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Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries

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  • Whittington, Dale
  • Jeuland, Marc
  • Barker, Kate
  • Yuen, Yvonne
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    Abstract

    The paper challenges the conventional wisdom that water and sanitation improvements and other preventive health interventions are always a wise economic investment. Costs and benefits are presented for six water, sanitation, and health programs—handwashing, sanitation, point-of-use filtration and chlorination, insecticide-treated bed nets, and cholera vaccination. Model parameters are specified for a range of conditions that are plausible for locations in developing countries. We find that the parameter values needed for such cost–benefit calculations are not available for setting global priorities. We reflect on the implications of our findings for more “evidence-based” planning of public health and development interventions.

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    Bibliographic Info

    Article provided by Elsevier in its journal World Development.

    Volume (Year): 40 (2012)
    Issue (Month): 8 ()
    Pages: 1546-1568

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    Handle: RePEc:eee:wdevel:v:40:y:2012:i:8:p:1546-1568

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    Web page: http://www.elsevier.com/locate/worlddev

    Related research

    Keywords: benefit–cost analysis; health; water and sanitation; technological adoption; Monte Carlo analysis;

    References

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    1. Florencia DEVOTO & Esther DUFLO & Pascaline DUPAS & William PARIENTE & Vincent PONS, 2011. "Happiness on Tap: Piped Water Adoption in Urban Morocco," Discussion Papers (IRES - Institut de Recherches Economiques et Sociales) 2011013, Université catholique de Louvain, Institut de Recherches Economiques et Sociales (IRES).
    2. Joseph Cook & Marc Jeuland & Brian Maskery & Donald Lauria & Dipika Sur & John Clemens & Dale Whittington, 2009. "Using private demand studies to calculate socially optimal vaccine subsidies in developing countries," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 28(1), pages 6-28.
    3. Jessica Cohen & Pascaline Dupas, 2010. "Free Distribution or Cost-Sharing? Evidence from a Randomized Malaria Prevention Experiment," The Quarterly Journal of Economics, MIT Press, vol. 125(1), pages 1-45, February.
    4. Dale Whittington, 2010. "What Have We Learned from 20 Years of Stated Preference Research in Less-Developed Countries?," Annual Review of Resource Economics, Annual Reviews, vol. 2(1), pages 209-236, October.
    5. Michael Kremer & Jessica Leino & Edward Miguel & Alix Peterson Zwane, 2011. "Spring Cleaning: Rural Water Impacts, Valuation, and Property Rights Institutions," The Quarterly Journal of Economics, Oxford University Press, vol. 126(1), pages 145-205.
    6. Nava Ashraf & James Berry & Jesse M. Shapiro, 2007. "Can Higher Prices Stimulate Product Use? Evidence from a Field Experiment in Zambia," NBER Working Papers 13247, National Bureau of Economic Research, Inc.
    7. W. Kip Viscusi & Joseph E. Aldy, 2003. "The Value of a Statistical Life: A Critical Review of Market Estimates throughout the World," NBER Working Papers 9487, National Bureau of Economic Research, Inc.
    8. Waterkeyn, Juliet & Cairncross, Sandy, 2005. "Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe," Social Science & Medicine, Elsevier, vol. 61(9), pages 1958-1970, November.
    9. Cairncross, Sandy & Shordt, Kathleen & Zacharia, Suma & Govindan, Beena Kumari, 2005. "What causes sustainable changes in hygiene behaviour? A cross-sectional study from Kerala, India," Social Science & Medicine, Elsevier, vol. 61(10), pages 2212-2220, November.
    10. Casabonne, Ursula & Kenny, Charles, 2012. "The Best Things in Life are (Nearly) Free: Technology, Knowledge, and Global Health," World Development, Elsevier, vol. 40(1), pages 21-35.
    11. Marc Jeuland & Marcelino Lucas & John Clemens & Dale Whittington, 2009. "A Cost--Benefit Analysis of Cholera Vaccination Programs in Beira, Mozambique," World Bank Economic Review, World Bank Group, vol. 23(2), pages 235-267, July.
    12. Charles F. Manski, 2011. "Policy Analysis with Incredible Certitude," Economic Journal, Royal Economic Society, vol. 121(554), pages F261-F289, 08.
    13. Pascaline Dupas, 2014. "Short‐Run Subsidies and Long‐Run Adoption of New Health Products: Evidence From a Field Experiment," Econometrica, Econometric Society, vol. 82(1), pages 197-228, 01.
    14. Whittington, Dale & Hanemann, W. Michael & Sadoff, Claudia & Jeuland, Marc, 2009. "The Challenge of Improving Water and Sanitation Services in Less Developed Countries," Foundations and Trends(R) in Microeconomics, now publishers, vol. 4(6–7), pages 469-609, September.
    15. Angus Deaton, 2010. "Instruments, Randomization, and Learning about Development," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 424-55, June.
    16. Dean T. Jamison & Joel G. Breman & Anthony R. Measham & George Alleyne & Mariam Claeson & David B. Evans & Prabhat Jha & Ann Mills & Philip Musgrove, 2006. "Disease Control Priorities in Developing Countries, Second Edition," World Bank Publications, The World Bank, number 7242, October.
    17. Jeuland, Marc & Lucas, Marcelino & Clemens, John & Whittington, Dale, 2010. "Estimating the private benefits of vaccination against cholera in Beira, Mozambique: A travel cost approach," Journal of Development Economics, Elsevier, vol. 91(2), pages 310-322, March.
    18. V. Kerry Smith & George Van Houtven & Subhrendu K. Pattanayak, 2002. "Benefit Transfer via Preference Calibration: "Prudential Algebra" for Policy," Land Economics, University of Wisconsin Press, vol. 78(1), pages 132-152.
    19. Kevin J. Boyle & Nicolai V. Kuminoff & Christopher F. Parmeter & Jaren C. Pope, 2010. "The Benefit-Transfer Challenges," Annual Review of Resource Economics, Annual Reviews, vol. 2(1), pages 161-182, October.
    20. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, 01.
    21. Jenkins, Marion W. & Curtis, Val, 2005. "Achieving the 'good life': Why some people want latrines in rural Benin," Social Science & Medicine, Elsevier, vol. 61(11), pages 2446-2459, December.
    22. Hugh Waddington & Birte Snilstveit, 2009. "Effectiveness and sustainability of water, sanitation, and hygiene interventions in combating diarrhoea," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 1(3), pages 295-335.
    23. repec:reg:rpubli:282 is not listed on IDEAS
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    Cited by:
    1. Johanna CHOUMERT & Eric Nazindigouba KERE & Amandine Loyale LARé, 2014. "The impact of water and sanitation access on housing values: The case of Dapaong, Togo," Working Papers 201403, CERDI.

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