Examining contraceptive utilization behavior in Pakistani women.

BACKGROUND: There is a dearth of research examining the couple characteristics in determining contractive utilization behavior in developing countries. This study fills the gap by analyzing the roles of women's intra-household bargaining power and spousal age differentials in predicting contraceptive utilization behavior in Pakistani women. METHODS: A sample of 13,331, excluding pregnant and sexually inactive married women aged 15-49, was extracted from the Pakistan Demographic and Health Survey 2017-18. The dataset is cross-sectional. Exploratory analysis was used to examine the pattern of contraceptive knowledge, types of contraceptive utilization, and intention to use contraceptives among women. Furthermore, binary regressions were employed to examine the association of women's intrahousehold bargaining power and spousal age difference with contraceptive utilization without and after accounting for all potential covariates. RESULTS: Only 33% of women use contraceptives, while 30% express an intention to use contraceptives in the future. Almost all women (98%) knew about modern contraceptives. Compared to same-age couples, higher odds of current contraceptive use are observed among women whose husbands are at least 20 years older than them or whose husbands are young to them. The odds of the intention to use contraceptives tend to increase with the increase in spousal age difference. Women's intra-household bargaining is a significant predictor of current contraceptive utilization and intention to use contraceptives. CONCLUSION: Findings underscore the importance of considering the couple's characteristics in reproductive healthcare programming and policies. RECOMMENDATION: Greater women's intra-household bargaining power and smaller spousal age differences are associated with higher contraceptive usage. Empowering women and promoting their decision-making authority within households can enhance reproductive health outcomes.

Quality Standards and Contractual Terms Affecting Food Losses: The Perspective of Producer Organisations in Germany and Italy.

With the aim of disclosing the antecedents and dynamics of food loss generation in the upstream stages of the fruit and vegetable sector, this paper presents the results of a series of semi-structured interviews with 10 Producers' Organisations (POs) in Germany and Italy. The content of the interviews is analysed by applying a qualitative content analysis approach, thus disclosing the most relevant issues affecting food loss generation at the interface between POs and buyers (industry and retailers). Several similarities emerge as we compare the answers provided by Italian and German POs, especially concerning the role of retailers' cosmetic specification on products in the generation of losses. Instead, the structure of contracts regulating commercial transactions between POs, industry, and retailers show noticeable differences, apparently resulting in a greater capacity to plan the demand of products from the beginning of the season in the Italian context. Despite these differences, this study confirms the key role of POs in increasing farmers' bargaining power against the buyers, both in Germany and Italy. Further research is needed to compare circumstances in other European countries and to analyse why the similarities and differences identified occur.

Bargaining power of new-energy enterprises in China's credit-financing market.

The new-energy industry, which is a key area for coping with climate change, faces serious credit-financing difficulties. This study used a bilateral stochastic frontier model to measure the bargaining power of new-energy companies in China's credit-financing market. We then examined the main factors affecting the bargaining power of new-energy enterprises by comparing the results of the firms in different groups, including corporate-related factors, government policies, and financial development levels. The results showed that the bargaining power of both banks and enterprises had an important influence on the final financing price. In the bargaining process, new-energy companies were at a disadvantage, and financing prices were 17.2% higher than fair prices. The nature of state-owned enterprises hinders the improvement of the bargaining power of new-energy enterprises. Technology competence and relationships with banks are useful ways for new-energy enterprises to improve their bargaining power. In solving the financing difficulties in the credit market of new-energy enterprises, government subsidies are usually ineffective, while improving the financial development level is effective.

Business groups' internal labour markets and SME labour productivity.

Labour market regulation constrains small and medium-sized enterprises' (SMEs) ability to minimize redundant labour. However, it is often neglected that many SMEs might circumvent these constraints by accessing a business group's internal labour market (ILM). In this study, we analyse whether SMEs with ILM access-i.e., with an increasing number of sister group companies in the same subnational region-industry-enjoy a labour productivity premium and whether this potential productivity premium depends on the bargaining power of labour. Because intra-group reallocation of redundant personnel often involves substantial changes in employment conditions, we argue that the value of ILM access might be reduced when the bargaining power of workers is high as they can oppose the reallocation or demand significant compensation. Using a panel of 119,801 European SMEs during 2011-2019 (639,675 firm-year observations), we find that SMEs with ILM access show relatively higher labour productivity. Further, our findings suggest that this productivity premium is higher in those contexts associated with lower labour bargaining power. Supplementary Information: The online version contains supplementary material available at 10.1007/s11187-023-00780-4.

