
Downloads
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.
Authors

Associate Director
Britta is an IFS Associate Director, Associate Staff at the Department of Economics at the UC and Researcher at NIHR Obesity Policy Research Unit.

Senior Research Economist
Antonella Bancalari is a Senior Research Economist at the Institute for Fiscal Studies.

Zara Durrani

Madhav Vaidyanathan

Zach White
Working Paper details
- DOI
- 10.1920/wp.ifs.2021.4621
- Publisher
- Institute for Fiscal Studies
Suggested citation
Augsburg, B et al. (2021). When nature calls back: sustaining behavioural change in rural Pakistan. London: Institute for Fiscal Studies. Available at: https://ifs.org.uk/publications/when-nature-calls-back-sustaining-behavioural-change-rural-pakistan (accessed: 3 December 2023).
More from IFS
Understand this issue


Retirement is not always a choice that workers can afford to make
6 November 2023

Conservative Party Conference: Can the next government afford the NHS?
Policy analysis

FCDO renews TaxDev funding for the next seven years
19 September 2023

Paper by IFS Associate Director Anne Brockmeyer awarded 2023 ADB–IEA Innovative Policy Research Award
26 April 2023

The long view: how tax expenditures affect revenue over multiple years
29 March 2023
Academic research

Public service delivery, exclusion and externalities: Theory and experimental evidence from India
15 November 2023

Dementia incidence trend in England and Wales, 2002–19, and projection for dementia burden to 2040: analysis of data from the English Longitudinal Study of Ageing
30 October 2023

The effect of reducing welfare access on employment, health, and children's long-run outcomes
30 October 2023