Gender and household education expenditure in Pakistan

Pakistan has very large gender gaps in educational outcomes. One explanation could be that girls receive lower educational expenditure allocations than boys within the household, but this has never convincingly been tested. This article investigates whether the intra-household allocation of educational expenditure in Pakistan favours males over females. It also explores two different explanations for the failure of the extant ‘Engel curve’ studies to detect gender-differentiated treatment in education even where gender bias is strongly expected. Using individual level data from the latest household survey from Pakistan, we posit two potential channels of gender bias: bias in the decision whether to enrol/keep sons and daughters in school, and bias in the decision of education expenditure conditional on enrolling both sons and daughters in school. In middle and secondary school ages, evidence points to significant pro-male biases in both the enrolment decision as well as the decision of how much to spend conditional on enrolment. However, in the primary school age-group, only the former channel of bias applies. Results suggest that the observed strong gender difference in education expenditure is a within rather than an across household phenomenon.     

Measuring Inequality of Access to Higher Education in India

This paper uses data from the 71st NSS round (Education Survey: January–June 2014) to estimate the probabilities of person in India, between the ages of 18 and 22 years, of currently attending graduate or post-graduate courses in institutions of higher education , conditional on their social and economic status, their gender, their marital status, and their urban or rural location. It then examines inequality by social group in the quality of education received. Using the technique of inequality decomposition it estimates the proportionate contributions of the above factors to inequality in the interpersonal distribution of the probabilities of currently attending higher education. It compares how access to higher education has changed between the 64th NSS (July 2007–June 2008) and the 71st (January–June 2014) rounds of the NSS.

     

Gender Differences in Italian Children's Capabilities

This paper analyzes children's well-being using the capability approach, with a special focus on gender differences. The two areas analyzed are the capability of senses, imagination, and thought; and the capability of play. Using data from the 2008 Multipurpose Survey on Daily Life released by the Italian National Institute of Statistics, a structural equation model is estimated in which the capabilities are defined as latent variables that are intrinsically interrelated. For each capability, a set of indicators of functionings is utilized and the effects of individual and social conversion factors – including parents’ unpaid work, their level of education, and employment status – are analyzed. The model is applied to Italian girls and boys ages 6–10 in 2008. The analysis confirms that the two capabilities are interrelated. Policies aimed at improving children's achievements in education also improve the capability of play and vice versa. Differences by gender occur in the factors’ effects.     

Patriarchy versus Islam: Gender and Religion in Economic Growth

ABSTRACT

This contribution evaluates whether affiliation with Islam is a theoretically and statistically robust proxy for patriarchal preferences when studying the relationship between gender inequality and economic growth. A cross-country endogenous growth analysis shows that direct measures of patriarchal institutions dominate a variety of religious affiliation variables and model specifications in explaining country growth rates, and that using religious affiliation, particularly Islam, as a control for culture produces misleading conclusions. This result is robust to the inclusion of measures of gender inequality in education and income, indicating that establishing and maintaining patriarchal institutions (a process this study calls “patriarchal rent-seeking”) exact economic growth costs over and above those measured by standard gender inequality variables. One of the key contributions of this study is to draw on unique institutional data from the Organisation for Economic Co-operation and Development's Gender, Institutions and Development (GID) database to better understand the gendered dynamics of growth.     

Do Educational Attainments Influence Attitudes Toward Gender Equality in Sub-Saharan Africa?

Abstract

Although there is a plethora of literature on gender equality and women empowerment, studies on whether (and to what extent) educational attainments affect people’s attitudes toward gender equality are lacking. This is particularly true for Africa, a mostly male-dominated continent. In this article, we use data from the Wave 6 of the World Values Survey to empirically examine the relationship between educational attainments and attitudes toward gender equality among people in 5 countries in Africa–Ghana, Nigeria, Rwanda, South Africa, and Zimbabwe. Our results, based on different measures of gender equality and econometric specifications, consistently reveal that the higher the level of education acquired, the more liberal and favorable the individual’s attitudes are toward gender equality.     

