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Water supply and health in developing countries: Selective primary health care revisited

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  • Briscoe, J.

Abstract

The inclusion of water supply and sanitation programs as a component of primary health care (PHC) has been questioned on the basis of calculations of the costs of these programs per infant death averted. In this paper the procedures used in these cost-effectiveness calculations are examined and found to be wanting. The calculations are misleading since gross rather than net costs have been used, and the health impact of these programs underestimated. It is also shown that the methodology used is biased against water supply and sanitation and other programs with multiple outputs. The time constraints facing mothers in implementing PHC programs, as well as the contribution of improved water supplies in alleviating these constraints are outlined. Data are presented to show that, if poor women in developing countries were to choose the mix of activities to be included in PHC programs, improved water supplies would frequently constitute part of that mix.

Suggested Citation

  • Briscoe, J., 1984. "Water supply and health in developing countries: Selective primary health care revisited," American Journal of Public Health, American Public Health Association, vol. 74(9), pages 1009-1013.
    • Handle: RePEc:aph:ajpbhl:1984:74:9:1009-1013_9
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    Cited by:

    1. Alix Peterson Zwane & Michael Kremer, 2007. "What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review," CID Working Papers 140, Center for International Development at Harvard University.
    2. Hoddinott, John, 1997. "Water, health, and income," FCND discussion papers 25, International Food Policy Research Institute (IFPRI).
    3. Ferro, Gustavo & Logares, Candelaria & Roitman, Mauricio, 2009. "Agua, salud y análisis costo/beneficio social [Water, health and social cost/benefit analysis]," MPRA Paper 16618, University Library of Munich, Germany.
    4. Michael Kremer & Alix Peterson Zwane, 2007. "Cost-Effective Prevention of Diarrheal Diseases: A Critical Review," Working Papers 117, Center for Global Development.
    5. Malpezzi, Stephen, 2001. "The Contributions of Stephen K. Mayo to Housing and Urban Economics," Journal of Housing Economics, Elsevier, vol. 10(2), pages 72-108, June.
    6. Bing Hu & Daiyan Peng & Yuedong Zhang & Jiyu Yu, 2020. "Rural Population Aging and the Hospital Utilization in Cities: The Rise of Medical Tourism in China," IJERPH, MDPI, vol. 17(13), pages 1-17, July.

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