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Water accessibility and child health: Use of the leave-out strategy of instruments

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  • Lamichhane, Dirga Kumar
  • Mangyo, Eiji

Abstract

This paper investigates the leave-out strategy of instruments by using the leave-out community ratio of household access to in-yard water sources and community water infrastructure as instruments for hours in fetching water time, and the data on disease symptoms. The results show that community-level access to clean water is significantly associated with both water-relevant and irrelevant disease symptoms, which suggests that the correlation between community-level access to clean water and child health is at least partially due to endogenous project placement potentially with respect to unobserved community wealth. The paper concludes that the OLS estimates have a potential endogeneity bias problem and that IV estimates under this strategy is subject to endogenous project placement and is not valid. A policy implication of this study is that careful attention should be paid to both self-selection and endogenous project placement in studying the effect of water accessibility on child health.

Suggested Citation

  • Lamichhane, Dirga Kumar & Mangyo, Eiji, 2011. "Water accessibility and child health: Use of the leave-out strategy of instruments," Journal of Health Economics, Elsevier, vol. 30(5), pages 1000-1010.
    • Handle: RePEc:eee:jhecon:v:30:y:2011:i:5:p:1000-1010
    DOI: 10.1016/j.jhealeco.2011.07.001
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    2. Abdullah Afzal & Jacques-Bernard Gauthier, 2017. "Project Management And Practitioners In The Health Sector: From The Quebec Healthcare System Perspective To Pm Literature Review," Working Papers hal-01579996, HAL.
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    6. Vanaja, S., 2018. "Access to Piped Water, Time Savings and Absenteeism in School: Evidence from India," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 275954, International Association of Agricultural Economists.
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    10. Calzada, Joan & Iranzo Sancho, Susana, 2012. "Neither Private nor Public: The Effects of Communal Provision of Water on Child Health in Peru," Working Papers 2072/196649, Universitat Rovira i Virgili, Department of Economics.

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    More about this item

    Keywords

    Fetching water time; Leave-out strategy; Endogenous project placement; Child health;
    All these keywords.

    JEL classification:

    • C31 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions; Social Interaction Models
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General

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