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of welfare and by gender (hence there are 45 comparisons by gender for the nine countries).
With regard to education, a majority of their comparisons for primary education show a gap
in favor of boys, rising slightly over the second period of their observation. The largest gaps
are in Ghana, Pakistan, and Uganda. Most of the changes in gaps over the two periods benefit
girls. The results for secondary education are similar.
For public medical visits, the gender gap favors women in every country and virtually every
quintile in the sample of countries presented by Glick, Saha, and Younger (2004). These
results are stable over time. Since the results may be influenced by the differentially greater
need of women in childbearing years, they also examine the number of medical care visits for
people outside the childbearing years and find no gender gap. Public vaccinations also show
no gender gap. Public employment, in contrast, shows a significant gender gap, except in
Bulgaria. In addition, when tracked over time, public employment gaps show relatively little
reduction (and an increase in a few countries). For time spent collecting water, there is a
significant gender gap in both countries, Madagascar and Uganda, in the sample for which
data exist. An important finding is that for education and health care services that there is no
consistent correlation between gender gaps in these services and per capita expenditures. For
water collection, the gap moves in opposite directions for the two countries. Only for public
employment is the gap large and strongly correlated with per capita expenditures.
Demery and others (1995) use discrete choice modeling techniques to estimate the incidence
of education and health spending in Ghana, disaggregated by gender and income. They
combine estimates of the cost of service provision with information on household use of
services, from the Ghana Living Standards Surveys. They find marked gender inequalities in
education spending with girls receiving less than boys. Sahn and Younger (2000) examine
cumulative shares of benefits across the expenditure distribution for eight African countries.
They find that for primary education in only one country do concentration curves, reflecting
the aggregate benefits, differ significantly by gender, which implies that the degree of
inequality is relatively constant across the expenditure distribution rather than that there is no
gender inequality. With regard to health expenditures, Demery and others (1995) find for
outpatient services an even split between males and females and little variation across the
expenditure distribution. But for inpatient care, they find that there are substantial
differences, with females receiving less than half the total share in the lowest quintile and
more than half in the other quintiles.
To sum up, this research suggests that, in general, educational inequalities exist between boys
and girls and they are more pronounced at higher levels of education and for poorer families,
and in poorer countries. However, there is considerable variation across countries and certain
regions of the world, especially Sub-Saharan Africa, the Middle East and North Africa, and
South Asia show the greatest inequalities. A simple rule of thumb suggests that encouraging
greater schooling of girls is beneficial where there are inequalities, and that the greatest
remaining problem is among low income households. Health inequalities exist in some areas
of health care, especially for poorer households and in poorer countries, but are less in
evidence for some components of health care, such as vaccinations. The trend is toward the
reduction of these inequalities, though progress has been uneven. The implications are not
substantively different from those for education, but suggest that the magnitude of the