IDEAS home Printed from https://ideas.repec.org/p/cdl/ucscec/qt24715228.html
   My bibliography  Save this paper

Keeping the Doctor Away: Experimental Evidence on Investment in Preventative Health Products

Author

Listed:
  • Meredith, Jennifer
  • Robinson, Jonathan
  • Walker, Sarah
  • Wydick, Bruce

Abstract

Household investment in preventative health products in developing countries is typically low even though the returns to such products are high. In this paper, we experimentally estimate demand curves for health products and test whether (1) information about health risk, (2) cash liquidity, (3) peer effects, and (4) intra-household differences in preferences affect demand. In our main experiment in Kenya involving children’s shoes - critical for preventing hookworm infection - price is by far the most important predictor of purchase. Providing liquidity and targeting women also increased demand. Information had no effect even though we find that genuine learning occurred. We find no peer effects even though people discussed the product purchase decision extensively. We find similar results for price and information in three smaller studies in Guatemala, India, and Uganda in experiments involving soap and multivitamins.

Suggested Citation

  • Meredith, Jennifer & Robinson, Jonathan & Walker, Sarah & Wydick, Bruce, 2012. "Keeping the Doctor Away: Experimental Evidence on Investment in Preventative Health Products," Santa Cruz Department of Economics, Working Paper Series qt24715228, Department of Economics, UC Santa Cruz.
  • Handle: RePEc:cdl:ucscec:qt24715228
    as

    Download full text from publisher

    File URL: https://www.escholarship.org/uc/item/24715228.pdf;origin=repeccitec
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cairncross, Sandy & Shordt, Kathleen & Zacharia, Suma & Govindan, Beena Kumari, 2005. "What causes sustainable changes in hygiene behaviour? A cross-sectional study from Kerala, India," Social Science & Medicine, Elsevier, vol. 61(10), pages 2212-2220, November.
    2. 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.
    3. Nava Ashraf, 2009. "Spousal Control and Intra-household Decision Making: An Experimental Study in the Philippines," American Economic Review, American Economic Association, vol. 99(4), pages 1245-1277, September.
    4. M. Browning & P. A. Chiappori, 1998. "Efficient Intra-Household Allocations: A General Characterization and Empirical Tests," Econometrica, Econometric Society, vol. 66(6), pages 1241-1278, November.
    5. 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.
    6. Michael Kremer & Edward Miguel, 2007. "The Illusion of Sustainability," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1007-1065.
    7. Munshi, Kaivan & Myaux, Jacques, 2006. "Social norms and the fertility transition," Journal of Development Economics, Elsevier, vol. 80(1), pages 1-38, June.
    8. Madajewicz, Malgosia & Pfaff, Alexander & van Geen, Alexander & Graziano, Joseph & Hussein, Iftikhar & Momotaj, Hasina & Sylvi, Roksana & Ahsan, Habibul, 2008. "Erratum to "Can information alone change behavior? Response to arsenic contamination of groundwater in Bangladesh" [Journal of Development Economics 84 (2007) 731-754]," Journal of Development Economics, Elsevier, vol. 85(1-2), pages 349-347, February.
    9. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    10. 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.
    11. Pascaline Dupas, 2011. "Health Behavior in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 3(1), pages 425-449, September.
    12. Nava Ashraf & Dean Karlan & Wesley Yin, 2006. "Tying Odysseus to the Mast: Evidence From a Commitment Savings Product in the Philippines," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(2), pages 635-672.
    13. Timothy G. Conley & Christopher R. Udry, 2010. "Learning about a New Technology: Pineapple in Ghana," American Economic Review, American Economic Association, vol. 100(1), pages 35-69, March.
    14. Alessandro Tarozzi & Aprajit Mahajan & Brian Blackburn & Dan Kopf & Lakshmi Krishnan & Joanne Yoong, 2014. "Micro-loans, Insecticide-Treated Bednets, and Malaria: Evidence from a Randomized Controlled Trial in Orissa, India," American Economic Review, American Economic Association, vol. 104(7), pages 1909-1941, July.
    15. Dean S. Karlan & Jonathan Zinman, 2008. "Credit Elasticities in Less-Developed Economies: Implications for Microfinance," American Economic Review, American Economic Association, vol. 98(3), pages 1040-1068, June.
    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. Rachel L Pullan & Peter W Gething & Jennifer L Smith & Charles S Mwandawiro & Hugh J W Sturrock & Caroline W Gitonga & Simon I Hay & Simon Brooker, 2011. "Spatial Modelling of Soil-Transmitted Helminth Infections in Kenya: A Disease Control Planning Tool," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 5(2), pages 1-11, February.
    18. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    19. repec:cdl:ucscec:qt1rg2d9mm is not listed on IDEAS
    20. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. Silvia Prina & Heather Royer, 2013. "The Importance of Parental Knowledge and Social Norms: Evidence from Weight Report Cards in Mexico," NBER Working Papers 19344, National Bureau of Economic Research, Inc.

