Abstract While men and women make joint decisions about fertility, women give birth and are more likely to learn about a significant cost of childbearing—maternal health risk. Within couples in Zambia, men have systematically lower awareness of maternal risk factors and higher desire for children than their wives. We develop a model in which information asymmetries between partners over maternal health risk can persist in equilibrium due to strategic incentives and can generate disagreement over fertility that cannot be resolved with transfers. To study the effect of communication barriers on fertility, we design an experiment that varies whether the husband or the wife receives information about maternal health risk. One year after the intervention, men told about such risk exhibit significant gains in knowledge, report lower demand for children, and communicate this information to their wives, who also update their beliefs. Pregnancy falls significantly, while transfers remain unchanged relative to the control group. Meanwhile, when women are told about risk, they update their beliefs, but fail to transmit the information to their husbands, who do not change their demand for children. While pregnancy also falls among these couples, the decline is accompanied by a significant reduction in transfers and support to the wife. When childbearing costs, particularly those borne by one party, cannot be easily communicated within the household, targeting information can help overcome asymmetries and improve household decision-making.

We study reputation dynamics within the household in a setting where women regularly receive transfers from their husbands for household purchases. We propose a signaling model in which wives try to maintain a good reputation in the eyes of their husbands to receive high transfers. This leads them to (i) avoid risky purchases (goods with unknown returns) and (ii) knowingly overuse low-return goods to hide bad purchase decisions—we call this the intrahousehold sunk cost effect. We present supportive evidence for the model from a series of experiments with married couples in rural Malawi. (JEL D13, D82, J12, J16, O12, O18)

Maternal mortality remains very high in many parts of the developing world, especially in sub-Saharan Africa. While maternal deaths are observable, it may not be straightforward for individuals to learn about risk factors. This paper utilizes novel data on male and female perceptions of maternal risk in Zambia to document that superstitions about causes of maternal mortality are pervasive and to uncover evidence that such beliefs impede learning about maternal health risk levels and correlates. In our data, people who hold traditional beliefs disregard past birth complications completely in assessing future risk, unlike those who hold modern beliefs.