The Political Economy of Village Sanitation in South India : Capture or Poor Information ?
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Washington, DC: World Bank
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Despite efforts to mandate and finance
local governments' provision of environmental
sanitation services, outcomes remain poor in the villages
surveyed in the four South Indian states. The analysis
indicates some key issues that appear to hinder improvements
in sanitation. Local politicians tend to capture sanitary
infrastructure and cleaning services for themselves, while
also keeping major village roads reasonably well-served.
Their decisions suggest, however, that they neither
understand the health benefits of sanitation, nor the
negative externalities to their own health if surrounding
areas are poorly served. Our findings suggest that improving
sanitary outcomes requires disseminating information on the
public goods nature of their health benefits, as well as on
the local government's responsibilities. It also
requires putting public health regulations in place, along
with measures to enable accountability in service provision.
Palabras clave
ALLOCATION OF RESOURCES, BASIC SERVICES, BEHAVIORAL CHANGES, CHILD MORTALITY, CITIZEN, CITIZENS, CLEANLINESS, DEMOGRAPHIC PRESSURES, DEMOGRAPHIC TRENDS, DEVELOPING COUNTRIES, DEVELOPMENT POLICY, DRINKING WATER, EMPLOYMENT, ENVIRONMENTAL SANITATION, EPIDEMIC, GARBAGE DISPOSAL, GOVERNMENT AGENCIES, HEALTH CENTERS, HEALTH EDUCATION, HEALTH IMPACT, HEALTH OUTCOMES, HEALTH REGULATIONS, HEALTH RISKS, HEALTH SYSTEM, HUMAN DEVELOPMENT, LACK OF AWARENESS, LAWS, LOCAL GOVERNMENTS, MALARIA, MORBIDITY, NATIONAL LEVEL, NATIONAL LEVELS, POLICY IMPLICATIONS, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POPULATION DENSITY, POPULATION SIZE, PROGRESS, PUBLIC AWARENESS, PUBLIC HEALTH, PUBLIC SERVICES, RESOURCE ALLOCATION, ROADS, RURAL DEVELOPMENT, SAFE DRINKING WATER, SANITARY ENVIRONMENT, SANITATION, SANITATION SERVICE DELIVERY, SANITATION SERVICES, SCARCE RESOURCES, SCHOOLS, SERVICE DELIVERY, SERVICE PROVISION, SOCIAL EXCLUSION, SOCIAL SCIENCES, SUSTAINABLE DEVELOPMENT, TOILETS, VECTOR CONTROL, WASTE, WASTE DISPOSAL, WATER SUPPLY, WORKERS