Does Piped Water Reduce Diarrhea For Children In Rural India

Children's health improves on average as a result of policy interventions that expand access to piped water. However, the gains largely bypass children in poor and poorly educated families.

August 2001Children's health improves on average as a result of policy interventions that expand access to piped water. However, the gains largely bypass children in poor and poorly educated families.The effects of public investments aimed at directly improving children's health are theoretically ambiguous, since the outcomes also depend on indirect effects through parental inputs. Jalan and Ravallion investigate the role of such inputs in influencing the incidence of child health gains from access to piped water in rural India.Using propensity score matching methods, they find that the prevalence and duration of diarrhea among children under five are significantly less on average for families with piped water than for families without it. But health gains largely bypass children in poor families, particularly when the mother is poorly educated. The authors' findings point to the importance of combining infrastructure investments with effective public action to promote health knowledge and income poverty reduction.This paper - a product of Poverty, Development Research Group - is part of a larger effort in the group to better measure and understand the welfare impacts of development projects. The study was funded by the Bank's Research Support Budget under the research project quot;Policies for Poor Areasquot; (RPO 681-39). The authors may be contacted at [email protected] or [email protected].

In this dissertation, three independent research papers are joined together by the common research theme of 'Women's access to household water' in India. The first two papers are based on the self-collected data from selected villages of Jharkhand, India. In these papers, I am studying the role of behavioral factors, like water quality perceptions and water handling practices in determining source choices, drinking water quality, and risk of diarrhea for women in rural households. The third paper uses the data provided by the Indian Human Development Survey and analyses the effect of access to piped water on women's time use and absenteeism from school for children in rural India. In the first paper, I use panel data collected for 30 villages in Jharkhand, under a household fixed effect model to study the reasons for low drinking water quality and its implications for health costs. The E. coli test results for water samples collected from the field are used as a proxy for water quality. We find that choosing safe water sources improves drinking water quality, but contamination can still happen at home. Thus, the households that use water filters and wash hands tend to have significantly better water quality and lower risk of diarrhea. In the second paper, I use revealed and stated preference data from Jharkhand to explore the role of perceptions of water quality in drinking water source choices when the physical quality of water is not known. A mixed logit model is used for this analysis. We find that taste and color based quality perceptions are significant determinants of drinking water source choices. Furthermore, households are willing to pay between 4 to 68 and between 2 to 40 U.S. Dollars per month for improvements in the taste and color of their drinking water. In the third paper, I study the impact of households' access to piped water on time savings and school attendance for children in rural India by using child and household fixed effects along with the non-self-community ratio as an instrumental variable for piped water. The results indicate that there are time savings for families that have access to piped water, which in turn reduces the number of days children miss school annually by 35 percent. We do not find any differences in school absenteeism by the gender of the child in rural India.

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Van der Klaauw and Wang focus on infant and child mortality in rural areas of India. They construct a flexible duration model framework that allows for frailty at multiple levels and interactions between the child's age and individual socioeconomic, and environmental characteristics. The model is estimated using the 1998-99 wave of the Indian National Family and Health Survey. The estimated results show that socioeconomic and environmental characteristics have significantly different effects on mortality rates at different ages. These are particularly important immediately after birth. The authors use the estimated model for policy experiments. These indicate that child mortality can be reduced substantially, particularly by improving the education of women and reducing indoor air pollution caused by cooking fuels. In addition, providing access to electricity and sanitation facilities can reduce under-five-years mortality rates significantly. This paper--a product of the Environment Department--is part of a larger effort in the department to improve our understanding of environmental determinants of child mortality in rural India.

Almost nine million children under 5 years of age die every year. Diarrhea is considered to be the second leading cause of under-five mortality in developing countries. About one out of five deaths is caused by diarrhea. In this paper, we use the newly available data set District Level Household Survey 3 to quantify the impact of access to improved sanitation on diarrheal morbidity for children less than 5 years of age in India. Using propensity score matching, we find that access to improved sanitation reduces the risk of contracting diarrhea by 2.2 percentage points. There is considerable heterogeneity in the impacts of improved sanitation. We find statistically insignificant treatment effects for children in low or middle socioeconomic status households and for girls; however, boys and children in high socioeconomic status households experienced economically significant treatment effects. The magnitude of the treatment effect differs largely by hygiene behavior.

