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Home»Document Library»Education and Health: Where Do Gender Differences Really Matter?

Education and Health: Where Do Gender Differences Really Matter?

Library
World Bank
2011

Summary

This study notes that investments in health and education – human capital endowments – shape the ability of men and women to reach their full potential. It examines gender gaps in education and health, and progress in addressing them. It finds that great progress had been made in cases where removing a single barrier – in markets, households or institutions – is required. However, progress has been slower either where multiple barriers need to be lifted at the same time or where a single point of entry produces bottlenecks.

The right mix of investments in health and education allows people to live longer, healthier and more productive lives. Systematic differences in investments between males and females adversely affect individual outcomes in childhood and adulthood and those of the next generation. Left uncorrected, these differences translate into large costs for societies.

In recent years, gender gaps in participation in education have shrunk dramatically. However, there are still disparities in disadvantaged populations and both boys and girls learn very little in school in many lower-income countries. Furthermore, in all countries, men and women continue to study different disciplines.

Mortality risks for girls and women (relative to boys and men) are higher in many low- and middle-income countries compared with their counterparts in high-income countries. This ‘excess female mortality’, although still widespread, has declined in many parts of world, apart from in Sub-Saharan Africa where it has increased.

Among the factors responsible for the current state of the gender gaps in education and health are the following:

  • The progress in reducing gender differences in education results from removal of a single barrier to schooling: in households (more stable incomes), markets (increasing returns to education), or formal institutions (lower costs of schooling).
  • Continued female disadvantage in severely disadvantaged populations stems from an absence of economic drivers combined with other forms of social exclusion.
  • Girls’ and boys’ educational paths diverge because of multiple barriers that work simultaneously to influence choices: stereotypes within the education system, gender bias norms in the household and employers’ attitudes to family formation.
  • Male-biased sex ratios at birth result from a combination of overt discrimination expressed in preference for sons, increased use of prenatal sex selection and declining fertility.
  • After birth, poor public health and service delivery lead to excess female mortality in early childhood and the reproductive ages. In parts of Sub-Saharan Africa, HIV/AIDS risks have compounded the problem in the latter period.

In both education and health, much remains to be done for severely disadvantaged populations:

  • In education, context-specific strategies need to be developed. Institutional bottlenecks also need to be alleviated by, for example, building more schools or offering conditional cash transfers to families for education.
  • Improving learning outcomes is imperative to allow both girls and boys to participate in an increasingly globalised world.
  • Reducing segregation in fields of study (to enable men and women to develop the skills needed to enter their desired occupations) will require simultaneous change among households, markets and institutions.
  • Changes in informal institutions that, in turn, transform household behaviour are needed to address the problem of girls missing at birth.
  • Reducing excess female mortality after birth will require: clean water and sanitation for early childhood and better maternal care for the reproductive ages, along with reductions in HIV/AIDS in Sub-Saharan Africa.
  • Source

    World Bank, 2011, 'Education and Health: Where Do Gender Differences Really Matter?', in World Development Report 2012: Gender Equality, World Bank, Washington DC, ch. 3

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