Follow us
Publications Commentary Research People Events News Resources and Videos About IFS
Home Publications When nature calls back: sustaining behavioural change in rural Pakistan

When nature calls back: sustaining behavioural change in rural Pakistan

Britta Augsburg, Antonella Bancalari, Zara Durrani, Madhav Vaidyanathan and Zach White
IFS Working Paper W21/46

We implement a mixed method approach that combines a randomized controlled trial and qualitative data collection to assess whether, and if so how, behavioural change can be sustained. We do so in the context of Pakistan’s national sanitation strategy to combat open defecation, Community-Led Total Sanitation. Our findings demonstrate that continued follow-up activities, that build on the original intervention, reduced reversal to unsafe sanitation, but only where initial conditions are unfavourable —i.e. poor public infrastructure and low-quality sanitation facilities. Promotion efforts are hence best targeted towards those that face larger difficulties in constructing and maintaining high quality sanitation.

More on this topic

IFS Working Paper W21/44
We analyse the marriage decisions of men and women in rural India, focusing on the added attractiveness of sanitation within the marital living arrangement.
IFS Working Paper W21/45
We exploit novel data collected within a randomised controlled trial of a sanitation microcredit intervention to study how intra-household gender differences in perceptions of costs and benefits of sanitation impact investment decisions.
IFS Working Paper W21/09
We draw on a cluster randomized controlled trial in rural India to provide the first evidence that labelled microcredit is effective in increasing take-up of a lumpy human capital investment, a safe toilet.
Journal article | Journal of Water, Sanitation and Hygiene for Development
This paper uses primary micro-data from Indian households residing in rural villages and poor urban neighbourhoods to shed light on household sanitation decision-making. We use a theoretical economic model to reduce the dimensionality and complexity of this process. Beyond the most commonly ...
Journal article
This paper provides new evidence on the recent performance of piped water consumption subsidies in terms of pro-poor targeting for 10 low- and middle-income countries around the world. Our results suggest that in these countries, existing tariff structures fall well short of recovering the costs of ...