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Scaling Up Sanitation: Evidence from an RCT in Indonesia

Listed author(s):
  • Cameron, Lisa A.

    ()

    (University of Melbourne)

  • Shah, Manisha

    ()

    (University of California, Los Angeles)

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.

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File URL: http://ftp.iza.org/dp10619.pdf
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Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 10619.

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Length: 36 pages
Date of creation: Mar 2017
Handle: RePEc:iza:izadps:dp10619
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References listed on IDEAS
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  1. Abhijit Banerjee & Rukmini Banerji & James Berry & Esther Duflo & Harini Kannan & Shobhini Mukherji & Marc Shotland & Michael Walton, 2016. "From Proof of Concept to Scalable Policies: Challenges and Solutions, with an Application," NBER Working Papers 22931, National Bureau of Economic Research, Inc.
  2. 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.
  3. 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.
  4. 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.
  5. repec:mpr:mprres:7255 is not listed on IDEAS
  6. 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.
  7. 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.
  8. 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.
  9. 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).
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