Son and daughter preferences in Benighat, Nepal: implications for fertility transition

Family composition and marital dissolution in rural Nepal, 1945-2008

The presence, number, sex, and age composition of children within families can have important influences on couples' marital outcomes. Children are valued across settings, but their value in settings where there is an absence of formalized social security is distinctive. This paper explores the influences of childlessness, and different number, age, and sex compositions of children, on the odds of marital dissolution among couples in rural Nepal. Results reveal that childless couples face significantly higher odds of dissolution than couples with at least one child, and each additional child-up to three children-reduces couples' odds of dissolution. Furthermore, having a child aged under two reduces couples' odds of marital dissolution, but interactions reveal that this age effect only holds at parity one. Surprisingly, despite a history of son preference in this setting, there is no evidence that children's within-parity sex composition is associated with the odds of marital dissolution.

Explaining religious differentials in family-size preference: Evidence from Nepal in 1996

We examine how religio-ethnic identity, individual religiosity, and family members' religiosity were related to preferred family size in Nepal in 1996. Analyses of survey data from the Chitwan Valley Family Study show that socio-economic characteristics and individual experiences can suppress, as well as largely account for, religio-ethnic differences in fertility preference. These religio-ethnic differentials are associated with variance in particularized theologies or general value orientations (like son preference) across groups. In addition, individual and family religiosity are both positively associated with preferred family size, seemingly because of their association with religious beliefs—beliefs that are likely to shape fertility strategies. These findings suggest the need for improvements in how we conceptualize and measure supra-individual religious influence in a variety of settings and for a range of demographically interesting outcomes.

‘Come Gather Around Together’

It has been shown that educational messages via mass media based entertainment can improve family planning behavior. It is likely that audience participation in the form of listening groups may enhance the impact of these programs. In Fulbari (Nepal), a partnership between local government agencies, community leaders, audience members and program staff led to the launch of listening groups complementing a mass media family planning initiative. Using survey data supplemented by anecdotal evidence and service statistics, this study examines the association between membership in these listening groups and family planning behavior. Multivariate logistic regression models show a significant relationship between radio listenership and knowledge and behavior variables above and beyond the positive association with the radio program itself. Results affirm the importance of a partnership between program organizers, community leaders, NGO partners and the audience community, in order to at least sustain positive family planning outcomes.

Gender based within-household inequality in childhood immunization in India: changes over time and across regions

BACKGROUND AND OBJECTIVES

Despite India's substantial economic growth in the past two decades, girls in India are discriminated against in access to preventive healthcare including immunizations. Surprisingly, no study has assessed the contribution of gender based within-household discrimination to the overall inequality in immunization status of Indian children. This study therefore has two objectives: to estimate the gender based within-household inequality (GWHI) in immunization status of Indian children and to examine the inter-regional and inter-temporal variations in the GWHI.

DATA AND METHODS

The present study used households with a pair of male-female siblings (aged 1-5 years) from two rounds of National Family Health Survey (NFHS, 1992-93 and 2005-06). The overall inequality in the immunization status (after controlling for age and birth order) of children was decomposed into within-households and between-households components using Mean log deviation to obtain the GWHI component. The analysis was conducted at the all-India level as well as for six specified geographical regions and at two time points (1992-93 and 2005-06). Household fixed-effects models for immunization status of children were also estimated.

RESULTS AND CONCLUSIONS

Findings from household fixed effects analysis indicated that the immunization scores of girls were significantly lower than that of boys. The inequality decompositions revealed that, at the all-India level, the absolute level of GWHI in immunization status decreased from 0.035 in 1992-93 to 0.023 in 2005-06. However, as a percentage of total inequality, it increased marginally (15.5% to 16.5%). In absolute terms, GWHI decreased in all the regions except in the North-East. But, as a percentage of total inequality it increased in the North-Eastern, Western and Southern regions. The main conclusions are the following: GWHI contributes substantially to the overall inequality in immunization status of Indian children; and though the overall inequality in immunization status declined in all the regions, the changes in GWHI were mixed.

Nutritional status and associated factors in children aged 0–23 months in Granada, Nicaragua

OBJECTIVES

Nicaragua is one of two low-income countries in the Latin Americas. The objectives of this study were to clarify the nutritional status of children aged 0-23 months and to identify the associated factors in rural Nicaragua.

