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Scaling Up Sanitation: Evidence from an RCT in Indonesia

Author

Listed:
  • Cameron, Lisa A.

    () (University of Melbourne)

  • Shah, Manisha

    () (University of California, Los Angeles)

Abstract

This paper evaluates the effectiveness of a widely used sanitation intervention, Community-Led Total Sanitation (CLTS), using a randomized controlled trial. The intervention was implemented at scale across rural East Java in Indonesia. CLTS increases toilet construction, reduces roundworm infestations, and decreases community tolerance of open defecation. Financial constraints faced by poorer households limit their ability to improve sanitation. We also examine the program's scale up process which included local governments taking over implementation of CLTS from professional resource agencies. The results suggest that all of the sanitation and health benefits accrue from villages where resource agencies implemented the program, while local government implementation produced no discernible benefits.

Suggested Citation

  • Cameron, Lisa A. & Shah, Manisha, 2017. "Scaling Up Sanitation: Evidence from an RCT in Indonesia," IZA Discussion Papers 10619, Institute for the Study of Labor (IZA).
  • Handle: RePEc:iza:izadps:dp10619
    as

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    References listed on IDEAS

    as
    1. 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.
    2. Abhijit Banerjee & Rukmini Banerji & James Berry & Esther Duflo & Harini Kannan, 2016. "From Proof of Concept to Scalable Policies: Challenges and Solutions, with an Application," Working Papers id:11516, eSocialSciences.
    3. 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.
    4. Samia Amin & Anu Rangarajan & Evan Borkum, 2011. "Improving Sanitation at Scale: Lessons from TSSM Implementation in East Java, Indonesia," Mathematica Policy Research Reports a1cbdc1d9d9c4144a1a20332a, Mathematica Policy Research.
    5. 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.
    6. 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.
    7. repec:mpr:mprres:7255 is not listed on IDEAS
    8. 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.
    9. 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.
    10. 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.
    11. Cameron, Lisa A. & Olivia, Susan & Shah, Manisha, 2015. "Initial Conditions Matter: Social Capital and Participatory Development," IZA Discussion Papers 9563, Institute for the Study of Labor (IZA).
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    impact evaluation; sanitation; scale up; development; health;

    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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