Can Micro-Credit Support Public Health Subsidy Programs?

The low take-up of cost-effective and highly subsidised preventive health technologies in low-income countries remains a puzzle. One under-studied reason is that the design of subsidy schemes is such that households remain financially constrained....

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Main Authors: Augsburg, Britta, Caeyers, Bet, Malde, Bansi
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/424101557250234558/Can-Micro-Credit-Support-Public-Health-Subsidy-Programs
http://hdl.handle.net/10986/31671
id okr-10986-31671
recordtype oai_dc
spelling okr-10986-316712022-04-25T12:21:53Z Can Micro-Credit Support Public Health Subsidy Programs? Augsburg, Britta Caeyers, Bet Malde, Bansi MICROFINANCE SUBSIDY SANITATION PUBLIC HEALTH MICROCREDIT The low take-up of cost-effective and highly subsidised preventive health technologies in low-income countries remains a puzzle. One under-studied reason is that the design of subsidy schemes is such that households remain financially constrained. This paper analyses whether, and how, micro-finance supports a large public health subsidy program in the developing world -- the Swachh Bharat Mission -- in achieving its aim of increasing uptake of individual household latrines. Exploiting a cluster randomised controlled experiment of a sanitation micro-finance program that coincided with the launch of the SBM program, and unique survey data matched to administrative data, findings reveal that the complementarity runs on two levels: First, micro-credit allows households officially ineligible for the subsidy to invest in sanitation by alleviating credit constraints. Second, micro-credit also helps subsidy eligible households to overcome short-term liquidity constraints induced by the remuneration-post-verification subsidy design to invest in sanitation. Subsidy eligible households living in areas experiencing large delays in subsidy disbursement, or high toilet costs, are more likely to take a sanitation loan, but less likely to use the loan to construct a toilet. 2019-05-10T14:58:14Z 2019-05-10T14:58:14Z 2019-05 Working Paper http://documents.worldbank.org/curated/en/424101557250234558/Can-Micro-Credit-Support-Public-Health-Subsidy-Programs http://hdl.handle.net/10986/31671 English Policy Research Working Paper;No. 8846 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 MICROFINANCE
SUBSIDY
SANITATION
PUBLIC HEALTH
MICROCREDIT
spellingShingle MICROFINANCE
SUBSIDY
SANITATION
PUBLIC HEALTH
MICROCREDIT
Augsburg, Britta
Caeyers, Bet
Malde, Bansi
Can Micro-Credit Support Public Health Subsidy Programs?
relation Policy Research Working Paper;No. 8846
description The low take-up of cost-effective and highly subsidised preventive health technologies in low-income countries remains a puzzle. One under-studied reason is that the design of subsidy schemes is such that households remain financially constrained. This paper analyses whether, and how, micro-finance supports a large public health subsidy program in the developing world -- the Swachh Bharat Mission -- in achieving its aim of increasing uptake of individual household latrines. Exploiting a cluster randomised controlled experiment of a sanitation micro-finance program that coincided with the launch of the SBM program, and unique survey data matched to administrative data, findings reveal that the complementarity runs on two levels: First, micro-credit allows households officially ineligible for the subsidy to invest in sanitation by alleviating credit constraints. Second, micro-credit also helps subsidy eligible households to overcome short-term liquidity constraints induced by the remuneration-post-verification subsidy design to invest in sanitation. Subsidy eligible households living in areas experiencing large delays in subsidy disbursement, or high toilet costs, are more likely to take a sanitation loan, but less likely to use the loan to construct a toilet.
format Working Paper
author Augsburg, Britta
Caeyers, Bet
Malde, Bansi
author_facet Augsburg, Britta
Caeyers, Bet
Malde, Bansi
author_sort Augsburg, Britta
title Can Micro-Credit Support Public Health Subsidy Programs?
title_short Can Micro-Credit Support Public Health Subsidy Programs?
title_full Can Micro-Credit Support Public Health Subsidy Programs?
title_fullStr Can Micro-Credit Support Public Health Subsidy Programs?
title_full_unstemmed Can Micro-Credit Support Public Health Subsidy Programs?
title_sort can micro-credit support public health subsidy programs?
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/424101557250234558/Can-Micro-Credit-Support-Public-Health-Subsidy-Programs
http://hdl.handle.net/10986/31671
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