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Dirty hands on troubled waters: Sanitation, access to water and child health in Ethiopia

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  • Wondimu S. Manalew
  • Vidhura S. Tennekoon
Abstract
In this paper, we investigate the impact of access to drinking water sources and sanitation facilities on the incidence of diarrheal diseases among children below 5 years of age in Ethiopia using the propensity score matching technique with a polychotomous treatment variable. We find that among the water sources traditionally considered as improved, only water piped into dwelling, yard or plot leads to a large percentage point reduction in diarrhea incidence. The other water sources, generally believed as clean, are not effective in reducing diarrhea even compared with some of the unimproved water sources. We also find that some unimproved water sources and sanitation facilities are less inferior than they are believed to be. These results suggest that the traditional way of categorizing different types of improved and unimproved water sources and sanitation facilities into a dichotomous variable, “improved” or “unimproved”, could be misleading as it masks the heterogeneous effects of the water sources and the sanitation facilities.

Suggested Citation

  • Wondimu S. Manalew & Vidhura S. Tennekoon, 2019. "Dirty hands on troubled waters: Sanitation, access to water and child health in Ethiopia," Review of Development Economics, Wiley Blackwell, vol. 23(4), pages 1800-1817, November.
    • Handle: RePEc:bla:rdevec:v:23:y:2019:i:4:p:1800-1817
    DOI: 10.1111/rode.12604
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    Cited by:

    1. Yuxiao Gao & Youhua Wang & Tao Rao, 2022. "The Effect of the Dwelling Environment on Rural Elderly Cognition: Empirical Evidence from China," Sustainability, MDPI, vol. 14(24), pages 1-14, December.
    2. Alberto Chong & Virgilio Galdo, 2021. "Direct and indirect effects of a massive piped water expansion on child‐related outcomes," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1576-1600, August.
    3. Jie Dong & Kuan Zhang & Xiguo Yin & Houjian Li & Mansoor Ahmed Koondhar, 2021. "Does piped water improve adolescent health? Empirical evidence from rural China," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1601-1628, August.
    4. Kadoukpè Gildas Magbondé & Djiby Racine Thiam & Natascha Wagner, 2024. "The Economic Impacts of Rural Water Supply Infrastructures in Developing Countries: Empirical Evidence from Senegal," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 87(10), pages 2571-2628, October.

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