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PROMOTING EVIDENCE-BASED POLICY MAKING FOR GENDER EQUALITY IN PAPUA NEW GUINEA HOUSEHOLD INCOME AND EXPENDITURE SURVEY 2009-2010 Dr. Alice Louise Kassens Roanoke College Prepared for the 2015 ASSA/AEA Annual Meeting

Health, disputes and crime in Papua New Guinea

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Page 1: Health, disputes and crime in Papua New Guinea

PROMOTING EVIDENCE-BASED POLICY MAKING

FOR GENDER EQUALITY IN PAPUA NEW GUINEAHOUSEHOLD INCOME AND EXPENDITURE SURVEY 2009-2010

Dr. Alice Louise Kassens

Roanoke College

Prepared for the 2015 ASSA/AEA Annual

Meeting

Page 2: Health, disputes and crime in Papua New Guinea

PAPUA NEW GUINEA

86% of population lives in rural sector

Diverse geographically (islands, coastal, mountains)

Over 850 languages

Transportation limited by mountainous terrain; many walk to market, health care (travel for women can be dangerous)

12% of households are female-headed, which are smaller than male-headed (5.5 vs. 6.6 persons), less educated, fewer earning prospects

Liquefied natural gas from the Highlands a potential export (Australia)

RGDP growth 5.6% in 2013 (World Bank)

Page 3: Health, disputes and crime in Papua New Guinea

HOUSEHOLD INCOME AND EXPENDITURE SURVEY

Sample = 22,718 individuals, 4,081

households; some areas inaccessible

Face-to-face interviews

Several sections of questionnaire

1. Head of household only

2. All adults in HH (15 yrs. of age or older)

3. Subsample of adults

Weighted means

Follow-up to previous surveyPapua New Guinea's capital, Port Moresby. Photograph: Rocky Roe/AFP/Getty Images

Page 4: Health, disputes and crime in Papua New Guinea

ISSUES TO ADDRESS FOR ASIAN DEVELOPMENT BANK

Explore how men and women differ in a

variety of measures of socioeconomic status

and well-being

Wide range by region, urban-status, gender

of head of household

Inequalities by gender and wealth impact

1. Ability to care for families

2. Macroeconomic development

This presentation addresses two areas

1. Health

2. Disputes and violence Source: Child Fund Australia

Page 5: Health, disputes and crime in Papua New Guinea

COMMUNICABLE DISEASES

Malaria most cited illness in the past thirty

days, particularly amongst the youngest

and oldest female adult age groups.

Highest incidence of malaria was reported

in the Southern, Island, and Momase

Regions while the lowest incidence was

reported in the Highlands

The only gender differential was in the Island

Region where males reported substantially

higher incidence than women.

Public hospitals are the most common locus

of care0.000

0.010

0.020

0.030

0.040

0.050

0.060

0.070

15-17 18-21 22-24 25-34 35-44 45-54 55-64

Inc

ide

nc

e r

ate

Malaria

Male Female

Page 6: Health, disputes and crime in Papua New Guinea

SUBSTANCE USE

Betel nut and tobacco most used

substances in PNG

Men are more likely to consume betel nut,

tobacco, and alcohol than women

Gender use gap is smallest with betel nut

Substance use peaks between 25 and 34

years of age for both men and women and

is greatest amongst the poor

Source: Seattle Times

Page 7: Health, disputes and crime in Papua New Guinea

SUBSTANCE USE

Page 8: Health, disputes and crime in Papua New Guinea

HEALTH EXPENDITURES

Expenditures on health care and per capita

expenditures on health care increase with

income

Male headed households in upper quintile

spend more on health care than their

female peers

Per capita health expenditures as a

percentage of total expenditures are

significantly higher in metro regions and

urban areas, particularly for male-headed

households.

Page 9: Health, disputes and crime in Papua New Guinea

DISPUTES AND VIOLENCE

High rates of violence against women in

PNG

Domestic violence accounts for 90% of

casualty hospital attendance by women

Considered justifiable by many (men and

women)

This attitude for men and women declines

as incomes and education levels increase, is

more common in rural areas

Migration from poor rural areas contributes

to increased land disputes, violence

0

10

20

30

40

50

60

70

80

Metro Southern Highlands Momase Islands Rural Urban

Sh

are

be

lieve

hu

sba

nd

ju

stifie

d (

%)

Neglecting the children

Male Female

Page 10: Health, disputes and crime in Papua New Guinea

CRIME

Men and women have similar views

regarding the level of crime across region

and urban status

Particularly fearful of alcohol/drug related

crimes

Crime significantly curtails the activities of

women

Exacerbated by lacking rural resources and

migration to high cost urban areas

Violence against women reduces their

freedom

Few laws against public space abuse

0

10

20

30

40

50

60

70

80

90

100

Metro Southern Highlands Momase Islands Rural Urban

Ke

ep

s fr

om

wa

lkin

g t

o m

ark

et

(%)

Crime keeps from: Walking to market

Male Female

Page 11: Health, disputes and crime in Papua New Guinea

POLICY RECOMMENDATIONS

Report has identified the following policy reform priorities that will promote gender equality and improve welfare:

1. Better infrastructure and increased access to

public transportation

2. Universal enrollment in secondary schooling

3. Support for employment opportunities outside of

subsistence agriculture

4. Universal access to free or low-cost health care

5. Gender-equitable land law reforms

6. Stronger efforts to reduce crime and domestic

violence Source: seekingalpha.com

Page 12: Health, disputes and crime in Papua New Guinea

POLICY RECOMMENDATIONS: HEALTH CARE

Improved education, access to medical

goods and services, and quality of

practitioners are key to reducing and

eradicating pervasive communicable

diseases (ex. Malaria)

As LE increases, need to be prepared to

handle additional demand

Improved economic success of mothers will

likely reduce the incidence of malnutrition

and its consequences amongst poor

children

The relative low cost of betel nut likely

contributes to its popularity amongst lower income groups in PNG Excise taxes on the

product could reduce use, although

enforcement is likely difficult

As incomes rise from the growing natural

gas industry, officials should plan for

combating increased alcohol use and the

resulting increase in crime

Rigorous public health campaigns to

educate users and potential users about the

dangers of substance use may be more

expensive, but more effective

Page 13: Health, disputes and crime in Papua New Guinea

POLICY RECOMMENDATIONS: CRIME/DOMESTIC VIOLENCE

Economic progress will be suppressed until

the level of criminal activity, domestic

violence, and land disputes are reduced

Need effective system for land dispute

resolution

Increase the number of women in

leadership positions, starting with local level

and moving up

Literature on and analysis of the costs of

gender based violence in developing

countries is growing, but much work is still

needed

Data on the issue should come from a

variety of stakeholders including residents,

business owners, police and court records,

hospital and health care facility records,

and observational studies

Page 14: Health, disputes and crime in Papua New Guinea

CONTACT INFORMATION

Alice Louise Kassens

Roanoke College

[email protected]

@RnningEconomist

Yana van der Meulen Rodgers

Rutgers University

[email protected]