Models of household decision-making commonly focus on nuclear family members as primary decision-makers. If extended families shape the objectives and constraints of households, then neglecting the role of this network may lead to an incomplete understanding of health seeking behaviour. Understanding the decision-making processes behind care seeking may improve behaviour change interventions, better intervention targeting and support health-related development goals. This paper uses data from a cluster-randomized trial of a participatory learning and action cycle through women’s groups (PLA), to assess the role of extended family networks as a determinant of gains in health knowledge and health practise. We estimate three models along a continuum of health seeking behaviour: one that explores access to PLA groups as a conduit of knowledge, another measuring whether women’s health knowledge improves after exposure to the PLA groups, and a third exploring the determinants of their ability to act on knowledge gained. We find that, in this context, a larger network of family it is not associated with women’s likelihood of attending groups or acquiring new knowledge but a larger network of husband’s family is negatively associated with the ability to act on that knowledge during pregnancy and the post partum period.
|Titolo:||Family Networks and Healthy Behaviour: Evidence from Nepal|
|Data di pubblicazione:||2018|
|Appare nelle tipologie:||2.1 Articolo su rivista |
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|Family Networks and Health Seeking Behaviour_HEPL_accepted.pdf||Documento in Pre-print||Accesso libero (no vincoli)||Open Access Visualizza/Apri|