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Learning, Hygiene and Traditional Medicine

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  • Daniel Bennett
  • Asjad Naqvi
  • Wolf‐Peter Schmidt

Abstract

Information provision is only an effective behaviour‐change strategy if the information is credible. A novel programme augments conventional hygiene instruction by showing participants everyday microbes under a microscope. Through a randomised evaluation in Pakistan, we show that this programme leads to meaningful hygiene and health improvements, while instruction alone does not. Traditional medicine, which offers an alternative disease model, may undermine learning by strengthening prior beliefs about hygiene. We show that believers in traditional medicine have smaller impacts, suggesting that traditional and modern medical beliefs are substitutes and that traditional medicine may exacerbate the infectious disease burden in this context.

Suggested Citation

  • 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.
  • Handle: RePEc:wly:econjl:v:128:y:2018:i:612:p:f545-f574
    DOI: 10.1111/ecoj.12549
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    1. Cairncross, Sandy & Shordt, Kathleen & Zacharia, Suma & Govindan, Beena Kumari, 2005. "What causes sustainable changes in hygiene behaviour? A cross-sectional study from Kerala, India," Social Science & Medicine, Elsevier, vol. 61(10), pages 2212-2220, November.
    2. Renfu Luo & Yaojiang Shi & Linxiu Zhang & Huiping Zhang & Grant Miller & Alexis Medina & Scott Rozelle, 2012. "The Limits of Health and Nutrition Education: Evidence from Three Randomized-Controlled Trials in Rural China," CESifo Economic Studies, CESifo Group, vol. 58(2), pages 385-404, June.
    3. Rachel Glennerster & Kudzai Takavarasha, 2013. "Running Randomized Evaluations: A Practical Guide," Economics Books, Princeton University Press, edition 1, number 10085.
    4. Ciro Avitabile, 2012. "Does Information Improve the Health Behavior of Adults Targeted by a Conditional Transfer Program?," Journal of Human Resources, University of Wisconsin Press, vol. 47(3), pages 785-825.
    5. Michael Kremer & Jessica Leino & Edward Miguel & Alix Peterson Zwane, 2011. "Spring Cleaning: Rural Water Impacts, Valuation, and Property Rights Institutions," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(1), pages 145-205.
    6. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    7. de Walque, Damien, 2007. "How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda," Journal of Development Economics, Elsevier, vol. 84(2), pages 686-714, November.
    8. Jalan, Jyotsna & Somanathan, E., 2008. "The importance of being informed: Experimental evidence on demand for environmental quality," Journal of Development Economics, Elsevier, vol. 87(1), pages 14-28, August.
    9. Monte, Cristina M. G. & Ashworth, Ann & Nations, Marilyn K. & Lima, A. A. & Barreto, A. & Huttly, Sharon R. A., 1997. "Designing educational messages to improve weaning food hygiene practices of families living in proverty," Social Science & Medicine, Elsevier, vol. 44(10), pages 1453-1464, May.
    10. Ho Lun Wong & Yaojiang Shi & Renfu Luo & Linxiu Zhang & Scott Rozelle, 2014. "Improving the Health and Education of Elementary Schoolchildren in Rural China: Iron Supplementation Versus Nutritional Training for Parents," Journal of Development Studies, Taylor & Francis Journals, vol. 50(4), pages 502-519, April.
    11. Madajewicz, Malgosia & Pfaff, Alexander & van Geen, Alexander & Graziano, Joseph & Hussein, Iftikhar & Momotaj, Hasina & Sylvi, Roksana & Ahsan, Habibul, 2007. "Can information alone change behavior? Response to arsenic contamination of groundwater in Bangladesh," Journal of Development Economics, Elsevier, vol. 84(2), pages 731-754, November.
    12. Rosenzweig, Mark R, 1995. "Why Are There Returns to Schooling?," American Economic Review, American Economic Association, vol. 85(2), pages 153-158, May.
    13. Hunte, Pamela A. & Sultana, Farhat, 1992. "Health-seeking behavior and the meaning of medications in Balochistan, Pakistan," Social Science & Medicine, Elsevier, vol. 34(12), pages 1385-1397, June.
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    3. Silvia Castro & Kristina Czura, 2021. "Social Norms and Misinformation: Experimental Evidence on Learning about Menstrual Health Management in Rural Bangladesh," CESifo Working Paper Series 9081, CESifo.
    4. Castro, Silvia & Czura, Kristina, 2021. "Social Norms and Information in Menstrual Health Management," VfS Annual Conference 2021 (Virtual Conference): Climate Economics 242423, Verein für Socialpolitik / German Economic Association.
    5. Czura, Kristina & Menzel, Andreas & Miotto, Martina, 2024. "Improved menstrual health and the workplace: An RCT with female Bangladeshi garment workers," Journal of Development Economics, Elsevier, vol. 166(C).
    6. Juan F. Castro & Paul Glewwe & Ricardo Montero, 2019. "Work With What You’ve Got: Improving Teachers’ Pedagogical Skills at Scale in Rural Peru," Working Papers 158, Peruvian Economic Association.
    7. Cyan, Musharraf R. & Kasim, M. Taha, 2023. "Awareness campaign to improve hygiene practices: Evidence from a randomized controlled trial in the tribal areas of Pakistan," Economics Letters, Elsevier, vol. 233(C).
    8. Dawoon Jung & Tushar Bharati & Seungwoo Chin, 2021. "Does Education Affect Time Preference? Evidence from Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 69(4), pages 1451-1499.
    9. Silvia Castro & Kristina Czura, 2024. "Cultural Taboos and Misinformation about Menstrual Health Management in Rural Bangladesh," CESifo Working Paper Series 11204, CESifo.
    10. Fink, Günther & Masiye, Felix, 2015. "Health and agricultural productivity: Evidence from Zambia," Journal of Health Economics, Elsevier, vol. 42(C), pages 151-164.
    11. 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.
    12. 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).
    13. 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.
    14. Noelia Bernal & Joan Costa-i-Font & Patricia Ritter, 2022. "The Effect of Health Insurance on Child Nutritional Outcomes. Evidence from a Regression Discontinuity Design in Peru," CESifo Working Paper Series 9887, CESifo.
    15. Alessandro Tarozzi & Ricardo Maertens & Kazi Matin Ahmed & Alexander van Geen, 2021. "Demand for Information on Environmental Health Risk, Mode of Delivery, and Behavioral Change: Evidence from Sonargaon, Bangladesh," The World Bank Economic Review, World Bank, vol. 35(3), pages 764-792.
    16. Reshmaan Hussam & Atonu Rabbani & Giovanni Reggiani & Natalia Rigol, 2022. "Rational Habit Formation: Experimental Evidence from Handwashing in India," American Economic Journal: Applied Economics, American Economic Association, vol. 14(1), pages 1-41, January.
    17. Reshmaan Hussam & Abu S. Shonchoy & Chikako Yamauchi & Kailash Pandey, 2021. "Translating Information into Action: A Public Health Experiment in Bangladesh," Working Papers 2127, Florida International University, Department of Economics.

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