Effects of Vignette
The models have three fixed factors: Vignette Category (Health vs. Other Benefits); Condition (Consistent vs. Inconsistent), and Respondent (ASHA vs. Mother). In addition, there are two interactions: between Vignette Category X Condition and Vignette Category X Respondent. Individual is a cluster variable with a random effects intercept. Below, tables exclude main effects of Condition and Respondent because they are reported above. Here we focus on the effects of vignette category.
Question 1: Why did the mother choose/not choose to follow her ASHA’s recommendation?
For ease of seeing both interactions between Vignette Category and the other two variables, separate tables are presented.
Table B.3: Question 1: Frequencies by condition
Health |
Consistent |
0.97 |
0.07 |
0.01 |
0.03 |
0.53 |
|
Inconsistent |
0.76 |
0.16 |
0.01 |
0.29 |
0.35 |
Other Benefits |
Consistent |
0.75 |
0.08 |
0.54 |
0.00 |
0.09 |
|
Inconsistent |
0.40 |
0.27 |
0.65 |
0.28 |
0.11 |
Table B.4: Question 1: Frequencies by respondent
Health |
Consistent |
0.97 |
0.07 |
0.01 |
0.03 |
0.53 |
|
Inconsistent |
0.76 |
0.16 |
0.01 |
0.29 |
0.35 |
Other Benefits |
Consistent |
0.75 |
0.08 |
0.54 |
0.00 |
0.09 |
|
Inconsistent |
0.40 |
0.27 |
0.65 |
0.28 |
0.11 |
Table B.5: Question 1: Mixed-effects model results
Vignette Category: Health – Other |
7.103*** |
7.166*** |
0.645* |
.0047*** |
|
Vignette Category x Condition |
2.417** |
2.344** |
2.047* |
|
|
Vignette Category x Respondent |
0.447** |
0.537* |
|
|
|
We identified that Mothers saw a bigger disparity in Health responses between Other Benefits vignettes and Health vignettes than ASHAs did. The same trends were shown for Specific Illness. In addition, the Other Benefit vignettes elicited more Social Dynamic responses. There was a larger difference between the vignette categories in the Inconsistent Condition than the Consistent condition. FOr further detailed information, please see the appendix here.
Question 3: What do you think the ASHA said/could have said to persuade the mother to do the recommended behavior?
Here the pattern is similar to Question 1 with the virtual by-definition increases for Other Benefits responses for Other Benefits vignettes, compared to Health responses for Health vignettes. However, there is variation in that Other Benefit responses show interactions between Vignette Category and the other two variables, and Health responses do not show those interactions. This pattern is reverse from Q1. Similar to Q1, it is the Inconsistent condition, and the Mothers who show a bigger effect of Vignette Category.
Table B.6: Question 3: Frequencies
Health |
Consistent |
0.96 |
0.16 |
0.03 |
0.00 |
Inconsistent |
0.93 |
0.06 |
0.01 |
0.00 |
|
Other Benefits |
Consistent |
0.84 |
0.08 |
0.49 |
0.02 |
Inconsistent |
.72 |
0.08 |
0.55 |
0.01 |
|
Table B.7: Question 3: Frequencies
Health |
ASHA |
0.95 |
0.14 |
0.04 |
0.00 |
Mother |
0.94 |
0.10 |
0.01 |
0.00 |
|
Other Benefits |
ASHA |
0.82 |
0.10 |
0.46 |
0.02 |
Mother |
0.76 |
0.06 |
0.54 |
0.01 |
|
Table B.8: Question 3: Mixed effects model results
Vignette Category: Health – Other |
4.484*** |
|
0.016*** |
|
Vignette Category x Condition |
|
3.829** |
3.25* |
|
Vignette Category x Respondent |
|
|
6.86*** |
|
Question 2A:Who makes the decision? 2B: Why does this person make the decision?
The primary difference between the vignette categories is that the Husband is much more likely to make the decisions for the Other Benefits vignettes than for the Health vignettes. The husband’s decision-making power seems to tradeoff with the mother’s. Moreover, the MIL sees little difference between the two kinds of vignettes.
