Financial incentives for sanitation take-up: A randomized control trial in rural Vietnam

IF 3.4 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2024-07-07 DOI:10.1016/j.jhealeco.2024.102916
Cuong Viet Nguyen , Tung Duc Phung
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Abstract

This study assesses the impact of financial incentives on hygienic latrine ownership by poor/near-poor households in Vietnam. Rural communes were randomly assigned to a control group and three treatment arm groups: (T1) a rebate for households that installed a hygienic latrine; (T2) a financial reward for commune governments if the proportion of hygienic latrines in their commune increased by 30 percentage points; (T3) both a household rebate and a commune reward. We find a strong and positive effect from the household rebate (treatment arms 1 and 3) but an insignificant effect from the commune reward (treatment arm 2) on household ownership of a septic tank latrine. Our analysis provides suggestive evidence that microcredit is a channel through which a rebate encourages the installation of septic tank latrines. We also find that treatment arm 3 increases people's knowledge regarding sanitation and the availability of water and soap for handwashing within households.

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促进卫生设施使用的财政激励措施:越南农村随机对照试验
本研究评估了经济激励措施对越南贫困/近乎贫困家庭拥有卫生厕所的影响。农村乡镇被随机分配到一个对照组和三个处理组:(T1)对安装卫生厕所的家庭给予回扣;(T2)如果乡镇的卫生厕所比例提高了 30 个百分点,乡镇政府将获得财政奖励;(T3)同时给予家庭回扣和乡镇奖励。我们发现,家庭返利(处理方案 1 和 3)对家庭拥有化粪池厕所有很强的积极影响,但乡镇奖励(处理方案 2)对家庭拥有化粪池厕所的影响并不显著。我们的分析提供了提示性证据,表明小额贷款是鼓励安装化粪池厕所的一个渠道。我们还发现,治疗方案 3 提高了人们对环境卫生的认识,以及家庭内洗手用水和肥皂的可用性。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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