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Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso

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  • Nikièma, Béatrice
  • Haddad, Slim
  • Potvin, Louise

Abstract

Summary Based on a qualitative study contrasting a gender-relationally restrictive socio-cultural setting with a rather liberal one, we explain how social norms shape resource negotiation for women seeking modern healthcare. A system of "protection and dependency" covers them in principle for obviously serious illness, as far as household resources permit. In both settings, however, women must have "well behaved" and justify less-obvious needs in an unequal bargaining process with ambivalent recourse opportunities. Consequently, women may suffer delays in or exclusion from healthcare. Moreover, their self-esteem may lower and the domestic power imbalance may increase. The results suggest sectoral and sector-crosscutting solutions.

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  • 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.
    • Handle: RePEc:eee:wdevel:v:36:y:2008:i:4:p:608-624
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    1. International Monetary Fund, 2005. "Burkina Faso: Poverty Reduction Strategy Paper," IMF Staff Country Reports 2005/338, International Monetary Fund.
    2. Buor, Daniel, 2004. "Gender and the utilisation of health services in the Ashanti Region, Ghana," Health Policy, Elsevier, vol. 69(3), pages 375-388, September.
    3. Filmer, Deon & King, Elizabeth M. & Pritchett, Lant, 1998. "Gender disparity in South Asia : comparisons between and within countries," Policy Research Working Paper Series 1867, The World Bank.
    4. De Allegri, Manuela & Sanon, Mamadou & Sauerborn, Rainer, 2006. ""To enrol or not to enrol?": A qualitative investigation of demand for health insurance in rural West Africa," Social Science & Medicine, Elsevier, vol. 62(6), pages 1520-1527, March.
    5. Borooah, Vani K., 2004. "Gender bias among children in India in their diet and immunisation against disease," Social Science & Medicine, Elsevier, vol. 58(9), pages 1719-1731, May.
    6. Johnson, Susan, 2004. "Gender Norms in Financial Markets: Evidence from Kenya," World Development, Elsevier, vol. 32(8), pages 1355-1374, August.
    7. Udry, Christopher & Hoddinott, John & Alderman, Harold & Haddad, Lawrence, 1995. "Gender differentials in farm productivity: implications for household efficiency and agricultural policy," Food Policy, Elsevier, vol. 20(5), pages 407-423, October.
    8. Kloos, Helmut & Etea, Alemayehu & Degefa, Assefa & Aga, Hundessa & Solomon, Berhanu & Abera, Kabede & Abegaz, Abebe & Belemo, Geto, 1987. "Illness and health behaviour in Addis Ababa and rural central Ethiopia," Social Science & Medicine, Elsevier, vol. 25(9), pages 1003-1019, January.
    9. Criel, Bart & Waelkens, Maria Pia, 2003. "Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa): what is going wrong?," Social Science & Medicine, Elsevier, vol. 57(7), pages 1205-1219, October.
    10. Mark Blackden & Sudharshan Canagarajah & Stephan Klasen & David Lawson, 2006. "Gender and Growth in Sub-Saharan Africa: Issues and Evidence," WIDER Working Paper Series RP2006-37, World Institute for Development Economic Research (UNU-WIDER).
    11. The Prevention of Maternal Mortality Network, 1995. "Situation analyses of emergency obstetric care: Examples from eleven operations research projects in West Africa," Social Science & Medicine, Elsevier, vol. 40(5), pages 657-667, March.
    12. Doris Wiesmann & Johannes Jütting, 2000. "The emerging movement of community based health insurance in sub-Saharan Africa: Experiences and lessons learned," Africa Spectrum, Institute of African Affairs, GIGA German Institute of Global and Area Studies, Hamburg, vol. 35(2), pages 193-210.
    13. repec:bla:rdevec:v:5:y:2001:i:1:p:119-29 is not listed on IDEAS
    14. Dominic Hodgkin, 1996. "Household characteristics affecting where mothers deliver in rural Kenya," Health Economics, John Wiley & Sons, Ltd., vol. 5(4), pages 333-340, July.
