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A Mother’s Voice: Impacts of Spousal Communication Training on Child Health Investments

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  • Martina Björkman-Nyqvist
  • Seema Jayachandran
  • Celine P. Zipfel

Abstract

Building on prior evidence that mothers often have a stronger preference for spending on children than fathers do, we use a randomized experiment to evaluate the impacts of a communication training program for mothers on child health in Uganda. The hypothesis is that the training will enable women to better convey their knowledge and preferences to their husbands and, thereby, boost investments in children's health. We find that the program increases spousal discussion about the family's health, nutrition, and finances. However, this does not increase overall adoption of health-promoting behaviors or improve child anthropometrics. One exception is that the communication training increases women's and children’s intake of protein-rich foods as well as household spending on these foods.

Suggested Citation

  • Martina Björkman-Nyqvist & Seema Jayachandran & Celine P. Zipfel, 2023. "A Mother’s Voice: Impacts of Spousal Communication Training on Child Health Investments," NBER Working Papers 30962, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:30962
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    1. 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.
    2. Fitzsimons, Emla & Malde, Bansi & Mesnard, Alice & Vera-Hernández, Marcos, 2016. "Nutrition, information and household behavior: Experimental evidence from Malawi," Journal of Development Economics, Elsevier, vol. 122(C), pages 113-126.
    3. Derek Headey & Kalle Hirvonen & John Hoddinott, 2018. "Animal Sourced Foods and Child Stunting," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 100(5), pages 1302-1319.
    4. Kate Ambler & Cheryl Doss & Caitlin Kieran & Simone Passarelli, 2021. "He Says, She Says: Spousal Disagreement in Survey Measures of Bargaining Power," Economic Development and Cultural Change, University of Chicago Press, vol. 69(2), pages 765-788.
    5. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    6. Annan, Jeannie & Donald, Aletheia & Goldstein, Markus & Gonzalez Martinez, Paula & Koolwal, Gayatri, 2021. "Taking power: Women’s empowerment and household Well-being in Sub-Saharan Africa," World Development, Elsevier, vol. 140(C).
    7. Premand, Patrick & Barry, Oumar, 2022. "Behavioral change promotion, cash transfers and early childhood development: Experimental evidence from a government program in a low-income setting," Journal of Development Economics, Elsevier, vol. 158(C).
    8. 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.
    9. Harold Alderman & Derek Headey, 2018. "The timing of growth faltering has important implications for observational analyses of the underlying determinants of nutrition outcomes," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-16, April.
    10. 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.
    11. Duflo, Esther & Glennerster, Rachel & Kremer, Michael, 2008. "Using Randomization in Development Economics Research: A Toolkit," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 61, pages 3895-3962, Elsevier.
    12. Nava Ashraf & NatalieBau & Corinne Low & Kathleen McGinn, 2020. "Negotiating a Better Future: How Interpersonal Skills Facilitate Intergenerational Investment [“Ever Failed, Try Again, Succeed Better: Results from a Randomized Educational Intervention on Grit”]," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 135(2), pages 1095-1151.
    13. 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.
    14. Rebecca Dizon-Ross & Seema Jayachandran, 2023. "Detecting Mother-Father Differences in Spending on Children: A New Approach Using Willingness-to-Pay Elicitation," American Economic Review: Insights, American Economic Association, vol. 5(4), pages 445-459, December.
    15. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597.
    16. 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.
    17. David S. Lee, 2009. "Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 76(3), pages 1071-1102.
    18. Aletheia Donald & Cheryl Doss & Markus Goldstein & Sakshi Gupta, 2024. "Sharing responsibility through joint decision-making and implications for intimate-partner violence: evidence from 12 Sub-Saharan African Countries," Review of Economics of the Household, Springer, vol. 22(1), pages 35-66, March.
    19. Richard Akresh & Damien de Walque & Harounan Kazianga, 2016. "Evidence from a Randomized Evaluation of the Household Welfare Impacts of Conditional and Unconditional Cash Transfers Given to Mothers or Fathers," Economics Working Paper Series 1611, Oklahoma State University, Department of Economics and Legal Studies in Business.
    20. Dietmar Fehr & Johanna Mollerstrom & Ricardo Perez-Truglia, 2022. "Listen to Her: Gender Differences in Information Diffusion within the Household," NBER Working Papers 30513, National Bureau of Economic Research, Inc.
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    More about this item

    JEL classification:

    • D10 - Microeconomics - - Household Behavior - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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