This book highlights the multi-pronged strategy for achieving sustainable rural domestic water supply in India. It deepens the understanding of groundwater (predominant source of water supply) behaviour in response to natural processes in different geological settings, analyses the factors influencing the performance of water supply schemes; identifies the conditions under which groundwater-based drinking water sources become sustainable, suggests measures for improving the sustainability of drinking water wells in hard rock regions (covering 2/3rd of India’s geographical area), presents a decision-making framework for planning rural water supply schemes in the country for ensuring long-term sustainability, and suggests physical strategies and policy measures for achieving them. The analyses for development and validation of various models that explain groundwater system behaviour and performance of rural water supply schemes are undertaken for different geological settings in Maharashtra, as the state represents a microcosm of the various hydrological, topographical, and geohydrological conditions encountered in the country. The final analysis for proposing nation-wide strategies considers the various hydrological, geological, geohydrological, and topographical and climatic settings and groundwater contamination and pollution in the country.

Identifying policies which can improve water sector management is critically important given the global burden of water-related disease. Each year, 1 in 10 child deaths—roughly 800,000 in total—is the direct result of diarrhea. Can private-sector participation (PSP) in the urban piped water sector improve child health? The author uses child-level data from 39 African countries during 1986–2010 to show that introducing PSP decreases diarrhea among urban dwelling children under five years of age by 5.6 percentage points, or 35 percent of its mean prevalence. PSP also leads to greater reliance on piped water. To attribute causality, the author exploits time variation in the private water market share controlled by African countries’ former colonizers. A placebo analysis reveals that PSP does not affect symptoms of respiratory illness in the same children, nor does it affect a rural control group unaffected by PSP.

There are fewer people living in extreme poverty in the world today than 30 years ago. While that is an achievement, continuing progress for poor people is far from assured. Inequalities in access to key resources threaten to stall growth and poverty reduction in many places. The world's poorest have made only a small absolute gain over those 30 years. Progress has been slow against relative poverty as judged by the standards of the country and time one lives in, and a great many people in the world's emerging middle class remain vulnerable to falling back into poverty. The Economics of Poverty reviews critically past and present debates on poverty, spanning both rich and poor countries. The book provides an accessible new synthesis of current economic thinking on key questions: How is poverty measured? How much poverty is there? Why does poverty exist, and is it inevitable? What can be done to reduce poverty? Can it even be eliminated? The book does not assume that readers know economics already. Those new to the subject get a lot of help along the way in understanding its concepts and methods. Economics lives through its relevance to real world problems, and here the problem of poverty is both the central focus and a vehicle for learning.

This book talks about the Indian political regime after 2014. It explores the changing meaning of diaspora and reflects upon the nature and features of Diaspora Policy of Prime Minister Modi and its impact on the changing perception about India in the world. The book also gives a glimpse of gender based perspective on how security of the environment promotes gender security. It also explores the adequate options existing for women to participate in order to improve human security in current political regime. A review of social welfare policies of current government is another highlight of this book; the present Government’s social welfare schemes aim to make programmes and schemes more efficient and give priority to empowerment of the vulnerable sections of the society including women, children and the marginalised. It also emphasises on the fact that Indian federalism is conducive to the social structure of India which has a plural and multicultural socio-cultural split. Furthermore it explains about how India followed a geopolitical code of regional ‘brothers’, a foreign policy belief system. The issue of Maoism and failure of the policy is also discussed in this tome. There is an emphasis on National Security which symbolizes a sense of confidence that the government of a sovereign state is able to instill into its citizenry through its proactive approach and actions. Moreover there is an enhanced focus on the increasingly localised economic development, which is a global concern, and currently gaining momentum.