IDEAS home Printed from https://ideas.repec.org/p/ags/eprcrs/150478.html
   My bibliography  Save this paper

Cost-effectiveness of water interventions: The case for public stand-posts and bore-holes in reducing diarrhoea among urban households in Uganda

Author

Listed:
  • Barungi, Mildred
  • Kasirye, Ibrahim

Abstract

In Uganda, water-borne diseases, especially diarrhoea still remain a big challenge to attainment of water related Millennium Development Goals. Compared to adults, children below the age of 6 years face a higher burden of diarrhoea, with the incidence estimated at 51 per 1000. Uganda has earmarked large amounts of resources for water related interventions but still the current levels of spending are inadequate to ensure that everyone gets access to improved drinkingwater. Given that funding is limited, policy makers in the water sector are concerned with how best to allocate scarce resources. To address part of this concern, this paper analysed the cost effectiveness of public stand-posts and boreholes in reducing the burden of diarrhoea among infants. The analysis involved computation of the Disability Adjusted Life Years (DALY) and public and social costs per DALY. Findings revealed that the average public cost per DALY is remarkably lower for public stand-posts than for boreholes. Additionally, the net social cost per DALY is lower for public stand-posts than for boreholes. The implication is that public stand-posts are more cost effective than boreholes in reducing the burden of diarrhoea. However, given the currently limited level of funding to the water sector, expanding coverage of public stand-posts would require external budget assistance.

Suggested Citation

  • Barungi, Mildred & Kasirye, Ibrahim, 2011. "Cost-effectiveness of water interventions: The case for public stand-posts and bore-holes in reducing diarrhoea among urban households in Uganda," Research Series 150478, Economic Policy Research Centre (EPRC).
    • Handle: RePEc:ags:eprcrs:150478
    DOI: 10.22004/ag.econ.150478
    as

    Download full text from publisher

    File URL: https://ageconsearch.umn.edu/record/150478/files/series85.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.22004/ag.econ.150478?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
    ---><---

    References listed on IDEAS

    as
    1. Jalan, Jyotsna & Ravallion, Martin, 2003. "Does piped water reduce diarrhea for children in rural India?," Journal of Econometrics, Elsevier, vol. 112(1), pages 153-173, January.
    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. Alberto Chong & Virgilio Galdo & Máximo Torero, 2005. "Does Privatization Deliver? Access to Telephone Services and Household Income in Poor Rural Areas Using a Quasi-Natural Experiment in Peru," Research Department Publications 4417, Inter-American Development Bank, Research Department.
    2. Frank R. Lichtenberg, 2014. "Has Medical Innovation Reduced Cancer Mortality?," CESifo Economic Studies, CESifo Group, vol. 60(1), pages 135-177.
    3. Lay, Jann, 2010. "MDG Achievements, Determinants, and Resource Needs: What Has Been Learnt?," GIGA Working Papers 137, GIGA German Institute of Global and Area Studies.
    4. Keya Sengupta, 2016. "Water and health for sustainable development," African Journal of Economic and Sustainable Development, Inderscience Enterprises Ltd, vol. 5(1), pages 66-101.
    5. Wagstaff, Adam & Yu, Shengchao, 2007. "Do health sector reforms have their intended impacts?: The World Bank's Health VIII project in Gansu province, China," Journal of Health Economics, Elsevier, vol. 26(3), pages 505-535, May.
    6. Santosh, Kumar & Sebastian, Vollmer, 2011. "Does improved sanitation reduce diarrhea in children in rural India?," MPRA Paper 31804, University Library of Munich, Germany.
    7. Mariapia Mendola & Mengesha Yayo Negasi, 2019. "Nutritional and Schooling Impact of a Cash Transfer Program in Ethiopia: A Retrospective Analysis of Childhood Experience," Development Working Papers 451, Centro Studi Luca d'Agliano, University of Milano.
    8. Sawada Yasuyuki & Sugawara Shinya & Shoji Masahiro & Shinkai Naoko, 2014. "The Role of Infrastructure in Mitigating Poverty Dynamics: The Case of an Irrigation Project in Sri Lanka," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 14(3), pages 1-28, July.
    9. Christina Paxson & Norbert Schady, 2007. "Does Money Matter? The Effects of Cash Transfers on Child Health and Development in Rural Ecuador," Working Papers 145, Princeton University, Department of Economics, Center for Economic Policy Studies..
    10. Gayatri Koolwal & Dominique van de Walle, 2013. "Access to Water, Women's Work, and Child Outcomes," Economic Development and Cultural Change, University of Chicago Press, vol. 61(2), pages 369-405.
    11. Abebaw, Degnet & Fentie, Yibeltal & Kassa, Belay, 2010. "The impact of a food security program on household food consumption in Northwestern Ethiopia: A matching estimator approach," Food Policy, Elsevier, vol. 35(4), pages 286-293, August.
    12. Alberto Chong & Virgilio Galdo & Máximo Torero, 2005. "¿Cumple la privatización lo que promete? El acceso a los servicios telefónicos y el ingreso familiar en zonas rurales pobres empleando un experimento cuasinatural en Perú," Research Department Publications 4418, Inter-American Development Bank, Research Department.
    13. Manfred Wiebelt & Rainer Schweickert & Clemens Breisinger & Marcus Böhme, 2011. "Oil revenues for public investment in Africa: targeting urban or rural areas?," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 147(4), pages 745-770, November.
    14. Fay, Marianne & Leipziger, Danny & Wodon, Quentin & Yepes, Tito, 2005. "Achieving child-health-related Millennium Development Goals: The role of infrastructure," World Development, Elsevier, vol. 33(8), pages 1267-1284, August.
    15. Ayuk Betrand Tambe & Leonie Dapi Nzefa & Nchang Allo Nicoline, 2015. "Childhood Diarrhea Determinants in Sub-Saharan Africa: A Cross Sectional Study of Tiko-Cameroon," Challenges, MDPI, vol. 6(2), pages 1-15, September.
    16. Gitonga, Zachary M. & De Groote, Hugo & Kassie, Menale & Tefera, Tadele, 2013. "Impact of metal silos on households’ maize storage, storage losses and food security: An application of a propensity score matching," Food Policy, Elsevier, vol. 43(C), pages 44-55.
    17. Tanguy Bernard & Alemayehu Seyoum Taffesse & Eleni Gabre‐Madhin, 2008. "Impact of cooperatives on smallholders' commercialization behavior: evidence from Ethiopia," Agricultural Economics, International Association of Agricultural Economists, vol. 39(2), pages 147-161, September.
    18. Kamdem, Cyrille Bergaly, 2016. "Impact of cocoa farmer field schools on cocoa yield: empirical evidence of cocoa farmers in Cameroon," 2016 Fifth International Conference, September 23-26, 2016, Addis Ababa, Ethiopia 246388, African Association of Agricultural Economists (AAAE).
    19. Raghbendra Jha, 2013. "Welfare Schemes and Social Protection in India," ASARC Working Papers 2013-10, The Australian National University, Australia South Asia Research Centre.
    20. Backson Mwangi & Ibrahim Macharia & Eric Bett, 2021. "Ex-post Impact Evaluation of Improved Sorghum Varieties on Poverty Reduction in Kenya: A Counterfactual Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 154(2), pages 447-467, April.

    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:ags:eprcrs:150478. 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: AgEcon Search (email available below). General contact details of provider: https://edirc.repec.org/data/eprccug.html .

    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.