IDEAS home Printed from https://ideas.repec.org/a/bla/afrdev/v31y2019i3p380-392.html
   My bibliography  Save this article

Bargaining Power within Couples and Health Care Provider Choice in Tanzania

Author

Listed:
  • Alfred Kechia Mukong
  • Justine Burns

Abstract

This paper examines the pattern of health care provider choice in relation to couples’ bargaining power, in a country where most communities are basically patriarchal, with limited legal protection for women. We use the Tanzanian Demographic and Health Survey (2010) and a nested multinomial logit model to distinguish between public and private facility choice. Evidence suggests that cooperation in decision‐making, female discretion over household resources and low domestic violence increase the probability of childbirth in a health facility. We find that cooperation in household decision‐making and low incidence of domestic violence significantly increase the probability of private facility use. The effects of these social and economic dimensions of the distribution of power between spouses on health care use remain significant after controlling for household resource endowment. A policy option that encourages cooperation between couples, reduces domestic violence and/or ensures female empowerment is more likely to enhance the use of reproductive health services.

Suggested Citation

  • Alfred Kechia Mukong & Justine Burns, 2019. "Bargaining Power within Couples and Health Care Provider Choice in Tanzania," African Development Review, African Development Bank, vol. 31(3), pages 380-392, September.
    • Handle: RePEc:bla:afrdev:v:31:y:2019:i:3:p:380-392
    DOI: 10.1111/1467-8268.12396
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/1467-8268.12396
    Download Restriction: no
    File URL: https://libkey.io/10.1111/1467-8268.12396?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 431-466.
    2. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
    3. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    4. Garikipati, Supriya, 2008. "The Impact of Lending to Women on Household Vulnerability and Women's Empowerment: Evidence from India," World Development, Elsevier, vol. 36(12), pages 2620-2642, December.
    5. Nikièma, Béatrice & Haddad, Slim & Potvin, Louise, 2008. "Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso," World Development, Elsevier, vol. 36(4), pages 608-624, April.
    6. Bolduc, Denis & Lacroix, Guy & Muller, Christophe, 1996. "The choice of medical providers in rural Benin: A comparison of discrete choice models," Journal of Health Economics, Elsevier, vol. 15(4), pages 477-498, August.
    7. John Anyanwu & Andrew E. O. Erhijakpor, 2009. "Health Expenditures and Health Outcomes in Africa," African Development Review, African Development Bank, vol. 21(2), pages 400-433.
    8. Panda, Pradeep & Agarwal, Bina, 2005. "Marital violence, human development and women's property status in India," World Development, Elsevier, vol. 33(5), pages 823-850, May.
    9. Lundberg, Shelly & Pollak, Robert A, 1994. "Noncooperative Bargaining Models of Marriage," American Economic Review, American Economic Association, vol. 84(2), pages 132-137, May.
    10. H. Ichoku & Murray Leibbrandt, 2003. "Demand for Healthcare Services in Nigeria: A Multivariate Nested Logit Model," African Development Review, African Development Bank, vol. 15(2‐3), pages 396-424.
    11. John Anyanwu, 2007. "Demand for Health Care Institutions' Services: Evidence from Malaria Fever Treatment in Nigeria," African Development Review, African Development Bank, vol. 19(2), pages 304-334.
    12. Philip H. Brown & Caroline Theoharides, 2009. "Health‐seeking behavior and hospital choice in China's New Cooperative Medical System," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 47-64, July.
    13. David E. Sahn & Stephen D. Younger & Garance Genicot, 2003. "The Demand for Health Care Services in Rural Tanzania," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 65(2), pages 241-260, May.
    14. Eric Arthur, 2019. "The Effect of Household Socioeconomic Status on the Demand for Child Health Care Services," African Development Review, African Development Bank, vol. 31(1), pages 87-98, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gloria Essilfie & Joshua Sebu & Samuel Kobina Annim, 2020. "Women's empowerment and child health outcomes in Ghana," African Development Review, African Development Bank, vol. 32(2), pages 200-215, June.
    2. Richard Agbanyo, 2020. "Ghana's national health insurance, free maternal healthcare and facility‐based delivery services," African Development Review, African Development Bank, vol. 32(1), pages 27-41, March.

