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Effects of Early-Life Exposure to Sanitation on Childhood Cognitive Skills: Evidence from India’s Total Sanitation Campaign

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  • Dean Spears
  • Sneha Lamba

Abstract

Early-life health shapes cognitive skills and human capital. In India, widespread open defecation without using a toilet is an important source of childhood disease. We study the effects on childhood cognitive achievement of early-life exposure to India’s Total Sanitation Campaign (TSC), a large government program that encouraged local governments to build latrines and promote their use. We find that the TSC caused six-year-olds exposed to it in their first year of life to be more likely to recognize letters and simple numbers. Our results suggest that open defecation is an important threat to human capital in India.

Suggested Citation

  • Dean Spears & Sneha Lamba, 2016. "Effects of Early-Life Exposure to Sanitation on Childhood Cognitive Skills: Evidence from India’s Total Sanitation Campaign," Journal of Human Resources, University of Wisconsin Press, vol. 51(2), pages 298-327.
  • Handle: RePEc:uwp:jhriss:v:51:y:2016:i:2:p:298-327
    Note: DOI: 10.3368/jhr.51.2.0712-5051R1
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    1. Manisha Shah & Bryce Millett Steinberg, 2017. "Drought of Opportunities: Contemporaneous and Long-Term Impacts of Rainfall Shocks on Human Capital," Journal of Political Economy, University of Chicago Press, vol. 125(2), pages 527-561.
    2. Doyle, Orla & Harmon, Colm P. & Heckman, James J. & Tremblay, Richard E., 2009. "Investing in early human development: Timing and economic efficiency," Economics & Human Biology, Elsevier, vol. 7(1), pages 1-6, March.
    3. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    4. Pratham Pratham, 2010. "Annual Status of Education Report (Rural) 2009 (Provisional)," Working Papers id:2373, eSocialSciences.
    5. Martin Ravallion, 2012. "Fighting Poverty One Experiment at a Time: Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty : Review Essay," Journal of Economic Literature, American Economic Association, vol. 50(1), pages 103-114, March.
    6. Christa L Fischer Walker & Laura Lamberti & Linda Adair & Richard L Guerrant & Andres G Lescano & Reynaldo Martorell & Relana C Pinkerton & Robert E Black, 2012. "Does Childhood Diarrhea Influence Cognition Beyond the Diarrhea-Stunting Pathway?," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-6, October.
    7. Sebastian Galiani & Paul Gertler & Ernesto Schargrodsky, 2005. "Water for Life: The Impact of the Privatization of Water Services on Child Mortality," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 83-120, February.
    8. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    9. Kaivan Munshi & Mark R. Rosenzweig, 2005. "Why is Mobility in India so Low? Social Insurance, Inequality, and Growth," CID Working Papers 121, Center for International Development at Harvard University.
    10. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    11. David Cutler & Grant Miller, 2005. "The role of public health improvements in health advances: The twentieth-century United States," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 1-22, February.
    12. Watson, Tara, 2006. "Public health investments and the infant mortality gap: Evidence from federal sanitation interventions on U.S. Indian reservations," Journal of Public Economics, Elsevier, vol. 90(8-9), pages 1537-1560, September.
    13. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    14. Tania Barham, 2012. "Enhancing Cognitive Functioning: Medium-Term Effects of a Health and Family Planning Program in Matlab," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 245-273, January.
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