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Gender gap in parents' financing strategy for hospitalization of their children: evidence from India

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  • Abay Asfaw

    (National Institute for Occupational Safety and Health, Center for Disease Control and Prevention, Washington, DC, USA)

  • Francesca Lamanna
  • Stephan Klasen

Abstract

The 'missing women' dilemma in India has sparked great interest in investigating gender discrimination in the provision of health care in the country. No studies, however, have directly examined discrimination in health-care financing strategies in the case of severe illness of sons versus daughters. In this paper, we hypothesize that households who face tight budget constraints are more likely to spend their meager resources on hospitalization of boys rather than girls. We use the 60th round of the Indian National Sample Survey (2004) and a multinomial logit model to test this hypothesis and to throw some light on this important but overlooked issue. The results reveal that boys are much more likely to be hospitalized than girls. When it comes to financing, the gap in the usage of household income and savings is relatively small, while the gender gap in the probability of hospitalization and usage of more onerous financing strategies is very high. Ceteris paribus, the probability of boys to be hospitalized by financing from borrowing, sale of assets, help from friends, etc. is much higher than that of girls. Moreover, in line with our theoretical framework, the results indicate that the gender gap intensifies as we move from the richest to poorest households. Copyright © 2009 John Wiley & Sons, Ltd.

Suggested Citation

  • Abay Asfaw & Francesca Lamanna & Stephan Klasen, 2010. "Gender gap in parents' financing strategy for hospitalization of their children: evidence from India," Health Economics, John Wiley & Sons, Ltd., vol. 19(3), pages 265-279.
  • Handle: RePEc:wly:hlthec:v:19:y:2010:i:3:p:265-279
    DOI: 10.1002/hec.1468
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    Cited by:

    1. Scott South & Katherine Trent & Sunita Bose, 2012. "India’s ‘Missing Women’ and Men’s Sexual Risk Behavior," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(6), pages 777-795, December.
    2. Kelly Jones, 2014. "Growing Up Together: Cohort Composition and Child Investment," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 229-255, February.
    3. repec:bpj:rmeecf:v:13:y:2017:i:1:p:19:n:2 is not listed on IDEAS
    4. Stephan Klasen & Rahul Lahoti, 2016. "How Serious is the Neglect of Intra-Household Inequality in Multi-dimensional Poverty Indices?," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 200, Courant Research Centre PEG.
    5. Pulver, Ariel & Ramraj, Chantel & Ray, Joel G. & O'Campo, Patricia & Urquia, Marcelo L., 2016. "A scoping review of female disadvantage in health care use among very young children of immigrant families," Social Science & Medicine, Elsevier, vol. 152(C), pages 50-60.
    6. Espinoza-Delgado, José & López-Laborda, Julio, 2016. "Las tres Is de la pobreza multidimensional en Nicaragua y el diferencial de género en los primeros quince años del siglo XXI, a partir de un enfoque centrado en la persona
      [The three I’s of multidi
      ," MPRA Paper 74997, University Library of Munich, Germany.

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