IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v48y2016icp135-148.html
   My bibliography  Save this article

Village sanitation and child health: Effects and external validity in a randomized field experiment in rural India

Author

Listed:
  • Hammer, Jeffrey
  • Spears, Dean

Abstract

Over a billion people worldwide defecate in the open, with important consequences for early-life health and human capital accumulation in developing countries. We report a cluster randomized controlled trial of a village sanitation intervention conducted in rural Maharashtra, India designed to identify an effect of village sanitation on average child height, an outcome of increasing importance to economists. We find an effect of approximately 0.3 height-for-age standard deviations, which is consistent with observations and hypotheses in economic and health literatures. We further exploit details of the planning and implementation of the experiment to study treatment heterogeneity and external validity.

Suggested Citation

  • Hammer, Jeffrey & Spears, Dean, 2016. "Village sanitation and child health: Effects and external validity in a randomized field experiment in rural India," Journal of Health Economics, Elsevier, vol. 48(C), pages 135-148.
  • Handle: RePEc:eee:jhecon:v:48:y:2016:i:c:p:135-148
    DOI: 10.1016/j.jhealeco.2016.03.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167629616300030
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.jhealeco.2016.03.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Angus Deaton, 2010. "Instruments, Randomization, and Learning about Development," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 424-455, June.
    2. Kremer, Michael R. & Karlan, D. S. & Hornbeck, Richard A. & Gine, X. & Duflo, E. & Pariente, W. & Null, C. & Miguel, E. & Devoto, F. & Crepon, B. & Banerjee, A. & Zwane, A. P. & Zinman, J. & Van Dusen, 2011. "Being Surveyed Can Change Later Behavior and Related Parameter Estimates," Scholarly Articles 11339433, Harvard University Department of Economics.
    3. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    4. Dean Spears & Arabinda Ghosh & Oliver Cumming, 2013. "Open Defecation and Childhood Stunting in India: An Ecological Analysis of New Data from 112 Districts," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    5. Michael Geruso & Dean Spears, 2018. "Neighborhood Sanitation and Infant Mortality," American Economic Journal: Applied Economics, American Economic Association, vol. 10(2), pages 125-162, April.
    6. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    7. Spears, Dean, 2012. "Height and cognitive achievement among Indian children," Economics & Human Biology, Elsevier, vol. 10(2), pages 210-219.
    8. Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012. "The impact of recall periods on reported morbidity and health seeking behavior," Journal of Development Economics, Elsevier, vol. 98(1), pages 76-88.
    9. James J. Heckman, 2001. "Micro Data, Heterogeneity, and the Evaluation of Public Policy: Nobel Lecture," Journal of Political Economy, University of Chicago Press, vol. 109(4), pages 673-748, August.
    10. Anne Case & Christina Paxson, 2008. "Stature and Status: Height, Ability, and Labor Market Outcomes," Journal of Political Economy, University of Chicago Press, vol. 116(3), pages 499-532, June.
    11. Sebastian Galiani & Paul Gertler & Ernesto Schargrodsky, 2005. "Water for Life: The Impact of the Privatization of Water Services on Child Mortality," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 83-120, February.
    12. Paul Gertler & Manisha Shah & Maria Laura Alzua & Lisa Cameron & Sebastian Martinez & Sumeet Patil, 2015. "How Does Health Promotion Work? Evidence From The Dirty Business of Eliminating Open Defecation," NBER Working Papers 20997, National Bureau of Economic Research, Inc.
    13. Tom S. Vogl, 2012. "Education and Health in Developing Economies," Working Papers 1453, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    14. Abhijit V. Banerjee & Esther Duflo, 2009. "The Experimental Approach to Development Economics," Annual Review of Economics, Annual Reviews, vol. 1(1), pages 151-178, May.
    15. David Cutler & Grant Miller, 2005. "The role of public health improvements in health advances: The twentieth-century United States," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 1-22, February.
    16. Silvia Helena Barcellos & Leandro S. Carvalho & Adriana Lleras-Muney, 2014. "Child Gender and Parental Investments in India: Are Boys and Girls Treated Differently?," American Economic Journal: Applied Economics, American Economic Association, vol. 6(1), pages 157-189, January.
    17. McKenzie, David, 2012. "Beyond baseline and follow-up: The case for more T in experiments," Journal of Development Economics, Elsevier, vol. 99(2), pages 210-221.
    18. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    19. Dean Spears, 2012. "How much international variation in child height can sanitation explain?," Working Papers 1436, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    20. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    21. Sneha Lamba & Dean Spears, 2013. "Caste, 'Cleanliness' and Cash: Effects of Caste-Based Political Reservations in Rajasthan on a Sanitation Prize," Journal of Development Studies, Taylor & Francis Journals, vol. 49(11), pages 1592-1606, November.
