Cash income, intrahousehold cooperative conflict, and child health in central Mozambique.

Publication Date:

01 Sep 2003


Pfeiffer J. (2003). Cash income, intrahousehold cooperative conflict, and child health in central Mozambique. Med Anthropol. 22(2), 87-130. doi: 10.1080/01459740306769



This study presents qualitative data on individual cash income generation and intrahousehold bargaining in a sample of 100 households in central Mozambique. It is now recognized that intrahousehold resource allocation patterns can be critical determinants of children’s health in the developing world. Recently developed “bargaining-power” models suggest that individual incomes are often not pooled in households and that decisions are the result of a bargaining process that involves cooperation and conflict between men and women. Women’s income, many believe, is more often spent on child welfare. Development projects should target benefits to women for greater impact on child health. Some argue that households consist of separate, gendered spheres of economic responsibility that intersect through a “conjugal contract” that defines the terms of cooperation. The findings here support the “separate-spheres” depiction of the household and reveal women’s subordinated position in the external cash economy, which undermines their intrahousehold bargaining power.


Read the Full Article


Stand with HAI

Stand with HAI


When you support Health Alliance International, you take a stand for a more equitable and respectful model of global health. Your donation not only helps us expand our reach, it is an investment in our shared values of health equity and solidarity. 

Join the Alliance

Our alliance is made up of supporters, partners, staff, and volunteers who share our commitment to universal access to quality health care. Just like a health system, every person plays a role in keeping us working toward this ultimate goal. Will you join us? 

Get Engaged

The kind of change we seek requires sustained action.  Whether you want to engage in HAI's advocacy work or help spread HAI's mission and model, we rely on our friends and supporters to stand beside us when we stand up for equity in global health.

Didn't find what you were looking for?

Didn't find what you were looking for?