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Scaling up sanitation: Evidence from an RCT in Indonesia

Author

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  • Cameron, Lisa
  • Olivia, Susan
  • Shah, Manisha

Abstract

We investigate the impacts of a widely used sanitation intervention, Community-Led Total Sanitation, which was implemented at scale across rural areas of Indonesia with a randomized controlled trial to evaluate its effectiveness. The program resulted in modest increases in toilet construction, decreased community tolerance of open defecation and reduced roundworm infestations in children. However, there was no impact on anemia, height or weight. We find important heterogeneity along three dimensions: (1) poverty—poorer households are limited in their ability to improve sanitation; (2) implementer identity—scale up involves local governments taking over implementation from World Bank contractors yet no sanitation and health benefits accrue in villages with local government implementation; and (3) initial levels of social capital—villages with high initial social capital built toilets whereas the community-led approach was counterproductive in low social capital villages with fewer toilets being built.

Suggested Citation

  • Cameron, Lisa & Olivia, Susan & Shah, Manisha, 2019. "Scaling up sanitation: Evidence from an RCT in Indonesia," Journal of Development Economics, Elsevier, vol. 138(C), pages 1-16.
    • Handle: RePEc:eee:deveco:v:138:y:2019:i:c:p:1-16
    DOI: 10.1016/j.jdeveco.2018.12.001
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    References listed on IDEAS

