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

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  • Gerritzen, Berit C.

Abstract

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

    as
    1. Cecilia Conrad & Cheryl Doss, 2008. "The AIDS Epidemic: Challenges for Feminist Economics," Feminist Economics, Taylor & Francis Journals, vol. 14(4), pages 1-18.
    2. Kirsten P. Smith & Susan Cotts Watkins, 2005. "Perceptions of Risk and Strategies for Prevention: Responses to HIV/AIDS in Rural Malawi," PGDA Working Papers 0305, Program on the Global Demography of Aging.
    3. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 112-134.
    4. Matthias Doepke & Michèle Tertilt, 2019. "Does female empowerment promote economic development?," Journal of Economic Growth, Springer, vol. 24(4), pages 309-343, December.
    5. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    6. Rasul, Imran, 2008. "Household bargaining over fertility: Theory and evidence from Malaysia," Journal of Development Economics, Elsevier, vol. 86(2), pages 215-241, June.
    7. Berit Gerritzen, 2016. "Women's Empowerment and HIV Prevention in Rural Malawi," Feminist Economics, Taylor & Francis Journals, vol. 22(3), pages 1-25, July.
    8. Kimberly Christensen, 1998. "Economics Without Money; Sex Without Gender: A Critique of Philipson and Posner's "Private Choices and Public Health: The AIDS Epidemic in an Economic Perspective"," Feminist Economics, Taylor & Francis Journals, vol. 4(2), pages 1-24.
    9. repec:bla:devpol:v:21:y:2003:i:1:p:27-49 is not listed on IDEAS
    10. Esther Duflo, 2012. "Women Empowerment and Economic Development," Journal of Economic Literature, American Economic Association, vol. 50(4), pages 1051-1079, December.
    11. Chimbiri, Agnes M., 2007. "The condom is an 'intruder' in marriage: Evidence from rural Malawi," Social Science & Medicine, Elsevier, vol. 64(5), pages 1102-1115, March.
    12. Esther Duflo & Christopher Udry, 2003. "Intrahousehold Resource Allocation in Côte D'ivoire: Social Norms, Separate Accounts and Consumption Choices," Working Papers 857, Economic Growth Center, Yale University.
    13. de Walque, Damien & Dow, William H & Nathan, Rose & Abdul, Ramadhani & Abilahi, Faraji & Gong, Erick & Isdahl, Zachary & Jamison, Julian & Jullu, Boniphace & Krishnan, Suneeta & Majura, Albert & Migue, 2012. "Incentivising safe sex: a randomised trial of conditional cash transfers for HIV and sexually transmitted infection prevention in rural Tanzania," Department of Economics, Working Paper Series qt4vw984q0, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    14. Chiappori, Pierre-André & Donni, Olivier, 2009. "Non-unitary Models of Household Behavior: A Survey of the Literature," IZA Discussion Papers 4603, Institute of Labor Economics (IZA).
    15. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-1863, December.
    16. Bina Agarwal, 1997. "''Bargaining'' and Gender Relations: Within and Beyond the Household," Feminist Economics, Taylor & Francis Journals, vol. 3(1), pages 1-51.
    17. Oriana Bandiera & Niklas Buehren & Robin Burgess & Markus Goldstein & Selim Gulesci & Imran Rasul & Munshi Sulaiman, 2013. "Empowering Adolescent Girls in Uganda," World Bank Publications - Reports 25458, The World Bank Group.
    18. Hans-Peter Kohler & Rebecca L. Thornton, 2012. "Conditional Cash Transfers and HIV/AIDS Prevention: Unconditionally Promising?," The World Bank Economic Review, World Bank, vol. 26(2), pages 165-190.
    19. T. S. Breusch & A. R. Pagan, 1980. "The Lagrange Multiplier Test and its Applications to Model Specification in Econometrics," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 47(1), pages 239-253.
    20. Georges Reniers & Rania Tfaily, 2008. "Polygyny and HIV in Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(53), pages 1811-1830.
    21. Cameron,A. Colin & Trivedi,Pravin K., 2005. "Microeconometrics," Cambridge Books, Cambridge University Press, number 9780521848053, October.
    22. Arellano, Manuel & Carrasco, Raquel, 2003. "Binary choice panel data models with predetermined variables," Journal of Econometrics, Elsevier, vol. 115(1), pages 125-157, July.
    23. Arellano, Manuel, 2003. "Panel Data Econometrics," OUP Catalogue, Oxford University Press, number 9780199245291.
    24. Georges Reniers, 2008. "Marital strategies for regulating exposure to HIV," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 417-438, May.
    25. Smith, Kirsten P. & Watkins, Susan Cotts, 2005. "Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi," Social Science & Medicine, Elsevier, vol. 60(3), pages 649-660, February.
    26. Eliya Msiyaphazi Zulu & Gloria Chepngeno, 2003. "Spousal communication about the risk of contracting HIV/AIDS in rural Malawi," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 1(8), pages 247-278.
    27. David Bishai & Shoshana Grossbard, 2010. "Far above rubies: Bride price and extramarital sexual relations in Uganda," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(4), pages 1177-1187, September.
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    Cited by:

    1. Klein, Matthew J. & Barham, Bradford L. & Wu, Yuexuan, 2019. "Gender Equality in the Family Can Reduce the Malaria Burden in Malawi," Staff Paper Series 594, University of Wisconsin, Agricultural and Applied Economics.

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    More about this item

    Keywords

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

    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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