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Impacts of adult illness on employment outcomes of rural households in India.

ABSTRACT: Existing literature on the impacts of adult illness on household labour supply and income in low- and middle-income countries shows that adverse health conditions significantly affect household labour supply, work participation and earnings. Most of the studies, however, are not equipped to distinguish between short- and long-term consequences of adult illness. We measured the impact of adult illness on household employment outcomes both in the short- and the long-run, using a unique longitudinal data set from rural India.We used two waves of India Human Development Survey (1993-94 and 2004-05) with a balanced panel of 10?726 households to assess short-run (in the year of the occurrence of adult illness) and long-run (after 11 years of the occurrence of adult illness) effects of major illness of adult household members aged 15-64 years on household employment outcomes, using multiple matching methods: nearest-neighbor matching and inverse probability weighting following propensity score matching, and coarsened exact matching to compare employment outcomes to a set of matched control households.Rural households affected by adult illness experienced declines in workforce participation rate by 1-3%, wage employment by 4-15 days, and wage-earnings by Indian Rupee (INR) 374 to INR 837 compared to the matched control households in the short-run. In response, adult non-sick members of the affected households increased their workforce participation sharply by 14-16% to compensate for shortfalls in the short-run. In the long-run, workforce participation rate of the affected households also declined by nearly 1-3%. The long-run declines in wage-days and wage-earnings were small and not always statistically significant across the methods. However, long-run workforce participation rate of non-sick adults were smaller (4-6%) compared to short-run, but still statistically significant.The long-term effects were smaller in absolute magnitude than those of the short-run. This suggests coping and adjustments by the affected households using this 11-year longer time-span in a manner that helps to ameliorate the immediate impacts of adult illness. Our study also reiterates the importance of improving financial access to health services as well as access to social security benefits for the illness-affected households in rural India both in the short- and long-run.

SUBMITTER: Alam K

PROVIDER: S-EPMC6083015 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Impacts of adult illness on employment outcomes of rural households in India.

Alam Khurshid K Renzaho Andre A Mahal Ajay A

Journal of global health 20181201 2

<h4>Background</h4>Existing literature on the impacts of adult illness on household labour supply and income in low- and middle-income countries shows that adverse health conditions significantly affect household labour supply, work participation and earnings. Most of the studies, however, are not equipped to distinguish between short- and long-term consequences of adult illness. We measured the impact of adult illness on household employment outcomes both in the short- and the long-run, using a ...[more]

PMID: 30140434

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Project description:BackgroundThe outbreak of COVID-19 pandemic has brought about severe negative livelihood consequences for rural households worldwide. However, the heterogeneity and dynamics of livelihood impacts have been under-researched. There is also lacking a livelihood assessment of the pandemic based on a whole pandemic cycle. This study aimed to investigate the dynamic and heterogeneous livelihood impacts of COVID-19 pandemic for rural households in 2020 based on a case study of Southeast China.MethodsThe pandemic in China had experienced a complete cycle from initial outbreak, to intermediate recovery and finally new normal stage in 2020. We conducted face-to-face interviews with 95 rural households randomly drawn from 2 rural villages in Xunwu County, Jiangxi Province, Southeast China. The sampled households are interviewed with a questionnaire through face-to-face surveys in February and March, 2021 to evaluate the overall livelihood impacts of the pandemic during 2020. The survey collected data on demographic and economic characteristics, governmental control measures, and effects of the COVID-19 on agricultural production, employment, income, education, and daily life. In-depth interviews are also conducted to clarify the livelihood impacts of COVID-19 on villages.ResultsResults showed that the pandemic tremendously caused substantially negative livelihood impacts, including decreasing household income, and disorders in daily lives. The average income loss of all survey households is 6,842 RMB, accounting for 13.01% of the total household income in 2020. Containment measures also resulted in a series of disturbances in daily lives, such as rising food price additional expenditures, travel restrictions, party restrictions, closure of schools and deceasing living standards. There is remarkable household heterogeneity in the livelihood impacts. Results also revealed that the livelihood strategies of rural households to cope with the threat of COVID-19 were different in various pandemic stages.ConclusionOur findings have illustrated the severity and heterogeneity of livelihood impacts on rural households induced by COVID-19 pandemic. The dynamics of livelihood impacts is also highlighted in the study. Several policy suggestion was proposed to mitigate these negative consequences of the pandemic.

Dataset Information

Impacts of adult illness on employment outcomes of rural households in India.

Publications

Impacts of adult illness on employment outcomes of rural households in India.

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