HEALTH FACILITY CHOICE IN HIV- AND AIDS-AFFECTED HOUSEHOLDS IN TWO SOUTH AFRICAN COMMUNITIES

This paper analysed differences in the choice of health-care facility by ill individuals in human immunodeficiency virus (HIV)- and acquired immune deficiency syndrome (AIDS)-affected households in the Free State province of South Africa. Secondary education, access to medical aid and household income were significant determinants of choice as were severity and type of illness, and type of health care required. Ill persons with HIV- and AIDS-related illnesses are significantly more likely to opt for public health care, although the strength of this preference declines as household income increases. Those with severe and particularly severe HIV- and AIDS-related illness, in turn, are significantly more likely to opt for private health care, especially at higher levels of income. The public health care sector therefore is likely to remain the backbone of health-care provision to those infected with and affected by HIV and AIDS, highlighting the need for equitable access to efficient, quality public health services.     

Women’s Empowerment and Child Malnutrition: The Case of Mozambique

Using data from the 2011 Demographic and Health Survey in Mozambique this paper checks whether women empowerment has an impact on the nutritional status of children. We evaluate the degree of empowerment of women via multidimensional approaches, making a distinction between five domains: decision making, use of violence by husband/partner, attitude of the woman towards this use of violence, available information, material resources. Each domain includes several questions reflecting different aspects of empowerment. For each domain of empowerment, three different methods of aggregation are used: correspondence analysis, the so‐called Alkire and Foster methodology and the “fuzzy sets” approach. The impact of women empowerment on the nutritional status of children is analyzed via the MIMIC approach. No clear‐cut conclusion concerning the possible impact of women’s empowerment on the nutritional status of children could be drawn. But, ceteris paribus, the material wealth of the household, the educational level of the mother and her BMI are positively correlated with the nutritional status of children which is also higher when the child is female. Finally, there are important differences in the nutritional status of children between the various regions of Mozambique and this nutritional status is in most regions lower in rural areas.     

Women's empowerment and child health outcomes in Ghana

This study investigates whether women's empowerment, measured by education attainment relative to her partner, decision‐making, and domestic violence is related to nutritional status of children in Ghana. Using the 2014 Ghana Demographic and Health Survey, the study examines the effect of women empowerment on child's nutritional status at different points in its conditional distributions using ordinary least squares and quantile regression estimation technique. The study observes that women's empowerment is associated with improvement in the nutritional status of children with Z‐scores less than ?4 and ?3 standard deviations, for acutely and severely malnourished children respectively in the long run. The study recommends that the Ministry for Gender and Social Protection should educate male partners on the need for women participation in decision‐making at the household level as well as make formal education accessible to women.     

South African trends in medical aid coverage and stated healthcare-seeking preferences: 2004–14

Using population-weighted general household surveys (GHS) covering the years 2004–14, this study examines trends in medical aid coverage and healthcare facility utilisation across a spectrum of socio-demographic variables. As there are few obvious patterns in the raw health variables' time series, the analysis relies upon both parametric and nonparametric regression analysis to smooth the time series in order to outline a few general trends. Over time, medical aid coverage and the general population's ‘preference’ for public health care decreased by 0.2% and 0.1% per year, respectively. Moreover, the probability that an individual, who is covered by a medical aid scheme, states their willingness to use public health care decreased by 44%.     

Endogenous,Intra‐household Decision‐making and its Impact on the Labor Supply of Couples in Rural India*

Using data for rural India, this paper analyzes households' labor supply decision‐making, taking into consideration non‐participation, endogenous intrahousehold bargaining and nutritional status. Analyses of unitary and collective models suggest that bargaining between household members forms the basis of households' decisions, and these decisions alter households' internal power balance. Analysis of households' internal bargaining process suggests that women's bargaining power increases when their wages are higher and they are better educated. The results indicate that it is crucial to account for the mechanics of decision‐making within households when studying the effects of changing labor market conditions or designing development policies to improve individual well‐being or to empower women.     

Evidence of Choice Avoidance in Capital‐Investment Judgements*

Evaluating capital‐investment decisions is an important function of managerial accountants. There is anecdotal evidence, however, that managers avoid making decisions or delay decisions, which is costly in terms of time, effort, and lost opportunities. Prior research has shown that choice avoidance among nonprofessionals making personal decisions is associated with having to choose between alternatives with very different features or that require trade‐offs of very important goals (choice difficulty). It is unclear, however, whether experienced managers, using the analytical decision tools at their disposal, respond in the same way as nonprofessionals when making accounting decisions. Hence, this study examines whether increased choice difficulty increases negative affect in the capital‐investment decision‐making process and, as a result, the tendency of managers to avoid choice even when analytical decision tools are used. In an experiment with 120 executives, participants facing more difficult decisions reported they felt more worried, nervous, uneasy, and anxious and had a greater desire to postpone making the decision than participants in a control group. Participants provided with a decision aid designed to help them focus their cognitive effort reported a lower desire to postpone making the decision than participants in the choice‐difficulty conditions without the decision aid. I conclude by discussing the result's implications for managers and accountants.     