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    1. Lisa Cameron & Manisha Shah, 2015. "Risk-Taking Behavior in the Wake of Natural Disasters," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 484-515.
    2. Ghazala Mansuri, 2004. "Community-Based and -Driven Development: A Critical Review," World Bank Research Observer, World Bank Group, vol. 19(1), pages 1-39.
    3. Woolcock, Michael, 2013. "Using Case Studies to Explore the External Validity of 'Complex' Development Interventions," Working Paper Series rwp13-048, Harvard University, John F. Kennedy School of Government.
    4. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    5. Dean S. Karlan, 2005. "Using Experimental Economics to Measure Social Capital and Predict Financial Decisions," American Economic Review, American Economic Association, vol. 95(5), pages 1688-1699, December.
    6. Abhijit Banerjee & Rukmini Banerji & James Berry & Esther Duflo & Harini Kannan & Shobhini Mukerji & Marc Shotland & Michael Walton, 2017. "From Proof of Concept to Scalable Policies: Challenges and Solutions, with an Application," Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 73-102, Fall.
    7. Lars Ivar Oppedal Berge & Kjetil Bjorvatn & Kartika Sari Juniwaty & Bertil Tungodden, 2012. "Business Training in Tanzania: From Research-driven Experiment to Local Implementation-super- †," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 21(5), pages -827, November.
    8. Amy J. Pickering & Habiba Djebbari & Carolina Lopez & Massa Coulibaly & Maria Laura Alzua, 2015. "Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial," Post-Print hal-01456117, HAL.
    9. Isham, Jonathan & Kahkonen, Satu, 2002. "Institutional Determinants of the Impact of Community-Based Water Services: Evidence from Sri Lanka and India," Economic Development and Cultural Change, University of Chicago Press, vol. 50(3), pages 667-691, April.
    10. Banerjee, Abhijit & Banerji, Rukmini & Berry, James & Duflo, Esther & Kannan, Harini & Mukerji, Shobhini & Shotland, Marc & Walton, Michael, 2016. "Mainstreaming an Effective Intervention: Evidence from Randomized Evaluations of "Teaching at the Right Level" in India," CEPR Discussion Papers 11530, C.E.P.R. Discussion Papers.
    11. Karthik Muralidharan & Paul Niehaus, 2017. "Experimentation at Scale," Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 103-124, Fall.
    12. Lant Pritchett & Salimah Samji & Jeffrey Hammer, 2012. "It’s All About MeE: Using Structured Experiential Learning (‘e’) to Crawl the Design Space," CID Working Papers 249, Center for International Development at Harvard University.
    13. Tessa Bold & Mwangi Kimenyi & Germano Mwabu & Alice Ng'ang'a & Justin Sandefur, 2013. "Scaling-up What Works: Experimental Evidence on External Validity in Kenyan Education," CSAE Working Paper Series 2013-04, Centre for the Study of African Economies, University of Oxford.
    14. Katherine Casey & Rachel Glennerster & Edward Miguel, 2012. "Reshaping Institutions: Evidence on Aid Impacts Using a Preanalysis Plan," The Quarterly Journal of Economics, Oxford University Press, vol. 127(4), pages 1755-1812.
    15. Christiaan Grootaert & Thierry Van Bastelar, 2002. "Understanding and Measuring Social Capital : A Multidisciplinary Tool for Practitioners," World Bank Publications, The World Bank, number 14098.
    16. Karlan, Dean S., 2005. "Using Experimental Economics to Measure Social Capital and Predict Financial Decisions," Center Discussion Papers 28429, Yale University, Economic Growth Center.
    17. Uphoff, Norman & Wijayaratna, C. M., 2000. "Demonstrated Benefits from Social Capital: The Productivity of Farmer Organizations in Gal Oya, Sri Lanka," World Development, Elsevier, vol. 28(11), pages 1875-1890, November.
    18. repec:pri:rpdevs:gamespaper.pdf is not listed on IDEAS
    19. repec:eee:deveco:v:138:y:2019:i:c:p:1-16 is not listed on IDEAS
    20. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    21. Annette N. Brown & Drew B. Cameron & Benjamin D. K. Wood, 2014. "Quality evidence for policymaking: I'll believe it when I see the replication," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 6(3), pages 215-235, September.
    22. Samia Amin & Anu Rangarajan & Evan Borkum, "undated". "Improving Sanitation at Scale: Lessons from TSSM Implementation in East Java, Indonesia," Mathematica Policy Research Reports a1cbdc1d9d9c4144a1a20332a, Mathematica Policy Research.
    23. Cameron, Lisa A. & Olivia, Susan & Shah, Manisha, 2015. "Initial Conditions Matter: Social Capital and Participatory Development," IZA Discussion Papers 9563, Institute of Labor Economics (IZA).
    24. repec:cup:apsrev:v:109:y:2015:i:03:p:427-449_00 is not listed on IDEAS
    25. Bouguen, Adrien & Filmer, Deon & Macours, Karen & Naudeau, Sophie, 2014. "Preschools and early childhood development in a second best world: Evidence from a scaled-up experiment in Cambodia," CEPR Discussion Papers 10170, C.E.P.R. Discussion Papers.
    26. Cameron, Lisa & Shah, Manisha & Olivia, Susan, 2013. "Impact evaluation of a large-scale rural sanitation project in Indonesia," Policy Research Working Paper Series 6360, The World Bank.
    27. Greg J. Duncan & Katherine Magnuson, 2013. "Investing in Preschool Programs," Journal of Economic Perspectives, American Economic Association, vol. 27(2), pages 109-132, Spring.
    28. Hammer, Jeffrey & Spears, Dean, 2016. "Village sanitation and child health: Effects and external validity in a randomized field experiment in rural India," Journal of Health Economics, Elsevier, vol. 48(C), pages 135-148.
    29. Jonathan M.V. Davis & Jonathan Guryan & Kelly Hallberg & Jens Ludwig, 2017. "The Economics of Scale-Up," NBER Working Papers 23925, National Bureau of Economic Research, Inc.
    30. Cameron, Lisa & Olivia, Susan & Shah, Manisha, 2019. "Scaling up sanitation: Evidence from an RCT in Indonesia," Journal of Development Economics, Elsevier, vol. 138(C), pages 1-16.
    31. repec:mpr:mprres:7255 is not listed on IDEAS
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    Cited by:

    1. Cameron, Lisa & Olivia, Susan & Shah, Manisha, 2019. "Scaling up sanitation: Evidence from an RCT in Indonesia," Journal of Development Economics, Elsevier, vol. 138(C), pages 1-16.
    2. Usmani Faraz & Jeuland Marc & Pattanayak Subhrendu, 2018. "NGOs and the effectiveness of interventions," WIDER Working Paper Series 59, World Institute for Development Economic Research (UNU-WIDER).

    More about this item

    Keywords

    Sanitation; Impact evaluation; Health; Scale up; Social capital;

    JEL classification:

    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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