Marion Coste*, Suzanna Khalifa**

phd seminar

Marion Coste*, Suzanna Khalifa**

Health capability profile of people living with chronic hepatitis B in rural Senegal, a social-justice mixed-methods study protocol*
A virginity Premium ? Female Genital Cutting and Marriage Transfers in Egypt**
Joint with
Sylvie Boyer, Aldiouma Diallo, Marion Mora, Jennifer Prah Ruger*
Tuesday, April 27 2021| 11:00am to 12:00pm

Anushka Chawla: anushka.chawla[at]
Kenza Elass: kenza.elass[at]
Carolina Ulloa Suarez: carolina.ulloa-suarez[at]


*In Senegal, about 10% of the adult population lives with chronic hepatitis B virus (HBV) infection, and liver cancer is one of the most deadly cancers. Access to HBV testing and care is particularly complicated in rural areas characterized by high levels of poverty, low health insurance coverage, and under-equipped health care facilities. Investigating factors associated with HBV infection, and its prevention, testing and/or linkage-to-care, requires a holistic and multidimensional approach.

This paper presents the adaptation of the health capability profile to a specific empirical setting, the HBV epidemics in the rural area of Niakhar, Senegal. This ongoing study relies on a sequential, social justice mixed-method design. Qualitative data collected as part of the ANRS12356 AmBASS cross-sectional survey provides an overview of the development of HBV-related health capabilities in the general population, and is used for a purposeful sampling of participants selected for qualitative interviews. Quantitative and qualitative data will be combined to document complete individual health capability profiles. Finally, focus groups will be conducted to complement information on social norms and capital, group membership, the public health, healthcare, economic and political systems' influences.  Data integration relies on 0-100 scores and flow diagrams that will be used to study optima and shortfalls, and interactions between health capabilities respectively.

While the health capability profile has been applied in other settings and populations, this is the first mixed-methods study to adapt the entire health capability profile ex-ante in rural Senegal and for HBV. As an empirical investigation, it serves as a model for future adaptations.

**Female genital cutting (FGC) is one of the most brutal forms of sexual violence against children, yet more than 200 million women alive today have undergone FGC among 30 countries in Middle East, Africa and Asia (WHO 2020). This paper propose a novel approach in which the marriage market is an essential driver of the FGC practice. Because cutting allows parents to signal desirable but un-observable characteristics such as their daughter chastity, I explore the role of FGC as a pre-marital investment that increase daughter marriageability. Using Egyptian Data (ELMPS 2018) I estimate the effect of FGC prevalence on the value of the traditional bride-price paid by husbands and received by women at marriage. I identify a causal impact of FGC on bride-price by exploiting variation on women's parent exposure to an anti-FGC radio program in 1994. I find a positive and significant impact of FGC on the value of the bride-price received by woman at marriage. In terms of policy implications, this paper highlight that FGC practice might be motivated by parent’s expected return on investment in the marriage market for their daughters.

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