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Disgust, Shame, and Soapy Water: Tests of Novel Interventions to Promote Safe Water and Hygiene

Author

Listed:
  • Raymond P. Guiteras
  • David I. Levine
  • Stephen P. Luby
  • Thomas H. Polley
  • Kaniz Khatun-e-Jannat
  • Leanne Unicomb

Abstract

Lack of access to clean water is among the most pressing environmental problems in developing countries, where diarrheal disease kills nearly 700,000 children per year. While inexpensive and effective practices such as chlorination and hand washing with soap exist, efforts to motivate their use by emphasizing health benefits have seen only limited success. This paper measures the effect of messages appealing to negative emotions (disgust at consumption of human feces) and social pressure (shame at being seen consuming human feces) on hand-washing behavior and use of and willingness to pay for water chlorination among residents of slum compounds in Dhaka, Bangladesh. Neither the traditional, health-based message nor the new disgust-and-shame message led to high levels of chlorination during a free trial, nor to high willingness to pay for the chlorine at the end of the free trial. Provision of low-cost hand-washing facilities did increase hand washing, although the effect size is modest.

Suggested Citation

  • Raymond P. Guiteras & David I. Levine & Stephen P. Luby & Thomas H. Polley & Kaniz Khatun-e-Jannat & Leanne Unicomb, 2016. "Disgust, Shame, and Soapy Water: Tests of Novel Interventions to Promote Safe Water and Hygiene," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 3(2), pages 321-359.
    • Handle: RePEc:ucp:jaerec:doi:10.1086/684161
    DOI: 10.1086/684161
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    References listed on IDEAS

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    1. Daniel Bennett & Asjad Naqvi & Wolf‐Peter Schmidt, 2018. "Learning, Hygiene and Traditional Medicine," Economic Journal, Royal Economic Society, vol. 128(612), pages 545-574, July.
    2. Amrita Ahuja & Michael Kremer & Alix Peterson Zwane, 2010. "Providing Safe Water: Evidence from Randomized Evaluations," Annual Review of Resource Economics, Annual Reviews, vol. 2(1), pages 237-256, October.
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    Cited by:

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    2. Gunther Bensch & Jörg Peters, 2020. "One‐Off Subsidies and Long‐Run Adoption—Experimental Evidence on Improved Cooking Stoves in Senegal," American Journal of Agricultural Economics, John Wiley & Sons, vol. 102(1), pages 72-90, January.
    3. María Laura Alzúa & Habiba Djebbari & Amy J. Pickering, 2020. "A Community-Based Program Promotes Sanitation," Economic Development and Cultural Change, University of Chicago Press, vol. 68(2), pages 357-390.
    4. Aziz, Sonia & Boyle, Kevin & Akanda, Ali S. & Hanifi, M.A. & Pakhtigian, Emily L., 2022. "Early Warning Systems, Mobile Technology, and Cholera Aversion: Evidence from Rural Bangladesh," RFF Working Paper Series 22-24, Resources for the Future.
    5. Yokoo, Hide-Fumi & Harada, Tetsuya, 2023. "What makes green persuasion effective? Evidence from a community-financed sanitation program in Indonesia," Resource and Energy Economics, Elsevier, vol. 73(C).
    6. Evan Plous Kresch & Molly Lipscomb & Laura Schechter, 2020. "Externalities and Spillovers from Sanitation and Waste Management in Urban and Rural Neighborhoods," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 42(3), pages 395-420, September.
    7. Kristina Czura & Andreas Menzel & Martina Miotto, 2019. "Menstrual Health, Worker Productivity and Well-being among Female Bangladeshi Garment Workers," CERGE-EI Working Papers wp649, The Center for Economic Research and Graduate Education - Economics Institute, Prague.
    8. James Berry & Greg Fischer & Raymond Guiteras, 2020. "Eliciting and Utilizing Willingness to Pay: Evidence from Field Trials in Northern Ghana," Journal of Political Economy, University of Chicago Press, vol. 128(4), pages 1436-1473.
    9. Afridi, Farzana & Debnath, Sisir & Somanathan, E., 2021. "A breath of fresh air: Raising awareness for clean fuel adoption," Journal of Development Economics, Elsevier, vol. 151(C).
    10. Hoffmann, Vivian & Moser, Christine & Saak, Alexander, 2019. "Food safety in low and middle-income countries: The evidence through an economic lens," World Development, Elsevier, vol. 123(C), pages 1-1.
    11. Pakhtigian, Emily L. & Aziz, Sonia & Boyle, Kevin J. & Akanda, Ali S. & Hanifi, S.M.A., 2024. "Early warning systems, mobile technology, and cholera aversion: Evidence from rural Bangladesh," Journal of Environmental Economics and Management, Elsevier, vol. 125(C).
    12. Garg, Teevrat & Hamilton, Stuart E. & Hochard, Jacob P. & Kresch, Evan Plous & Talbot, John, 2018. "(Not so) gently down the stream: River pollution and health in Indonesia," Journal of Environmental Economics and Management, Elsevier, vol. 92(C), pages 35-53.

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