IDEAS home Printed from https://ideas.repec.org/a/aea/aejpol/v6y2014i2p164-97.html
   My bibliography  Save this article

Health and the Political Agency of Women

Author

Listed:
  • Sonia Bhalotra
  • Irma Clots-Figueras

Abstract

We investigate whether women's political representation in state legislatures improves public provision of antenatal and childhood health services in the districts from which they are elected, arguing that the costs of poor services in this domain fall disproportionately upon women. Using large representative data samples from India and accounting for potential endogeneity of politician gender and the sample composition of births, we find that a 10 percentage point increase in women's representation results in a 2.1 percentage point reduction in neonatal mortality, and we elucidate mechanisms. Women's political representation may be an underutilized tool for addressing health in developing countries.

Suggested Citation

  • Sonia Bhalotra & Irma Clots-Figueras, 2014. "Health and the Political Agency of Women," American Economic Journal: Economic Policy, American Economic Association, vol. 6(2), pages 164-197, May.
  • Handle: RePEc:aea:aejpol:v:6:y:2014:i:2:p:164-97
    Note: DOI: 10.1257/pol.6.2.164
    as

    Download full text from publisher

    File URL: http://www.aeaweb.org/articles.php?doi=10.1257/pol.6.2.164
    Download Restriction: no

    File URL: http://www.aeaweb.org/aej/pol/app/0602/2012-0139_app.pdf
    Download Restriction: no

    File URL: http://www.aeaweb.org/aej/pol/data/0602/2012-0139_data.zip
    Download Restriction: no

