When nature calls back: Sustaining behavioral change in rural Pakistan?

• 成果类型: Article
• 署名作者: Augsburg, Britta; Bancalari, Antonella; Durrani, Zara; Vaidyanathan, Madhav; White, Zach
• 署名单位: University of London; London School Economics & Political Science; University of St Andrews
• 刊物名称: JOURNAL OF DEVELOPMENT ECONOMICS
• ISSN/ISSBN: 0304-3878
• DOI: 10.1016/j.jdeveco.2022.102933
• 发表日期: 2022
• 关键词: behavior; sustainability; Basic services; sanitation; HEALTH; maintenance

摘要

We implement a randomized controlled trial and a qualitative study to assess whether, and if so how, behavioral 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 lead to only modest reductions in reversal to unsafe sanitation on average, but gain in importance where initial conditions are unfavorable, i.e. poor public infrastructure and sanitation facilities. Promotion efforts are hence best targeted towards those who face larger difficulties in constructing and maintaining high-quality sanitation. The effects were sustained at least one year after the implementation of activities.