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Sanitation and externalities : evidence from early childhood health in rural India

Author

Listed:
  • Andres, Luis A.
  • Briceno, Bertha
  • Chase, Claire
  • Echenique, Juan A.

Abstract

This paper estimates two sources of benefits related to sanitation infrastructure access on early childhood health: a direct benefit a household receives when moving from open to fixed-point defecation or from unimproved sanitation to improved sanitation, and an external benefit (externality) produced by the neighborhood's access to sanitation infrastructure. The paper uses a sample of children under 48 months in rural areas of India from the Third Round of District Level Household Survey 2007-08 and finds evidence of positive and significant direct benefits and concave positive external effects for both improved sanitation and fixed-point defecation. There is a 47 percent reduction in diarrhea prevalence between children living in a household without access to improved sanitation in a village without coverage of improved sanitation and children living in a household with access to improved sanitation in a village with complete coverage. One-fourth of this benefit is due to the direct benefit leaving the rest to external gains. Finally, all the benefits from eliminating open defecation come from improved sanitation and not other sanitation solutions.

Suggested Citation

  • Andres, Luis A. & Briceno, Bertha & Chase, Claire & Echenique, Juan A., 2014. "Sanitation and externalities : evidence from early childhood health in rural India," Policy Research Working Paper Series 6737, The World Bank.
  • Handle: RePEc:wbk:wbrwps:6737
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    References listed on IDEAS

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    1. repec:pri:rpdevs:hammer_the_impact_of_recall_periods_on_reported_morbidity_and_health_seeking_behavior.pdf is not listed on IDEAS
    2. Dean Spears, 2012. "How much international variation in child height can sanitation explain?," Working Papers 1438, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    3. Santosh Kumar & Sebastian Vollmer, 2013. "Does Access To Improved Sanitation Reduce Childhood Diarrhea In Rural India?," Health Economics, John Wiley & Sons, Ltd., vol. 22(4), pages 410-427, April.
    4. Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012. "The impact of recall periods on reported morbidity and health seeking behavior," Journal of Development Economics, Elsevier, vol. 98(1), pages 76-88.
    5. Gunther, Isabel & Fink, Gunther, 2010. "Water, sanitation and children's health : evidence from 172 DHS surveys," Policy Research Working Paper Series 5275, The World Bank.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Calderon, Cesar & Serven, Luis, 2014. "Infrastructure, growth, and inequality : an overview," Policy Research Working Paper Series 7034, The World Bank.
    2. Borja-Vega,Christian & Briceno,Bertha & Garcia Vicente,Fernando, 2015. "Can intense exposure to hand-washing and hygiene information campaigns affect children's socio-emotional skills ? evidence from Senegal," Policy Research Working Paper Series 7472, The World Bank.
    3. Andres,Luis Alberto & Biller,S. A. Dan & Herrera Dappe,Matias, 2014. "Infrastructure gap in South Asia : inequality of access to infrastructure services," Policy Research Working Paper Series 7033, The World Bank.
    4. Dan Biller & Luis Andres & Matias Dappe, 2015. "Infrastructure Gap in South Asia: Inequality of Access to Infrastructure Services," ERSA conference papers ersa15p1485, European Regional Science Association.
    5. Stephane Hallegatte & Mook Bangalore & Laura Bonzanigo & Marianne Fay & Tamaro Kane & Ulf Narloch & Julie Rozenberg & David Treguer & Adrien Vogt-Schilb, 2016. "Shock Waves," World Bank Publications, The World Bank, number 22787.

    More about this item

    Keywords

    Hygiene Promotion and Social Marketing; Health and Sanitation; Urban Water Supply and Sanitation; Early Child and Children's Health; Population Policies;

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