Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries

Whittington, Dale; Jeuland, March; Barker, Kathryn M.; Yuen, Yvonne

doi:10.1016/j.worlddev.2012.03.004

Cited by 90 publications

(94 citation statements)

References 62 publications

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“…8 Other research has shown substantial differences among countries in the effectiveness of water, sanitation, and hygiene interventions to prevent disease. 17 Such variability between countries, and possibly within countries, makes a single, uniform, global policy particularly difficult. Future research is needed to elucidate circumstances under which sharing is more harmful.…”

Section: Discussionmentioning

confidence: 99%

Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011

Fuller¹,

Clasen²,

Heijnen³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. Shared sanitation is defined as unimproved because of concerns that it creates unsanitary conditions; this policy is being reconsidered. We assessed whether sharing a toilet facility was associated with an increased prevalence of diarrhea among children 5 years of age. We use data from Demographic and Health Surveys conducted in 51 countries. Crude and adjusted prevalence ratios (PRs) for diarrhea, comparing children from households that used a shared facility with children from households that used a non-shared facility, were estimated for each country and pooled across countries. Unadjusted PRs varied across countries, ranging from 2.15 to 0.65. The pooled PR was 1.09; differences in socioeconomic status explained approximately half of this increased prevalence (adjusted PR = 1.05). Shared sanitation appears to be a risk factor for diarrhea although differences in socioeconomic status are important. The heterogeneity across countries, however, suggests that the social and economic context is an important factor.

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Section: Discussionmentioning

confidence: 99%

Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011

Fuller¹,

Clasen²,

Heijnen³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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“…Taken together, such changes could make a large difference. In practical terms, however, identifying and agreeing on affordable sanitation options is almost inevitably a serious challenge, and one that is compounded by the considerable uncertainty surrounding the benefits of sanitation (Whittington, Jeuland, Barker, & Yuen, 2012).…”

Section: The Challenge Of Affordability Versus Acceptabilitymentioning

confidence: 99%

Realizing the Right to Sanitation in Deprived Urban Communities: Meeting the Challenges of Collective Action, Coproduction, Affordability, and Housing Tenure

McGranahan

2015

World Development

118

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There are serious institutional challenges associated with low-cost sanitation in deprived urban communities. These include a collective action challenge, a coproduction challenge, a challenge of affordability versus acceptability, and a challenge related to housing tenure. This paper examines these challenges, revealing both the importance of community-driven sanitation improvement and its difficulties. The nature of the challenges, and the means by which two successful community-driven initiatives have overcome them, suggest that while recognizing the human right to sanitation is important this should not be taken to imply that typical rights-based approaches are the appropriate means of realizing this right.

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“…Sanitation programs that depend on collective action by communities may be more effective than government subsidies, but they offer less opportunity for political attribution, and therefore attract less political support (WSP, 2011). Uncertainty about the level of consumer uptake of certain water, sanitation and preventive health interventions (e.g., bed-nets, vaccinations and point-of-use water treatment) makes it difficult to calculate their cost and benefits, reducing their political appeal (Whittington, Jeuland, Barker, & Yuen, 2012). Development agencies sometimes have to guard their funds against diversion High excludability: possibility of excluding some users and targeting services to favor particular individuals or groups.…”

Section: (Iv) Attributabilitymentioning

confidence: 99%

The Politics of Public Services: A Service Characteristics Approach

Batley

Mcloughlin

2015

World Development

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Politics is widely regarded as affecting and being affected by the performance of public services, yet little research differentiates between services in exploring these effects. The article addresses this gap by proposing a framework for understanding and comparing the politics of different services. It identifies how the nature of the good, type of market failure, tasks involved in delivery, and demand for a service-hitherto regarded largely as economic and managerial concerns-affect political commitment, organizational control, and user power. Policy responses can be targeted to address service characteristics where they present opportunities or constraints to better services.

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Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries

Cited by 90 publications

References 62 publications

Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011

Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011

Realizing the Right to Sanitation in Deprived Urban Communities: Meeting the Challenges of Collective Action, Coproduction, Affordability, and Housing Tenure

The Politics of Public Services: A Service Characteristics Approach

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