Publication:
Impact Evaluation of a Large-scale Rural Sanitation Project in Indonesia

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dc.contributor.authorCameron, Lisa
dc.contributor.authorShah, Manisha
dc.contributor.authorOlivia, Susan
dc.date.accessioned2013-04-11T20:15:09Z
dc.date.available2013-04-11T20:15:09Z
dc.date.issued2013-02
dc.description.abstractLack of sanitation and poor hygiene behavior cause a tremendous disease burden among the poor. This paper evaluates the impact of the Total Sanitation and Sanitation Marketing project in Indonesia, where about 11 percent of children have diarrhea in any two-week period and more than 33,000 children die each year from diarrhea. The evaluation utilizes a randomized controlled trial but is unusual in that the program was evaluated when implemented at scale across the province of rural East Java in a way that was designed to strengthen the enabling environment and so be sustainable. One hundred and sixty communities across eight rural districts participated, and approximately 2,100 households were interviewed before and after the intervention. The authors found that the project increased toilet construction by approximately 3 percentage points (a 31 percent increase in the rate of toilet construction). The changes were primarily among non-poor households that did not have access to sanitation at baseline. Open defecation among these households decreased by 6 percentage points (or 17 percent). Diarrhea prevalence was 30 percent lower in treatment communities than in control communities at endline (3.3 versus 4.6 percent). The analysis cannot rule out that the differences in drinking water and handwashing behavior drove the decline in diarrhea. Reductions in parasitic infestations and improvements in height and weight were found for the non-poor sample with no sanitation at baseline.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/02/17288401/impact-evaluation-large-scale-rural-sanitation-project-indonesia
dc.identifier.doi10.1596/1813-9450-6360
dc.identifier.urihttps://hdl.handle.net/10986/13166
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 6360
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABDOMINAL PAIN
dc.subjectACUTE RESPIRATORY INFECTION
dc.subjectACUTE RESPIRATORY INFECTIONS
dc.subjectAGE GROUPS
dc.subjectAGED
dc.subjectAGING
dc.subjectANCYLOSTOMA
dc.subjectANCYLOSTOMA DUODENALE
dc.subjectANEMIA
dc.subjectARI
dc.subjectASCARIS LUMBRICOIDES
dc.subjectATTITUDINAL CHANGE
dc.subjectBEHAVIOR CHANGE
dc.subjectBEHAVIORAL CHANGE
dc.subjectBEHAVIORAL CHANGES
dc.subjectBETTER HYGIENE
dc.subjectBOREHOLES
dc.subjectBREASTFEEDING
dc.subjectBURDEN OF DISEASE
dc.subjectCAREGIVERS
dc.subjectCAUSES OF DEATH
dc.subjectCHEMOTHERAPY
dc.subjectCHILD DEVELOPMENT
dc.subjectCHILD GROWTH
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH OUTCOMES
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY HEALTH
dc.subjectDEFECATION
dc.subjectDESCRIPTION
dc.subjectDIAGNOSIS
dc.subjectDIARRHEA
dc.subjectDIARRHEAL DISEASES
dc.subjectDISABILITY
dc.subjectDISEASE BURDEN
dc.subjectDISEASE RISK
dc.subjectDISTRICTS
dc.subjectDRINKING WATER
dc.subjectDWELLING
dc.subjectEPIDEMIOLOGY
dc.subjectFECUNDITY
dc.subjectFEMALE
dc.subjectGENDER
dc.subjectHANDWASHING