Gender Wage Gap: Some Recent Evidences from India

Gender wage inequality is a chronic socioeconomic malice in developed as well as in developing countries. This paper describes the outcomes of our study on the estimation of gender wage gap in the Indian labour market, using the 68th Round NSSO employment–unemployment data. The study uses Blinder–Oaxaca decomposition technique and Heckman two-step methodology, for removal of selectivity bias in the sample data, to measure the components of total gender wage gap, viz. (1) occupational segregation (explained by economic rationale) and (2) direct discrimination (not explained by economic rationale). The analysis indicates that the maximum direct discrimination is for job-related factors, such as industry type which are controlled by employers. The majority of the Indian employers today are men, which may be the reason for the insensitivity to the chronic direct discrimination against women in workplaces. The study also indicates that most of the explained gender wage gap is due to lower skill and experience amongst women. The findings suggest that besides labour law reforms for ensuring gender neutrality in workplaces, focused government policies for promoting women entrepreneurship and skill development of women are urgently required for reducing the gender wage gap in India.

     

A discrete choice experiment to assess patients’ preferences for HIV treatment in the urban population in Colombia

Abstract

Aim: This study aimed to assess patients’ preferences for HIV treatment in an urban Colombian population.

Methods: A Discrete Choice Experiment (DCE) was conducted. Urban Colombian HIV patients were asked to repetitively choose between two hypothetical treatments that differ in regard to five attributes ‘effect on life expectancy’, ‘effect on physical activity’, ‘risk of moderate side effects, ‘accessibility to clinic’ and ‘economic cost to access controls’. Twelve choice sets were made using an efficient design. A Mixed Logit Panel Model was used for the analysis and subgroup analyses were performed according to age, gender, education level and sexual preference.

Results: A total of 224 HIV patients were included. All attributes were significant, indicating that there were differences between at least two levels of each attribute. Patients preferred to be able to perform all physical activity without difficulty, to have large positive effects on life expectancy, to travel less than 2?h, to have lower risk of side-effects and to have subsidized travel costs. The attributes ‘effect on physical activity’ and ‘effects on life expectancy’ were deemed the most important. Sub-analyses showed that higher educated patients placed more importance on the large positive effects of HIV treatment, and a more negative preference for subsidized travel cost (5% level).

Limitations: A potential limitation is selection bias as it is difficult to make a systematic urban/rural division of respondents. Additional, questionnaires were partly administered in the waiting rooms, which potentially led to some noise in the data.

Conclusions: Findings suggests that short-term efficacy (i.e. effect on physical activity) and long-term efficacy (i.e. effect on life expectancy) are the most important treatment characteristics for HIV urban patients in Colombia. Preference data could provide relevant information for clinical and policy decision-making to optimize HIV care.     

A discrete choice experiment to assess patients’ preferences for HIV treatment in the rural population in Colombia

Abstract

Aim: To elicit patients’ preferences for HIV treatment of the rural population in Colombia.

Methods: A discrete choice experiment (DCE), conducted in a HIV clinic in Bogotá, was used to examine the trade-off between five HIV treatment attributes: effect on life expectancy, effect on physical activity, risk of moderate side-effects, accessibility to clinic, and economic costs to access controls. Attributes selection was based on literature review, expert consultation and a focus group with six patients. An efficient experimental design was used to define two versions of the questionnaire with each of 12 choice sets and a dominance task was added to check reliability. A mixed logit model was then used to analyse the data and sub-group analyses were conducted on the basis of age, gender, education, and sexual preference.

Results: A total of 129 HIV patients were included for analysis. For all treatment attributes, significant differences between at least two levels were observed, meaning that all attributes were significant predictors of choice. Patients valued the effect on physical activity (conditional relative importance of 27.5%) and the effect on life expectancy (26.0%) the most. Sub-group analyses regard age and education showed significant differences: younger patients and high educated patients valued the effect on physical activity the most important, whereas older patients mostly valued the effect on life expectancy and low educated patients mostly valued the accessibility to clinic.

Limitations: One potential limitation is selection bias, as only patients from one HIV clinic were reached. Additionally, questionnaires were partly administered in the waiting rooms, which potentially led to noise in the data.

Conclusions: This study suggests that all HIV treatment characteristics included in this DCE were important and that HIV patients from rural Colombia valued short-term efficacy (i.e. effect on physical activity) and long-term efficacy (i.e. effect on life expectancy) the most.     

