Expanding Access to Clean Water for the Rural Poor: Experimental Evidence from Malawi

Working Paper: CEPR ID: DP15095

Authors: Pascaline Dupas; Basimenye Nhlema; Zachary Wagner; Aaron Wolf; Emily Wroe

Abstract: Using data from an 18-month randomized trial, we estimate large and sustained impacts on water purification and child health of a program providing monthly coupons for free water treatment solution (diluted chlorine) to households with young children. The program is more effective and much more cost-effective than asking Community Health Workers (CHWs) to distribute free chlorine to households during routine monthly visits. That is because only 40% of households make use of free chlorine, targeting through CHWs is worse than self-targeting through coupon redemption, and water treatment promotion by CHWs does not increase chlorine use among free chlorine beneficiaries. Non-use of free chlorine is driven by households who have a protected water source and those who report that chlorine makes water taste bad.

Keywords: Community Health Workers; Chlorine; Targeting; Child Health

JEL Codes: D10; O12; I11; I12


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Protected Water Source (Q25)Chlorine Usage (L95)
Taste Preferences (D11)Chlorine Usage (L95)
Coupon Program (C88)Chlorine Usage (L95)
Chlorine Usage (L95)Child Illnesses (I19)
CHW Interventions (I19)Chlorine Usage (L95)
CHW Interventions (I19)Child Illnesses (I19)

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