Research >> Sanitation

The paper reports on two surveys. The first survey visited rural Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh in late 2018. It collected data on 9,812 people and interviewed 156 local government officials. The second survey, in Udaipur district, visited...Read More..

An analysis of child height-for-age using the newly released data from the National Family Health Survey-4 indicates that the average child height increased by about four-tenths of a height-for-age standard deviation between 2005 and 2015. Although important, this increase is...Read More..

The Government of India’s NFHS-4 offers the best new data on open defecation in rural India to be released in over a decade. Although open defecation has become less common than it was ten years ago, it is still highly...Read More..

Open defecation, which is still practiced by about a billion people worldwide, is one of the most examples of how place influences health in developing countries. Because of the negative healthy externalities of open defecation, eliminating it is a priority...Read More..

Open defecation in rural India presents a puzzle: India has far higher open defecation rates than other developing regions where people are poorer, literacy rates are lower, and water is more scarce.  Because open defecation has terrible consequences for health,...Read More..

Anemia impairs physical and cognitive development in children and reduces human capital accumulation. The prior economics literature has focused on the role of inadequate nutrition in causing anemia. This paper is the first to show that sanitation, a public good,...Read More..

A long literature in demography has debated the importance of place for health, especially children’s health. In this study, we assess whether the importance of dense settlement for infant mortality and child height is moderated by exposure to local sanitation...Read More..

Uniquely widespread and persistent open defecation in rural India has emerged as an important policy challenge and puzzle about behavioral choice in economic development. One candidate explanation is the culture of purity and pollution that reinforces and has its origins...Read More..

Child height is an important indicator of human capital and human development, in large part because early life health and net nutrition shape both child height and adult economic productivity and health. Between 2005 and 2010, the average height of...Read More..

Aashish, Diane & Dean wrote a chapter for the book "Sustainable Sanitation for all: Experiences, challenges and innovations", published by Practical Action and edited by Petra Bongartz, Naomi Vernon and John Fox. The abstract of the chapter is pasted below, and...Read More..

A paper by Payal, Dean, and Diane, published in Waterlines. Abstract:  The world’s remaining open defecation is increasingly concentrated in rural India. The Indian government’s efforts to reduce open defecation by providing subsidies for latrine construction have been largely unsuccessful...Read More..

Over a billion people worldwide defecate in the open, with important consequences for early-life health and human capital accumulation in developing countries. We report a cluster randomized controlled trial of a village sanitation intervention conducted in rural Maharashtra, India designed...Read More..

India's experience presents a puzzle at odds with a basic fact of household economics: amidst unprecedented economic growth, average per capita daily calorie consumption has declined in recent decades. Does an improving disease environment explain the calorie decline? A diminished...Read More..

The first part of this chapter reviews evidence from the literature of a large effect of open defecation on child height that can account for important international differences. The second part of the chapter presents new empirical results using the...Read More..

A growing literature indicates that effects of early-life health on adult economic outcomes could be substantial in developing countries, but the magnitude of this effect is debated. We document a robust gradient between the early-life mortality environment to which men...Read More..

Ending open defecation in the developing world has gained significant policy attention recently, motivated by the idea that private demand for latrines lies below the social optimum. We investigate the mortality externalities of poor sanitation by exploiting differences in latrine...Read More..