安徽省农民工收入影响因素分析

利用安徽省32个村的调查数据,对影响农民工收入的因素进行了实证分析。研究结果表明:农民工阶层内部呈现较大的收入差距;性别、培训和务工地区对农民工收入的影响显著;受教育程度低于初中这一状态对农民工收入的提高具有明显的限制作用,具有初中及以上文化程度的农民工间的收入差距不大。     

Inequality of opportunity in earnings and assets in Egypt

ABSTRACT

By most available measures, the level of inequality in the MENA region, including Egypt, is considered relatively low. This regularity applies to both inequality of outcomes as well as inequality of opportunity. This paper challenges this view. It argues specifically that circumstances beyond the control of individuals account for a larger share of inequality of opportunity when asset distribution is considered rather than the distribution of earnings, essentially because earnings are subject to measurement errors and idiosyncratic shocks. The paper tests this proposition by estimating the extent to which factors related to the circumstances a person is born into contribute to inequality of opportunity in earnings as well as asset ownership. The results show that circumstances account 26–32% of inequality of asset distribution, compared with only 8–10% of inequality of opportunity in earnings. The analysis further shows that the area of birth and fathers education level are the two most important circumstance factors contributing to inequality of opportunity, for both assets and earnings.     

Economic Reforms and Gender-Based Wage Inequality in the Presence of Factor Market Distortions

A simple three-sector general equilibrium model has been developed with both male and female labour and factor market distortions. The effects of different liberalized economic policies have been examined on the gender-based wage inequality. The analysis finds that credit market reform and tariff reform produce favourable effects on the wage inequality while the liberalized investment policy becomes counterproductive. The basic model has been extended to treat domestic capital differently from foreign capital. In the extended model, all of the above results hold. Additionally, it has been found that domestic capital formation is likely to produce a favourable impact on the gender wage inequality. These results have important policy implications for a small open developing economy.

     

Does too much government spending depress the economic development of transition economies? Evidences from dynamic panel threshold analysis

This paper investigates the relationship between government size and economic growth and determines the optimal level of government spending to maximize economic growth. The paper applies a dynamic panel data analysis based upon a threshold model to test the threshold effect of government spending in 26 transition economies over the period spanning 1993–2016. According to the analysis results, government expenditures have a threshold effect on economic growth, and there is a non-linear relationship depicted as an Armey curve in these transition economies. The findings indicate that a government size above the threshold government spending level adversely affects economic growth, while a government size below the threshold level has a positive effect. Furthermore, there is a statistically significant relationship between the two variables above and below that optimal level, even if we divide the sample into developed and developing countries. Our findings suggest that governments in transition economies should consider optimal government size at around the estimated threshold level to support sustainable economic growth.     

Budget impact analysis of long acting injection for schizophrenia in Japan

Abstract

Aims: To estimate the budgetary impact of providing additional reimbursement for long acting injections for schizophrenia patients in psychiatric hospital settings in Japan to improve patient outcomes in schizophrenia.

Methods: Budget impact analysis of change in reimbursement policy using a prevalence-based model over a five-year time horizon. The results are reported as net change in expenditure and consequent cost/savings in Japanese yen at the time of analysis.

Results: The budget impact analysis shows that an increase in reimbursement for LAIs could lead to cumulative savings of an estimated 36.6 billion JPY over five years. These savings result from a decrease in hospitalization costs and an increased usage of LAI (assumed to be 10%). Based on the sensitivity analysis, the saving estimates are most sensitive to change in market share of generic and branded oral antipsychotics.

Limitations: Historical data were used to estimate the future costs of drug and hospitalization; however, it is not the best predictor of future, hence a source of potential bias. A good level of treatment adherence with oral antipsychotics was assumed, which is generally not the case; therefore, we might have overestimated the effectiveness of oral atypical antipsychotics. Additionally, the drug cost due to reimbursement might have also been overestimated because in clinical setting, the increase of LAI use may not have reached 10% of the market share. Lastly, patients’ behavior was derived from models, which may have loosely approximated the reality.

Conclusions: An additional reimbursement for the use of LAI in schizophrenia patients is likely to be cost neutral/cost saving and should be considered as a policy option to improve patient outcomes and budget sustainability.     

Gender Wage Inequality and Economic Recession

The Paper develops a two sector full employment general-equilibrium model for a small open developing economy, with both male and female labor. One sector produces low-skilled export commodity while other sector produces high skilled import competing commodity. The effects of world-wide economic recession on gender wage inequality have been examined in such an economy. The analysis concludes that low demand for high skilled commodity and/or low volume of foreign direct investment due to recession may aggravate the average gender wage inequality in the economy.

