My colleague Seungman Cha has a paper out this week, which I co-authored with him and others. It’s a trial-based cost-benefit analysis (CBA) of a community-led total sanitation (CLTS) intervention in rural south-western Ethiopia. We estimated intervention delivery costs from financial records and recurrent costs from the trial's surveys. All outcome data are from the… Continue reading New paper – trial-based cost-benefit analysis of a CLTS intervention in Ethiopia
I’ve just arrived at the UNC Water and Health conference 2019 this week (verbal abstracts book here). I have three verbal presentations, a poster, and am involved in a side-event. Short summaries are below. Further below, I highlight others’ economics-related presentations/sessions that I’m looking forward to seeing. All my stuff is on Thursday… but please talk… Continue reading My and others’ WASH economics sessions at #UNCwaterandhealth 2019
There has been a lot of debate about the well-designed and well-conducted WASH-B (Kenya, Bangladesh) and SHINE (Zimbabwe) trials of rural WASH interventions in the past year or so. Most recently, the big names in WASH epidemiology published a consensus paper. Many funders may not read it, which would be a shame, as it is… Continue reading Funders shouldn’t misinterpret WASH-B and SHINE results as “WASH doesn’t work”
Is WASH economics a 'field'? This post explores ways of breaking down the “field” of WASH economics. On the one hand, one can argue that WASH economics doesn’t exist as a coherent field. After all, most people actually working on WASH economics questions are in the field of engineering and/or public health. There are fairly… Continue reading Economist-engineers and public health economists: is WASH economics a “field”?
In a previous post, I proposed a working definition of WASH finance as “the study of how WASH services are paid for, including who pays, how and when”. There is also the huge question of what is paid for (i.e. level of service, technology, paying to cover capital or recurrent costs, how equitable it is,… Continue reading What is WASH finance?
In a previous post, I wrote about how I see measures of quality of service (QoS) and quality of life (QoL) capturing different things which are both important. In this post, I expand on that, proposing a generalised way of thinking about this at different stages of the service chain. First, though, a few words… Continue reading A generalised way of thinking about sanitation quality of service and quality of life
[I was chuffed to be joint winner in the ESRC 'Better Lives' writing competition with the below piece intended for a general audience. The Guardian published an abridged version. Deadlines are 80% of writing, for me at least... so I would recommend competitions like this for forcing oneself to write to a hard deadline for public… Continue reading Better lives with better toilets – SanQoL translated for public engagement
[These are very much half-formed thoughts, so critique is welcome. I may well refine it as I think about this more and discuss with people. I bashed this out during LSHTM Environmental Health Group’s ‘writing group’, which I recommend as a group process to force you to write…] In a previous post I explored the… Continue reading Quality of Service vs. Quality of Life – ways of measuring sanitation outcomes
Introduction Since investment options are always compared under a budget constraint, economic evaluation aims to inform unavoidable decisions and support allocative efficiency. Various economic evaluation methods (such as cost-effectiveness analysis and cost-benefit analysis) compare costs and consequences of alternative interventions. Improvements in sanitation can impact on health, and it is typically health outcomes such as averted… Continue reading Using the concept of ‘sanitation-related quality of life’ (SanQoL) to measure what is valued by users
Today I attended not one, but two, seminars on CLTS. The first was Britta Augsburg presenting results of a recent cRCT of a WaterAid CLTS intervention in Nigeria (at LSHTM). The second was Dale Whittington reflecting on CLTS trials in the last few years and his recent CBA paper incorporating their results (at Oxford). A… Continue reading CLTS, targeting and economic performance – reflections on two seminars