The Illusion of Sustainability
Identifieur interne : 000A79 ( Istex/Corpus ); précédent : 000A78; suivant : 000A80The Illusion of Sustainability
Auteurs : Michael Kremer ; Edward MiguelSource :
- The Quarterly Journal of Economics [ 0033-5533 ] ; 2007-08.
Abstract
We use a randomized evaluation of a Kenyan deworming program to estimate peer effects in technology adoption and to shed light on foreign aid donors' movement towards sustainable community provision of public goods. Deworming is a public good since much of its social benefit comes through reduced disease transmission. People were less likely to take deworming if their direct first-order or indirect second-order social contacts were exposed to deworming. Efforts to replace subsidies with sustainable worm control measures were ineffective: a drug cost-recovery program reduced take-up 80 percent; health education did not affect behavior, and a mobilization intervention failed. At least in this context, it appears unrealistic for a one-time intervention to generate sustainable voluntary local public goods provision.
Url:
DOI: 10.1162/qjec.122.3.1007
Links to Exploration step
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<front><div type="abstract">We use a randomized evaluation of a Kenyan deworming program to estimate peer effects in technology adoption and to shed light on foreign aid donors' movement towards sustainable community provision of public goods. Deworming is a public good since much of its social benefit comes through reduced disease transmission. People were less likely to take deworming if their direct first-order or indirect second-order social contacts were exposed to deworming. Efforts to replace subsidies with sustainable worm control measures were ineffective: a drug cost-recovery program reduced take-up 80 percent; health education did not affect behavior, and a mobilization intervention failed. At least in this context, it appears unrealistic for a one-time intervention to generate sustainable voluntary local public goods provision.</div>
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<note>We thank ICS Africa and the Kenya Ministry of Health for their cooperation in all stages of the project and would especially like to acknowledge the contributions of Alicia Bannon, Elizabeth Beasley, Laban Benaya, Simon Brooker, Lorenzo Casaburi, Pascaline Dupas, Alfred Luoba, Sylvie Moulin, Robert Namunyu, Carol Nekesa, Peter Wafula Nasokho, Polycarp Waswa, and the entire PSDP staff, without whom the project would not have been possible. John Bellows, Melissa Gonzalez-Brenes, Tina Green, Emily Oster, Avery Ouellette, and especially Jean N. Lee provided excellent research assistance. We thank Andrew Foster, Caroline Hoxby, Guido Imbens, Botond Koszegi, Kaivan Munshi, Mark Rosenzweig, John Strauss, Chris Udry, and numerous seminar participants for helpful suggestions. We are grateful for financial support from the World Bank, NIH Fogarty International Center (R01 TW05612-02), NSF (SES-0418110), and Berkeley Center for Health Research. All errors are our own.</note>
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<p>We thank ICS Africa and the Kenya Ministry of Health for their cooperation in all stages of the project and would especially like to acknowledge the contributions of Alicia Bannon, Elizabeth Beasley, Laban Benaya, Simon Brooker, Lorenzo Casaburi, Pascaline Dupas, Alfred Luoba, Sylvie Moulin, Robert Namunyu, Carol Nekesa, Peter Wafula Nasokho, Polycarp Waswa, and the entire PSDP staff, without whom the project would not have been possible. John Bellows, Melissa Gonzalez-Brenes, Tina Green, Emily Oster, Avery Ouellette, and especially Jean N. Lee provided excellent research assistance. We thank Andrew Foster, Caroline Hoxby, Guido Imbens, Botond Koszegi, Kaivan Munshi, Mark Rosenzweig, John Strauss, Chris Udry, and numerous seminar participants for helpful suggestions. We are grateful for financial support from the World Bank, NIH Fogarty International Center (R01 TW05612-02), NSF (SES-0418110), and Berkeley Center for Health Research. All errors are our own.</p>
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<note>We thank ICS Africa and the Kenya Ministry of Health for their cooperation in all stages of the project and would especially like to acknowledge the contributions of Alicia Bannon, Elizabeth Beasley, Laban Benaya, Simon Brooker, Lorenzo Casaburi, Pascaline Dupas, Alfred Luoba, Sylvie Moulin, Robert Namunyu, Carol Nekesa, Peter Wafula Nasokho, Polycarp Waswa, and the entire PSDP staff, without whom the project would not have been possible. John Bellows, Melissa Gonzalez-Brenes, Tina Green, Emily Oster, Avery Ouellette, and especially Jean N. Lee provided excellent research assistance. We thank Andrew Foster, Caroline Hoxby, Guido Imbens, Botond Koszegi, Kaivan Munshi, Mark Rosenzweig, John Strauss, Chris Udry, and numerous seminar participants for helpful suggestions. We are grateful for financial support from the World Bank, NIH Fogarty International Center (R01 TW05612-02), NSF (SES-0418110), and Berkeley Center for Health Research. All errors are our own.</note>
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