Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations

This paper presents an overview and meta-analysis of the effects of water, sanitation, and hygiene interventions around the world. It is based on 136 impact evaluations (randomized and quasi-experimental studies) that explore the effects of water,...

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Main Authors: Andres, Luis, Borja-Vega, Christian, Fenwick, Crystal, de Jesus Filho, Jaime, Gomez-Suarez, Ronald
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2018
Subjects:
Online Access:http://documents.worldbank.org/curated/en/480101526411604321/Overview-and-meta-analysis-of-global-water-sanitation-and-hygiene-WASH-impact-evaluations
http://hdl.handle.net/10986/29856
id okr-10986-29856
recordtype oai_dc
spelling okr-10986-298562021-06-08T14:42:46Z Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations Andres, Luis Borja-Vega, Christian Fenwick, Crystal de Jesus Filho, Jaime Gomez-Suarez, Ronald META ANALYSIS WATER AND SANITATION HYGIENE IMPACT EVALUATION ABSENTEEISM DROPOUT RATE This paper presents an overview and meta-analysis of the effects of water, sanitation, and hygiene interventions around the world. It is based on 136 impact evaluations (randomized and quasi-experimental studies) that explore the effects of water, sanitation, and hygiene interventions on health and non-health outcomes, ranging from behavior change -- such as the adoption of water treatment -- to school attendance rates, to a reduction in diarrhea. The selected impact evaluations were divided into five groups, and meta-regressions with fixed effects (at the regional level) and random effects were performed, controlling for each study's characteristics (implementing organization, sample sizes, type of publication, number of publication views, and so forth). All results are reported as changes in odds ratios, with respect to the standard deviation of reported effects. Water, sanitation, and hygiene interventions were found to increase the likelihood of behavior changes and the adoption of new hygiene practices by 17 percent. The smallest effects were observed from water, sanitation, and hygiene interventions aimed at reducing the rates of child mortality and non-diarrheal disease. Water, sanitation, and hygiene interventions implemented in schools showed statistically significant results in reducing school absenteeism and dropouts. Similarly, the results showed a statistically significant aggregate likelihood of increased access to safe water and improved water quality, as well as increased water treatment options -- a difference of one-fifth with respect to the standard deviation of the average effect size reported. Finally, the results showed that water, sanitation, and hygiene interventions reduced the likelihood of the incidence of diarrheal and enteric disease by 13 percent, which is consistent with findings in other meta-analyses of the same subject. 2018-05-23T19:25:14Z 2018-05-23T19:25:14Z 2018-05 Working Paper http://documents.worldbank.org/curated/en/480101526411604321/Overview-and-meta-analysis-of-global-water-sanitation-and-hygiene-WASH-impact-evaluations http://hdl.handle.net/10986/29856 English Policy Research Working Paper;No. 8444 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic META ANALYSIS
WATER AND SANITATION
HYGIENE
IMPACT EVALUATION
ABSENTEEISM
DROPOUT RATE
spellingShingle META ANALYSIS
WATER AND SANITATION
HYGIENE
IMPACT EVALUATION
ABSENTEEISM
DROPOUT RATE
Andres, Luis
Borja-Vega, Christian
Fenwick, Crystal
de Jesus Filho, Jaime
Gomez-Suarez, Ronald
Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
relation Policy Research Working Paper;No. 8444
description This paper presents an overview and meta-analysis of the effects of water, sanitation, and hygiene interventions around the world. It is based on 136 impact evaluations (randomized and quasi-experimental studies) that explore the effects of water, sanitation, and hygiene interventions on health and non-health outcomes, ranging from behavior change -- such as the adoption of water treatment -- to school attendance rates, to a reduction in diarrhea. The selected impact evaluations were divided into five groups, and meta-regressions with fixed effects (at the regional level) and random effects were performed, controlling for each study's characteristics (implementing organization, sample sizes, type of publication, number of publication views, and so forth). All results are reported as changes in odds ratios, with respect to the standard deviation of reported effects. Water, sanitation, and hygiene interventions were found to increase the likelihood of behavior changes and the adoption of new hygiene practices by 17 percent. The smallest effects were observed from water, sanitation, and hygiene interventions aimed at reducing the rates of child mortality and non-diarrheal disease. Water, sanitation, and hygiene interventions implemented in schools showed statistically significant results in reducing school absenteeism and dropouts. Similarly, the results showed a statistically significant aggregate likelihood of increased access to safe water and improved water quality, as well as increased water treatment options -- a difference of one-fifth with respect to the standard deviation of the average effect size reported. Finally, the results showed that water, sanitation, and hygiene interventions reduced the likelihood of the incidence of diarrheal and enteric disease by 13 percent, which is consistent with findings in other meta-analyses of the same subject.
format Working Paper
author Andres, Luis
Borja-Vega, Christian
Fenwick, Crystal
de Jesus Filho, Jaime
Gomez-Suarez, Ronald
author_facet Andres, Luis
Borja-Vega, Christian
Fenwick, Crystal
de Jesus Filho, Jaime
Gomez-Suarez, Ronald
author_sort Andres, Luis
title Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
title_short Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
title_full Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
title_fullStr Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
title_full_unstemmed Overview and Meta-Analysis of Global Water, Sanitation, and Hygiene Impact Evaluations
title_sort overview and meta-analysis of global water, sanitation, and hygiene impact evaluations
publisher World Bank, Washington, DC
publishDate 2018
url http://documents.worldbank.org/curated/en/480101526411604321/Overview-and-meta-analysis-of-global-water-sanitation-and-hygiene-WASH-impact-evaluations
http://hdl.handle.net/10986/29856
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