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

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 technolog...

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Bibliographic Details
Main Authors: Gunther, Isabel, Fink, Gunther
Format: Policy Research Working Paper
Language:English
Published: 2012
Subjects:
HIV
TV
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20100419124219
http://hdl.handle.net/10986/3762
id okr-10986-3762
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic ACCESS TO SAFE DRINKING WATER
ACCESS TO SANITATION
ACCESS TO WATER
BASIC SANITATION
BASIC WATER SUPPLY
BEHAVIORAL CHANGE
BENEFITS OF SANITATION
BETTER HYGIENIC PRACTICES
BULLETIN
CHILD DEATH
CHILD HEALTH
CHILD MORBIDITY
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHILDHOOD DIARRHOEA
CHOLERA
CHOLERA EPIDEMIC
CONNECTIONS
DEATHS OF CHILDREN
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DIARRHEA
DIARRHEAL DISEASE
DIARRHEAL DISEASES
DRINKING WATER
DRINKING WATER SUPPLY
EARLY CHILDHOOD
ENVIRONMENTAL HEALTH
EPIDEMIOLOGY
FAMILY MEMBERS
FLUSH TOILET
FLUSH TOILETS
FORMAL EDUCATION
GLOBAL DEVELOPMENT
GLOBAL WATER SUPPLY
GROUND WATER
HEALTH CARE
HEALTH EFFECTS
HEALTH IMPACT
HEALTH INTERVENTIONS
HEALTH OUTCOMES
HEALTH RISK
HEALTH RISKS
HELMINTHES
HISTORICAL CONTRIBUTION
HIV
HOUSEHOLD LEVEL
HOUSEHOLD SIZE
HOUSEHOLDS
HUMAN DEVELOPMENT
HYGIENE
HYGIENE BEHAVIOR
HYGIENE EDUCATION
HYGIENE EDUCATION PROGRAMS
ILLNESS
IMMUNE SYSTEM
IMPACT OF POPULATION
IMPACT ON CHILDREN
IMPROVEMENT OF WATER SUPPLY
INADEQUATE WATER
INFANT
INFANT MORTALITY
INFECTIOUS DISEASES
INTERNATIONAL COMMUNITY
INTERVENTION
INVESTMENTS IN SANITATION
JOURNAL OF EPIDEMIOLOGY
LACK OF WATER
MALARIA
MARITAL STATUS
MEASLES
MILLENNIUM DEVELOPMENT GOAL
MILLENNIUM DEVELOPMENT GOALS
MORBIDITY
MORTALITY
MORTALITY DECLINE
MORTALITY RATES
MORTALITY REDUCTION
MORTALITY REDUCTIONS
MORTALITY RISK
MOTHER
NEW INFECTIONS
NUMBER OF CHILDREN
NUMBER OF PEOPLE
PERSONAL HEALTH
PERSONAL HYGIENE
PIT LATRINE
PIT LATRINES
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION DENSITY
POPULATION STUDIES
PREMATURE DEATH
PROGRESS
PUBLIC FACILITIES
PUBLIC HEALTH
PUBLIC HEALTH IMPROVEMENTS
PUBLIC LATRINE
PUBLIC LATRINES
PUBLIC SANITATION
PUBLIC STANDPIPES
PUBLIC TAP
PUBLIC WATER
QUALITY OF WATER
RADIO
RESOURCE FLOWS
RESPECT
RURAL AREAS
RURAL POVERTY
RURAL RESIDENCE
RURAL VILLAGES
SAFE DRINKING WATER
SANITATION
SANITATION ACCESS
SANITATION ASSESSMENT
SANITATION COVERAGE
SANITATION FACILITIES
SANITATION INVESTMENT
SANITATION INVESTMENTS
SANITATION TECHNOLOGY
SCHISTOSOMIASIS
SEWAGE SYSTEMS
SIBLINGS
SOCIOECONOMIC STATUS
SURFACE WATER
SUSTAINABLE ACCESS
TRANSPORTATION
TUBERCULOSIS
TV
URBAN AREAS
USE OF WATER
VACCINATION
WASTE
WATER INFRASTRUCTURE
WATER POINT
WATER QUALITY
WATER SANITATION