    File URL: http://www.aeaweb.org/aej/pol/ds/0602/2012-0139_ds.zip
    Download Restriction: Access to full text is restricted to AEA members and institutional subscribers.
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Masayuki Kudamatsu, 2012. "Has Democratization Reduced Infant Mortality In Sub-Saharan Africa? Evidence From Micro Data," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1294-1317, December.
    2. Lori Beaman & Raghabendra Chattopadhyay & Esther Duflo & Rohini Pande & Petia Topalova, 2009. "Powerful Women: Does Exposure Reduce Bias?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(4), pages 1497-1540.
    3. David S. Lee, 2001. "The Electoral Advantage to Incumbency and Voters' Valuation of Politicians' Experience: A Regression Discontinuity Analysis of Elections to the U.S..," NBER Working Papers 8441, National Bureau of Economic Research, Inc.
    4. 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.
    5. Alesina, Alberto & La Ferrara, Eliana, 2005. "Preferences for redistribution in the land of opportunities," Journal of Public Economics, Elsevier, vol. 89(5-6), pages 897-931, June.
    6. 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.
    7. Timothy Besley & Anne Case, 2003. "Political Institutions and Policy Choices: Evidence from the United States," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 7-73, March.
    8. Irma Clots-Figueras, 2012. "Are Female Leaders Good for Education? Evidence from India," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 212-244, January.
    9. 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.
    10. Grant Miller & B. Piedad Urdinola, 2010. "Cyclicality, Mortality, and the Value of Time: The Case of Coffee Price Fluctuations and Child Survival in Colombia," Journal of Political Economy, University of Chicago Press, vol. 118(1), pages 113-155, February.
    11. Andrew J. Oswald & Nattavudh Powdthavee, 2010. "Daughters and Left-Wing Voting," The Review of Economics and Statistics, MIT Press, vol. 92(2), pages 213-227, May.
    12. Grant Miller, 2008. "Women's Suffrage, Political Responsiveness, and Child Survival in American History," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(3), pages 1287-1327.
    13. Lena Edlund & Rohini Pande, 2002. "Why Have Women Become Left-Wing? The Political Gender Gap and the Decline in Marriage," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 117(3), pages 917-961.
    14. Clots-Figueras, Irma, 2011. "Women in politics: Evidence from the Indian States," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 664-690, August.
    15. Timothy Besley & Robin Burgess, 2002. "The Political Economy of Government Responsiveness: Theory and Evidence from India," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 117(4), pages 1415-1451.
    16. Bhalotra, Sonia, 2010. "Fatal fluctuations? Cyclicality in infant mortality in India," Journal of Development Economics, Elsevier, vol. 93(1), pages 7-19, September.
    17. Sonia Bhalotra, 2007. "Spending to save? State health expenditure and infant mortality in India," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 911-928, September.
    18. Besley, Timothy & Case, Anne, 2000. "Unnatural Experiments? Estimating the Incidence of Endogenous Policies," Economic Journal, Royal Economic Society, vol. 110(467), pages 672-694, November.
    19. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    20. Bhalotra, Sonia & Rawlings, Samantha B., 2011. "Intergenerational persistence in health in developing countries: The penalty of gender inequality?," Journal of Public Economics, Elsevier, vol. 95(3-4), pages 286-299, April.
    21. 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.
    22. Aizer, Anna & Currie, Janet, 2004. "Networks or neighborhoods? Correlations in the use of publicly-funded maternity care in California," Journal of Public Economics, Elsevier, vol. 88(12), pages 2573-2585, December.
    23. Pettersson-Lidbom , Per, 2003. "Do Parties Matter for Fiscal Policy Choices? A Regression-Discontinuity Approach," Research Papers in Economics 2003:15, Stockholm University, Department of Economics.
    24. Raghabendra Chattopadhyay & Esther Duflo, 2004. "Women as Policy Makers: Evidence from a Randomized Policy Experiment in India," Econometrica, Econometric Society, vol. 72(5), pages 1409-1443, September.
    25. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    26. Filmer, Deon & Hammer, Jeffrey S & Pritchett, Lant H, 2000. "Weak Links in the Chain: A Diagnosis of Health Policy in Poor Countries," The World Bank Research Observer, World Bank, vol. 15(2), pages 199-224, August.
    27. James Andreoni & Lise Vesterlund, 2001. "Which is the Fair Sex? Gender Differences in Altruism," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(1), pages 293-312.
    28. Sonia Bhalotra & Irma Clots-Figueras & Lakshmi Iyer, 2013. "Path-Breakers: How Does Women’s Political Participation Respond to Electoral Success?," Harvard Business School Working Papers 14-035, Harvard Business School, revised Jan 2016.
    29. Ebonya L. Washington, 2008. "Female Socialization: How Daughters Affect Their Legislator Fathers," American Economic Review, American Economic Association, vol. 98(1), pages 311-332, March.
    30. Clots-Figueras, Irma, 2011. "Women in politics," Journal of Public Economics, Elsevier, vol. 95(7), pages 664-690.
    31. Levitt, Steven D, 1996. "How Do Senators Vote? Disentangling the Role of Voter Preferences, Party Affiliation, and Senate Ideology," American Economic Review, American Economic Association, vol. 86(3), pages 425-441, June.
    32. Irma Clots-Figueras, 2012. "Are Female Leaders Good for Education? Evidence from India," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 212-244, January.
    33. Keefer, Philip & Khemani, Stuti, 2003. "Democracy, public expenditures, and the poor," Policy Research Working Paper Series 3164, The World Bank.
    34. Lena Edlund & Laila Haider & Rohini Pande, 2005. "Unmarried Parenthood and Redistributive Politics," Journal of the European Economic Association, MIT Press, vol. 3(1), pages 95-119, March.
