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Intrahousehold Health Care Financing Strategy and the Gender Gap: Empirical Evidence from India

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Author Info
Abay Asfaw
Stephan Klasen () (Georg-August Universität Göttingen / Germany)
Francesca Lamanna (World Bank)

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Abstract

The “missing women” dilemma in India has sparked interest in investigating gender discrimination in the provision of health care in the country. No studies, however, have directly examined this discrimination in relation to household behavior in health care financing. We hypothesize that households who face tight budget constraints are more likely to spend their meager resources on hospitalization of boys rather than girls. We use the 60th Indian National Sample Survey and a multinomial logit model to test this hypothesis and to shed some light on this important but overlooked issue. The results reveal that while the gap in the probability of boys’ and girls’ hospitalization and usage of household income and savings is relatively small, the gender gap in the probability of hospitalization and usage of scarce resources is very high. Ceteris paribus, the probability of boys to be hospitalized by financing from relatively scarce sources such as borrowing, sale of assets, help from friends, etc., is much higher than that of girls. Moreover, the results indicate that the gender gap deepens as we move from the richest to poorest households.

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Publisher Info
Paper provided by Ibero-America Institute for Economic Research in its series Ibero America Institute for Econ. Research (IAI) Discussion Papers with number 177.

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Length: 26 pages
Date of creation: 17 Oct 2008
Date of revision:
Handle: RePEc:got:iaidps:177

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Related research
Keywords: gender discrimination; health care finance; hospitalization; India;

Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
O15 - Economic Development, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
J71 - Labor and Demographic Economics - - Labor Discrimination - - - Hiring and Firing

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. William Greene, 2005. "Censored Data and Truncated Distributions," Working Papers 05-08, New York University, Leonard N. Stern School of Business, Department of Economics. [Downloadable!]
  2. Monica Das Gupta & Jiang Zhenghua & Li Bohua & Xie Zhenming & Woojin Chung & Bae Hwa-Ok, 2003. "Why is Son preference so persistent in East and South Asia? a cross-country study of China, India and the Republic of Korea," The Journal of Development Studies, Taylor and Francis Journals, vol. 40(2), pages 153-187, January. [Downloadable!] (restricted)
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  3. Lata Gangadharan & Pushkar Maitra, 2000. "Does Child Mortality Reflect Gender Bias? Evidence from Pakistan," Indian Economic Review, Department of Economics, Delhi School of Economics, vol. 35(2), pages 113-131, July.
  4. Stephan Klasen & Claudia Wink, 2003. ""Missing Women": Revisiting The Debate," Feminist Economics, Taylor and Francis Journals, vol. 9(2-3), pages 263-299, January. [Downloadable!] (restricted)
  5. Klasen, Stephan, 1994. ""Missing women" reconsidered," World Development, Elsevier, vol. 22(7), pages 1061-1071, July. [Downloadable!] (restricted)
  6. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. Mcintosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531.
  7. Monica Das Gupta, 2005. "Explaining Asia's "Missing Women": A New Look at the Data," Population and Development Review, The Population Council, Inc., vol. 31(3), pages 529-535. [Downloadable!] (restricted)
  8. Ashish Garg & Jonathan Morduch, 1998. "Sibling rivalry and the gender gap: Evidence from child health outcomes in Ghana," Journal of Population Economics, Springer, vol. 11(4), pages 471-493. [Downloadable!] (restricted)
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