Scaling Up Sanitation: Evidence from an RCT in Indonesia

36 Pages Posted: 26 Mar 2017

See all articles by Lisa A. Cameron

Lisa A. Cameron

University of Melbourne - Melbourne Institute of Applied Economic and Social Research; IZA Institute of Labor Economics; J-PAL

Manisha Shah

UCLA Department of Public Policy; NBER

Abstract

This paper evaluates the effectiveness of a widely used sanitation intervention, Community-Led Total Sanitation (CLTS), using a randomized controlled trial. The intervention was implemented at scale across rural East Java in Indonesia. CLTS increases toilet construction, reduces roundworm infestations, and decreases community tolerance of open defecation. Financial constraints faced by poorer households limit their ability to improve sanitation. We also examine the program's scale up process which included local governments taking over implementation of CLTS from professional resource agencies. The results suggest that all of the sanitation and health benefits accrue from villages where resource agencies implemented the program, while local government implementation produced no discernible benefits.

Keywords: impact evaluation, sanitation, scale up, development, health

JEL Classification: O12, I15

Suggested Citation

Cameron, Lisa A. and Shah, Manisha, Scaling Up Sanitation: Evidence from an RCT in Indonesia. IZA Discussion Paper No. 10619. Available at SSRN: https://ssrn.com/abstract=2940609

Lisa A. Cameron (Contact Author)

University of Melbourne - Melbourne Institute of Applied Economic and Social Research ( email )

Level 5, FBE Building, 111 Barry Street
Parkville, Victoria 3010
Australia

IZA Institute of Labor Economics ( email )

P.O. Box 7240
Bonn, D-53072
Germany

HOME PAGE: http://www.iza.org/en/webcontent/personnel/photos/index_html?key=744

J-PAL ( email )

66 bis avenue Jean Moulin
Paris, 75014
France

HOME PAGE: http://www.povertyactionlab.org/cameron

Manisha Shah

UCLA Department of Public Policy ( email )

Box 951656
Los Angeles, CA 90095-1656
United States

HOME PAGE: http://publicaffairs.ucla.edu/manisha-shah

NBER ( email )

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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