    22. Martin Ravallion, 2012. "Fighting Poverty One Experiment at a Time: Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty : Review Essay," Journal of Economic Literature, American Economic Association, vol. 50(1), pages 103-114, March.
    23. Samuel H. Preston, 1996. "American Longevity: Past, Present, and Future," Center for Policy Research Policy Briefs 7, Center for Policy Research, Maxwell School, Syracuse University.
    24. Vogl, Tom S., 2014. "Height, skills, and labor market outcomes in Mexico," Journal of Development Economics, Elsevier, vol. 107(C), pages 84-96.
    25. Cameron, Lisa & Shah, Manisha & Olivia, Susan, 2013. "Impact evaluation of a large-scale rural sanitation project in Indonesia," Policy Research Working Paper Series 6360, The World Bank.
    26. Steckel, Richard H., 2009. "Heights and human welfare: Recent developments and new directions," Explorations in Economic History, Elsevier, vol. 46(1), pages 1-23, January.
    27. repec:pri:rpdevs:vogl_ed_health_review is not listed on IDEAS
    28. Tarozzi, Alessandro, 2008. "Growth reference charts and the nutritional status of Indian children," Economics & Human Biology, Elsevier, vol. 6(3), pages 455-468, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Spears, Dean, 2020. "Exposure to open defecation can account for the Indian enigma of child height," Journal of Development Economics, Elsevier, vol. 146(C).
    2. Hammer, Jeffrey & Spears, Dean, 2013. "Village sanitation and children's human capital : evidence from a randomized experiment by the Maharashtra government," Policy Research Working Paper Series 6580, The World Bank.
    3. Lawson, Nicholas & Spears, Dean, 2016. "What doesn't kill you makes you poorer: Adult wages and early-life mortality in India," Economics & Human Biology, Elsevier, vol. 21(C), pages 1-16.
    4. Vyas, Sangita & Kov, Phyrum & Smets, Susanna & Spears, Dean, 2016. "Disease externalities and net nutrition: Evidence from changes in sanitation and child height in Cambodia, 2005–2010," Economics & Human Biology, Elsevier, vol. 23(C), pages 235-245.
    5. Coffey, Diane, 2015. "Early life mortality and height in Indian states," Economics & Human Biology, Elsevier, vol. 17(C), pages 177-189.
    6. repec:pri:cheawb:tscjeff2013%20paper is not listed on IDEAS
    7. Payal Hathi & Sabrina Haque & Lovey Pant & Diane Coffey & Dean Spears, 2017. "Place and Child Health: The Interaction of Population Density and Sanitation in Developing Countries," Demography, Springer;Population Association of America (PAA), vol. 54(1), pages 337-360, February.
    8. Diane Coffey & Michael Geruso & Dean Spears, 2018. "Sanitation, Disease Externalities and Anaemia: Evidence From Nepal," Economic Journal, Royal Economic Society, vol. 128(611), pages 1395-1432, June.
    9. Michael Geruso & Dean Spears, 2018. "Neighborhood Sanitation and Infant Mortality," American Economic Journal: Applied Economics, American Economic Association, vol. 10(2), pages 125-162, April.
    10. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    11. Orgill-Meyer, Jennifer & Pattanayak, Subhrendu K., 2020. "Improved sanitation increases long-term cognitive test scores," World Development, Elsevier, vol. 132(C).
    12. Spears, Dean & Lamba, Sneha, 2013. "Effects of early-life exposure to sanitation on childhood cognitive skills : evidence from India's total sanitation campaign," Policy Research Working Paper Series 6659, The World Bank.
    13. Deepak Saraswat, 2018. "Gender Composition of Children and Sanitation Behavior In India," Working papers 2018-12, University of Connecticut, Department of Economics.
    14. Pakhtigian, Emily L. & Dickinson, Katherine L. & Orgill-Meyer, Jennifer & Pattanayak, Subhrendu K., 2022. "Sustaining latrine use: Peers, policies, and sanitation behaviors," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 223-242.
    15. Dora L. Costa, 2015. "Health and the Economy in the United States from 1750 to the Present," Journal of Economic Literature, American Economic Association, vol. 53(3), pages 503-570, September.
    16. Marco-Gracia, Francisco J. & Puche, Javier, 2021. "The association between male height and lifespan in rural Spain, birth cohorts 1835-1939," Economics & Human Biology, Elsevier, vol. 43(C).
    17. LaFave, Daniel & Thomas, Duncan, 2017. "Height and cognition at work: Labor market productivity in a low income setting," Economics & Human Biology, Elsevier, vol. 25(C), pages 52-64.
    18. Hoehn-Velasco, Lauren, 2018. "Explaining declines in US rural mortality, 1910–1933: The role of county health departments," Explorations in Economic History, Elsevier, vol. 70(C), pages 42-72.
    19. Cameron, Lisa & Chase, Claire & Haque, Sabrina & Joseph, George & Pinto, Rebekah & Wang, Qiao, 2021. "Childhood stunting and cognitive effects of water and sanitation in Indonesia," Economics & Human Biology, Elsevier, vol. 40(C).
    20. Schultz, T. Paul, 2010. "Population and Health Policies," Handbook of Development Economics, in: Dani Rodrik & Mark Rosenzweig (ed.), Handbook of Development Economics, edition 1, volume 5, chapter 0, pages 4785-4881, Elsevier.
    21. De Cao, Elisabetta, 2014. "The height production function from birth to maturity," Research Report 14018-EEF, University of Groningen, Research Institute SOM (Systems, Organisations and Management).

    More about this item

    Keywords

    Sanitation; Health; Experiment; External validity; India;
    All these keywords.

    JEL classification:

    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:48:y:2016:i:c:p:135-148. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.