    35. Bhavnani, Rikhil R., 2009. "Do Electoral Quotas Work after They Are Withdrawn? Evidence from a Natural Experiment in India," American Political Science Review, Cambridge University Press, vol. 103(1), pages 23-35, February.
    36. Casas-Arce, Pablo & Saiz, Albert, 2011. "Women and Power: Unwilling, Ineffective, or Held Back?," IZA Discussion Papers 5645, Institute of Labor Economics (IZA).
    37. Bhalotra, Sonia & Clots-Figueras, Irma & Iyer, Lakshmi, 2013. "Path-Breakers: How Does Women’s Political Participation Respond to Electoral Success?," Economics Discussion Papers 9008, University of Essex, Department of Economics.
    38. repec:esx:essedp:740 is not listed on IDEAS
    39. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    40. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    41. Shelly J. Lundberg & Robert A. Pollak & Terence J. Wales, 1997. "Do Husbands and Wives Pool Their Resources? Evidence from the United Kingdom Child Benefit," Journal of Human Resources, University of Wisconsin Press, vol. 32(3), pages 463-480.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. repec:esx:essedp:739 is not listed on IDEAS
    2. Clots-Figueras, Irma, 2011. "Women in politics," Journal of Public Economics, Elsevier, vol. 95(7), pages 664-690.
    3. Hessami, Zohal & da Fonseca, Mariana Lopes, 2020. "Female political representation and substantive effects on policies: A literature review," European Journal of Political Economy, Elsevier, vol. 63(C).
    4. Irma Clots-Figueras, 2012. "Are Female Leaders Good for Education? Evidence from India," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 212-244, January.
    5. Nafisa Halim & Kathryn Yount & Solveig Cunningham & Rohini Pande, 2016. "Women’s Political Empowerment and Investments in Primary Schooling in India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 125(3), pages 813-851, February.
    6. Kotsadam, Andreas & Nerman, Måns, 2012. "The Effects of Gender Quotas in Latin American National Elections," Working Papers in Economics 528, University of Gothenburg, Department of Economics.
    7. Ferreira, Fernando & Gyourko, Joseph, 2014. "Does gender matter for political leadership? The case of U.S. mayors," Journal of Public Economics, Elsevier, vol. 112(C), pages 24-39.
    8. Francisco Pino, 2014. "Is There Gender Bias Among Voters ?Evidence from the Chilean Congressional Elections," Working Papers ECARES ECARES 2014-53, ULB -- Universite Libre de Bruxelles.
    9. Bhalotra, Sonia & Clots-Figueras, Irma & Iyer, Lakshmi, 2013. "Path-Breakers: How Does Women’s Political Participation Respond to Electoral Success?," Economics Discussion Papers 9008, University of Essex, Department of Economics.
    10. Astghik Mavisakalyan, 2014. "Women in cabinet and public health spending: evidence across countries," Economics of Governance, Springer, vol. 15(3), pages 281-304, August.
    11. Matthias Doepke & Michèle Tertilt & Alessandra Voena, 2012. "The Economics and Politics of Women's Rights," Annual Review of Economics, Annual Reviews, vol. 4(1), pages 339-372, July.
    12. Siwan Anderson, 2022. "Unbundling female empowerment," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 55(4), pages 1671-1701, November.
    13. Bhalotra, Sonia R. & Clarke, Damian & Gomes, Joseph & Venkataramani, Atheendar, 2018. "Maternal Mortality and Women's Political Participation," IZA Discussion Papers 11590, Institute of Labor Economics (IZA).
    14. repec:esx:essedp:740 is not listed on IDEAS
    15. De Paola, Maria & Scoppa, Vincenzo & De Benedetto, Marco Alberto, 2014. "The impact of gender quotas on electoral participation: Evidence from Italian municipalities," European Journal of Political Economy, Elsevier, vol. 35(C), pages 141-157.
    16. Bhalotra, Sonia R. & Clots-Figueras, Irma & Iyer, Lakshmi, 2013. "Path-Breakers: How Does Women's Political Participation Respond to Electoral Success?," IZA Discussion Papers 7771, Institute of Labor Economics (IZA).
    17. Stefano Gagliarducci & M. Daniele Paserman, 2012. "Gender Interactions within Hierarchies: Evidence from the Political Arena," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 79(3), pages 1021-1052.
    18. Beath, Andrew & Christia, Fotini & Enikolopov, Ruben, 2012. "Empowering women : evidence from a field experiment in Afghanistan," Policy Research Working Paper Series 6269, The World Bank.
    19. Jekaterina Kuliomina, 2016. "Does Election of an Additional Female Councilor Increase Women's Candidacy in the Future?," CERGE-EI Working Papers wp559, The Center for Economic Research and Graduate Education - Economics Institute, Prague.
    20. Bhalotra, Sonia & Brulé, Rachel & Roy, Sanchari, 2020. "Women's inheritance rights reform and the preference for sons in India," Journal of Development Economics, Elsevier, vol. 146(C).
    21. Nagarajan, Hari K. & Deininger, Klaus & Jin, Songqing, 2011. "Can political reservations affect political equilibria in the long-term? Evidence from local elections in rural India," Proceedings of the German Development Economics Conference, Berlin 2011 59, Verein für Socialpolitik, Research Committee Development Economics.
    22. Israel García & Bernd Hayo, 2023. "Fiscal Reform in Spanish Municipalities: Gender Differences in Budgetary Adjustment," CESifo Working Paper Series 10297, CESifo.

    More about this item

    JEL classification:

    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • 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
    • O17 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Formal and Informal Sectors; Shadow Economy; Institutional Arrangements

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aea:aejpol:v:6:y:2014:i:2:p:164-97. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Michael P. Albert (email available below). General contact details of provider: https://edirc.repec.org/data/aeaaaea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.