STUDY DESIGN AND METHODS

This was a cross-sectional study; a questionnaire survey was performed and anthropometric measurements were taken in Granada province, Nicaragua.

RESULTS

Seven hundred and fifty-six mothers with at least one child aged 0-23 months took part in this study. The proportion of underweight children [weight-for-age Z-score <-2 standard deviations (SD)] was 10.3%, while 30.1% of children exhibited stunted growth (height-for-age Z-score <-2 SD) and 5.0% were wasted (weight-for-height Z-score <-2 SD). Mothers' illiteracy or lack of formal education [odds ratio (OR)=3.476, P<0.01], a history of respiratory infection (OR=1.821, P<0.05) and a birth weight below the median (<3000 g; OR=1.704, P<0.05) were identified as risk factors for stunted growth. Breastfeeding for more than 12 months (OR=2.031, P<0.01), absence of participation in child growth monitoring (OR=1.956, P<0.05) and female gender of the child (OR=1.884, P<0.05) were identified as risk factors for underweight.

DISCUSSION

Despite the steady economic development in Nicaragua since 1990, child nutritional status has not improved as much as might be expected. The present study revealed that a mother's favourable sociodemographic characteristics and her active participation in health activities, such as child growth monitoring, can protect against child malnutrition, particularly against underweight. More attractive health education or antenatal care programmes might lead to substantial improvements in maternal and child health in this small, poor community.

Gender role and child health care utilization in Nepal

OBJECTIVE

To study the gender role in child health care utilization in Nepal.

METHODS

We analysed 8112 individual observations of age </=15 years from 2847 households in 274 communities, obtained from the 1996 Nepal Living Standard Survey. Four steps of a health seeking action, namely illness reporting, choosing an external care, choosing a specific health care provider, and spending money to treat the sick child, were examined using discrete/continuous choice models.

RESULTS

There was no statistically significant difference between boys and girls by demographic, socio-economic and geographical status in the sample. However, gender was associated with all four utilization decision steps. While the net effect of being a boy was modest in illness reporting (p<0.10), it appeared stronger in the choice of external care, in the choice of public provider and in the choice of expenditure with the private provider (p<0.05).

CONCLUSION

Gender role not only affects illness reporting but also affects the decision to choose a health care provider and how much to spend on the sick child, i.e. it affects the entire steps of a health seeking action.

The effect of gender preference on contraceptive use and fertility in rural Egypt

Data are used from two surveys of currently married women aged 15-44 conducted in 1979-80 and 1990-91 to explore the changing impact of gender preference on modern contraceptive use and on fertility in rural Menoufia, Egypt. The significantly positive effects on contraceptive use of having one or more sons in 1979 remained constant in 1990. Families without living sons had higher odds of having a birth than did families with two or more sons during 1979-80, and these relative odds were even higher in 1990-91 among families with three or more living children. The implications of these findings for subsequent declines in aggregate fertility are discussed.

EVOLUTIONARY ECOLOGY OF HUMAN REPRODUCTION

▪ Abstract  Evolutionary ecology of human reproduction is defined as the application of natural selection theory to the study of human reproductive strategies and decision-making in an ecological context. The basic Darwinian assumption is that humans—like all other organisms—are designed to maximize their inclusive fitness within the ecological constraints to which they are exposed. Life history theory, which identifies trade-off problems in reproductive investment, and evolutionary physiology and psychology, which analyzes the adaptive mechanisms regulating reproduction, are two crucial tools of evolutionary reproductive ecology. Advanced empirical insights have been obtained mainly with respect to the ecology of fecundity, fertility, child-care strategies, and differential parental investment. Much less is known about the ecology of nepotism and the postgenerative life span. The following three theoretical aspects, which are not well understood, belong to the desiderata of future improvement in evolutionary human reproductive ecology: (a) the significance of and the interactions between different levels of adaptability (genetic, ontogenetic, and contextual) for the adaptive solution of reproductive problems; (b) the dialectics of constraints and adaptive choices in reproductive decisions; and (c) the dynamics of demographic change.