Sourced Foods and Child Stunting," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 100(5), pages 1302-1319.
    4. Duflo, Esther & Glennerster, Rachel & Kremer, Michael, 2008. "Using Randomization in Development Economics Research: A Toolkit," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 61, pages 3895-3962, Elsevier.
    5. Alex Armand & Orazio Attanasio & Pedro Carneiro & Valérie Lechene, 2020. "The Effect of Gender-Targeted Conditional Cash Transfers on Household Expenditures: Evidence from a Randomized Experiment," The Economic Journal, Royal Economic Society, vol. 130(631), pages 1875-1897.
    6. Kate Ambler & Cheryl Doss & Caitlin Kieran & Simone Passarelli, 2021. "He Says, She Says: Spousal Disagreement in Survey Measures of Bargaining Power," Economic Development and Cultural Change, University of Chicago Press, vol. 69(2), pages 765-788.
    7. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    8. Richard Akresh & Damien de Walque & Harounan Kazianga, 2016. "Evidence from a Randomized Evaluation of the Household Welfare Impacts of Conditional and Unconditional Cash Transfers Given to Mothers or Fathers," Economics Working Paper Series 1611, Oklahoma State University, Department of Economics and Legal Studies in Business.
    9. Dietmar Fehr & Johanna Mollerstrom & Ricardo Perez-Truglia, 2022. "Listen to Her: Gender Differences in Information Diffusion within the Household," NBER Working Papers 30513, National Bureau of Economic Research, Inc.
    10. Annan, Jeannie & Donald, Aletheia & Goldstein, Markus & Gonzalez Martinez, Paula & Koolwal, Gayatri, 2021. "Taking power: Women’s empowerment and household Well-being in Sub-Saharan Africa," World Development, Elsevier, vol. 140(C).
    11. Premand, Patrick & Barry, Oumar, 2022. "Behavioral change promotion, cash transfers and early childhood development: Experimental evidence from a government program in a low-income setting," Journal of Development Economics, Elsevier, vol. 158(C).
    12. Nancy Qian, 2008. "Missing Women and the Price of Tea in China: The Effect of Sex-Specific Earnings on Sex Imbalance," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(3), pages 1251-1285.
    13. Harold Alderman & Derek Headey, 2018. "The timing of growth faltering has important implications for observational analyses of the underlying determinants of nutrition outcomes," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-16, April.
    14. Nava Ashraf & NatalieBau & Corinne Low & Kathleen McGinn, 2020. "Negotiating a Better Future: How Interpersonal Skills Facilitate Intergenerational Investment [“Ever Failed, Try Again, Succeed Better: Results from a Randomized Educational Intervention on Grit”]," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 135(2), pages 1095-1151.
    15. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    16. Rebecca Dizon-Ross & Seema Jayachandran, 2023. "Detecting Mother-Father Differences in Spending on Children: A New Approach Using Willingness-to-Pay Elicitation," American Economic Review: Insights, American Economic Association, vol. 5(4), pages 445-459, December.
    17. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597, December.
    18. Martina Björkman Nyqvist & Seema Jayachandran, 2017. "Mothers Care More, but Fathers Decide: Educating Parents about Child Health in Uganda," American Economic Review, American Economic Association, vol. 107(5), pages 496-500, May.
    19. David S. Lee, 2009. "Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 76(3), pages 1071-1102.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Björkman Nyqvist, Martina & Jayachandran, Seema & Zipfel, Céline, 2023. "A Mother’s Voice: Impacts of Spousal Communication Training on Child Health Investments," CEPR Discussion Papers 17916, C.E.P.R. Discussion Papers.
    2. Björkman Nyqvist, Martina & Jayachandran, Seema & Zipfel, Céline, 2023. "A mother's voice: Impacts of spousal communication training on child health investments," Misum Working Paper Series 2023-13, Stockholm School of Economics, Mistra Center for Sustainable Markets (Misum).
    3. Charlotte Ringdal & Ingrid Hoem Sjursen, 2021. "Household Bargaining and Spending on Children: Experimental Evidence from Tanzania," Economica, London School of Economics and Political Science, vol. 88(350), pages 430-455, April.
