B.2 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.

B.2.1 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
Vignette Category Condition Health Social Other Knowledge Specific Illness
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
Vignette Category Condition Health Social Other Knowledge Specific Illness
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
Health Specific Illness Social Other Benefits Knowledge
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.

B.2.3 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
Vignette Category Condition Mother MIL Husband
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
Vignette Category Condition Mother MIL Husband
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
Mother MIL Husband
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
Vignette Category Condition Health Knowledge Role
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
Vignette Category Respondent Health Knowledge Role
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
Health Knowledge Role
Vignette Category: Health – Other 2.46*** 0.630***
Vignette Category x Condition 0.574*
Vignette Category x Respondent 0.484**

B.2.4 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
Vignette Category Condition Yes
Health Consistent 0.86
Inconsistent 0.78
Other Benefits Consistent 0.90
Inconsistent 0.72
Table B.16: Question 4: Frequencies
Vignette Category Respondent Yes
Health ASHA 0.81
Mother 0.82
Other Benefits ASHA 0.74
Mother 0.84
Table B.17: Question 4: Mixed effects model results
Yes-Conflict
Vignette Category: Health – Other
Vignette Category x Condition 0.508*
Vignette Category x Respondent 2.497**

B.2.5 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
Vignette Category Condition Explains Benefits Explains Social No Explanations
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
Vignette Category Respondent Explains Benefits Explains Social No Explanations
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
Explains Benefits Explains Social No Explanation
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
Vignette Category Condition Mother Initiates Other Initiates 3rd Party No Resolution
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
Vignette Category Respondent Mother Initiates Other Initiates 3rd Party No Resolution
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