Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/161242 
Year of Publication: 
2017
Series/Report no.: 
IZA Discussion Papers No. 10619
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
This paper evaluates the effectiveness of a widely used sanitation intervention, Community-Led Total Sanitation (CLTS), using a randomized controlled trial. The intervention was implemented at scale across rural East Java in Indonesia. CLTS increases toilet construction, reduces roundworm infestations, and decreases community tolerance of open defecation. Financial constraints faced by poorer households limit their ability to improve sanitation. We also examine the program's scale up process which included local governments taking over implementation of CLTS from professional resource agencies. The results suggest that all of the sanitation and health benefits accrue from villages where resource agencies implemented the program, while local government implementation produced no discernible benefits.
Subjects: 
impact evaluation
sanitation
scale up
development
health
JEL: 
O12
I15
Document Type: 
Working Paper

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