How do private transfers respond to public transfers? Evolutionary evidence from Thailand

Private inter‐household transfers and public transfers can change along with changes in social and economic conditions. However, most previous studies have examined their relationship from static perspectives. This study contributes new evidence by investigating the dynamic relationship between public transfers and private inter‐household transfers over the past three decades using a Thailand data set. The results from econometric analysis show that there is no crowding‐out effect of public transfers on private inter‐household transfers for the country as a whole as well as for urban and rural households separately; instead, inter‐household private transfers increase along with public transfers.     

The Effect of Household Socioeconomic Status on the Demand for Child Health Care Services

The health of the child is an important factor for proper childhood development. Unfortunately, efforts to improve child health in many countries have not yielded the desired results as many children do not receive appropriate health care, hence contributing to high child mortality and morbidity from avoidable causes. To address this problem, it is important that we understand the factors that drive the demand for child health care services. This study, employing the binary and multinomial logistic regression models, examines the effect of household socioeconomic status on the demand for child health care in Ghana, Kenya and Zambia using data from the 2014 Demographic and Health Surveys. The results indicate that the likelihood of seeking appropriate health care for the child is higher when both parents make decisions. The findings further indicate that the odds of seeking treatment for the child falls with the birth order and age of the child, but increases with household wealth, insurance status and proximity to the health facility. Working women are more likely to demand child health care than their counterparts who are unemployed. Our results, therefore, suggest that improving child health will need the participation of both parents in the household on such decisions. Besides, there is the need to educate parents on the importance of seeking appropriate care for all the children born irrespective of the birth order and age of the child. There should also be deliberate efforts to improve the economic lot of households to enhance their purchasing power and encourage them to participate in health insurance schemes to enable effective utilization of health care services for the child in the efforts to improve child health.     

The Impact of Leaving Camps on Well-being of Internally Displaced Persons in Northern Uganda

The armed conflict in Northern Uganda led to a large number of internally displaced persons (IDPs). After the government announced the declaration of free movement on 30 October 2006, a large number of IDPs left camps. Transition from camp life to post-camp life has important implications for population well-being. This paper uses the Ugandan National Household Survey conducted in 2005-2006 and 2009-2010 and a difference-in-differences method to estimate changes in IDPs' well-being measured by self-reported heath as well as household food consumption. We do not find a significant effect of leaving camps on self-reported illness and household food consumption but we find a significant effect on the choice of healthcare providers utilised. The postcamp effect was estimated to increase the use of non-free health providers, an effect composed of more visits to informal providers and greater choice of formal private providers, when formal providers are utilised. Those findings shed light on policy-relevant issues in the areas of land rights, recovery of public health systems and gender inequalities in well-being.     

An economic analysis of factors influencing rural‐urban migration in southern Africa

Rural‐urban migration is a serious problem being encountered by developing countries, including South Africa. A single‐equation model is formulated to test hypotheses concerning the determinants, namely personal and household characteristics, of the decision by household heads in Ciskei to migrate. The migration model was expressed as a dichotomous ordered‐response model using logistic regression. The results suggest that the personal characteristics of the household heads had a bearing on the probability of migration. The coefficients of the household characteristics, with the exception of the number of adults in the household, were found to have a statistically weak association with the decision to migrate.     

Domestic servants and their urban employers: a case study of Lancaster, 1880–19141

It has been argued that domestic service heightened divisions of class and gender, and supported the private nuclear family in late nineteenth‐century England. This case study of one urban locality (Lancaster) between 1880 and 1914 uses qualitative and quantitative techniques, particularly longitudinal record linkage, to explore relationships between live‐in domestic servants and their employers. It is argued that there were considerable similarities between the backgrounds and life‐cycle‐related motivations of both servants and employers. Relationships were highly diverse, but service simultaneously depended upon and played a crucial role in sustaining complex, localized networks that extended far beyond the servant‐employing household.     

ARE PRIVATE TRANSFERS CROWDED OUT BY PUBLIC TRANSFERS? THE CASE OF NEPAL

Using household data from Nepal for 1995/96, this paper investigates the motives underlying private transfers and examines whether or not public transfers crowded out private transfers and the resultant effects on income inequality. The estimation results of Probit and Tobit models show that the private transfers received were altruistically motivated while public transfers exerted no crowding‐out effect. Although the probability of receiving private transfers decreases with household size, having more children or more elderly members of the family increases the probability as well as the amount of transfers. By contrast, the age of the household head does not appear to be a significant factor. Furthermore, the study shows that public transfers did not contribute to a lowering of income inequalities among households. These findings suggest that the Government of Nepal should design its public transfer schemes in order to improve the effectiveness and efficiency of its social safety net programs.     

Health and development: The Venda care group organisation

Health is one of the crucial problems confronting the development of Third World countries. Community‐based primary health care is the best instrument for mobilising community development.Development through health, however, can only be achieved if primary health care is implemented in a comprehensive approach in which a supportive environment and living conditions are as important as the provision of health care services. The Venda care group organisation, like other village health workers, is involved in primary health care and community development in the communities of the care groups. Such supportive community‐based organisations are able to alleviate health and development problems at the grass roots provided that programmes and activities are based on community participation, self‐reliance and the development of local decision‐making and leadership skills. The degree of success of the Venda care group organisation in achieving these objectives was investigated.     

