Does increased access increase equality? Gender and child health investments in India
Increases in access to social services are often thought to decrease inequality in the level of these services between advantaged and disadvantaged groups. This is an issue in the developing world, where policy-makers often argue that increasing the level of health care, for example, will decrease gender inequality. However, increases in access to services often have empirically ambiguous effects on inequality, increasing it in some cases and decreasing it in others. This paper argues that this is not surprising, and simple economic theory suggests that we should expect a non-monotonic relationship between access and inequality. At low levels of access to investments, there is no investment for either the advantaged or disadvantaged group, producing equality. Increases in access increase investment for the advantaged group first, generating inequality. Further increases in access increase investment in the disadvantaged group, decreasing inequality. I test the predictions of this theory using data on the availability of health camps (or distance to health centers) and gender differences in vaccinations in India. I find strong support for a non-monotonic relationship between access and gender equality.
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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.:
- Rosenzweig, Mark R. & Wolpin, Kenneth I., 1988.
"Migration selectivity and the effects of public programs,"
Journal of Public Economics,
Elsevier, vol. 37(3), pages 265-289, December.
- Rosenzweig, Mark R. & Wolpin, Kenneth I., 1984. "Migration Selectivity and the Effects of Public Programs," Bulletins 8442, University of Minnesota, Economic Development Center.
- Borooah, Vani K., 2004.
"Gender bias among children in India in their diet and immunisation against disease,"
Social Science & Medicine,
Elsevier, vol. 58(9), pages 1719-1731, May.
- Borooah, Vani, 2004. "Gender Bias Among Children in India in their Diet and Immunisation Against Disease," MPRA Paper 19590, University Library of Munich, Germany.
- McClellan, Mark & Skinner, Jonathan, 2006.
"The incidence of Medicare,"
Journal of Public Economics,
Elsevier, vol. 90(1-2), pages 257-276, January.
- Michael Greenstone & Kenneth Y. Chay, 2000. "The Convergence in Black-White Infant Mortality Rates during the 1960's," American Economic Review, American Economic Association, vol. 90(2), pages 326-332, May.
- Pande, Rohini P. & Yazbeck, Abdo S., 2003. "What's in a country average? Wealth, gender, and regional inequalities in immunization in India," Social Science & Medicine, Elsevier, vol. 57(11), pages 2075-2088, December.
- Paula Griffiths & Zoë Matthews & Andrew Hinde, 2000. "Understanding the sex ratio in India: A simulation approach," Demography, Springer;Population Association of America (PAA), vol. 37(4), pages 477-488, November.
- Eric A. Hanushek & Margaret E. Raymond, 2005.
"Does school accountability lead to improved student performance?,"
Journal of Policy Analysis and Management,
John Wiley & Sons, Ltd., vol. 24(2), pages 297-327.
- Eric A. Hanushek & Margaret E. Raymond, 2004. "Does School Accountability Lead to Improved Student Performance?," NBER Working Papers 10591, National Bureau of Economic Research, Inc.
- 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.
- 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.
- Haddad, Lawrence & Kanbur, Ravi, 1990. "Are better off households more unequal or less unequal ?," Policy Research Working Paper Series 373, The World Bank.
- 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.
- Rohini Pande, 2003. "Selective gender differences in childhood nutrition and immunization in rural India: The role of siblings," Demography, Springer;Population Association of America (PAA), vol. 40(3), pages 395-418, August.
- Bhattacharya, Jay & Lakdawalla, Darius, 2006. "Does Medicare benefit the poor?," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 277-292, January.
- Chatterjee, Meera, 1990. "Indian women, health, and productivity," Policy Research Working Paper Series 442, The World Bank.
- Peter Mayer, 1999. "India's Falling Sex Ratios," Population and Development Review, The Population Council, Inc., vol. 25(2), pages 323-343.
- Eric A. Hanushek & Margaret E. Raymond, 2004. "The Effect of School Accountability Systems on the Level and Distribution of Student Achievement," Journal of the European Economic Association, MIT Press, vol. 2(2-3), pages 406-415, 04/05.
- Derek Neal & Diane Whitmore Schanzenbach, 2007. "Left Behind By Design: Proficiency Counts and Test-Based Accountability," NBER Working Papers 13293, National Bureau of Economic Research, Inc.
- Bhargava, Alok, 2003. "Family planning, gender differences and infant mortality: evidence from Uttar Pradesh, India," Journal of Econometrics, Elsevier, vol. 112(1), pages 225-240, January.
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