     

Gender Bias in Education: the Role of Inter-household Externality, Dowry and other Social Institutions

We analyze gender bias in school enrollment by developing a two‐period model where women become part of extended families of their in‐laws. Each family decides how many sons and daughters are sent to school and thus become skilled. Gender bias occurs due to failure of the families to internalize inter‐household externalities. “Groom‐specific” dowry worsens the situation. Under “bride‐specific” dowry, bias exists if and only if the skill premium in the labor market is bigger than that in the marriage market. A specific discriminatory “food‐for‐education” policy is shown to reduce bias, but increase total enrollment.     

Cost-effectiveness of rivaroxaban versus apixaban for the initial treatment of venous thromboembolism and extended prevention of recurrences in the UK

Abstract

Aim: To evaluate the relative cost-effectiveness of using rivaroxaban vs apixaban for the initial treatment plus extended prevention of venous thromboembolism (VTE) in the UK. Extended prevention was assessed using a 10-mg rivaroxaban dose, as the 20-mg dose has already been evaluated.

Methods: A Markov model compared the health outcomes and costs of treating VTE patient cohorts with either rivaroxaban (15?mg twice daily for 3 weeks, followed by 20?mg once daily for 6 months, then extended prevention with 10?mg once daily) or apixaban (10?mg twice daily for 1 week, followed by 5?mg twice daily for 6 months, then extended prevention with 2.5?mg twice daily) over a lifetime horizon. The model included an initial acute treatment and prevention phase (0–6?months) and an extended prevention phase (6–18 months). Efficacy and safety data were derived from two network meta-analyses. Reference treatment comparators were derived from the EINSTEIN-Pooled study and EINSTEIN-CHOICE trial. Healthcare costs and utility data were derived from published literature.

Results: The rivaroxaban regimen was associated with increased quality-adjusted life years (QALYs) and slightly lower total costs compared with apixaban over a lifetime horizon. Deterministic and probabilistic sensitivity analyses demonstrated that rivaroxaban remained a cost-effective alternative to apixaban over a wide range of parameters. Incremental cost-effectiveness ratio estimates were below the £20,000 per QALY threshold in 74.1% of 2,000 model simulations. Scenario analyses further supported that rivaroxaban is a cost-effective alternative to apixaban.

Limitations: Clinical and safety inputs were derived from network meta-analysis, which are subject to inherent limitations whereby small differences between study designs may severely impact efficacy and safety outcomes. Furthermore, these inputs were based on data from clinical trials, which may not reflect real-world data.

Conclusions: Rivaroxaban was associated with a slightly lower total cost and increased QALYs compared with apixaban for VTE management in the UK over a lifetime horizon.     

An empirical investigation of the relationship between education and growth in Pakistan

In this paper we try to examine the impact of education on growth in Pakistan for the time period of 1973–2001. Education, measured as gross enrollments and total expenditures, is broken down into primary, secondary and tertiary as well as by gender in each of the above categories. Time series techniques are used to determine whether education, for each category, has a causal impact on growth. The robustness of these results is then examined using the Levine–Renelt (1992) methodology. We find that secondary and higher education has a strong and robust impact on growth, whereas, at the primary level only initial female enrolments show a causal but not robust impact on growth.     

Gender bias in power relationships: evidence from police traffic stops

We test for the existence of gender bias in power relationships. Specifically, we examine whether police officers are less likely to issue traffic tickets to men or to women during traffic stops. Whereas the conventional wisdom, which we document with surveys, is that women are less likely to receive tickets, our analysis shows otherwise. Examination of a pooled sample of traffic stops from five locations reveals no gender bias, but does show significant regional variation in the likelihood of citations. Analysis by location shows that women are more likely to receive citations in three of the five locations. Men are more likely to receive citations in the other two locations. To our knowledge, this study is the first to test for gender bias in traffic stops, and clearly refutes the conventional wisdom that police are more lenient towards women.     

The Relevance of Investor Risk Classes in Ranking Fund Performance: An Application of the Extended Mean-Gini CAPM

The primary focus of this paper is to investigate whether the introduction of investor risk classes to the fund performance model affects relative performance rankings. In other words, are investor risk classes relevant? This analysis is conducted in an Extended Mean Gini (EMG) CAPM f ramework. Our results support the conclusion that investor risk class is not relevant to the performance ranking of a fund. Thus, it would seem that fund managers are not developing portfolios which are suited to a particular class of risk averse investors. Furthermore, based on our results, equity fund managers are unable to outperform the market portfolio. Finally, we find no relationship between performance and perceived level of activity — thus suggesting the irrelevance of perceived management style.