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The impact of the Female Secondary School Stipend Program on child health

Author

Listed:
  • Shahjahan, Md
  • La Mattina, Giulia
  • Ayyagari, Padmaja

Abstract

In this study, we examine the inter-generational effects of the 1994 Female Secondary School Stipend Program (FSSSP) on child health inputs and child health outcomes in Bangladesh. Prior studies have shown that the FSSSP significantly increased secondary schooling among rural girls. Applying a difference-in-differences model based on differential exposure to FSSSP by birth cohort and rural residence, we find that full immunization rates increased by 4.2 percentage points among children of mothers eligible for a stipend for 5 years relative to children of mothers who were not eligible, but there were no significant effects for children of mothers eligible for a stipend for only 2 years. We also find improvements in other health inputs (e.g., antenatal care) and in child health outcomes (e.g., mortality). We also explore changes in marriage, fertility, autonomy, labor supply, and media exposure, which may contribute to the observed improvements in child health.

Suggested Citation

  • Shahjahan, Md & La Mattina, Giulia & Ayyagari, Padmaja, 2025. "The impact of the Female Secondary School Stipend Program on child health," Journal of Health Economics, Elsevier, vol. 102(C).
  • Handle: RePEc:eee:jhecon:v:102:y:2025:i:c:s0167629625000591
    DOI: 10.1016/j.jhealeco.2025.103024
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    1. Hanbo Wu, 2022. "The Effect of Maternal Education on Child Mortality in Bangladesh," Population and Development Review, The Population Council, Inc., vol. 48(2), pages 475-503, June.
    2. Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
    3. Esther Duflo & Pascaline Dupas & Michael Kremer, 2021. "The Impact of Free Secondary Education: Experimental Evidence from Ghana," NBER Working Papers 28937, National Bureau of Economic Research, Inc.
    4. Becker, Gary S & Tomes, Nigel, 1976. "Child Endowments and the Quantity and Quality of Children," Journal of Political Economy, University of Chicago Press, vol. 84(4), pages 143-162, August.
    5. Rey Hernández-Julián & Hani Mansour & Christina Peters, 2014. "The Effects of Intrauterine Malnutrition on Birth and Fertility Outcomes: Evidence From the 1974 Bangladesh Famine," Demography, Springer;Population Association of America (PAA), vol. 51(5), pages 1775-1796, October.
    6. Gary S. Becker & H. Gregg Lewis, 1974. "Interaction between Quantity and Quality of Children," NBER Chapters, in: Economics of the Family: Marriage, Children, and Human Capital, pages 81-90, National Bureau of Economic Research, Inc.
    7. Khandker, Shahidur & Pitt, Mark & Fuwa, Nobuhiko, 2003. "Subsidy to Promote Girls' Secondary Education: The Female Stipend Program in Bangladesh," MPRA Paper 23688, University Library of Munich, Germany.
    8. Shin-Yi Chou & Jin-Tan Liu & Michael Grossman & Ted Joyce, 2010. "Parental Education and Child Health: Evidence from a Natural Experiment in Taiwan," American Economic Journal: Applied Economics, American Economic Association, vol. 2(1), pages 33-61, January.
    9. Daniel L. Millimet & Le Wang, 2011. "Is the Quantity-Quality Trade-Off a Trade-Off for All, None, or Some?," Economic Development and Cultural Change, University of Chicago Press, vol. 60(1), pages 155-195.
    10. Adriana D. Kugler & Santosh Kumar, 2017. "Preference for Boys, Family Size, and Educational Attainment in India," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 835-859, June.
    11. Lucia Breierova & Esther Duflo, 2003. "The Impact of Education on Fertility and Child Mortality: Do Fathers Really Matter Less Than Mothers?," OECD Development Centre Working Papers 217, OECD Publishing.
    12. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    13. Grépin, Karen A. & Bharadwaj, Prashant, 2015. "Maternal education and child mortality in Zimbabwe," Journal of Health Economics, Elsevier, vol. 44(C), pages 97-117.
    14. Duncan Thomas, 1994. "Like Father, like Son; Like Mother, like Daughter: Parental Resources and Child Height," Journal of Human Resources, University of Wisconsin Press, vol. 29(4), pages 950-988.
    15. Chari, A.V. & Heath, Rachel & Maertens, Annemie & Fatima, Freeha, 2017. "The causal effect of maternal age at marriage on child wellbeing: Evidence from India," Journal of Development Economics, Elsevier, vol. 127(C), pages 42-55.
    16. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    17. Janet Currie & Enrico Moretti, 2003. "Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1495-1532.
    18. Nancy Qian, 2008. "Missing Women and the Price of Tea in China: The Effect of Sex-Specific Earnings on Sex Imbalance," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(3), pages 1251-1285.
