A Multi-country Study of the Household Willingness-to-Pay for Dengue Vaccines: Household Surveys in Vietnam,Thailand, and Colombia

BackgroundThe rise in dengue fever cases and the absence of dengue vaccines will likely cause governments to consider various types of effective means for controlling the disease. Given strong public interests in potential dengue vaccines, it is essential to understand the private economic benefits of dengue vaccines for accelerated introduction of vaccines into the public sector program and private markets of high-risk countries.Conclusions/SignificanceKnowing that dengue vaccines are not yet available, our study provides critical information to both public and private sectors. The study results can be used to ensure broad coverage with an affordable price and incorporated into cost benefit analyses, which can inform prioritization of alternative health interventions at the national level.     

Transnational Migration in Rural Oaxaca, Mexico: Dependency, Development, and the Household

Contradictory models of dependency and development have dominated the discussion of migration between Mexico and the United States. Transnational models of migration resolve these contradictions by defining a series of interdependencies (economy and society, for example). Using data collected in a rural Zapotec community in Oaxaca, Mexico, this article focuses on three areas: the stage-specific development of transnational movement; the domestic cycle, household decision making, and migration/remittance outcomes; and the changing nature of community participation. Rooting the discussion in household decision making captures the important role local social variability and economic dynamism play in understanding transnational processes and advancing migration studies. [ households, migration, transnationalism, dependency and development, Oaxaca, Mexico ]     

Household Decisions, Gender and Development: A Synthesis of Recent Research

Household Decisions, Gender and Development:. Synthesis of Recent Research . Agnes R. Quisumbing, ed. Washington, DC: International Food Policy Research Institute, 2003. 274 pp.     

The Holy Spirit in the Household: Pentecostalism, Gender, and Neoliberalism in Mozambique

The recent expansion of Pentecostalism and independent churches in Africa has generated growing interest among social scientists. This attention parallels a renewed interest among Africanists on witchcraft and occult activities, also believed by many to be increasing. Some suggest the two trends may be related, but it remains unclear how and why. Drawing on a study of Pentecostalism and health in the city of Chimoio, Mozambique, in 2002–03 that focused on attitudes toward recent social change, we argue that structural adjustment economic reforms have deepened economic inequality and exacerbated household stresses that affect men and women differently. Women increasingly seek spiritual help for reproductive health problems from Pentecostal churches, whereas men disproportionately pay traditional healers to engage "occult" practices to manage misfortune related to employment. The increased resort to both spiritual resources reveals social distress caused by economic adjustment, with important implications for health programs.     

Vajra Brother, Vajra Sister: Renunciation, Individualism and the Household in Tibetan Buddhist Monasticism

This article challenges two connected notions in the study of Tibetan Buddhism: that Buddhist monasticism is characterized by a pronounced move towards individualism, systematically detaching monks from relational social life; and that Tibetan Buddhist doctrines of karma represent an alternative mode of identity to those constructed within household life. By comparing the ritual practices and inheritance patterns associated with household groups in Ladakh with tantric ritual forms in local Buddhist (Gelukpa) monasteries, it is argued that they demonstrate pronounced structural similarities, centred on the shared symbolic construct of the household/temple as the source of socialized agency. An analysis of the meditative disciplines of Gelukpa monasticism is used to show how such training serves not to renounce kinship and household values, but to transform them into modes of religious authority, essential to the social position of monks ( trapa ) and incarnate lamas ( tulku ) in Tibetan Buddhism.     

Mobile Money,Smallholder Farmers,and Household Welfare in Kenya

The use of mobile phones has increased rapidly in many developing countries, including in rural areas. Besides reducing the costs of communication and improving access to information, mobile phones are an enabling technology for other innovations. One important example are mobile phone based money transfers, which could be very relevant for the rural poor, who are often underserved by the formal banking system. We analyze impacts of mobile money technology on the welfare of smallholder farm households in Kenya. Using panel survey data and regression models we show that mobile money use has a positive impact on household income. One important pathway is through remittances received from relatives and friends. Such remittances contribute to income directly, but they also help to reduce risk and liquidity constraints, thus promoting agricultural commercialization. Mobile money users apply more purchased farm inputs, market a larger proportion of their output, and have higher profits than non-users of this technology. These results suggest that mobile money can help to overcome some of the important smallholder market access constraints that obstruct rural development and poverty reduction.     

Household type and family size in Maharashtra, 1970

Abstract

Demographic transition theory expectations notwithstanding, empirical analyses have often observed higher fertility among nuclear than among extended households. A similar finding has been observed consistently at all stages of the reproductive career among a sample of households in Maharashtra, India, in 1970. Neither differential levels of natural fertility nor of family‐size preferences and use of fertility regulation, nor differential socioeconomic levels, can explain adequately the higher fertility of nuclear households. On the other hand, the evidence suggests that the direction of causation is reversed, that is, that household type is itself a function of fertility and other life‐cycle variables and also of space constraints on the household, and as such, is a better determinant of household type than a function of the latter.     

Household obesity prevention: Take Action--a group-randomized trial

The purpose of the present study was to evaluate an intervention to prevent weight gain among households (HHs) in the community. Ninety HHs were randomized to intervention or control group for 1 year. Intervention consisted of six face-to-face group sessions, placement of a television (TV) locking device on all home TVs, and home-based intervention activities. Measures were collected in person at baseline and 1 year. Weight, height, eating behaviors, physical activity (PA), and TV viewing were measured among HH members ages ≥ 12 years. Follow-up rate at 1 year was 96%. No significant intervention effects were observed for change in HH BMI-z score. Intervention HHs significantly reduced TV viewing, snacks/sweets intake, and dollars per person spent eating out, and increased (adults only) PA and self-weighing frequency compared with control HHs. A 1 year obesity prevention intervention targeting entire HHs was effective in reducing TV viewing, snack/sweets intake and eating out purchases. Innovative methods are needed to strengthen the home food environment intervention component. Longer intervention durations also need to be evaluated.     

Household Epidemics: Modelling Effects of Early Stage Vaccination

A Markovian susceptible → infectious → removed (SIR) epidemic model is considered in a community partitioned into households. A vaccination strategy, which is implemented during the early stages of the disease following the detection of infected individuals is proposed. In this strategy, the detection occurs while an individual is infectious and other susceptible household members are vaccinated without further delay. Expressions are derived for the influence on the reproduction numbers of this vaccination strategy for equal and unequal household sizes. We fit previously estimated parameters from influenza and use household distributions for Sweden and Tanzania census data. The results show that the reproduction number is much higher in Tanzania (6 compared with 2) due to larger households, and that infected individuals have to be detected (and household members vaccinated) after on average 5 days in Sweden and after 3.3 days in Tanzania, a much smaller difference.     

Agricultural Intensification, Market Participation, and Household Demography in the Peruvian Andes

The causes of agricultural intensification in a peasant community in the north central Andes are explored using a methodology derived from the tradition of Systems Ecology. Hypotheses derived from different research traditions??mainly development economics and anthropology??regarding the causes of intensification are integrated and evaluated for their relative effects. It is found that among the variables, household size is better at explaining the degree of intensity with which labor and technology are employed. The results suggest that technologically-driven agricultural intensification is generally forced upon households by the diminishing returns of their labor, and that this process is normally accompanied by increased financial debt for those peasant households who remain in agriculture and do not completely migrate to regional urban centers.