Water, Sanitation and Children's Health: Evidence from 172 DHS Surveys

38 Pages Posted: 20 Apr 2016

See all articles by Isabel Günther

Isabel Günther

ETH Zürich - Department of Humanities, Social and Political Sciences (GESS)

Günther Fink

Harvard University - Department of Population and International Health

Date Written: April 1, 2010

Abstract

This paper combines 172 Demography and Health Survey data sets from 70 countries to estimate the effect of water and sanitation on child mortality and morbidity. The results show a robust association between access to water and sanitation technologies and both child morbidity and child mortality. The point estimates imply, depending on the technology level and the sub-region chosen, that water and sanitation infrastructure lowers the odds of children to suffering from diarrhea by 7-17 percent, and reduces the mortality risk for children under the age of five by about 5-20 percent. The effects seem largest for modern sanitation technologies and least significant for basic water supply. The authors also find evidence for the Mills-Reincke Multiplier for both water and sanitation access as well as positive health externalities for sanitation investments. The overall magnitude of the estimated effects appears smaller than coefficients reported in meta-studies based on randomized field trials, suggesting limits to the scalability and sustainability of the health benefits associated with water and sanitation interventions.

Keywords: Health Monitoring & Evaluation, Hygiene Promotion and Social Marketing, Town Water Supply and Sanitation, Population Policies, Urban Water Supply and Sanitation

Suggested Citation

Günther, Isabel and Fink, Günther, Water, Sanitation and Children's Health: Evidence from 172 DHS Surveys (April 1, 2010). World Bank Policy Research Working Paper No. 5275. Available at SSRN: https://ssrn.com/abstract=1593423

Isabel Günther (Contact Author)

ETH Zürich - Department of Humanities, Social and Political Sciences (GESS) ( email )

ETH-Zentrum SEW E 26
CH-8092 Zurich, Zurich 8006
Switzerland

Günther Fink

Harvard University - Department of Population and International Health ( email )

665 Huntington Avenue
Boston, MA 02115
United States

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