Effectiveness of Large Scale Water and Sanitation Interventions: The One Million Initiative in Mozambique

Elbers, Chris; Godfrey, Sam; Gunning, Jan Willem; Velden, Michel van de; Vigh, Melinda

doi:10.2139/ssrn.2111138

Cited by 10 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A large-scale evaluation of water supply and sanitation using panel data in Mozambique finds that latrine use reduces the disease burden by a modest 3 percentage points. The overall disease burden decreased from 30 per cent at baseline to 27 per cent after the intervention (Elbers, Gunning and Vigh 2011).…”

Section: Water Sanitation and Hygienementioning

confidence: 92%

Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

Klasen

Lechtenfeld

Meier

et al. 2012

Journal of Development Effectiveness

View full text Add to dashboard Cite

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 AbstractThis article investigates the impact of piped water supply and sanitation on health outcomes in urban Yemen using a combination of quasi-experimental methods and results from microbiological water tests. Variations in project roll-out allow separate identification of water and sanitation impacts. Results indicate that access to piped water supply worsens health outcomes when water rationing is frequent, which appears to be linked to a build-up of pollution in the network. When water supply is continuous no clear health benefits are found compared to traditional urban water supply through water vendors. Connections to piped sewers can lead to health improvements, conditional on regular water supply. The findings suggest that investments in piped water supply should not be made when availability and reliability of water cannot be guaranteed.

show abstract

Section: Water Sanitation and Hygienementioning

confidence: 92%

Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

Klasen

Lechtenfeld

Meier

et al. 2012

Journal of Development Effectiveness

View full text Add to dashboard Cite

show abstract

“…The recent popularity of CLTS has generated a large body of research designed to estimate its impacts. Over the past decade, numerous randomized controlled trials and field studies have been conducted to estimate the effects of CLTS on a range of outcomes, such as reduction in open defecation, increase in latrine ownership, and reduction in diarrhea prevalence (Pattanayak et al, 2009;Elbers et al, 2012;Cameron et al, 2013;Patil et al, 2014;Guiteras et al, 2015;Pickering et al, 2015;BDS-Center for Development Research, 2016;Hammer & Spears, 2016;Makotsi et al, 2016;Crocker et al, 2016a, b;Crocker et al, 2017a;Briceño et al, 2017;Orgill-Meyer et al, 2019). However, no benefit-cost analyses (BCAs) of CLTS interventions have incorporated the body of new evidence emerging from these studies.…”

Section: Introductionmentioning

confidence: 99%

“… 9 The systematic review included, among other studies, nine of the CLTS we reviewed for this paper: Pattanayak et al (2009), Elbers et al (2012), Cameron et al (2013), Hammer and Spears (2013), Clasen et al (2014), Patil et al (2014), Briceño et al (2015), Guiteras et al (2015), and Pickering et al (2015). …”

mentioning

confidence: 99%

Benefit–Cost Analysis of Community-Led Total Sanitation: Incorporating Results from Recent Evaluations

Radin

Jeuland

Wang

et al. 2020

J. Benefit Cost Anal.

View full text Add to dashboard Cite

We analyze the economic costs and benefits of “community-led total sanitation” (CLTS), a sanitation intervention that relies on community-level behavioral change, in a hypothetical rural region in sub-Saharan Africa with 200 villages and 100,000 people. The analysis incorporates data on the effectiveness of CLTS from recent randomized controlled trials and other evaluations. The net benefits of this intervention are estimated both with and without the inclusion of a positive health externality, that is, the additional reduction in diarrhea for an individual when a sufficient proportion of other individuals in the community construct and use latrines and thereby decrease the overall load of waterborne pathogens and fecal bacteria in the environment. We find that CLTS interventions would pass a benefit–cost test in many situations, but that outcomes are not as favorable as some previous studies suggest. The model results are sensitive to baseline conditions, including the value of time, income level used to calculate the value of a statistical life, discount rate, case fatality rate, diarrhea incidence, and time spent traveling to defecation sites. We conclude that many communities likely have economic investment opportunities that are more attractive than CLTS, and recommend careful economic analysis of CLTS in specific locations.

show abstract

“…Elbers et al (2012) 18 Since the purpose is simply to illustrate the method we restrict the example to the specification of section 3, i.e. we do not consider the case of section 4 where X has an effect on P. Elbers et al (2012) describe the Initiative.…”

mentioning

confidence: 99%

“…Since the interventions were targeted on poorer communities there are significant differences between the baseline characteristics of these four groups. Elbers et al (2012) used the survey data for a double difference regression shown in the first column in Table 1. Health status was measured by a dummy variable indicating whether any household member was affected by water-borne diseases in the 6 months preceding the interview.…”

mentioning

confidence: 99%

Evaluation of Development Programs: Using Regressions to Assess the Impact of Complex Interventions

Elbers

Gunning

2012

SSRN Journal

Self Cite

View full text Add to dashboard Cite

Effectiveness of Large Scale Water and Sanitation Interventions: The One Million Initiative in Mozambique

Cited by 10 publications

References 8 publications

Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

Benefit–Cost Analysis of Community-Led Total Sanitation: Incorporating Results from Recent Evaluations

Evaluation of Development Programs: Using Regressions to Assess the Impact of Complex Interventions

Contact Info

Product

Resources

About