Intra-Household Gender Disparities in Children's Medical Care Before Death in India

29 Pages Posted: 26 Feb 2007

See all articles by Abay Asfaw

Abay Asfaw

International Food Policy Research Institute (IFPRI)

Stephan Klasen

University of Goettingen (Gottingen) - Faculty of Economics and Business Administration; CESifo (Center for Economic Studies and Ifo Institute); IZA Institute of Labor Economics

Francesca Lamanna

World Bank - Financial Sector Department

Date Written: January 2007

Abstract

The excess female mortality in India and other South Asian countries is no longer contentious. Less known are the reasons for such excess female mortality in the country. In this study, we argue that intra-household gender-discrimination in receipt of medical attention can be one of the most important factors for the unbalanced sex ratio in the country. The 52nd Indian National Sample Survey, which collected for the first time detailed verbal autopsies of deceased persons, is used in the analysis. Place of death, which indicates whether a person get medical help immediately before her/his death, is used as a health indicator variable. The multinomial logit results show that keeping all other factors constant, girls are 1.7 percent less likely to die in hospital than their brothers. The coefficients of different interaction variables also reveal that the probability of infant and very young girls with live female siblings to die in hospital is extremely low. The robustness of the results is also checked using different indicators. The results confirm that girls are highly discriminated in access to hospital treatment and in the number of times being hospitalized before their death compared to boys. Therefore, in addition to the current effort of the government to control sex-selective abortions, efforts should be made to reduce the current intra-household gender-disparities in getting medical care at least for life threatening illnesses.

Keywords: gender discrimination, access to health care, place of death, India

JEL Classification: D63, I12, J16

Suggested Citation

Asfaw, Abay and Klasen, Stephan and Lamanna, Francesca, Intra-Household Gender Disparities in Children's Medical Care Before Death in India (January 2007). Institute for the Study of Labor (IZA) Discussion Paper No. 2586. Available at SSRN: https://ssrn.com/abstract=964967 or http://dx.doi.org/10.2139/ssrn.964967

Abay Asfaw

International Food Policy Research Institute (IFPRI) ( email )

1201 Eye St, NW,
Washington, DC 20005
United States

Stephan Klasen (Contact Author)

University of Goettingen (Gottingen) - Faculty of Economics and Business Administration ( email )

Platz der Goettinger Sieben 3
Goettingen, 37073
Germany
+49-551-397303 (Phone)
+49-551-397302 (Fax)

HOME PAGE: www.vwl.wiso.uni-goettingen.de/klasen.html

CESifo (Center for Economic Studies and Ifo Institute)

Poschinger Str. 5
Munich, DE-81679
Germany

HOME PAGE: http://www.CESifo.de

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

Francesca Lamanna

World Bank - Financial Sector Department ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

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