This Program Project will undertake a comprehensive and thematically unified study of family behaviors and decisions that affect important demographic and health outcomes in a variety of demographic, socioeconomic, cultural, and policy settings. The Project's central theme is that decisions leading to demographic change are motivated by the opportunities and constraints faced by individuals and the households and families they comprise and that these households and families play a crucial role in affecting the health, general well-being, and demographic outcomes of their members. The Project will examine how households and families interact with economic markets and public infrastructure; how these interactions affect health and demographic outcomes; how the interactions differ in diverse institutional, technological, and ecological environments; and how the interactions evolve with socioeconomic change. The Program Project consists of 10 component projects, supported by an Administrative Core and a Data Management and Computing Core. One project entails fielding, in Indonesia, a major new retrospective survey of family demographic and economic behavior. Other projects will use this survey, as well as other surveys, to examine family and household behavior in two primary thematic areas: 1) health and nutrition and 2) fertility, migration and intrafamily resource allocation. The countries that will be examined include Malaysia, Indonesia, Jamaica, Cote d'Ivoire, Ghana, and Pakistan. In addition to their thematic coherence, the Program Project's studies are further integrated through their coordinated use of large longitudinal micro datasets and a common and consistent research approach to demographic studies. The premise of this approach is that it is important to understand household and family behavior, both in their own rights and as critical mediating influences between public programs and the ultimate effects these programs have on individuals. This approach typically uses a framework of household production that models households and families as making choices in response to perceived benefits and costs but subject to constraints of available resources and information. Insights from economics, demography and medicine are easily incorporated into this framework.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Program Projects (P01)
Project #
5P01HD028372-03
Application #
3097262
Study Section
Special Emphasis Panel (SRC (JD))
Project Start
1991-09-01
Project End
1996-08-31
Budget Start
1993-09-01
Budget End
1994-08-31
Support Year
3
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Frankenberg, Elizabeth; Suriastini, Wayan; Thomas, Duncan (2005) Can expanding access to basic healthcare improve children's health status? Lessons from Indonesia's 'midwife in the village' programme. Popul Stud (Camb) 59:5-19
Thomas, Duncan; Frankenberg, Elizabeth (2002) Health, nutrition and prosperity: a microeconomic perspective. Bull World Health Organ 80:106-13
Frankenberg, E; Thomas, D (2001) Women's health and pregnancy outcomes: do services make a difference? Demography 38:253-65
Beegle, K; Frankenberg, E; Thomas, D (2001) Bargaining power within couples and use of prenatal and delivery care in Indonesia. Stud Fam Plann 32:130-46
Peabody, J W; Gertler, P J; Leibowitz, A (1998) The policy implications of better structure and process on birth outcomes in Jamaica. Health Policy 43:1-13
Lillard, L A; Willis, R J (1997) Motives for intergenerational transfers: evidence from Malaysia. Demography 34:115-34
Peabody, J W; Gertler, P J (1997) Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica. J Epidemiol Community Health 51:90-5
DaVanzo, J; Sine, J; Peterson, C et al. (1994) Reversal of the decline in breastfeeding in Peninsular Malaysia? Ethnic and educational differentials and data quality issues. Soc Biol 41:61-77
Peabody, J W; Rahman, O; Fox, K et al. (1994) Quality of care in public and private primary health care facilities: structural comparisons in Jamaica. Bull Pan Am Health Organ 28:122-41
Rahman, O; Strauss, J; Gertler, P et al. (1994) Gender differences in adult health: an international comparison. Gerontologist 34:463-9

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