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Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

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  • Stephan Klasen
  • Tobias Lechtenfeld
  • Kristina Meier
  • Johannes Rieckmann

Abstract

This article investigates the impact of extending piped water supply and sanitation on health outcomes in urban Yemen using a combination of quasi-experimental methods and results from microbiological water tests. Variations in project roll-out allow separate identification of water and sanitation impacts. The results indicate that access to piped water supply worsens health outcomes when water rationing is frequent, which appears to be linked to the build-up of pollution in the network. When water supply is continuous no clear health benefits are found compared to traditional urban water supply through water vendors, but connections to piped sewers can then lead to health improvements. The findings suggest that investments in piped water supply should not be made when reliability of water cannot be guaranteed.

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File URL: http://hdl.handle.net/10.1080/19439342.2012.720995
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Bibliographic Info

Article provided by Taylor & Francis Journals in its journal Journal of Development Effectiveness.

Volume (Year): 4 (2012)
Issue (Month): 4 (December)
Pages: 537-565

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Handle: RePEc:taf:jdevef:v:4:y:2012:i:4:p:537-565

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  1. 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.
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  7. Kremer, Michael Robert & Miguel, Edward A., 2004. "The Illusion of Sustainability," Center for International and Development Economics Research, Working Paper Series qt94p8w1d7, Center for International and Development Economics Research, Institute for Business and Economic Research, UC Berkeley.
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  9. Ganesh Rauniyar & Aniceto Orbeta & Guntur Sugiyarto, 2011. "Impact of water supply and sanitation assistance on human welfare in rural Pakistan," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 3(1), pages 62-102.
  10. 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.
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  12. Wendy Janssens, 2011. "Externalities In Program Evaluation: The Impact Of A Women'S Empowerment Program On Immunization," Journal of the European Economic Association, European Economic Association, vol. 9(6), pages 1082-1113, December.
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