The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries

Autores
Cameron, Lisa; Gertler, Paul; Shah, Manisha; Alzua, Maria Laura; Martinez, Sebastian; Patil, Sumeet
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
We examine the impacts of a sanitation program designed to eliminate open defecation in at-scale randomized field experiments in four countries: India, Indonesia, Mali, and Tanzania. The programs – all variants of the widely-used Community-Led Total Sanitation (CLTS) approach - increase village private sanitation coverage in all four locations by 7–39 percentage points. We use the experimentally-induced variation in access to sanitation to identify the causal relationship between village sanitation coverage and child height. We find evidence of threshold effects where increases in child health of 0.3 standard deviations are realized once village sanitation coverage reaches 50–75%. There do not appear to be further gains beyond this threshold. These results suggest that there are large health benefits to achieving coverage levels well below the 100% coverage pushed by the CLTS movement. Open defecation decreased in all countries through improved access to private sanitation facilities, and additionally through increased use of sanitation facilities in Mali who implemented the most intensive behavior change intervention.
Fil: Cameron, Lisa. University of Melbourne; Australia
Fil: Gertler, Paul. University of California at Berkeley; Estados Unidos
Fil: Shah, Manisha. University of California at Los Angeles; Estados Unidos
Fil: Alzua, Maria Laura. Centro de Estudios Distributivos, Laborales y Sociales ; Facultad de Cs.economicas ; Universidad Nacional de la Plata; . Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina
Fil: Martinez, Sebastian. International Initiative for Impact Evaluation; Estados Unidos
Fil: Patil, Sumeet. Neerman; India
Materia
I12
I15
O15
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/218468
Acceder
id CONICETDig_f05e96992e37ea6f5348b20fc5f3befe
oai_identifier_str oai:ri.conicet.gov.ar:11336/218468
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countriesCameron, LisaGertler, PaulShah, ManishaAlzua, Maria LauraMartinez, SebastianPatil, SumeetI12I15O15https://purl.org/becyt/ford/5.2https://purl.org/becyt/ford/5We examine the impacts of a sanitation program designed to eliminate open defecation in at-scale randomized field experiments in four countries: India, Indonesia, Mali, and Tanzania. The programs – all variants of the widely-used Community-Led Total Sanitation (CLTS) approach - increase village private sanitation coverage in all four locations by 7–39 percentage points. We use the experimentally-induced variation in access to sanitation to identify the causal relationship between village sanitation coverage and child height. We find evidence of threshold effects where increases in child health of 0.3 standard deviations are realized once village sanitation coverage reaches 50–75%. There do not appear to be further gains beyond this threshold. These results suggest that there are large health benefits to achieving coverage levels well below the 100% coverage pushed by the CLTS movement. Open defecation decreased in all countries through improved access to private sanitation facilities, and additionally through increased use of sanitation facilities in Mali who implemented the most intensive behavior change intervention.Fil: Cameron, Lisa. University of Melbourne; AustraliaFil: Gertler, Paul. University of California at Berkeley; Estados UnidosFil: Shah, Manisha. University of California at Los Angeles; Estados UnidosFil: Alzua, Maria Laura. Centro de Estudios Distributivos, Laborales y Sociales ; Facultad de Cs.economicas ; Universidad Nacional de la Plata; . Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Martinez, Sebastian. International Initiative for Impact Evaluation; Estados UnidosFil: Patil, Sumeet. Neerman; IndiaNorth-Holland2022-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/218468Cameron, Lisa; Gertler, Paul; Shah, Manisha; Alzua, Maria Laura; Martinez, Sebastian; et al.; The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries; North-Holland; Journal of Development Economics; 159; 102990; 11-2022; 1-170304-3878CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0304387822001328?via%3Dihubinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.jdeveco.2022.102990info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:30:45Zoai:ri.conicet.gov.ar:11336/218468instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:30:45.679CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
title The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
spellingShingle The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
Cameron, Lisa
I12
I15
O15