Table B.9: Question 2A: Frequencies
Health |
Consistent |
0.59 |
0.31 |
0.09 |
Inconsistent |
0.57 |
0.33 |
0.09 |
|
Other Benefits |
Consistent |
0.39 |
0.32 |
0.32 |
Inconsistent |
0.35 |
0.34 |
0.35 |
|
Table B.10: Question 2A: Frequencies
Health |
ASHA |
0.64 |
0.23 |
0.13 |
Mother |
0.55 |
0.36 |
0.07 |
|
Other Benefits |
ASHA |
0.50 |
0..21 |
0.40 |
Mother |
0.31 |
0.39 |
0.31 |
|
Table B.11: Question 2A: Mixed effects model results
Vignette Category: Health – Other |
3.213*** |
|
0.116*** |
Vignette Category x Condition |
|
|
|
Vignette Category x Respondent |
0.555* |
|
|
For the Other Benefits vignettes, there is more emphasis on the social role of the decision-maker compared to the Health vignettes, which have more emphasis on health knowledge. This difference between the vignette categories are greater in the Inconsistent condition, and greater for Mothers than for ASHAs, similar to Question 1.
Table B.12: Question 2B: Frequencies
Health |
Consistent |
|
0.55 |
0.55 |
|
Inconsistent |
|
0.54 |
0.53 |
Other Benefits |
Consistent |
|
0.39 |
0.60 |
|
Inconsistent |
|
0.27 |
0.69 |
Table B.13: Question 2B: Frequencies
Health |
ASHA |
|
0.53 |
0.56 |
|
Mother |
|
0.56 |
0.53 |
Other Benefits |
ASHA |
|
0.41 |
0.62 |
|
Mother |
|
0.30 |
0.66 |
Table B.14: Question 2B: Mixed effects model results
Vignette Category: Health – Other |
2.46*** |
0.630*** |
Vignette Category x Condition |
0.574* |
|
Vignette Category x Respondent |
0.484** |
|
Question 4: Was there any conflict between the mother and her ASHA/family member?
The two vignette categories elicited similar proportions of conflicts, but Vignette Category does interact with both other fixed factors. The Consistent condition sees an even larger likelihood of conflict (between mother and her family mother) for the Other Benefit vignettes than the Health vignette. Interestingly, the differences between the ASHA and the Mother respondent lies entirely with the Other Benefit vignettes, where Mothers think these are more likely to think there is going to be a conflict than the Mothers. There is no difference between the Mothers and ASHAs for the Health vignettes.
Table B.15: Question 4: Frequencies
Health |
Consistent |
0.86 |
Inconsistent |
0.78 |
|
Other Benefits |
Consistent |
0.90 |
Inconsistent |
0.72 |
|
Table B.16: Question 4: Frequencies
Health |
ASHA |
0.81 |
Mother |
0.82 |
|
Other Benefits |
ASHA |
0.74 |
Mother |
0.84 |
|
Table B.17: Question 4: Mixed effects model results
Vignette Category: Health – Other |
|
Vignette Category x Condition |
0.508* |
Vignette Category x Respondent |
2.497** |
Question 5A: What should the person communicate to resolve the conflict? 5B: Who initiaties the resolution?
For Health vignettes, there are more benefit-based explanations that are suggested to solve conflicts. For Other Benefit vignettes, more Social explanations are suggested overall, but this increase is based entirely in the Inconsistent condition.
Table B.18: Question 5A: Frequencies
Health |
Consistent |
0.84 |
0.30 |
0.08 |
Inconsistent |
0.40 |
0.27 |
0.40 |
|
Other Benefits |
Consistent |
0.78 |
0.27 |
0.09 |
Inconsistent |
0.33 |
0.52 |
0.29 |
|
Table B.19: Question 5A: Frequencies
Health |
ASHA |
0.63 |
0.38 |
0.38 |
Mother |
0.62 |
0.24 |
0.25 |
|
Other Benefits |
ASHA |
0.54 |
0.43 |
0.17 |
Mother |
0.57 |
0.38 |
0.20 |
|
Table B.20: Question 5A: Mixed effects modedl results
Vignette Category: Health – Other |
1.616* |
0.620*** |
|
Vignette Category x Condition |
|
3.814*** |
|
Vignette Category x Respondent |
|
|
|
There were no statistically significant effects if the “who initiates the resolution” category.
Table B.21: Question 5B: Frequencies
Health |
Consistent |
0.94 |
0.03 |
0.04 |
0.01 |
Inconsistent |
0.58 |
0.53 |
0.08 |
0.07 |
|
Other Benefits |
Consistent |
0.96 |
0.02 |
0.04 |
0.03 |
Inconsistent |
0.62 |
0.48 |
0.07 |
0.07 |
|
Table B.22: Question 5B: Frequencies
Health |
ASHA |
0.72 |
0.30 |
0.11 |
0.03 |
Mother |
0.78 |
0.26 |
0.03 |
0.04 |
|
Other Benefits |
ASHA |
0.76 |
0.28 |
0.11 |
0.04 |
Mother |
0.81 |
0.23 |
0.03 |
0.05 |
|