WATER SECTOR
WATER SOURCE
WATER SOURCES
WATER STORAGE
WATER SUPPLY
WELLS
WORLD HEALTH ORGANIZATION
YOUNG AGE
spellingShingle ACCESS TO SAFE DRINKING WATER
ACCESS TO SANITATION
ACCESS TO WATER
BASIC SANITATION
BASIC WATER SUPPLY
BEHAVIORAL CHANGE
BENEFITS OF SANITATION
BETTER HYGIENIC PRACTICES
BULLETIN
CHILD DEATH
CHILD HEALTH
CHILD MORBIDITY
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHILDHOOD DIARRHOEA
CHOLERA
CHOLERA EPIDEMIC
CONNECTIONS
DEATHS OF CHILDREN
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DIARRHEA
DIARRHEAL DISEASE
DIARRHEAL DISEASES
DRINKING WATER
DRINKING WATER SUPPLY
EARLY CHILDHOOD
ENVIRONMENTAL HEALTH
EPIDEMIOLOGY
FAMILY MEMBERS
FLUSH TOILET
FLUSH TOILETS
FORMAL EDUCATION
GLOBAL DEVELOPMENT
GLOBAL WATER SUPPLY
GROUND WATER
HEALTH CARE
HEALTH EFFECTS
HEALTH IMPACT
HEALTH INTERVENTIONS
HEALTH OUTCOMES
HEALTH RISK
HEALTH RISKS
HELMINTHES
HISTORICAL CONTRIBUTION
HIV
HOUSEHOLD LEVEL
HOUSEHOLD SIZE
HOUSEHOLDS
HUMAN DEVELOPMENT
HYGIENE
HYGIENE BEHAVIOR
HYGIENE EDUCATION
HYGIENE EDUCATION PROGRAMS
ILLNESS
IMMUNE SYSTEM
IMPACT OF POPULATION
IMPACT ON CHILDREN
IMPROVEMENT OF WATER SUPPLY
INADEQUATE WATER
INFANT
INFANT MORTALITY
INFECTIOUS DISEASES
INTERNATIONAL COMMUNITY
INTERVENTION
INVESTMENTS IN SANITATION
JOURNAL OF EPIDEMIOLOGY
LACK OF WATER
MALARIA
MARITAL STATUS
MEASLES
MILLENNIUM DEVELOPMENT GOAL
MILLENNIUM DEVELOPMENT GOALS
MORBIDITY
MORTALITY
MORTALITY DECLINE
MORTALITY RATES
MORTALITY REDUCTION
MORTALITY REDUCTIONS
MORTALITY RISK
MOTHER
NEW INFECTIONS
NUMBER OF CHILDREN
NUMBER OF PEOPLE
PERSONAL HEALTH
PERSONAL HYGIENE
PIT LATRINE
PIT LATRINES
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION DENSITY
POPULATION STUDIES
PREMATURE DEATH
PROGRESS
PUBLIC FACILITIES
PUBLIC HEALTH
PUBLIC HEALTH IMPROVEMENTS
PUBLIC LATRINE
PUBLIC LATRINES
PUBLIC SANITATION
PUBLIC STANDPIPES
PUBLIC TAP
PUBLIC WATER
QUALITY OF WATER
RADIO
RESOURCE FLOWS
RESPECT
RURAL AREAS
RURAL POVERTY
RURAL RESIDENCE
RURAL VILLAGES
SAFE DRINKING WATER
SANITATION
SANITATION ACCESS
SANITATION ASSESSMENT
SANITATION COVERAGE
SANITATION FACILITIES
SANITATION INVESTMENT
SANITATION INVESTMENTS
SANITATION TECHNOLOGY
SCHISTOSOMIASIS
SEWAGE SYSTEMS
SIBLINGS
SOCIOECONOMIC STATUS
SURFACE WATER
SUSTAINABLE ACCESS
TRANSPORTATION
TUBERCULOSIS
TV
URBAN AREAS
USE OF WATER
VACCINATION
WASTE
WATER INFRASTRUCTURE
WATER POINT
WATER QUALITY
WATER SANITATION
WATER SECTOR
WATER SOURCE
WATER SOURCES
WATER STORAGE
WATER SUPPLY
WELLS
WORLD HEALTH ORGANIZATION
YOUNG AGE
Gunther, Isabel
Fink, Gunther
Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
geographic_facet The World Region
The World Region
relation Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5275
description 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.
