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Cambridge, Massachusetts, Harvard University, Migration and Development Program, 1987 Sep. 27 p. (Migration and Development Program Discussion Paper No. 32)The marital arrangements among households in rural India were examined to explain mobility patterns. It was hypothesized that the marrying out of daughters to locationally distant, dispersed yet kinship-related households is a manifestation of implicit interhousehold contractual arrangements aimed at mitigating income risks and facilitating consumption smoothing in an environment characterized by information costs and spatially covariant risks. The study's data were drawn from a longitudinal survey of households in 3 farm villages in Southern India. Of the 115 marriages included in this sample, only 14 (12%) involved partners who were not also relatives. In 82% of the marriages involving heads of households, the head and his wife had parents with either the same dry or irrigated landholdings or with the same parental schooling levels. The close matching of marital partners with respect to origin household characteristics and the diversity and distance characterizing the marriages were consistent with the hypothesis that marital arrangements influence a household's ability to smooth its consumption when confronted with highly variable income streams. The marital status of adult women in the household, and the interhousehold bonds created by marriage, is the decisive factor contributing to income risk mitigation. Marriage with migration contributed to a reduction in variability in consumption. Households exposed to higher income risks were more likely to invest in longer distance migration-marriage arrangements. The hypothesized and observed marriage-migration patterns contradict standard models of marriage or migration that are concerned primarily with search costs and static income gains.
[Unpublished] 1985. Presented at the Annual Meeting of the Population Association of America, Boston, Massachusetts, March 28-30, 1985. Also published in: Economic Development and Cultural Change 34(4):755-82. 1986 Jul. 26,  p.Mortality is assumed to be strongly reduced by medical care, however, the effects of medical services on health are often underestimated because some of the same factors which lead to an increased demand for primary health care (PHC) services are also associated with increased morbidity and mortality. Consequently, understanding the determinants of the demand for medical services is important for evaluating health outcomes. This paper estimates the parameters of a simple model of the demand for health services using data from the Bicol Multipurpose Survey data from the Philippines. The parameters of the demand for key components of PHC--outpatient, prenatal, delivery, well-child, and infant immunizations--are estimated. Findings suggest that the quality of the care may be very important, but that economic factors as deterrents to using medical care--inaccessibility, cash costs, and lack of income--may not be of paramount importance. Finally, it is shown that the provision of free services in rural areas may not insure that the services reach the poorest people. (author's modified)