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Health Seeking Behavior among Rural Left-behind Children: Evidence from a Randomized Controlled Trial in China

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  • Wang, H.
  • Guan, H.
  • Boswell, M.

Abstract

More than 60 million children in rural China are left-behind both parents live and work far from rural homes and leave behind their children. This paper explores the variations in how left-behind and non-left-behind families seek health remediation in China's vast but understudied rural areas. We examine this question in the context of a program to provide vision health care to myopic rural students, using data from a randomized controlled trial of 13,100 students in two provinces in China. We find that without a subsidy, uptake of health care services is low, even if individuals are provided with evidence of a potential problem (an eyeglasses prescription). Uptake rises two to three times when this information is paired with a subsidy voucher redeemable for a free pair of prescription eyeglasses. Left-behind children who receive an eyeglasses voucher are not only more likely to redeem it, but also more likely to use the eyeglasses. In other words, in terms of uptake of care and compliance with treatment, the voucher program benefitted left-behind students more than non-left-behind students. The results provide a scientific understanding of differential impacts for guiding effective implementation of health policy to all groups in need in developing countries. Acknowledgement :

Suggested Citation

  • Wang, H. & Guan, H. & Boswell, M., 2018. "Health Seeking Behavior among Rural Left-behind Children: Evidence from a Randomized Controlled Trial in China," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 276955, International Association of Agricultural Economists.
    • Handle: RePEc:ags:iaae18:276955
    DOI: 10.22004/ag.econ.276955
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    References listed on IDEAS

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    1. Kremer, Michael & Glennerster, Rachel, 2011. "Improving Health in Developing Countries," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 201-315, Elsevier.
    2. Miriam Bruhn & David McKenzie, 2009. "In Pursuit of Balance: Randomization in Practice in Development Field Experiments," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 200-232, October.
    3. Liu, Z. & Li, X. & Ge, X., 2009. "Left too early: The effects of age at separation from parents on Chinese rural children's symptoms of anxiety and depression," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2049-2054.
    4. Wu, Qiaobing & Lu, Deping & Kang, Mi, 2015. "Social capital and the mental health of children in rural China with different experiences of parental migration," Social Science & Medicine, Elsevier, vol. 132(C), pages 270-277.
    5. Yi, Hongmei & Zhang, Linxiu & Ma, Xiaochen & Congdon, Nathan & Shi, Yaojiang & Pang, Xiaopeng & Zeng, Junxia & Wang, Lei & Boswell, Matthew & Rozelle, Scott, 2015. "Poor vision among China's rural primary school students: Prevalence, correlates and consequences," China Economic Review, Elsevier, vol. 33(C), pages 247-262.
    6. Nava Ashraf & James Berry & Jesse M. Shapiro, 2010. "Can Higher Prices Stimulate Product Use? Evidence from a Field Experiment in Zambia," American Economic Review, American Economic Association, vol. 100(5), pages 2383-2413, December.
    7. Greg Fischer & Dean Karlan & Margaret McConnell & Pia Raffler, 2014. "To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda," Working Papers 1041, Economic Growth Center, Yale University.
    8. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    9. Jessica Cohen & Pascaline Dupas, 2010. "Free Distribution or Cost-Sharing? Evidence from a Randomized Malaria Prevention Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(1), pages 1-45.
    10. Glewwe, Paul & Park, Albert & Zhao, Meng, 2016. "A better vision for development: Eyeglasses and academic performance in rural primary schools in China," Journal of Development Economics, Elsevier, vol. 122(C), pages 170-182.
    11. Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), 2011. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, volume 2, number 2.
    12. Nemet, Gregory F. & Bailey, Adrian J., 2000. "Distance and health care utilization among the rural elderly," Social Science & Medicine, Elsevier, vol. 50(9), pages 1197-1208, May.
    13. Greg Fischer, Dean Karlan, Margaret McConnell, and Pia Raffler, 2014. "To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda - Working Paper 387," Working Papers 387, Center for Global Development.
    14. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-1863, December.
    15. Philip H. Brown & Caroline Theoharides, 2009. "Health‐seeking behavior and hospital choice in China's New Cooperative Medical System," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 47-64, July.
    16. Krishnaratne, Shari & White, Howard, 2013. "Quality education for all children? What works in education in developing countries," 3ie Publications 0000-0, International Initiative for Impact Evaluation (3ie).
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