    19. Youjin Hahn & Kanti Nuzhat & Hee-Seung Yang, 2018. "The effect of female education on marital matches and child health in Bangladesh," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(3), pages 915-936, July.
    20. Esther Duflo, 2003. "Grandmothers and Granddaughters: Old-Age Pensions and Intrahousehold Allocation in South Africa," The World Bank Economic Review, World Bank, vol. 17(1), pages 1-25, June.
    21. Amartya Sen, 1981. "Ingredients of Famine Analysis: Availability and Entitlements," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 96(3), pages 433-464.
    22. McGavock, Tamara, 2021. "Here waits the bride? The effect of Ethiopia's child marriage law," Journal of Development Economics, Elsevier, vol. 149(C).
    23. Lutfunnahar Begum & Asad Islam & Russell Smyth, 2017. "Girl Power: Stipend Programs and the Education of Younger Siblings," Journal of Development Studies, Taylor & Francis Journals, vol. 53(11), pages 1882-1898, November.
    24. Martina Björkman Nyqvist & Seema Jayachandran, 2017. "Mothers Care More, but Fathers Decide: Educating Parents about Child Health in Uganda," American Economic Review, American Economic Association, vol. 107(5), pages 496-500, May.
    25. Jorge Garcia-Hombrados, 2022. "Child marriage and infant mortality: causal evidence from Ethiopia," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(3), pages 1163-1223, July.
    26. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    27. Matthias DOEPKE, 2015. "Gary Becker on the Quantity and Quality of Children," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 81(1), pages 59-66, March.
    28. Richard Akresh & Daniel Halim & Marieke Kleemans, 2023. "Long-Term and Intergenerational Effects of Education: Evidence from School Construction in Indonesia," The Economic Journal, Royal Economic Society, vol. 133(650), pages 582-612.
    29. Duflo, Esther & Dupas, Pascaline & Spelke, Elizabeth & Walsh, Mark, 2024. "Intergenerational Impacts of Secondary Education: Experimental Evidence from Ghana," CEPR Discussion Papers 19345, Centre for Economic Policy Research.
    30. Mustafa Özer & Jan Fidrmuc & Mehmet Ali Eryurt, 2018. "Maternal education and childhood immunization in Turkey," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1218-1229, August.
    31. Keats, Anthony, 2018. "Women's schooling, fertility, and child health outcomes: Evidence from Uganda's free primary education program," Journal of Development Economics, Elsevier, vol. 135(C), pages 142-159.
    32. Alex Armand & Orazio Attanasio & Pedro Carneiro & Valérie Lechene, 2020. "The Effect of Gender-Targeted Conditional Cash Transfers on Household Expenditures: Evidence from a Randomized Experiment," The Economic Journal, Royal Economic Society, vol. 130(631), pages 1875-1897.
    33. Rebecca Dizon-Ross & Seema Jayachandran, 2022. "Dads and Daughters: Disentangling Altruism and Investment Motives for Spending on Children," NBER Working Papers 29912, National Bureau of Economic Research, Inc.
    34. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    35. Hilary Hoynes & Diane Whitmore Schanzenbach & Douglas Almond, 2016. "Long-Run Impacts of Childhood Access to the Safety Net," American Economic Review, American Economic Association, vol. 106(4), pages 903-934, April.
    36. Bhashkar Mazumder & Maria Fernanda Rosales-Rueda & Margaret Triyana, 2023. "Social Interventions, Health, and Well-Being: The Long-Term and Intergenerational Effects of a School Construction Program," Journal of Human Resources, University of Wisconsin Press, vol. 58(4), pages 1097-1140.
    37. Youjin Hahn & Asadul Islam & Kanti Nuzhat & Russell Smyth & Hee-Seung Yang, 2018. "Education, Marriage, and Fertility: Long-Term Evidence from a Female Stipend Program in Bangladesh," Economic Development and Cultural Change, University of Chicago Press, vol. 66(2), pages 383-415.
    38. Xu, Sijia & Shonchoy, Abu S. & Fujii, Tomoki, 2022. "Assessing gender parity in intrahousehold allocation of educational resources: Evidence from Bangladesh," World Development, Elsevier, vol. 151(C).
    39. Justin McCrary & Heather Royer, 2011. "The Effect of Female Education on Fertility and Infant Health: Evidence from School Entry Policies Using Exact Date of Birth," American Economic Review, American Economic Association, vol. 101(1), pages 158-195, February.
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    Keywords

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    JEL classification:

    • H52 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Education
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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