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Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso

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  • Nikièma, Béatrice
  • Haddad, Slim
  • Potvin, Louise

Abstract

Summary Based on a qualitative study contrasting a gender-relationally restrictive socio-cultural setting with a rather liberal one, we explain how social norms shape resource negotiation for women seeking modern healthcare. A system of "protection and dependency" covers them in principle for obviously serious illness, as far as household resources permit. In both settings, however, women must have "well behaved" and justify less-obvious needs in an unequal bargaining process with ambivalent recourse opportunities. Consequently, women may suffer delays in or exclusion from healthcare. Moreover, their self-esteem may lower and the domestic power imbalance may increase. The results suggest sectoral and sector-crosscutting solutions.

Suggested Citation

  • Nikièma, Béatrice & Haddad, Slim & Potvin, Louise, 2008. "Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso," World Development, Elsevier, vol. 36(4), pages 608-624, April.
  • Handle: RePEc:eee:wdevel:v:36:y:2008:i:4:p:608-624
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    1. repec:eee:socmed:v:197:y:2018:i:c:p:9-16 is not listed on IDEAS
    2. Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul, 2014. "The National Health Insurance Scheme in Ghana's Upper West Region: A gendered perspective of insurance acquisition in a resource-poor setting," Social Science & Medicine, Elsevier, vol. 122(C), pages 103-112.
    3. Hejoaka, Fabienne, 2009. "Care and secrecy: Being a mother of children living with HIV in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(6), pages 869-876, September.
    4. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, vol. 45(C), pages 17-30.
    5. Lila C. Fleming & Rashid Ansumana & Alfred S. Bockarie & Joel D. Alejandre & Karen K. Owen & Umaru Bangura & David H. Jimmy & Kevin M. Curtin & David A. Stenger & Kathryn H. Jacobsen, 2016. "Health-care availability, preference, and distance for women in urban Bo, Sierra Leone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1079-1088, December.
    6. Mabsout, Ramzi & van Staveren, Irene, 2010. "Disentangling Bargaining Power from Individual and Household Level to Institutions: Evidence on Women's Position in Ethiopia," World Development, Elsevier, vol. 38(5), pages 783-796, May.
    7. D'Ambruoso, Lucia & Byass, Peter & Qomariyah, Siti Nurul & Ouédraogo, Moctar, 2010. "A lost cause? Extending verbal autopsy to investigate biomedical and socio-cultural causes of maternal death in Burkina Faso and Indonesia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1728-1738, November.
    8. Theriault, Veronique & Smale, Melinda & Haider, Hamza, 2017. "How Does Gender Affect Sustainable Intensification of Cereal Production in the West African Sahel? Evidence from Burkina Faso," World Development, Elsevier, vol. 92(C), pages 177-191.

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