Integration into the South African core economy: household‐level covariates

In this analysis of household survey data, households' main income sources are used as indicators of integration into the South African core economy. The allocation of main income sources is studied as the outcome of households' demographic composition, geographic location and earners' characteristics. The emerging picture of household income generation is one that disputes the common perception of African households as raising their incomes from a multitude of sources. The majority of surveyed households rely to a large extent on a single source of income and a single income earner. Separate multinomial logit models are estimated for urban and non‐urban households where, in addition to the considerable association with non‐urban residence, prominent earner covariates of low‐integration income sources are female gender, old or young working age, and low levels of education. Both provincial location and within‐provincial, subregional locations display strong impacts. The study also finds associations between main income sources and households' demographic compositions that are compatible with findings both in studies on private transfer behaviour and in the growing literature on endogenous household formation in South Africa.     

Gender, Time Use, and Public Policy over the Life Cycle

In this paper we compare gender differences in the allocationof time to market work, domestic work, child care, and leisureover the life cycle. Time-use profiles for these activity categoriesare constructed on survey data for three countries: Australia,the UK, and Germany. We discuss the extent to which gender differencesand life-cycle variation in time use can be explained by publicpolicy, focusing on the tax treatment of the female partnerand on access to high-quality, affordable child care. Profilesof time use, earnings, and taxes are compared over the lifecycle defined on age as well as on phases that represent thekey transitions in the life cycle of a typical household. Ourcontention is that, given the decision to have children, life-cycletime use and consumption decisions of households are determinedby them and by public policy. Before children arrive, the adultmembers of the household have high labour supplies and plentyof leisure. The presence of pre-school children, in combinationwith the tax treatment of the second earner's income and thecost of bought-in child care, dramatically change the patternof time use, leading to large falls in female labour supply.We also highlight the fact that, in the three countries we study,female labour supply exhibits a very high degree of heterogeneityafter the arrival of children, and we show that this has importantimplications for public policy. Footnotes ¹ E-mail addresses: pfapps{at}law.usyd.edu.au; ray.rees{at}lrz.uni-muenchen.de     

The importance of being earners: why women in South Africa need well-paid jobs

The ‘children fare better’ viewpoint claims that children tend to be better fed if their mother (as opposed to father) has sufficient income of her own for food. This paper assesses this claim for South Africa, using data from household surveys. It considers the possibility that this issue is related to domestic violence between husband and wife, and finds an apparent link between wife's earnings, child nutrition and domestic violence. Children's well-being seems more assured if mothers have an adequate income; but there is more risk of inadequate nutrition in households where there is domestic violence against wives.     

‘To help keep the home going’: female labour supply in interwar London

Most prior work on historical female labour supply has been confined to looking at the female labour force participation decision. This article uses the detailed information on weekly hours of work and wages contained in the New Survey of London Life and Labour (NSLLL) (1928–32) to provide the first estimation of both the participation and the hours‐of‐work decisions for female workers prior to the Second World War. The main finding is that the labour supply curve was negatively sloped—women worked longer hours at lower wages. It is also possible to compare the determinants of the labour force participation decision and the hours of work decision among females in the NSLLL. It appears that the labour force participation decision was more strongly related to household income level than to own wages, while the hours of work decision among working women was more strongly related to the wage level than to household income. Finally, the article also examines the differential labour market behaviour of married women, female household heads, and young single women; most striking among these results is the evident added‐worker effect on married women of the onset of the Great Depression in 1930.     

家庭资产结构与消费倾向:基于CFPS数据的研究

文章基于CFPS数据,将居民家庭资产区分为流动性较高的资产和流动性较低的资产两种类型,把不同类型资产的变现成本引入到家庭消费决策的分析中,构建了一个双资产消费决策模型,并实证研究了家庭资产结构对消费倾向的影响。整体来看,家庭流动性较高的资产占比提升有助于提高家庭的平均消费倾向,流动性较高的资产占比每增加1个百点,家庭的消费倾向增加0.11个百分点;随着家庭流动性较高的资产占比的增加,其对消费的促进作用也会显著增加。通过提高资产整体的流动性,降低金融服务费率,有助于从微观视角上扩大居民的消费需求。     

Communication and Cooperation: A Methodological Study

We study the effect of communication in an experimental game where cooperation is consistent with equilibrium play. We examine two methodological questions which affect many studies of communication in games, particularly those studying the relationship between communication and cooperation in supergames. We show that making it easier for subjects to reach an agreement (by allowing more rounds of communication) does not increase cooperation with a limited message space treatment. Thus, limited message space treatments are not a good substitute for the use of chat. Making the game longer, thereby making the connection between the first period and the continuation game more obvious, also has little impact on cooperation. For both the two‐ and three‐period versions of our game we find substantial amounts of contingent play. This implies that use of a finitely repeated game, which has a number of methodological advantages, maintains the main properties of the underlying supergame.