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Ordeal Mechanisms, Information, and the Cost-Effectiveness of Subsidies: Evidence from Subsidized Eyeglasses in Rural China

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  • Sean Sylvia
  • Xiaochen Ma
  • Yaojiang Shi
  • Scott Rozelle
  • C. -Y. Cynthia Lin Lawell

Abstract

The cost-effectiveness of policies providing subsidized goods is often compromised by limited use of the goods provided. Through a randomized trial, we test two approaches to improve the cost-effectiveness of a program distributing free eyeglasses to myopic children in rural China. Requiring recipients to undergo an ordeal better targeted eyeglasses to those who used them without reducing usage relative to free delivery. An information campaign increased use when eyeglasses were freely delivered but not under an ordeal. Free delivery plus information was determined to be the most socially cost-effective approach and obtained the highest rate of eyeglass use.

Suggested Citation

  • Sean Sylvia & Xiaochen Ma & Yaojiang Shi & Scott Rozelle & C. -Y. Cynthia Lin Lawell, 2018. "Ordeal Mechanisms, Information, and the Cost-Effectiveness of Subsidies: Evidence from Subsidized Eyeglasses in Rural China," Papers 1812.00383, arXiv.org.
  • Handle: RePEc:arx:papers:1812.00383
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    1. Anderson, Michael L, 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt15n8j26f, Department of Agricultural & Resource Economics, UC Berkeley.
    2. Kremer, Michael & Glennerster, Rachel, 2011. "Improving Health in Developing Countries," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 201-315, Elsevier.
    3. Miriam Bruhn & David McKenzie, 2009. "In Pursuit of Balance: Randomization in Practice in Development Field Experiments," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 200-232, October.
    4. Auriol, Emmanuelle & Warlters, Michael, 2012. "The marginal cost of public funds and tax reform in Africa," Journal of Development Economics, Elsevier, vol. 97(1), pages 58-72.
    5. Ashraf, Nava & Jack, B. Kelsey & Kamenica, Emir, 2013. "Information and subsidies: Complements or substitutes?," Journal of Economic Behavior & Organization, Elsevier, vol. 88(C), pages 133-139.
    6. Yi, Hongmei & Zhang, Linxiu & Ma, Xiaochen & Congdon, Nathan & Shi, Yaojiang & Pang, Xiaopeng & Zeng, Junxia & Wang, Lei & Boswell, Matthew & Rozelle, Scott, 2015. "Poor vision among China's rural primary school students: Prevalence, correlates and consequences," China Economic Review, Elsevier, vol. 33(C), pages 247-262.
    7. Rema Hanna & Vivi Alatas & Abhijit Banerjee & Benjamin A. Olken & Ririn Purnamasari & Matthew Wai-Poi & Christian Daude, 2012. "Ordeal Mechanisms in Targeting: Theory and Evidence from a Field Experiment in Indonesia," CID Working Papers 254, Center for International Development at Harvard University.
    8. Besley, Timothy & Coate, Stephen, 1992. "Workfare versus Welfare Incentive Arguments for Work Requirements in Poverty-Alleviation Programs," American Economic Review, American Economic Association, vol. 82(1), pages 249-261, March.
    9. Nava Ashraf & James Berry & Jesse M. Shapiro, 2010. "Can Higher Prices Stimulate Product Use? Evidence from a Field Experiment in Zambia," American Economic Review, American Economic Association, vol. 100(5), pages 2383-2413, December.
    10. Patrick J. McEwan, 2012. "Cost-effectiveness analysis of education and health interventions in developing countries," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 4(2), pages 189-213, June.
    11. Greg Fischer & Dean Karlan & Margaret McConnell & Pia Raffler, 2014. "To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda," Working Papers 1041, Economic Growth Center, Yale University.
    12. Evans, David K. & Popova, Anna, 2016. "Cost-Effectiveness Analysis in Development: Accounting for Local Costs and Noisy Impacts," World Development, Elsevier, vol. 77(C), pages 262-276.
    13. Grant Miller & A. Mushfiq Mobarak, 2013. "Gender Differences in Preferences, Intra-Household Externalities, and Low Demand for Improved Cookstoves," NBER Working Papers 18964, National Bureau of Economic Research, Inc.
    14. Jessica Cohen & Pascaline Dupas, 2010. "Free Distribution or Cost-Sharing? Evidence from a Randomized Malaria Prevention Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(1), pages 1-45.
    15. Glewwe, Paul (ed.), 2013. "Education Policy in Developing Countries," University of Chicago Press Economics Books, University of Chicago Press, number 9780226078687, September.
    16. 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, January.
    17. Nichols, D & Smolensky, E & Tideman, T N, 1971. "Discrimination by Waiting Time in Merit Goods," American Economic Review, American Economic Association, vol. 61(3), pages 312-323, June.
    18. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    19. Greg Fischer, Dean Karlan, Margaret McConnell, and Pia Raffler, 2014. "To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda - Working Paper 387," Working Papers 387, Center for Global Development.
    20. Glewwe, Paul & Park, Albert & Zhao, Meng, 2012. "Visualizing Development:Eyeglasses and Academic Performance in Rural Primary Schools in China," Working Papers 120032, University of Minnesota, Center for International Food and Agricultural Policy.
    21. Robert J. Brent, 2010. "Why Countries Have Both Subsidized and Free Condoms to Prevent HIV/AIDS: the Role of Stigma Mitigation," Journal of African Development, African Finance and Economic Association (AFEA), vol. 12(2), pages 61-71.
    22. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    23. Krishnaratne, Shari & White, Howard, 2013. "Quality education for all children? What works in education in developing countries," 3ie Publications 0000-0, International Initiative for Impact Evaluation (3ie).
    24. Jalan, Jyotsna & Somanathan, E., 2008. "The importance of being informed: Experimental evidence on demand for environmental quality," Journal of Development Economics, Elsevier, vol. 87(1), pages 14-28, August.
    25. T.S. Jayne & Shahidur Rashid, 2013. "Input subsidy programs in sub-Saharan Africa: a synthesis of recent evidence," Agricultural Economics, International Association of Agricultural Economists, vol. 44(6), pages 547-562, November.
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