    4. Ringdal, Charlotte & Sjursen, Ingrid Hoem, 2017. "Household bargaining and spending on children: Experimental evidence from Tanzania," Discussion Paper Series in Economics 19/2017, Norwegian School of Economics, Department of Economics.
    5. Almås, Ingvild & Somville, Vincent, 2020. "The effect of gender-targeted transfers: Experimental Evidence from India," CEPR Discussion Papers 15218, C.E.P.R. Discussion Papers.
    6. Lubega, Patrick & Nakakawa, Frances & Narciso, Gaia & Newman, Carol & Kaaya, Archileo N. & Kityo, Cissy & Tumuhimbise, Gaston A., 2021. "Body and mind: Experimental evidence from women living with HIV," Journal of Development Economics, Elsevier, vol. 150(C).
    7. Matthias Doepke & Michèle Tertilt, 2019. "Does female empowerment promote economic development?," Journal of Economic Growth, Springer, vol. 24(4), pages 309-343, December.
    8. Almås, Ingvild & Ringdal, Charlotte & Hoem Sjursen, Ingrid, 2021. "Understanding inequality within households," GLO Discussion Paper Series 961, Global Labor Organization (GLO).
    9. Casco José L., 2022. "Intra-household Resource Shares under Poverty Transfers: Evidence from Ecuador," Working Papers 2022-03, Banco de México.
    10. Hidrobo, Melissa & Fernald, Lia, 2013. "Cash transfers and domestic violence," Journal of Health Economics, Elsevier, vol. 32(1), pages 304-319.
    11. Ham, Andrés & Michelson, Hope C., 2018. "Does the form of delivering incentives in conditional cash transfers matter over a decade later?," Journal of Development Economics, Elsevier, vol. 134(C), pages 96-108.
    12. Tommasi, Denni, 2019. "Control of resources, bargaining power and the demand of food: Evidence from PROGRESA," Journal of Economic Behavior & Organization, Elsevier, vol. 161(C), pages 265-286.
    13. Margherita Calderone, 2017. "Are there different spillover effects from cash transfers to men and women?: Impacts on investments in education in post-war Uganda," WIDER Working Paper Series wp-2017-93, World Institute for Development Economic Research (UNU-WIDER).
    14. Ervin Dervisevic & Maria C. Lo Bue & Elizaveta Perova, 2021. "Maternal employment and children's outcomes: Evidence from Indonesia," WIDER Working Paper Series wp-2021-186, World Institute for Development Economic Research (UNU-WIDER).
    15. Lucia Rizzica, 2018. "When the Cat’s Away The Effects of Spousal Migration on Investments on Children," The World Bank Economic Review, World Bank, vol. 32(1), pages 85-108.
    16. de Brauw, Alan & Gilligan, Daniel O. & Hoddinott, John & Roy, Shalini, 2014. "The Impact of Bolsa Família on Women’s Decision-Making Power," World Development, Elsevier, vol. 59(C), pages 487-504.
    17. Antonia Grohmann & Lukas Menkhoff & Helke Seitz, 2022. "The Effect of Personalized Feedback on Small Enterprises’ Finances in Uganda," Economic Development and Cultural Change, University of Chicago Press, vol. 70(3), pages 1197-1227.
    18. Sun, Ang & Zhao, Yaohui, 2016. "Divorce, abortion, and the child sex ratio: The impact of divorce reform in China," Journal of Development Economics, Elsevier, vol. 120(C), pages 53-69.
    19. Hidrobo, Melissa & Hoddinott, John & Peterman, Amber & Margolies, Amy & Moreira, Vanessa, 2014. "Cash, food, or vouchers? Evidence from a randomized experiment in northern Ecuador," Journal of Development Economics, Elsevier, vol. 107(C), pages 144-156.
    20. De Rock, Bram & Cherchye, Laurens & Chiappori, Pierre-André & Ringdal, Charlotte & Vermeulen, Frederic, 2021. "Feed the children," CEPR Discussion Papers 16482, C.E.P.R. Discussion Papers.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:deveco:v:168:y:2024:i:c:s0304387824000129. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/devec .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.