NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
loading...

Water, Health and Wealth

Nava Ashraf, Edward Glaeser, Abraham Holland, Bryce Millett Steinberg

NBER Working Paper No. 23807
Issued in September 2017
NBER Program(s):The Development Economics Program, The Health Care Program, The Health Economics Program, The Labor Studies Program, The Public Economics Program

Providing clean water requires maintenance, as well as the initial connections that are typically measured. Frequently, the water supply fails in the developing world, especially when users don’t pay the marginal cost of water. This paper uses the timing of frequent, unexpected water service outages in Lusaka, Zambia to identify the short-term impacts of piped water access on contagious disease, economic activity and time use. We use microdata from the primary water utility in the city on the timing and location of supply complaints to identify outages, matched to extensive administrative data across the city. Conditional on fixed effects for time and water service district within Lusaka, we find that increases in outages are associated with increased incidence of diarrheal disease, upper respiratory infections, typhoid fever and measles. We match outages to geolocated microdata on financial transactions from the largest mobile money provider in Zambia, and find that outages cause a reduction in financial transactions. Outages also increase the time that young girls spend at their chores, possibly at the expense of time they spend doing schoolwork. Imperfect infrastructure appears to burden the poor in ways that go far beyond obvious health consequences.

download in pdf format
   (386 K)

email paper

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w23807

Users who downloaded this paper also downloaded* these:
Aizer and Currie w23392 Lead and Juvenile Delinquency: New Evidence from Linked Birth, School and Juvenile Detention Records
Glaeser and Xiong w23279 Urban Productivity in the Developing World
Mahajan and Yang w23756 Taken by Storm: Hurricanes, Migrant Networks, and U.S. Immigration
Glaeser and Ponzetto w23686 The Political Economy of Transportation Investment
Ruhm w24188 Deaths of Despair or Drug Problems?
 
Publications
Activities
Meetings
NBER Videos
Themes
Data
People
About

National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us