Physical attractiveness and women's intra-household bargaining power.

This paper explores the role of physical attractiveness in affecting women's intra-household bargaining power. The empirical analysis based on the China Family Panel Studies finds that physical attractiveness significantly increases women's intra-household bargaining power. To solve the endogenous problem of physical attractiveness, we employ an instrument-variable-based regression to corroborate the conclusion. Using generalized structural equation model, we show that income, self-esteem, and interpersonal relationship are three possible transmission channels (or mediators) between physical attractiveness and women's intra-household bargaining power.

Supplier concentration and corporate innovation input.

This paper studies the relationship between supplier concentration and corporate innovation input. The results show that a firm with a higher supplier concentration tends to have lower R&D investments and invention patents. Considering endogenous problems, this negative relationship is still robust by using the instrumental variable regression and propensity score matching method. Mechanism analysis shows that a firm with higher supplier concentration is impaired risk-taking capacity and occupied resources by the big suppliers. Our evidence shows that a deeper exposure to a small set of large supplier bears negative consequences for the firm. This paper sheds new light on the dark side of a high level of supplier concentration on corporate innovation.

Intra-Couple Wealth Inequality: What's Socio-Demographics Got to Do with it?

Existing literature shows that on average and across countries, men have higher levels of wealth than women. However, very little is known about the gender-specific wealth gap within couples. This paper studies this phenomenon for the first time in Austria. The particular focus of the paper is on the relationship between the socio-demographic characteristics of the couple and the couple's gender wealth gap. We focus on how age, education, marital status, fertility, migratory background, and the gender of the respondent are related to the wealth gap within a couple. In both bivariate and multivariate analyses, we find evidence in support of the hypothesis that bargaining power plays an important role in the intra-couple gender wealth gap in Austria. Immigrant women living in a couple with native men, and, among natives, couples in which the man is much older on average, have larger gender wealth gaps. Furthermore, couples in which the woman is the "financially most knowledgeable person" in the household have consistently lower gender wealth gaps.

Dual labor market and the "Phillips curve puzzle": the Japanese experience.

Low inflation was once welcomed by both policymakers and the public. However, Japan's experience during the 1990s changed the consensus of economists and central banks around the world regarding prices. Facing deflation and the zero-interest bound at the same time, the Bank of Japan had difficulty conducting an effective monetary policy, making Japan's stagnation unusually prolonged. The too-low inflation that concerns central banks today translates into the "Phillips curve puzzle." In the United States and Japan, in the course of the recovery from the Great Recession after the 2008 Global Financial Crisis, the unemployment rate had steadily declined to a level commonly regarded as lower than the natural rate or NAIRU. However, inflation remained low. In this paper, we consider a minimal model of the dual labor market to jointly investigate how the different factors affecting the structural evolution of the labor market have contributed to the observed flattening of the Phillips curve. We find that the level of bargaining power of workers, elasticity of the supply of labor to wage in the secondary market, and composition of the workforce are the main factors jointly explaining the evidence for Japan. Supplementary Information: The online version contains supplementary material available at 10.1007/s00191-022-00781-8.

Interplay between Competing and Coexisting Policy Regimens within Supply Chain Configurations.

Competing and coexisting policies (CACPs) may arise from the incompatibility of incentives, standards, and regulatory models between a local state and a federal government, or between two government jurisdictions across which supply networks operate. Traditional studies of supply chain dynamics typically explore the impact of policy regimens as standalone instruments. This study explores how the interplay between CACP regimens can affect the supply dynamics between producers, customers, and their intermediaries. We use a supply network configuration lens to assess implications for supply chain actors and system-level outcomes. Our work is motivated by the federal-state dissonance in the current dispute between India's farmers and the federal government regarding new laws that impact agricultural supply chains in India. In this case, alternative and coexisting policy interventions, ostensibly aimed at modernizing and transforming production and distribution, can lead to significant supply chain netting and inventory pooling reconfigurations in terms of material, information, and financial flows among Indian agricultural stakeholders, along with inventory repositioning and market creation options. In addition, of significance is the consequent shift in the balance between state/nation and federal/supranational equity and bargaining power, an increasingly relevant context where supply chains operate across a common but multi-jurisdictional territory, and implications for system-level outcomes, in this particular case equity, welfare economics, and food security. We conclude by pointing to the implications of CACP regimens, and their interplay, for the broader field of operations management and supply chain research.