title_short The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
title_full The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
title_fullStr The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
title_full_unstemmed The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
title_sort The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries
dc.creator.none.fl_str_mv Cameron, Lisa
Gertler, Paul
Shah, Manisha
Alzua, Maria Laura
Martinez, Sebastian
Patil, Sumeet
author Cameron, Lisa
author_facet Cameron, Lisa
Gertler, Paul
Shah, Manisha
Alzua, Maria Laura
Martinez, Sebastian
Patil, Sumeet
author_role author
author2 Gertler, Paul
Shah, Manisha
Alzua, Maria Laura
Martinez, Sebastian
Patil, Sumeet
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv I12
I15
O15
topic I12
I15
O15
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.2
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv We examine the impacts of a sanitation program designed to eliminate open defecation in at-scale randomized field experiments in four countries: India, Indonesia, Mali, and Tanzania. The programs – all variants of the widely-used Community-Led Total Sanitation (CLTS) approach - increase village private sanitation coverage in all four locations by 7–39 percentage points. We use the experimentally-induced variation in access to sanitation to identify the causal relationship between village sanitation coverage and child height. We find evidence of threshold effects where increases in child health of 0.3 standard deviations are realized once village sanitation coverage reaches 50–75%. There do not appear to be further gains beyond this threshold. These results suggest that there are large health benefits to achieving coverage levels well below the 100% coverage pushed by the CLTS movement. Open defecation decreased in all countries through improved access to private sanitation facilities, and additionally through increased use of sanitation facilities in Mali who implemented the most intensive behavior change intervention.
Fil: Cameron, Lisa. University of Melbourne; Australia
Fil: Gertler, Paul. University of California at Berkeley; Estados Unidos
Fil: Shah, Manisha. University of California at Los Angeles; Estados Unidos
Fil: Alzua, Maria Laura. Centro de Estudios Distributivos, Laborales y Sociales ; Facultad de Cs.economicas ; Universidad Nacional de la Plata; . Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina
Fil: Martinez, Sebastian. International Initiative for Impact Evaluation; Estados Unidos
Fil: Patil, Sumeet. Neerman; India
description We examine the impacts of a sanitation program designed to eliminate open defecation in at-scale randomized field experiments in four countries: India, Indonesia, Mali, and Tanzania. The programs – all variants of the widely-used Community-Led Total Sanitation (CLTS) approach - increase village private sanitation coverage in all four locations by 7–39 percentage points. We use the experimentally-induced variation in access to sanitation to identify the causal relationship between village sanitation coverage and child height. We find evidence of threshold effects where increases in child health of 0.3 standard deviations are realized once village sanitation coverage reaches 50–75%. There do not appear to be further gains beyond this threshold. These results suggest that there are large health benefits to achieving coverage levels well below the 100% coverage pushed by the CLTS movement. Open defecation decreased in all countries through improved access to private sanitation facilities, and additionally through increased use of sanitation facilities in Mali who implemented the most intensive behavior change intervention.
publishDate 2022
dc.date.none.fl_str_mv 2022-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/218468
Cameron, Lisa; Gertler, Paul; Shah, Manisha; Alzua, Maria Laura; Martinez, Sebastian; et al.; The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries; North-Holland; Journal of Development Economics; 159; 102990; 11-2022; 1-17
0304-3878
CONICET Digital
CONICET
url http://hdl.handle.net/11336/218468
identifier_str_mv Cameron, Lisa; Gertler, Paul; Shah, Manisha; Alzua, Maria Laura; Martinez, Sebastian; et al.; The dirty business of eliminating open defecation: The effect of village sanitation on child height from field experiments in four countries; North-Holland; Journal of Development Economics; 159; 102990; 11-2022; 1-17
0304-3878
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0304387822001328?via%3Dihub
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jdeveco.2022.102990
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv North-Holland
publisher.none.fl_str_mv North-Holland
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1844614316294144000
score 13.070432

Publicaciones similares