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Access to Abortion, Investments in Neonatal Health, and Sex-Selection: Evidence from Nepal

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  • Christine Valente

    (Department of Economics, The University of Sheffield)

Abstract

I combine fertility histories from the 2006 Nepal Demographic and Health Survey with a census of newly introduced legal abortion centers to estimate the impact of reducing the cost of abortion on pregnancy outcomes, gender, and neonatal health. Contrary to previous studies, I identify the within-mother, behavioral response to improved access to abortion by comparing siblings conceived before and after the opening of an abortion center nearby. Closeness to a legal abortion center decreases the probability of a birth but has no discernible effect on observable investments in neonatal health and does not lead to more sex-selection.

Suggested Citation

  • Christine Valente, 2011. "Access to Abortion, Investments in Neonatal Health, and Sex-Selection: Evidence from Nepal," Working Papers 2011006, The University of Sheffield, Department of Economics, revised Sep 2011.
  • Handle: RePEc:shf:wpaper:2011006
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    1. Megan Beckett & Julie Da Vanzo & Narayan Sastry & Constantijn Panis & Christine Peterson, 2001. "The Quality of Retrospective Data: An Examination of Long-Term Recall in a Developing Country," Journal of Human Resources, University of Wisconsin Press, vol. 36(3), pages 593-625.
    2. Yuyu Chen & Hongbin Li & Lingsheng Meng, 2013. "Prenatal Sex Selection and Missing Girls in China: Evidence from the Diffusion of Diagnostic Ultrasound," Journal of Human Resources, University of Wisconsin Press, vol. 48(1), pages 36-70.
    3. 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.
    4. Emily Oster, 2005. "Hepatitis B and the Case of the Missing Women," CID Working Papers 7, Center for International Development at Harvard University.
    5. Hoddinott, John & Haddad, Lawrence, 1995. "Does Female Income Share Influence Household Expenditures? Evidence from Cote d'Ivoire," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 57(1), pages 77-96, February.
    6. Corman, Hope & Grossman, Michael, 1985. "Determinants of neonatal mortality rates in the U.S. : A reduced form model," Journal of Health Economics, Elsevier, vol. 4(3), pages 213-236, September.
    7. Jonathan Gruber & Phillip Levine & Douglas Staiger, 1999. "Abortion Legalization and Child Living Circumstances: Who is the "Marginal Child"?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(1), pages 263-291.
    8. Bhalotra, Sonia & Soest, Arthur van, 2008. "Birth-spacing, fertility and neonatal mortality in India: Dynamics, frailty, and fecundity," Journal of Econometrics, Elsevier, vol. 143(2), pages 274-290, April.
    9. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2005. "The More the Merrier? The Effect of Family Size and Birth Order on Children's Education," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(2), pages 669-700.
    10. Sonia Bhalotra & Arthur van Soest, 2004. "Birth Spacing and Neonatal Mortality in India: Dynamics, Frailty and Fecundity," Bristol Economics Discussion Papers 04/567, School of Economics, University of Bristol, UK.
    11. 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.
    12. Ming-Jen Lin & Nancy Qian & Jin-Tan Liu, 2008. "More Women Missing, Fewer Girls Dying: The Impact of Abortion on Sex Ratios at Birth and Excess Female Mortality in Taiwan," NBER Working Papers 14541, National Bureau of Economic Research, Inc.
    13. Mireille Jacobson & Heather Royer, 2011. "Aftershocks: The Impact of Clinic Violence on Abortion Services," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 189-223, January.
    14. Elizabeth Oltmans Ananat & Jonathan Gruber & Phillip B. Levine & Douglas Staiger, 2009. "Abortion and Selection," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 124-136, February.
    15. Janet Currie & Lucia Nixon & Nancy Cole, 1996. "Restrictions on Medicaid Funding of Abortion: Effects on Birth Weight and Pregnancy Resolutions," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 159-188.
    16. Emily Oster, 2005. "Hepatitis B and the Case of the Missing Women," Journal of Political Economy, University of Chicago Press, vol. 113(6), pages 1163-1216, December.
    17. Grant Miller, 2010. "Contraception as Development? New Evidence from Family Planning in Colombia," Economic Journal, Royal Economic Society, vol. 120(545), pages 709-736, June.
    18. Theodore Joyce & Michael Grossman, 1990. "Pregnancy wantedness and the early initiation of prenatal care," Demography, Springer;Population Association of America (PAA), vol. 27(1), pages 1-17, February.
    19. Theodore Joyce, 1987. "The impact of induced abortion on black and white birth outcomes in the United States," Demography, Springer;Population Association of America (PAA), vol. 24(2), pages 229-244, May.
    20. Valente, C, 2011. "Children of the Revolution: Fetal and Child Health amidst Violent Civil Conflict," Health, Econometrics and Data Group (HEDG) Working Papers 11/12, HEDG, c/o Department of Economics, University of York.
    21. Joshua Angrist & Victor Lavy & Analia Schlosser, 2010. "Multiple Experiments for the Causal Link between the Quantity and Quality of Children," Journal of Labor Economics, University of Chicago Press, vol. 28(4), pages 773-824, October.
    22. Bhalotra, Sonia R. & Cochrane, Tom, 2010. "Where Have All the Young Girls Gone? Identification of Sex Selection in India," IZA Discussion Papers 5381, Institute of Labor Economics (IZA).
    23. Michael Grossman & Steven Jacobowitz, 1981. "Variations in infant mortality rates among counties of the United States: The roles of public policies and programs," Demography, Springer;Population Association of America (PAA), vol. 18(4), pages 695-713, November.
    24. Mitrut, Andreea & Wolff, François-Charles, 2011. "The impact of legalized abortion on child health outcomes and abandonment. Evidence from Romania," Journal of Health Economics, Elsevier, vol. 30(6), pages 1219-1231.
    25. Elise Jones & Jacqueline Forrest, 1992. "Underreporting of abortion in surveys of U.S. women: 1976 to 1988," Demography, Springer;Population Association of America (PAA), vol. 29(1), pages 113-126, February.
    26. Thomas J. Kane & Douglas Staiger, 1996. "Teen Motherhood and Abortion Access," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 467-506.
    27. Michael Grossman & Steven Jacobowitz, 1981. "Variations in Infant Mortality Rates among Counties in the United States: The Roles of Social Policies and Programs," NBER Working Papers 0615, National Bureau of Economic Research, Inc.
    28. Willis, Robert J, 1973. "A New Approach to the Economic Theory of Fertility Behavior," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 14-64, Part II, .
    29. Grossman, Michael & Joyce, Theodore J, 1990. "Unobservables, Pregnancy Resolutions, and Birth Weight Production Functions in New York City," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 983-1007, October.
    30. Theodore Joyce & Robert Kaestner & Sanders Korenman, 2000. "The effect of pregnancy intention on child development," Demography, Springer;Population Association of America (PAA), vol. 37(1), pages 83-94, February.
    31. Levine, Phillip B. & Trainor, Amy B. & Zimmerman, David J., 1996. "The effect of Medicaid abortion funding restrictions on abortions, pregnancies and births," Journal of Health Economics, Elsevier, vol. 15(5), pages 555-578, October.
    32. Cristian Pop-Eleches, 2010. "The Supply of Birth Control Methods, Education, and Fertility: Evidence from Romania," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 971-997.
    33. Cristian Pop-Eleches, 2006. "The Impact of an Abortion Ban on Socioeconomic Outcomes of Children: Evidence from Romania," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 744-773, August.
    34. Mark R. Rosenzweig & Kenneth I. Wolpin, 1993. "Maternal Expectations and Ex Post Rationalizations: The Usefulness of Survey Information on the Wantedness of Children," Journal of Human Resources, University of Wisconsin Press, vol. 28(2), pages 205-229.
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    Cited by:

