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Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen

Author

Listed:
  • Stephan Klasen
  • Tobias Lechtenfeld
  • Kristina Meier
  • Johannes Rieckmann

Abstract

This article investigates the impact of extending piped water supply and sanitation on health outcomes in urban Yemen using a combination of quasi-experimental methods and results from microbiological water tests. Variations in project roll-out allow separate identification of water and sanitation impacts. The results indicate that access to piped water supply worsens health outcomes when water rationing is frequent, which appears to be linked to the build-up of pollution in the network. When water supply is continuous no clear health benefits are found compared to traditional urban water supply through water vendors, but connections to piped sewers can then lead to health improvements. The findings suggest that investments in piped water supply should not be made when reliability of water cannot be guaranteed.

Suggested Citation

  • Stephan Klasen & Tobias Lechtenfeld & Kristina Meier & Johannes Rieckmann, 2012. "Benefits trickling away: the health impact of extending access to piped water and sanitation in urban Yemen," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 4(4), pages 537-565, December.
    • Handle: RePEc:taf:jdevef:v:4:y:2012:i:4:p:537-565
    DOI: 10.1080/19439342.2012.720995
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    Cited by:

    1. Headey, Derek D., 2014. "An analysis of trends and determinants of child undernutrition in Ethiopia, 2000‐2011:," ESSP working papers 70, International Food Policy Research Institute (IFPRI).
    2. Derek Headey & Giordano Palloni, 2019. "Water, Sanitation, and Child Health: Evidence From Subnational Panel Data in 59 Countries," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 729-752, April.
    3. Espinoza-Delgado, José & Klasen, Stephan, 2018. "Gender and multidimensional poverty in Nicaragua: An individual based approach," World Development, Elsevier, vol. 110(C), pages 466-491.
    4. Rieckmann, Johannes, 2015. "Determinants of drinking water treatment and hygiene habits in provincial towns in Yemen," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 113183, Verein für Socialpolitik / German Economic Association.
    5. Njoh, Ambe J. & Ricker, Faye & Joseph, Nigel & Tarke, Mah O. & Koh, Bomin, 2019. "The impact of basic utility services on infant mortality in Africa," Utilities Policy, Elsevier, vol. 59(C), pages 1-1.
    6. Misganaw Teshager Abeje & Atsushi Tsunekawa & Nigussie Haregeweyn & Zemen Ayalew & Zerihun Nigussie & Daregot Berihun & Enyew Adgo & Asres Elias, 2020. "Multidimensional Poverty and Inequality: Insights from the Upper Blue Nile Basin, Ethiopia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 585-611, June.
    7. Imaduddin Ahmed & Priti Parikh & Parfait Munezero & Graham Sianjase & D’Maris Coffman, 2023. "The impact of power outages on households in Zambia," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 40(3), pages 835-867, October.
    8. Heinrich Zozmann & Alexander Morgan & Christian Klassert & Bernd Klauer & Erik Gawel, 2022. "Can Tanker Water Services Contribute to Sustainable Access to Water? A Systematic Review of Case Studies in Urban Areas," Sustainability, MDPI, vol. 14(17), pages 1-27, September.
    9. Headey, Derek D., 2013. "Developmental Drivers of Nutritional Change: A Cross-Country Analysis," World Development, Elsevier, vol. 42(C), pages 76-88.
    10. Jesse D. Contreras & Joseph N.S. Eisenberg, 2019. "Does Basic Sanitation Prevent Diarrhea? Contextualizing Recent Intervention Trials through a Historical Lens," IJERPH, MDPI, vol. 17(1), pages 1-35, December.
    11. Kadoukpè Gildas Magbondé & Djiby Racine Thiam & Natascha Wagner, 2024. "The Economic Impacts of Rural Water Supply Infrastructures in Developing Countries: Empirical Evidence from Senegal," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 87(10), pages 2571-2628, October.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

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