    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. Meredith, Jennifer & Robinson, Jonathan & Walker, Sarah & Wydick, Bruce, 2013. "Keeping the doctor away: Experimental evidence on investment in preventative health products," Journal of Development Economics, Elsevier, vol. 105(C), pages 196-210.
    2. B Kelsey Jack, "undated". "Market Inefficiencies and the Adoption of Agricultural Technologies in Developing Countries," CID Working Papers 50, Center for International Development at Harvard University.
    3. Vinish Shrestha & Rashesh Shrestha, 2023. "The Combined Role of Subsidy and Discussion Intervention in the Demand for a Stigmatized Product," The World Bank Economic Review, World Bank, vol. 37(4), pages 675-705.
    4. Pascaline Dupas & Edward Miguel, 2016. "Impacts and Determinants of Health Levels in Low-Income Countries," NBER Working Papers 22235, National Bureau of Economic Research, Inc.
    5. Czura, Kristina & Menzel, Andreas & Miotto, Martina, 2024. "Improved menstrual health and the workplace: An RCT with female Bangladeshi garment workers," Journal of Development Economics, Elsevier, vol. 166(C).
    6. Raphaël Soubeyran, 2019. "Technology adoption and pro-social preferences," CEE-M Working Papers halshs-02291905, CEE-M, Universtiy of Montpellier, CNRS, INRA, Montpellier SupAgro.
    7. Hoffmann, Bridget, 2018. "Do non-monetary prices target the poor? Evidence from a field experiment in India," Journal of Development Economics, Elsevier, vol. 133(C), pages 15-32.
    8. Fitzsimons, Emla & Malde, Bansi & Mesnard, Alice & Vera-Hernández, Marcos, 2016. "Nutrition, information and household behavior: Experimental evidence from Malawi," Journal of Development Economics, Elsevier, vol. 122(C), pages 113-126.
    9. Bonan, Jacopo & Pareglio, Stefano & Tavoni, Massimo, "undated". "Access to Modern Energy: a Review of Impact Evaluations," Energy: Resources and Markets 189697, Fondazione Eni Enrico Mattei (FEEM).
    10. Lybbert, Travis J. & Vosti, Stephen A. & Adams, Katherine P. & Guissou, Rosemonde, 2018. "Household demand persistence for child micronutrient supplementation," Journal of Health Economics, Elsevier, vol. 62(C), pages 147-164.
    11. Paulina Oliva & B. Kelsey Jack & Samuel Bell & Elizabeth Mettetal & Christopher Severen, 2020. "Technology Adoption under Uncertainty: Take-Up and Subsequent Investment in Zambia," The Review of Economics and Statistics, MIT Press, vol. 102(3), pages 617-632, July.
    12. Dammert, Ana C. & Galdo, Jose C. & Galdo, Virgilio, 2014. "Preventing dengue through mobile phones: Evidence from a field experiment in Peru," Journal of Health Economics, Elsevier, vol. 35(C), pages 147-161.
    13. Abhijit V. Banerjee & Esther Duflo, 2009. "The Experimental Approach to Development Economics," Annual Review of Economics, Annual Reviews, vol. 1(1), pages 151-178, May.
    14. Alem, Yonas & Hassen, Sied & Köhlin, Gunnar, 2023. "Decision-making within the household: The role of division of labor and differences in preferences," Journal of Economic Behavior & Organization, Elsevier, vol. 207(C), pages 511-528.
    15. Sylvain Chassang & Gerard Padro I Miquel & Erik Snowberg, 2012. "Selective Trials: A Principal-Agent Approach to Randomized Controlled Experiments," American Economic Review, American Economic Association, vol. 102(4), pages 1279-1309, June.
    16. Alem, Yonas & Hassen, Sied & Köhlin, Gunnar, 2018. "Decision-making within the Household: The Role of Autonomy and Differences in Preferences," Working Papers in Economics 724, University of Gothenburg, Department of Economics.
    17. Joseph Goeb & Andrew Dillon & Frank Lupi & David Tschirley, 2020. "Pesticides: What You Don’t Know Can Hurt You," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 7(5), pages 801-836.
    18. 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.
    19. Whittington, Dale & Jeuland, Marc & Barker, Kate & Yuen, Yvonne, 2012. "Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries," World Development, Elsevier, vol. 40(8), pages 1546-1568.
    20. Islam, Asad & Kusnadi, Gita & Rezki, Jahen & Sim, Armand & van Empel, Giovanni & Vlassopoulos, Michael & Zenou, Yves, 2024. "Addressing vaccine hesitancy using local ambassadors: A randomized controlled trial in Indonesia," European Economic Review, Elsevier, vol. 163(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    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:cdl:ucscec:qt24715228. 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: Lisa Schiff (email available below). General contact details of provider: https://edirc.repec.org/data/ecucsus.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.