format Publications & Research :: Policy Research Working Paper
author Gunther, Isabel
Fink, Gunther
author_facet Gunther, Isabel
Fink, Gunther
author_sort Gunther, Isabel
title Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
title_short Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
title_full Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
title_fullStr Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
title_full_unstemmed Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys
title_sort water, sanitation and children’s health : evidence from 172 dhs surveys
publishDate 2012
url http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20100419124219
http://hdl.handle.net/10986/3762
_version_ 1764388192783433728
spelling okr-10986-37622021-04-23T14:02:12Z Water, Sanitation and Children’s Health : Evidence from 172 DHS Surveys Gunther, Isabel Fink, Gunther ACCESS TO SAFE DRINKING WATER ACCESS TO SANITATION ACCESS TO WATER BASIC SANITATION BASIC WATER SUPPLY BEHAVIORAL CHANGE BENEFITS OF SANITATION BETTER HYGIENIC PRACTICES BULLETIN CHILD DEATH CHILD HEALTH CHILD MORBIDITY CHILD MORTALITY CHILD MORTALITY RATES CHILD SURVIVAL CHILDHOOD DIARRHOEA CHOLERA CHOLERA EPIDEMIC CONNECTIONS DEATHS OF CHILDREN DEVELOPING COUNTRIES DEVELOPMENT STRATEGIES DIARRHEA DIARRHEAL DISEASE DIARRHEAL DISEASES DRINKING WATER DRINKING WATER SUPPLY EARLY CHILDHOOD ENVIRONMENTAL HEALTH EPIDEMIOLOGY FAMILY MEMBERS FLUSH TOILET FLUSH TOILETS FORMAL EDUCATION GLOBAL DEVELOPMENT GLOBAL WATER SUPPLY GROUND WATER HEALTH CARE HEALTH EFFECTS HEALTH IMPACT HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH RISK HEALTH RISKS HELMINTHES HISTORICAL CONTRIBUTION HIV HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLDS HUMAN DEVELOPMENT HYGIENE HYGIENE BEHAVIOR HYGIENE EDUCATION HYGIENE EDUCATION PROGRAMS ILLNESS IMMUNE SYSTEM IMPACT OF POPULATION IMPACT ON CHILDREN IMPROVEMENT OF WATER SUPPLY INADEQUATE WATER INFANT INFANT MORTALITY INFECTIOUS DISEASES INTERNATIONAL COMMUNITY INTERVENTION INVESTMENTS IN SANITATION JOURNAL OF EPIDEMIOLOGY LACK OF WATER MALARIA MARITAL STATUS MEASLES MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MORBIDITY MORTALITY MORTALITY DECLINE MORTALITY RATES MORTALITY REDUCTION MORTALITY REDUCTIONS MORTALITY RISK MOTHER NEW INFECTIONS NUMBER OF CHILDREN NUMBER OF PEOPLE PERSONAL HEALTH PERSONAL HYGIENE PIT LATRINE PIT LATRINES POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION DENSITY POPULATION STUDIES PREMATURE DEATH PROGRESS PUBLIC FACILITIES PUBLIC HEALTH PUBLIC HEALTH IMPROVEMENTS PUBLIC LATRINE PUBLIC LATRINES PUBLIC SANITATION PUBLIC STANDPIPES PUBLIC TAP PUBLIC WATER QUALITY OF WATER RADIO RESOURCE FLOWS RESPECT RURAL AREAS RURAL POVERTY RURAL RESIDENCE RURAL VILLAGES SAFE DRINKING WATER SANITATION SANITATION ACCESS SANITATION ASSESSMENT SANITATION COVERAGE SANITATION FACILITIES SANITATION INVESTMENT SANITATION INVESTMENTS SANITATION TECHNOLOGY SCHISTOSOMIASIS SEWAGE SYSTEMS SIBLINGS SOCIOECONOMIC STATUS SURFACE WATER SUSTAINABLE ACCESS TRANSPORTATION TUBERCULOSIS TV URBAN AREAS USE OF WATER VACCINATION WASTE WATER INFRASTRUCTURE WATER POINT WATER QUALITY WATER SANITATION WATER SECTOR WATER SOURCE WATER SOURCES WATER STORAGE WATER SUPPLY WELLS WORLD HEALTH ORGANIZATION YOUNG AGE 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. 2012-03-19T18:39:21Z 2012-03-19T18:39:21Z 2010-04-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20100419124219 http://hdl.handle.net/10986/3762 English Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5275 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper The World Region The World Region