    15. Michael Kevane & Leslie Gray, 1999. "A Woman's Field Is Made At Night: Gendered Land Rights And Norms In Burkina Faso," Feminist Economics, Taylor & Francis Journals, vol. 5(3), pages 1-26.
    16. Agarwal, Bina, 1997. "Bargaining and gender relations: within and beyond the household," FCND discussion papers 27, International Food Policy Research Institute (IFPRI).
    17. Dong, Hengjin & Mugisha, Frederick & Gbangou, Adjima & Kouyate, Bocar & Sauerborn, Rainer, 2004. "The feasibility of community-based health insurance in Burkina Faso," Health Policy, Elsevier, vol. 69(1), pages 45-53, July.
    18. Bina Agarwal, 1997. "''Bargaining'' and Gender Relations: Within and Beyond the Household," Feminist Economics, Taylor & Francis Journals, vol. 3(1), pages 1-51.
    19. Zwarteveen, M. Z., 1996. "A plot of one's own: gender relations and irrigated land allocation policies in Burkina Faso," IWMI Research Reports H019079, International Water Management Institute.
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    2. Samb, Oumar Mallé & Ridde, Valery, 2018. "The impact of free healthcare on women's capability: A qualitative study in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 197(C), pages 9-16.
    3. Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul, 2014. "The National Health Insurance Scheme in Ghana's Upper West Region: A gendered perspective of insurance acquisition in a resource-poor setting," Social Science & Medicine, Elsevier, vol. 122(C), pages 103-112.
    4. Koen Peeters Grietens & Sabine Gies & Sheick Oumar Coulibaly & Clotilde Ky & Judith Somda & Elizabeth Toomer & Joan Muela Ribera & Umberto D'Alessandro, 2010. "Bottlenecks for High Coverage of Intermittent Preventive Treatment in Pregnancy: The Case of Adolescent Pregnancies in Rural Burkina Faso," PLOS ONE, Public Library of Science, vol. 5(8), pages 1-9, August.
    5. Lila C. Fleming & Rashid Ansumana & Alfred S. Bockarie & Joel D. Alejandre & Karen K. Owen & Umaru Bangura & David H. Jimmy & Kevin M. Curtin & David A. Stenger & Kathryn H. Jacobsen, 2016. "Health-care availability, preference, and distance for women in urban Bo, Sierra Leone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1079-1088, December.
    6. D'Ambruoso, Lucia & Byass, Peter & Qomariyah, Siti Nurul & Ouédraogo, Moctar, 2010. "A lost cause? Extending verbal autopsy to investigate biomedical and socio-cultural causes of maternal death in Burkina Faso and Indonesia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1728-1738, November.
    7. Klaus Leisinger, 2009. "Corporate Responsibilities for Access to Medicines," Journal of Business Ethics, Springer, vol. 85(1), pages 3-23, February.
    8. Alioune Badara TALL & Adama FAYE & Abdoul Aziz NDIAYE & Awa GAYE & Boubacar GUEYE & Ndeye Fatou NGOM & Anta AGNE & Papa Gallo SOW & Martial Coly BOP & Ousseynou KA KA & Anta TAL-DIA, 2018. "Community-Based Maternal and Neonatal Health Services in Kolda and Sedhiou Districts of Senegal," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(3), pages 1-90, March.
    9. Karimli, Leyla & Lecoutere, Els & Wells, Christine R. & Ismayilova, Leyla, 2021. "More assets, more decision-making power? Mediation model in a cluster-randomized controlled trial evaluating the effect of the graduation program on women's empowerment in Burkina Faso," World Development, Elsevier, vol. 137(C).
    10. Hejoaka, Fabienne, 2009. "Care and secrecy: Being a mother of children living with HIV in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(6), pages 869-876, September.
    11. 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.
    12. 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.
    13. Bashiru I.I. Saeed & MunyakaziLouis & Eric N. Aidoo & Nicholas.N.N. Nsowah-Nuamah & Alfred E. Yawson & XicangZhao, 2013. "Socio-economic Inequalities and Healthcare Utilization in Ghana," International Journal of Business and Social Research, LAR Center Press, vol. 3(1), pages 54-63, January.
    14. Theriault, Veronique & Smale, Melinda & Haider, Hamza, 2017. "How Does Gender Affect Sustainable Intensification of Cereal Production in the West African Sahel? Evidence from Burkina Faso," World Development, Elsevier, vol. 92(C), pages 177-191.

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