Demand for Information on Environmental Health Risk, Mode of Delivery, and Behavioral Change

Millions of villagers in Bangladesh are exposed to arsenic by drinking contaminated water from private wells. Testing for arsenic can encourage switching from unsafe wells to safer sources. This study describes results from a cluster randomized controlled trial conducted in 112 villages in Bangladesh to evaluate the effectiveness of different test selling schemes at inducing switching from unsafe wells. At a price of about US0.60, only one in four households purchased a test. Sales were not increased by informal inter-household agreements to share water from wells found to be safe, or by visual reminders of well status in the form of metal placards mounted on the well pump. However, switching away from unsafe wells almost doubled in response to agreements or placards relative to the one in three proportion of households that switched away from an unsafe well with simple individual sales.

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Bibliographic Details
Main Authors: Tarozzi, Alessandro, Maertens, Ricardo, Ahmed, Kazi Matin, van Geen, Alexander
Format: Journal article biblioteca
Language:English
Published: Published by Oxford University Press on behalf of the World Bank 2020-05-25
Subjects:ARSENIC, ENVIRONMENTAL HEALTH RISK, UNSAFE DRINKING WATER, WELL WATER CONTAMINATION, INFLUENCING HEALTH DECISIONS, PUBLIC HEALTH, GOOD HEALTH AND WELL-BEING, SDG 3, CLEAN WATER AND SANITATION, SDG 6,
Online Access:https://openknowledge.worldbank.org/handle/10986/40872
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Summary:Millions of villagers in Bangladesh are exposed to arsenic by drinking contaminated water from private wells. Testing for arsenic can encourage switching from unsafe wells to safer sources. This study describes results from a cluster randomized controlled trial conducted in 112 villages in Bangladesh to evaluate the effectiveness of different test selling schemes at inducing switching from unsafe wells. At a price of about US0.60, only one in four households purchased a test. Sales were not increased by informal inter-household agreements to share water from wells found to be safe, or by visual reminders of well status in the form of metal placards mounted on the well pump. However, switching away from unsafe wells almost doubled in response to agreements or placards relative to the one in three proportion of households that switched away from an unsafe well with simple individual sales.