Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?

This paper is concerned with the role of education as a determinant of health care choices. The central premise of the paper is that utilisation of health services is determined not solely by an individual's own education, but rather by a notion of effective education, which incorporates the ed...

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Main Author: Lindelow, Magnus
Format: Journal Article
Language:EN
Published: 2012
Subjects:
Online Access:http://hdl.handle.net/10986/4708
id okr-10986-4708
recordtype oai_dc
spelling okr-10986-47082021-04-23T14:02:19Z Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health? Lindelow, Magnus Analysis of Health Care Markets I110 Health Production I120 Education and Research Institutions: General I200 Fertility Family Planning Child Care INTERDISCIPLINARY RESEARCH AREAS :: Children Youth J130 Economics of Gender Non-labor Discrimination J160 Microeconomic Analyses of Economic Development O120 Economic Development: Human Resources Human Development Income Distribution Migration O150 This paper is concerned with the role of education as a determinant of health care choices. The central premise of the paper is that utilisation of health services is determined not solely by an individual's own education, but rather by a notion of effective education, which incorporates the educational attainment of other household members. The paper sets out a general framework for representing intra-household education externalities, and proposes a number of specific hypotheses concerning the way in which the education of different household members affects health care choices. These hypotheses are tested on data from Mozambique, focusing on maternity services, child immunisations, and child malnutrition. We draw four major conclusions from the analysis. First, while maternal education seems to be the education variable of primary importance for the health service and malnutrition variables under consideration, the education of other household members does have a significant and sometimes large effect. This is true not only for the spouse, but also the education of other individuals residing in the household. Second, the analysis suggests that while the education of the person (non-spouse) in the household with the highest level of education is important, the level of education of additional household members does not, as a rule, affect the use of services or child health outcomes. Third, the data provide no evidence of a gender difference in education externalities. Fourth, we examine the merits of two alternative representations of the education externality, but are unable to conclude unambiguously in favour of one specification over the other. 2012-03-30T07:29:20Z 2012-03-30T07:29:20Z 2008 Journal Article Journal of Development Studies 00220388 http://hdl.handle.net/10986/4708 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Mozambique
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
topic Analysis of Health Care Markets I110
Health Production I120
Education and Research Institutions: General I200
Fertility
Family Planning
Child Care
INTERDISCIPLINARY RESEARCH AREAS :: Children
Youth J130
Economics of Gender
Non-labor Discrimination J160
Microeconomic Analyses of Economic Development O120
Economic Development: Human Resources
Human Development
Income Distribution
Migration O150
spellingShingle Analysis of Health Care Markets I110
Health Production I120
Education and Research Institutions: General I200
Fertility
Family Planning
Child Care
INTERDISCIPLINARY RESEARCH AREAS :: Children
Youth J130
Economics of Gender
Non-labor Discrimination J160
Microeconomic Analyses of Economic Development O120
Economic Development: Human Resources
Human Development
Income Distribution
Migration O150
Lindelow, Magnus
Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
geographic_facet Mozambique
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description This paper is concerned with the role of education as a determinant of health care choices. The central premise of the paper is that utilisation of health services is determined not solely by an individual's own education, but rather by a notion of effective education, which incorporates the educational attainment of other household members. The paper sets out a general framework for representing intra-household education externalities, and proposes a number of specific hypotheses concerning the way in which the education of different household members affects health care choices. These hypotheses are tested on data from Mozambique, focusing on maternity services, child immunisations, and child malnutrition. We draw four major conclusions from the analysis. First, while maternal education seems to be the education variable of primary importance for the health service and malnutrition variables under consideration, the education of other household members does have a significant and sometimes large effect. This is true not only for the spouse, but also the education of other individuals residing in the household. Second, the analysis suggests that while the education of the person (non-spouse) in the household with the highest level of education is important, the level of education of additional household members does not, as a rule, affect the use of services or child health outcomes. Third, the data provide no evidence of a gender difference in education externalities. Fourth, we examine the merits of two alternative representations of the education externality, but are unable to conclude unambiguously in favour of one specification over the other.
format Journal Article
author Lindelow, Magnus
author_facet Lindelow, Magnus
author_sort Lindelow, Magnus
title Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
title_short Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
title_full Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
title_fullStr Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
title_full_unstemmed Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?
title_sort health as a family matter : do intra-household education externalities matter for maternal and child health?
publishDate 2012
url http://hdl.handle.net/10986/4708
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