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Intra-Household Bargaining Power and HIV Prevention: Empirical Evidence from Married Couples in Rural Malawi


  • Gerritzen, Berit C.



This paper studies the dynamics between intra-household bargaining power and HIV prevention from a systemic perspective, using a panel data set of 500 married couples in rural Malawi from 2004-2008. All information has been matched at the couple level, which allows to directly assess the effect of a relative increase in bargaining power, as measured by economic, social and relationship variables, on both spouses' attitudes towards HIV prevention, while controlling for HIV status. I employ a fixed effects linear probability model with national and region-specific time trends in order to capture both unobserved heterogeneity at the individual level as well as differences in HIV prevalence and intensity of HIV campaigns in the three regions that are studied. The results show that factors that are associated with a relative increase in female bargaining power, such as own earnings and attendance of women at local political meetings, are related to improved acceptance of HIV prevention.

Suggested Citation

  • Gerritzen, Berit C., 2014. "Intra-Household Bargaining Power and HIV Prevention: Empirical Evidence from Married Couples in Rural Malawi," Economics Working Paper Series 1408, University of St. Gallen, School of Economics and Political Science.
  • Handle: RePEc:usg:econwp:2014:08

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    References listed on IDEAS

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    More about this item


    HIV/AIDS; gender; intra-household bargaining; spousal communication; condom use; Sub-Saharan Africa; Malawi;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration


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