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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in ABSTRACTInadequate access to safe water and sanitation services coupled with poor hygiene practices continues to kill, sicken and diminish opportunities of millions of people in developing countries. Various interventions to improve drinking water quality and service levels, sanitation and hygiene (WSH) have been applied, albeit in isolated approaches. Relevant literature focused on assessing the cost and health effectiveness of such approaches. In parallel, irrigation in agriculture, which affects all the water cycle and thus drinking water quality and quantity, has been developed without looking into the consequences for WSH. In this paper, we argue that the 'nexus' approach should take peoples' multiple water needs as a starting point for providing integrated services and thus move beyond conventional sectoral barriers of domestic and productive sectors. Isolated approaches have their drawbacks missing out on positive externalities on health and nutrition outcomes. We also argue that (the prospect of) a holistic approach including WSH and agriculture sectors for a long term health and nutrition impact should be explored. The paper reviews the body of literature dealing with WSH and irrigation agriculture, synthesizes the remarks thereof and concludes with suggestions to unravel the 'nexus' between WSH and agriculture for a long term health and nutrition impact.

Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in AbstractRecently, many emerging countries have established subsidized health insurance schemes to provide financial protection and support access to health care to poor households. The challenge to ensure the long term sustainability of such schemes is huge. In this paper, the impact of the health environment on the long term sustainability of a health insurance is explored, focusing on water and sanitation. India offers an interesting case to explore this question. Indeed, since 2008 India launched a fully subsidized health insurance Rashtriya Swasthya Bima Yojana (RSBY) in a context where 56% of its population does not have access to safe sanitation and 8% do not have access to safe water (JMP, 2012). A framework is proposed linking water supply and sanitation; health status of the insured population; health insurance and the productivity of households. Next, based on a literature review, the outcomes of investments in water and sanitation and health insurance are reviewed and the potential synergies and trade-offs of combing these investments are explored. In a last section, the case of India is analysed in detail, with international comparisons and further research lines are proposed.

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