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Women's (health) work: A population-based, cross-sectional study of gender differences in time spent seeking health care in Malawi

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  • Sara Yeatman
  • Stephanie Chamberlin
  • Kathryn Dovel

Abstract

Background: There has been a notable expansion in routine health care in sub-Saharan Africa. While heath care is nominally free in many contexts, the time required to access services reflects an opportunity cost that may be substantial and highly gendered, reflecting the gendered nature of health care guidelines and patterns of use. The time costs of health care use, however, have rarely been systematically assessed at the population-level. Methods: Data come from the 2015 wave of a population-based cohort study of young adults in southern Malawi during which 1,453 women and 407 men between the ages of 21 and 31 were interviewed. We calculated the time spent seeking health care over a two-month period, disaggregating findings by men, recently-pregnant women, mothers with children under two years old, and “other women”. We then extrapolated the time required for specific services to estimate the time that would be needed for each subpopulation to meet government recommendations for routine health services over the course of a year. Results: Approximately 60% of women and 22% of men attended at least one health care visit during the preceding two months. Women spent six times as long seeking care as did men (t = -4.414, p

Suggested Citation

  • Sara Yeatman & Stephanie Chamberlin & Kathryn Dovel, 2018. "Women's (health) work: A population-based, cross-sectional study of gender differences in time spent seeking health care in Malawi," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0209586
    DOI: 10.1371/journal.pone.0209586
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    References listed on IDEAS

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    1. Margaret E. Greene & Ann E. Biddlecom, 2000. "Absent and Problematic Men: Demographic Accounts of Male Reproductive Roles," Population and Development Review, The Population Council, Inc., vol. 26(1), pages 81-115, March.
    2. C. Mark Blackden & Quentin Wodon, 2006. "Gender, Time Use, and Poverty in Sub-Saharan Africa," World Bank Publications - Books, The World Bank Group, number 7214.
    3. Cueto, M., 2004. "The origins of primary health care and selective primary health care," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1864-1874.
    4. Nancy Folbre, 2006. "Measuring Care: Gender, Empowerment, and the Care Economy," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 7(2), pages 183-199.
    5. Elena Bardasi & Quentin Wodon, 2010. "Working Long Hours and Having No Choice: Time Poverty in Guinea," Feminist Economics, Taylor & Francis Journals, vol. 16(3), pages 45-78.
    6. Amy Cappiccie & Mary Wanjiku & Cecilia Mengo, 2017. "Kenya’s Life Lessons through the Lived Experience of Rural Caregivers," Social Sciences, MDPI, vol. 6(4), pages 1-12, November.
    7. Rania Antonopoulos & Indira Hirway, 2010. "Unpaid Work and the Economy," Palgrave Macmillan Books, in: Rania Antonopoulos & Indira Hirway (ed.), Unpaid Work and the Economy, chapter 1, pages 1-21, Palgrave Macmillan.
    8. Indira Hirway, 2010. "Understanding Poverty: Insights Emerging from Time Use of the Poor," Palgrave Macmillan Books, in: Rania Antonopoulos & Indira Hirway (ed.), Unpaid Work and the Economy, chapter 2, pages 22-57, Palgrave Macmillan.
    9. Nancy Folbre, 2014. "The Care Economy in Africa: Subsistence Production and Unpaid Care," Journal of African Economies, Centre for the Study of African Economies, vol. 23(suppl_1), pages 128-156.
    10. Poulin, Michelle & Dovel, Kathryn & Watkins, Susan Cotts, 2016. "Men with Money and the “Vulnerable Women” Client Category in an AIDS Epidemic," World Development, Elsevier, vol. 85(C), pages 16-30.
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