Bulletin of the World Health Organization

How valuable are environmental health interventions? Evaluation of water and sanitation programmes in India

Subhrendu K Pattanayak, Christine Poulos, Jui-Chen Yang & Sumeet Patil

Volume 88, Number 7, July 2010, 535-542

Table 4. Estimated effects of a community demand-directed water, sanitation and hygiene programme on coping costsa and cost of illnessa in the dry and rainy seasons, by subgroup, in Maharasthra, India, 2005 and 2007

DID analysisb Overall BPL APL SCST Open
Dry season (May–June)
Total monthly household coping costs −6.98** −6.24* −6.52* −9.64*** −6.21*
Total household cost of illness 1.25 −4.85 7.02 −6.71* 4.96
Household welfare −5.76 −11.33** 0.51 −16.45*** −1.28
Rainy season (August–September)
Total monthly household coping costs −0.37 −0.79 −1.57 −6.52 1.96
Total household cost of illness 0.11 2.27 −0.92 −0.14 0.28
Household welfare −0.53 1.04 −2.62 −6.51 1.83

APL, above poverty line; BPL, below poverty line; DID, difference-in-difference; SCST, scheduled caste and scheduled tribe. *P < 0.10; **P < 0.05; ***P < 0.01.

a All coping cost and cost of illness values are adjusted for purchasing power parity (PPP) and inflated to 2007 United States dollars (US$).2022 In 2007, the PPP exchange rate was 15.139 Indian rupees for US$ 1.

b DID estimation includes covariates unbalanced at baseline (household knowledge of public health messages regarding handwashing and safe handling and storage of food and water; household belief that having a water supply is a public policy priority; household belief that sanitation is a public health priority; and household participation in the village water and sanitation committee). Standard errors were corrected for clustering at village level.