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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, Berkeley)

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 of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp10619
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    References listed on IDEAS

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    1. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    2. 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.
    3. Abhijit Banerjee & Rukmini Banerji & James Berry & Esther Duflo & Harini Kannan & Shobhini Mukherji & Marc Shotland & Michael Walton, 2016. "Mainstreaming an Effective Intervention: Evidence from Randomized Evaluations of “Teaching at the Right Level” in India," NBER Working Papers 22746, National Bureau of Economic Research, Inc.
    4. 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.
    5. 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.
    6. 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.
    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, vol. 21(5), pages -827, November.
    8. 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.
    9. Lant Pritchett & Salimah Samji & Jeffrey S. Hammer, 2012. "It's All about MeE: Using Structured Experiential Learning ('e') to Crawl the Design Space," WIDER Working Paper Series wp-2012-104, World Institute for Development Economic Research (UNU-WIDER).
    10. 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.
    11. Christopher B. Barrett & Michael R. Carter, 2010. "The Power and Pitfalls of Experiments in Development Economics: Some Non-random Reflections," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 32(4), pages 515-548.
    12. Greg J. Duncan & Katherine Magnuson, 2013. "Investing in Preschool Programs," Journal of Economic Perspectives, American Economic Association, vol. 27(2), pages 109-132, Spring.
    13. 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.
    14. Avdeenko, Alexandra & Gilligan, Michael J., 2015. "International Interventions to Build Social Capital: Evidence from a Field Experiment in Sudan," American Political Science Review, Cambridge University Press, vol. 109(3), pages 427-449, August.
    15. Eva Vivalt, 0. "How Much Can We Generalize From Impact Evaluations?," Journal of the European Economic Association, European Economic Association, vol. 18(6), pages 3045-3089.
    16. Katherine Casey & Rachel Glennerster & Edward Miguel, 2012. "Reshaping Institutions: Evidence on Aid Impacts Using a Preanalysis Plan," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(4), pages 1755-1812.
    17. 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.
    18. repec:mpr:mprres:7255 is not listed on IDEAS
    19. Ghazala Mansuri, 2004. "Community-Based and -Driven Development: A Critical Review," The World Bank Research Observer, World Bank, vol. 19(1), pages 1-39.
    20. 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.
    21. 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).
    22. 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.
    23. repec:pri:rpdevs:gamespaper.pdf is not listed on IDEAS
    24. 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.
    25. 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.
    26. 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.
    27. Paul Gertler & Manisha Shah & Maria Laura Alzua & Lisa Cameron & Sebastian Martinez & Sumeet Patil, 2015. "How Does Health Promotion Work? Evidence From The Dirty Business of Eliminating Open Defecation," NBER Working Papers 20997, National Bureau of Economic Research, Inc.
    28. Duflo, Esther & Banerjee, Abhijit & Banerji, Rukmini & Berry, James & Mukerji, Shobhini & Shotland, Marc & Walton, Michael & Kannan, Harini, 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.
    29. 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.
    30. Margaret E Kruk & Gavin Yamey & Sonia Y Angell & Alix Beith & Daniel Cotlear & Frederico Guanais & Lisa Jacobs & Helen Saxenian & Cesar Victora & Eric Goosby, 2016. "Transforming Global Health by Improving the Science of Scale-Up," PLOS Biology, Public Library of Science, vol. 14(3), pages 1-16, March.
    31. 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.
    32. Karthik Muralidharan & Paul Niehaus, 2017. "Experimentation at Scale," Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 103-124, Fall.
    33. 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.
    34. Macours, Karen & Bouguen, Adrien & Filmer, Deon & 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.
    35. Philippe Aghion & Steven Durlauf (ed.), 2005. "Handbook of Economic Growth," Handbook of Economic Growth, Elsevier, edition 1, volume 1, number 1.
    36. Christiaan Grootaert & Thierry Van Bastelar, 2002. "Understanding and Measuring Social Capital : A Multidisciplinary Tool for Practitioners," World Bank Publications - Books, The World Bank Group, number 14098.
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    More about this item

    Keywords

    development; scale up; sanitation; impact evaluation; health;
    All these keywords.

    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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