    1. Keenan Marchesi & Marc Rockmore, 2023. "Conflict and nutrition: endogenous dietary responses in Nepal," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(1), pages 281-296, February.
    2. Grant Miller & Christine Valente, 2016. "Population Policy: Abortion and Modern Contraception Are Substitutes," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 979-1009, August.
    3. Libois, François & Somville, Vincent, 2018. "Fertility, household size and poverty in Nepal," World Development, Elsevier, vol. 103(C), pages 311-322.
    4. Christine Valente & Hans H. Sievertsen & Mahesh C. Puri, 2020. "Saving Neonatal Lives for a Quarter," Bristol Economics Discussion Papers 20/728, School of Economics, University of Bristol, UK.
    5. William W. Olney, 2015. "Remittances and the Wage Impact of Immigration," Journal of Human Resources, University of Wisconsin Press, vol. 50(3), pages 694-727.
    6. Annarita Macchioni Giaquinto, 2022. "The power of the (red) pill in Europe: pharmaceutical innovation and female empowerment," Working Papers 2022:09, Department of Economics, University of Venice "Ca' Foscari".
    7. Godlonton, Susan & Okeke, Edward N., 2016. "Does a ban on informal health providers save lives? Evidence from Malawi," Journal of Development Economics, Elsevier, vol. 118(C), pages 112-132.
    8. Fredrick Manang & Chikako Yamauchi, 2015. "The impact of access to health facilities on maternal care use and health status: Evidence from longitudinal data from rural Uganda," GRIPS Discussion Papers 15-19, National Graduate Institute for Policy Studies.
    9. José-Ignacio Antón & Zuleika Ferre & Patricia Triunfo, 2016. "The impact of abortion legalisation on birth outcomes in Uruguay," Economics working papers 2016-06, Department of Economics, Johannes Kepler University Linz, Austria.
    10. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    11. Nicholas Wilson, 2011. "Fertility Responses to Prevention of Mother-to-Child Transmission of HIV," Center for Development Economics 2011-08, Department of Economics, Williams College, revised Sep 2011.
    12. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    13. Sayli Javadekar & Kritika Saxena, 2021. "The Seen and the Unseen: Impact of a Conditional Cash Transfer Program on Prenatal Sex Selection," IHEID Working Papers 15-2021, Economics Section, The Graduate Institute of International Studies.
    14. Cecilia Velázquez & Wanda Cabella, 2022. "Abortion Legalization in Uruguay: Effects on Adolescent Fertility," CEDLAS, Working Papers 0298, CEDLAS, Universidad Nacional de La Plata.
    15. José‐Ignacio Antón & Zuleika Ferre & Patricia Triunfo, 2018. "The impact of the legalisation of abortion on birth outcomes in Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 27(7), pages 1103-1119, July.
    16. Nandi, Arindam & Deolalikar, Anil B., 2013. "Does a legal ban on sex-selective abortions improve child sex ratios? Evidence from a policy change in India," Journal of Development Economics, Elsevier, vol. 103(C), pages 216-228.

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination

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