dc.subjectHAZARD
dc.subjectHEALTH EFFECTS
dc.subjectHEALTH OUTCOMES
dc.subjectHELMINTHES
dc.subjectHELMINTHIASIS
dc.subjectHOOKWORM
dc.subjectHOOKWORMS
dc.subjectHOUSEHOLDS
dc.subjectHYGIENE
dc.subjectHYGIENE BEHAVIOR
dc.subjectHYGIENE HABITS
dc.subjectHYGIENE ISSUES
dc.subjectHYGIENE PRACTICE
dc.subjectHYGIENE PRACTICES
dc.subjectILLNESSES
dc.subjectIMMUNE DEFICIENCY
dc.subjectIMPROVEMENTS IN HEALTH
dc.subjectINADEQUATE SANITATION
dc.subjectINADEQUATE WATER
dc.subjectINADEQUATE WATER SUPPLY
dc.subjectINFANTS
dc.subjectINFECTION
dc.subjectINFECTIONS
dc.subjectINFECTIOUS DISEASE
dc.subjectINTERVENTION
dc.subjectINTERVENTIONS
dc.subjectIRON
dc.subjectLATRINE CONSTRUCTION
dc.subjectLATRINES
dc.subjectMALNUTRITION
dc.subjectMARKETING
dc.subjectMATERNAL HEALTH
dc.subjectMOBILITY
dc.subjectMORTALITY
dc.subjectNASAL CONGESTION
dc.subjectNECATOR
dc.subjectNECATOR AMERICANUS
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectPARASITOLOGY
dc.subjectPATHOGENS
dc.subjectPEDIATRICS
dc.subjectPHYSICAL ACTIVITY
dc.subjectPHYSICAL FITNESS
dc.subjectPHYSICAL GROWTH
dc.subjectPOLLUTION
dc.subjectPOOR HYGIENE
dc.subjectPREVALENCE
dc.subjectPREVENTABLE DISEASES
dc.subjectPUBLIC HEALTH
dc.subjectRANDOMIZED CONTROLLED TRIALS
dc.subjectRISK FACTORS
dc.subjectRURAL AREAS
dc.subjectRURAL COMMUNITIES
dc.subjectSANITATION
dc.subjectSANITATION FACILITIES
dc.subjectSANITATION PRACTICES
dc.subjectSANITATION SERVICES
dc.subjectSANITATION SITUATION
dc.subjectSCHISTOSOMA
dc.subjectSCHISTOSOMIASIS
dc.subjectSOAP
dc.subjectSOCIAL MARKETING
dc.subjectSOURCES OF WATER
dc.subjectSTD
dc.subjectSTUNTING
dc.subjectSYMPTOMS
dc.subjectTENANCY
dc.subjectTOILETS
dc.subjectTREATMENT
dc.subjectTROPICAL DISEASES
dc.subjectTROPICAL MEDICINE
dc.subjectTYPHOID
dc.subjectVACCINES
dc.subjectVILLAGE LEVEL
dc.subjectVILLAGES
dc.subjectWASHING HANDS
dc.subjectWASTE
dc.subjectWASTING
dc.subjectWATER QUALITY
dc.subjectWATER SOURCE
dc.titleImpact Evaluation of a Large-scale Rural Sanitation Project in Indonesiaen
dspace.entity.typePublication
okr.crossref.titleImpact Evaluation of a Large-Scale Rural Sanitation Project in Indonesia
okr.date.disclosure2013-02-02
okr.date.doiregistration2025-04-10T12:11:18.126155Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2013/02/17288401/impact-evaluation-large-scale-rural-sanitation-project-indonesia
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeWater
okr.guid783781468044120966
okr.identifier.doi10.1596/1813-9450-6360
okr.identifier.externaldocumentum000158349_20130213133337
okr.identifier.internaldocumentum17288401
okr.identifier.reportWPS6360
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/02/13/000158349_20130213133337/Rendered/PDF/wps6360.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryIndonesia
okr.topicEarly Child and Children's Health
okr.topicHealth Monitoring and Evaluation
okr.topicDisease Control and Prevention
okr.topicHousing and Human Habitats
okr.topicWater Supply and Sanitation::Hygiene Promotion and Social Marketing
okr.topicCommunities and Human Settlements
okr.topicHealth
okr.topicNutrition and Population
okr.unitDevelopment Research Group (DECRG)
okr.volume1 of 1
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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