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Does Increased Access Increase Equality? Gender and Child Health Investments in India

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Emily Oster

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Abstract

Policymakers often argue that increasing access to health care is one crucial avenue for decreasing gender inequality in the developing world. Although this is generally true in the cross section, time series evidence does not always point to the same conclusion. This paper analyzes the relationship between access to child health investments and gender inequality in those health investments in India. A simple theory of gender-biased parental investment suggests that gender inequality may actually be non-monotonically related to access to health investments. At low levels of availability, investment in girls and boys is low but equal; as availability increases, boys get investments first, creating inequality. As availability increases further, girls also receive investments and equality is restored. I test this theory using data on the relationship between gender balance in vaccinations and the availability of "Health Camps" in India. I find support for a non-monotonic relationship. This result may shed light on the contrast between the cross-sectional and time-series evidence on gender and development, and may provide guidance for health policy in developing countries.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 12743.

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Date of creation: Dec 2006
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Handle: RePEc:nbr:nberwo:12743

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Find related papers by JEL classification:
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
O12 - Economic Development, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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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. Lupin Rahman & Vijayendra Rao, 2004. "The Determinants of Gender Equity in India: Examining Dyson and Moore's Thesis with New Data," Population and Development Review, The Population Council, Inc., vol. 30(2), pages 239-268. [Downloadable!] (restricted)
  2. Chatterjee, Meera, 1990. "Indian women, health, and productivity," Policy Research Working Paper Series 442, The World Bank. [Downloadable!]
  3. Mavalankar Dileep & Sinha Harshit, 1999. "Reproductive Health Camps: As Innovative Approach to Integrating Reproductive Health Intervention in Primary Health Care," IIMA Working Papers 1999-11-01, Indian Institute of Management Ahmedabad, Research and Publication Department.
  4. Kanbur, Ravi & Haddad, Lawrence, 1994. "Are Better Off Households More Unequal or Less Unequal?," Oxford Economic Papers, Oxford University Press, vol. 46(3), pages 445-58, July. [Downloadable!] (restricted)
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  5. Vinod Mishra & T. K. Roy & Robert D. Retherford, 2004. "Sex Differentials in Childhood Feeding, Health Care, and Nutritional Status in India," Population and Development Review, The Population Council, Inc., vol. 30(2), pages 269-295. [Downloadable!] (restricted)
  6. Peter Mayer, 1999. "India's Falling Sex Ratios," Population and Development Review, The Population Council, Inc., vol. 25(2), pages 323-343. [Downloadable!] (restricted)
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Cited by:
(explanations, 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. Seema Jayachandran & Ilyana Kuziemko, 2009. "Why Do Mothers Breastfeed Girls Less Than Boys? Evidence and Implications for Child Health in India," NBER Working Papers 15041, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  2. Rubiana Chamarbagwala & Martin Ranger, 2007. "A Multinomial Model of Fertility Choice and Offspring Sex-Ratios in India," Caepr Working Papers 2007-022, Center for Applied Economics and Policy Research, Economics Department, Indiana University Bloomington. [Downloadable!]
  3. Emily Oster & Rebecca Thornton, 2009. "Menstruation and Education in Nepal," NBER Working Papers 14853, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Barrera-Osorio, Felipe & Bertrand, Marianne & L. Linden, Leigh & Perez-Calle, Francisco, 2008. "Conditional cash transfers in education : design features, peer and sibling effects evidence from a randomized experiment in Colombia," Policy Research Working Paper Series 4580, The World Bank. [Downloadable!]
    Other versions:
  5. Seema Jayachandran, 2009. "Why Do Mothers Breastfeed Girls Less Than Boys? Evidence and Implications for Child Health in India," Working Papers id:2041, esocialsciences.com. [Downloadable!]
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