Environmental regulation, firms' bargaining power, and firms' total factor productivity: evidence from China.

The relationship between environmental regulation and firms' total factor productivity (TFP) has always been a hot topic in environmental economics, but the conclusions are still mixed. Employing a sample of 14,375 firm-year observations in China from 2010 to 2018, our research explores whether and when environmental regulation could trigger firms, to enhance TFP. The available evidence leads us to cautiously conclude that: (1) Environmental regulation notably improves firms' TFP, the conclusion still holds after alleviating the endogenous problems and a battery of robustness tests. (2) Firms' bargaining power significantly weakens the effect of environmental regulation on firms' TFP. (3) Compared with non-state-owned firms and non-heavy-polluting industries, environmental regulation has a greater impact on state-owned firms and heavy-polluting industries; higher executive compensation does not motivate firms to improve TFP. Compared with firms headquartered in non-provincial capital cities, environmental regulation has a greater impact on firms' TFP in provincial capital cities. Overall, the findings of our research are extremely relevant for the governments, investors, and firms' managers; this paper provides China's micro-firm-level evidence for the Porter hypothesis.

Relative power: Explaining the effects of food and cash transfers on allocative behaviour in rural Nepalese households.

We estimate the effects of antenatal food and cash transfers with women's groups on household allocative behaviour and explore whether these effects are explained by intergenerational bargaining among women. Interventions were tested in randomised-controlled trial in rural Nepal, in a food-insecure context where pregnant women are allocated the least adequate diets. We show households enrolled in a cash transfer intervention allocated pregnant women with 2-3 pp larger shares of multiple foods (versus their mothers-in-law and male household heads) than households in a control group. Households in a food transfer intervention only increased pregnant women's allocation of staple foods (by 2 pp). Intergenerational bargaining power may partly mediate the effects of the cash transfers but not food transfers, whereas household food budget and nutrition knowledge do not mediate any effects. Our findings highlight the role of intergenerational bargaining in determining the effectiveness of interventions aiming to reach and/or empower junior women.

Reasons and enlightenment of the formation of high drug prices in the United States / 中华医院管理杂志

Optimizing the drug price management mechanism and improving the availability and affordability of drugs are important in deepening the medical and health reform. The price of drugs in the United States has always been higher than the world average. The price of drugs, the total expenditure on drugs and the personal burden of patients have shown an increasing trend. By exploring the causes of high drug prices in the United States, the author found that there were four main reasons for the current situation of drug prices in the United States, including the interests of enterprises, the limited competition mechanism of the US drug market, relatively insufficient market bargaining power of the US payers, and opaque mechanism of price formation.Firstly, pharmaceutical companies try to achieve their interests by raising drug prices. Secondly, the price formation mechanism of the United States drug market is affected by the price strategy of pharmaceutical companies, and government policies also indirectly affect the role of the market. Thirdly, the payers in the United States are relatively scattered, so that the market bargaining power is relatively insufficient.Fourthly, due to the numerous drug circulation links and stakeholders, the drug price formation mechanism is opaque and lacks supervision. Therefore, when strengthening drug price management in China, we should build a coordination mechanism between the government and the market on the basis of the existing basic economic system and drug management mechanism, establish the strategic purchase and negotiation position of medical insurance for drugs, enhance the transparency of drug circulation and trading, and establish a scientific pricing system. It is also important to promote drug innovation and ensure drug quality.

The Impact of Family Care for the Elderly on Women's Employment from the Perspective of Bargaining Power.

Due to the wishes of the elderly and the traditional family culture in China, family care is the main way of providing for the aged, and women's care is the main way. This is not conducive to the protection of women's employment rights and the realization of self-worth under the background of increasing women's autonomy. Based on the latest data of the China Health and Nutrition Survey Database (CHNS), this paper uses ordinary least squares (OLS) and the instrumental variable method of control endogeneity to analyze the influence of family care activities on the labor participation rate of married women. The innovation of this paper is to introduce family bargaining power into this kind of model for the first time, and further analyze the heterogeneity from the perspective of bargaining power differences. The empirical results show that the family elderly care activities have an obstacle effect on married women's participation in employment, and the family members with strong bargaining power will significantly hinder employment, so this paper puts forward policy recommendations in line with the actual situation, hoping to provide theoretical support for the improvement of the social security system for the elderly.