    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. Mabsout, Ramzi & van Staveren, Irene, 2010. "Disentangling Bargaining Power from Individual and Household Level to Institutions: Evidence on Women's Position in Ethiopia," World Development, Elsevier, vol. 38(5), pages 783-796, May.
    2. Raza, W.A. & Panda, P. & Van de Poel, E. & Dror, D.M. & Bedi, A.S., 2013. "Healthcare Seeking Behavior among Self-help Group Households in Rural Bihar and Uttar Pradesh, India," ISS Working Papers - General Series 50172, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    3. Honora Smith & Christine Currie & Pornpimol Chaiwuttisak & Andreas Kyprianou, 2018. "Patient choice modelling: how do patients choose their hospitals?," Health Care Management Science, Springer, vol. 21(2), pages 259-268, June.
    4. Allendorf, Keera, 2007. "Do Women's Land Rights Promote Empowerment and Child Health in Nepal?," World Development, Elsevier, vol. 35(11), pages 1975-1988, November.
    5. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.
    6. Mandal, Biswajit, 2015. "Demand for Maternal health inputs in West Bengal-Inference from NFHS 3," MPRA Paper 68224, University Library of Munich, Germany.
    7. Robert M. Solow & Jean-Philippe Touffut (ed.), 2010. "The Shape of the Division of Labour," Books, Edward Elgar Publishing, number 14184.
    8. Kandpal, Eeshani & Baylis, Kathy, 2019. "The social lives of married women: Peer effects in female autonomy and investments in children," Journal of Development Economics, Elsevier, vol. 140(C), pages 26-43.
    9. Richard Agbanyo, 2020. "Ghana's national health insurance, free maternal healthcare and facility‐based delivery services," African Development Review, African Development Bank, vol. 32(1), pages 27-41, March.
    10. Katsushi Imai & Samuel Kobina Annim & Raghav Gaiha & Veena S. Kulkarni, 2012. "Does Women’s Empowerment Reduce Prevalence of Stunted and Underweight Children in Rural India?," Economics Discussion Paper Series 1209, Economics, The University of Manchester.
    11. Joseph, Magashi & Miho, Asela, 2020. "Household Socioeconomic Status and Health Care Demand for Childhood Fever and Diarrhea in Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 8(3), November.
    12. Erlyana, Erlyana & Damrongplasit, Kannika Kampanya & Melnick, Glenn, 2011. "Expanding health insurance to increase health care utilization: Will it have different effects in rural vs. urban areas?," Health Policy, Elsevier, vol. 100(2), pages 273-281.
    13. Kumar, Neha & Quisumbing, Agnes R., 2015. "Policy Reform toward Gender Equality in Ethiopia: Little by Little the Egg Begins to Walk," World Development, Elsevier, vol. 67(C), pages 406-423.
    14. Asongu Simplice, 2015. "Determinants of health professionals’ migration in Africa: a WHO based assessment," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 42(7), pages 666-686, July.
    15. Patricia I. Ritter & Ricardo A. Sanchez, 2023. "The effects of an epidemic on prenatal investments, childhood mortality and health of surviving children," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(1), pages 505-544, January.
    16. Sato, Azusa, 2012. "Does socio-economic status explain use of modern and traditional health care services?," Social Science & Medicine, Elsevier, vol. 75(8), pages 1450-1459.
    17. Pal, Sumantra, 2018. "Spousal Violence and Social Norms in India's North East," EconStor Preprints 179422, ZBW - Leibniz Information Centre for Economics.
    18. Padmaja, S. Surendran & Kondapi, S., 2018. "Effect of women-centric community-based programme on intra-household decision making in Agriculture," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277394, International Association of Agricultural Economists.
    19. Samarakoon, Shanika & Parinduri, Rasyad A., 2015. "Does Education Empower Women? Evidence from Indonesia," World Development, Elsevier, vol. 66(C), pages 428-442.
    20. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, vol. 45(C), pages 17-30.

    More about this item

    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:bla:afrdev:v:31:y:2019:i:3:p:380-392. 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: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/afdbgci.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.