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Intra-Household Bargaining Power and HIV Prevention: Empirical Evidence from Married Couples in Rural Malawi

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  • Gerritzen, Berit C.

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Abstract

This paper studies the dynamics between intra-household bargaining power and HIV prevention from a systemic perspective, using a panel data set of 500 married couples in rural Malawi from 2004-2008. All information has been matched at the couple level, which allows to directly assess the effect of a relative increase in bargaining power, as measured by economic, social and relationship variables, on both spouses' attitudes towards HIV prevention, while controlling for HIV status. I employ a fixed effects linear probability model with national and region-specific time trends in order to capture both unobserved heterogeneity at the individual level as well as differences in HIV prevalence and intensity of HIV campaigns in the three regions that are studied. The results show that factors that are associated with a relative increase in female bargaining power, such as own earnings and attendance of women at local political meetings, are related to improved acceptance of HIV prevention.

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File URL: http://www1.vwa.unisg.ch/RePEc/usg/econwp/EWP-1408.pdf
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Bibliographic Info

Paper provided by University of St. Gallen, School of Economics and Political Science in its series Economics Working Paper Series with number 1408.

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Length: 52 pages
Date of creation: Apr 2014
Date of revision:
Handle: RePEc:usg:econwp:2014:08

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Related research

Keywords: HIV/AIDS; gender; intra-household bargaining; spousal communication; condom use; Sub-Saharan Africa; Malawi;

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References

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  1. Rasul, Imran, 2008. "Household bargaining over fertility: Theory and evidence from Malaysia," Journal of Development Economics, Elsevier, vol. 86(2), pages 215-241, June.
  2. Doepke, Matthias & Tertilt, Michèle, 2011. "Does Female Empowerment Promote Economic Development?," IZA Discussion Papers 5637, Institute for the Study of Labor (IZA).
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  7. Smith, Kirsten P. & Watkins, Susan Cotts, 2005. "Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi," Social Science & Medicine, Elsevier, vol. 60(3), pages 649-660, February.
  8. J. A. Hausman, 1976. "Specification Tests in Econometrics," Working papers 185, Massachusetts Institute of Technology (MIT), Department of Economics.
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  12. Bina Agarwal, 1997. "''Bargaining'' and Gender Relations: Within and Beyond the Household," Feminist Economics, Taylor & Francis Journals, vol. 3(1), pages 1-51.
  13. Gerritzen, Berit C., 2012. "Women’s Empowerment and HIV Prevention in Rural Malawi," Economics Working Paper Series 1222, University of St. Gallen, School of Economics and Political Science.
  14. Cecilia Conrad & Cheryl Doss, 2008. "The AIDS Epidemic: Challenges for Feminist Economics," Feminist Economics, Taylor & Francis Journals, vol. 14(4), pages 1-18.
  15. Georges Reniers, 2008. "Marital strategies for regulating exposure to HIV," Demography, Springer, vol. 45(2), pages 417-438, May.
  16. Edoardo Gaffeo, 2003. "The Economics of HIV/AIDS: A Survey," Development Policy Review, Overseas Development Institute, vol. 21(1), pages 27-49, 01.
  17. FFF1Eliya NNN1Zulu & FFF2Gloria NNN2Chepngeno, 2003. "Spousal communication about the risk of contracting HIV/AIDS in rural Malawi," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 1(8), pages 247-278, September.
  18. Chiappori, Pierre-André & Donni, Olivier, 2009. "Non-unitary Models of Household Behavior: A Survey of the Literature," IZA Discussion Papers 4603, Institute for the Study of Labor (IZA).
  19. Kirsten P. Smith & Susan Cotts Watkins, 2005. "Perceptions of Risk and Strategies for Prevention: Responses to HIV/AIDS in Rural Malawi," PGDA Working Papers 0305, Program on the Global Demography of Aging.
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