An evolutionary analysis of corruption in the process of collecting environmental tax in China.

Considering the bargaining power of enterprises, this paper distinguishes between "Offering Bribes Voluntarily" (OBV) and "Offering Bribes under Pressure from Environmental Inspectors" (NOBV). An evolutionary game model between environmental inspectors and enterprises is constructed to study the corruption of environmental inspectors in the process of environmental tax collection under the system of upward accountability. At the same time, numerical simulations are carried out using China's pollution discharge data and pollution discharge fee collection standards in 2017. The results show that when enterprises have different bargaining powers, there are differences in the evolutionary stable strategy (ESS) in the process of environmental tax collection. Enterprises with weak bargaining power may adopt "OBV" strategy. Under the system of upward accountability, it is difficult for the public to form adequate supervision over polluting enterprises and environmental inspectors. Only with the power of the upper-level government can the public's supervisory role be brought into play. High audit costs and environmental tax rates may be objective incentives for environmental inspectors' corruption and enterprises' bribery.

Gendered Intrahousehold Bargaining Power is Associated with Child Nutritional Status in Nepal.

BACKGROUND: Women's intrahousehold bargaining power is an important determinant of child nutrition in Nepal, but a better understanding is needed on how men's bargaining power is related to child nutrition. OBJECTIVES: We examined the relation of women's and men's household bargaining power with child height-for-age z score (HAZ). METHODS: We analyzed cross-sectional data from 2012, collected as an impact evaluation baseline of the Suaahara 1 program. A subsample of households with data on women's and men's intrahousehold bargaining power (n = 2170) with children aged 0-59 mo across Nepal was considered for this analysis. Intrahousehold bargaining power consisted of 4 domains: 1) ownership and control of assets, 2) social participation, 3) time allocation to work activities (workload), and 4) household decision-making control. Using multilevel methods, we analyzed associations between HAZ and 1) women's bargaining power, 2) men's bargaining power, and 3) women's and men's bargaining power, adjusted for individual- and household-level confounding factors and clustering. RESULTS: Women's ownership and control of assets was positively associated with HAZ when women's and men's domains were modeled together (ß: 0.0597, P = 0.026). Men's social participation was positively associated with HAZ in the men's model (ß: 0.233, P < 0.001) and the model with women's and men's domains (ß: 0.188, P = 0.001). Women's workload was negatively associated with HAZ in the women's model (ß: -0.0503, P = 0.014) and in the model with women's and men's domains (ß: -0.056, P = 0.008). Household decision making for women (ß: -0.0631, P = 0.007) and for men (ß: -0.0546, P = 0.017) were negatively associated with HAZ in the gender-specific models. Women's social participation, men's ownership and control of assets, and men's workload were not associated with HAZ. CONCLUSIONS: Women's workload and ownership and control of assets and men's social participation may be important in improving child HAZ in Nepal. Nutrition interventions should address women's intrahousehold bargaining power and promote men's social engagement.

Bargaining power, decision making, and biofortification: The role of gender in adoption of orange sweet potato in Uganda.

We examine the role of gender dimensions of intrahousehold bargaining power and decision making in the adoption and diffusion of orange sweet potato (OSP), a biofortified crop being promoted to increase dietary intakes of vitamin A in Uganda. We use patterns of ownership and control of land and other assets by married men and women to create gender-disaggregated indicators of bargaining power, allowing for joint and sole ownership and control of land and assets. Using data from an experimental evaluation of a project promoting OSP adoption, we find that the probability of adopting OSP is not affected by the exclusive or joint control of assets by women at the household level. However, within households, parcels of land under joint control, in which the woman has primary control over decision making, are significantly more likely to contain OSP. Women who control a higher share of household nonland resources are more likely to share OPS vines, showing that women use greater bargaining power to facilitate diffusion of this health-promoting technology. We do not find any impact of women's bargaining power on children's dietary intakes of Vitamin A, possibly because husbands and wives have the same preferences regarding their children's nutritional status. These results contribute to reshaping our understanding of household decision making to inform the design and implementation of agriculture-nutrition interventions.

Formalisation of informal collectors under a dual-recycling channel: A game theoretic approach.

