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In sickness and in health ... risk-sharing within households in rural Ethiopia

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  • Pramila Krishnan
  • Stefan Dercon

Abstract

To investigate risk-sharing within the household, we model nutritional status as a durable good and we look at the consequences of individual health shocks. For household allocation to be pareto-efficient, households should pool shocks to income. We also investigate whether households can smooth nutritional levels over time. Using data from rural Ethiopia on adult nutritional status, we find that poor households are affected by idiosyncratic agricultural shocks, while richer households are more successful in smoothing nutritional levels. All individuals adjust to predictable changes in earnings and the nutritional status of poor individuals is responsive to seasonal food price fluctuations. Poor southern households are not sharing risk; women in these households bear the brunt of adverse shocks. Finally, we look at the role of inside and outside options in determining the intrahousehold allocation of nutrition of married couples. We find that wives’ relative position improves with a smaller age gap between partners, in younger marriages, as well as by favourable customary laws on settlements upon divorce – but the most important variable affecting allocation is household wealth.

Suggested Citation

  • Pramila Krishnan & Stefan Dercon, 1997. "In sickness and in health ... risk-sharing within households in rural Ethiopia," CSAE Working Paper Series 1997-12, Centre for the Study of African Economies, University of Oxford.
  • Handle: RePEc:csa:wpaper:1997-12
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    References listed on IDEAS

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    1. repec:adr:anecst:y:1993:i:29:p:07 is not listed on IDEAS
    2. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    3. Stefan Dercon & Pramila Krishnan, 2000. "In Sickness and in Health: Risk Sharing within Households in Rural Ethiopia," Journal of Political Economy, University of Chicago Press, vol. 108(4), pages 688-727, August.
    4. Fafchamps, Marcel & Udry, Christopher & Czukas, Katherine, 1998. "Drought and saving in West Africa: are livestock a buffer stock?," Journal of Development Economics, Elsevier, vol. 55(2), pages 273-305, April.
    5. Rosenzweig, Mark R & Stark, Oded, 1989. "Consumption Smoothing, Migration, and Marriage: Evidence from Rural India," Journal of Political Economy, University of Chicago Press, vol. 97(4), pages 905-926, August.
    6. Schultz, T. Paul & Tansel, Aysit, 1997. "Wage and labor supply effects of illness in Cote d'Ivoire and Ghana: instrumental variable estimates for days disabled," Journal of Development Economics, Elsevier, vol. 53(2), pages 251-286, August.
    7. Christopher Udry, 1994. "Risk and Insurance in a Rural Credit Market: An Empirical Investigation in Northern Nigeria," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 61(3), pages 495-526.
    8. Altonji, Joseph G & Hayashi, Fumio & Kotlikoff, Laurence J, 1992. "Is the Extended Family Altruistically Linked? Direct Tests Using Micro Data," American Economic Review, American Economic Association, vol. 82(5), pages 1177-1198, December.
    9. Ben S. Bernanke, 1984. "Permanent Income, Liquidity, and Expenditure on Automobiles: Evidence from Panel Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 99(3), pages 587-614.
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    11. Deaton,Angus & Muellbauer,John, 1980. "Economics and Consumer Behavior," Cambridge Books, Cambridge University Press, number 9780521296762.
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    1. Stefan Dercon & Pramila Krishnan, 2000. "In Sickness and in Health: Risk Sharing within Households in Rural Ethiopia," Journal of Political Economy, University of Chicago Press, vol. 108(4), pages 688-727, August.

    More about this item

    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J12 - Labor and Demographic Economics - - Demographic Economics - - - Marriage; Marital Dissolution; Family Structure

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