Formalisation of informal collectors is beneficial for economical, environmental and social sustainability. Through dividing collectors and recyclers, a benchmark model consists of competitive dual formal and informal channels is established to quantitatively analyse the possibility of formalising informal collectors and study the formalisation extent. This study comprehensively compares the effects of respective subsidy or punishment targeting at collectors or recyclers in the extended policy model. The subsidy delay used to represent the response speed of the subsidy system is first included. This study indicates the influences of different factors on formalisation activity, including bargaining power, reluctance of informal collectors and recycling cost of formal channels. The policy model concluded that the subsidy on informal collectors or formal recyclers (punishment on informal collectors or informal recyclers) presents no difference regarding the formalisation extent. Based on numerical data, we studied the formalisation extent for the context of China and visualised the effects of different policies. The decremental effect of subsidy and the incremental effect of punishment are concluded in a formalisation activity. This study fills the gap of a quantitative study on formalisation activity and the results will comprehend the promotion of the formalisation of informal collectors.

Women's bargaining power and child feeding in Nepal: Linkages through nutrition information.

Women's intra-household bargaining power is an important determinant of child nutritional status, but there is limited evidence on how it relates to infant and young child feeding (IYCF) practices. We conducted a cross-sectional analysis using 2012 baseline data from the impact evaluation of Suaahara, a multisectoral programme in Nepal, focusing on households with children 0-23 months (n = 1787). We examined if women's bargaining power was related to exposure to IYCF information and if exposure to IYCF information was in turn associated with improved IYCF practices: early initiation of breastfeeding, exclusive breastfeeding, minimum meal frequency and dietary diversity. Bargaining power consisted of four domains: (i) ownership and control of assets; (ii) social participation; (iii) workload; and (iv) household decision-making control and were primarily measured using additive scales. We used generalized structural equation modelling to examine if exposure to IYCF information mediated the relationship between the bargaining domains and the four IYCF practices, separately. Social participation was positively associated with exposure to IYCF information (ß = 0.266, P < .001), which in turn was related to early initiation (ß = 0.241, P = .001). We obtained similar results for the relationship between social participation and dietary diversity. Decision-making control was directly associated with exclusive breastfeeding (ß = 0.350, P = .036). No domains were associated with minimum meal frequency. Different domains of women's bargaining power may relate to exposure to nutrition information and IYCF behaviours. Understanding specific domains of bargaining power is critical to developing interventions that can effectively address gender-related issues that underlie child nutrition outcomes.

Childhood mortality, intra-household bargaining power and fertility preferences among women in Ghana.

BACKGROUND: Continuing population growth could be detrimental for social and economic wellbeing. Understanding the factors that influence family planning decisions will be important for policy. This paper examines the effect of childhood mortality and women's bargaining power on family planning decisions. METHODS: Data was from the 2014 Ghana Demographic and Health Survey (DHS). A sample of 3313 women in their reproductive age were included in this study. We created variables on women's exposure to and experience of child mortality risks. Three different indicators of women's bargaining power in the household were also used. Probit models were estimated in accordance with the nature of the dependent variable. RESULTS: Results from the probit models suggest that child mortality has a positive association with higher fertility preference. Also, child mortality risks and woman's bargaining power play important roles in a woman's fertility choices in Ghana. Women with higher bargaining power were likely to prefer fewer children in the face of child mortality risks, compared to women with lower bargaining power. CONCLUSION: In addition to public sensitization campaigns on the dangers of high fertility and use of contraceptives, the findings of this study emphasize the need to focus on reducing child mortality and improving women bargaining power in developing countries.

Birthweight as a measure of holiday stress.

Young wives in South Korea often dread New Year's Day and Thanksgiving Day because they assume the burden of cooking, cleaning, and other household chores. We used their offspring's birthweight as an indicator of their stress levels. We included all Korean singletons born in hospitals during 1997-2014 (N = 8,589,426) and regressed birthweight on in utero holiday experience by trimester, along with covariates. Babies who experienced New Year's Day in the first trimester were 9.4 grams lighter than those who did not; the amount is equivalent to 120% of the reduced birthweight associated with experiencing landmine explosions during the first trimester in Colombia. Higher birthweight was related to being in the first trimester during Thanksgiving Day versus not. However, experiencing this holiday during the third trimester was associated with less increase in birthweight than during the other trimesters. These results suggest that the New Year's holiday may reflect stress for Korean women in their first trimester of pregnancy, resulting in reduced birthweight, but similar stress was not associated with the Thanksgiving Day holiday. Clinicians and policymakers should be aware of this potential high stress level among Korean women during New Year's Day and seek ways to prevent and alleviate it.