Poisoning the Mind: Arsenic Contamination of Drinking Water Wells and Children's Educational Achievement in Rural Bangladesh

Bangladesh has experienced the largest mass poisoning of a population in history owing to contamination of groundwater with naturally occurring inorganic arsenic. Prolonged drinking of such water risks development of diseases and therefore has implications for children's cognitive and psychological development. This study examines the effect of arsenic contamination of tubewells, the primary source of drinking water at home, on the learning outcome of school-going children in rural Bangladesh using recent nationally representative data on secondary school children. We unambiguously find a negative and statistically significant correlation between mathematics scores and arsenic-contaminated drinking tubewells at home, net of the child's socio-economic status, parental background and school specific unobserved correlates of learning. Similar correlations are found for an alternative measure of student achievement and subjective well-being (i.e. self-reported measure of life satisfaction), of the student. We conclude by discussing the policy implication of our findings in the context of the current debate over the adverse effect of arsenic poisoning on children.subjective well-being, Madrasa, drinking water pollution, Bangladesh

Conditional cash transfers and female schooling : the impact of the female school stipend program on public school enrollments in Punjab, Pakistan

Instead of mean-tested conditional cash transfer (CCT) programs, some countries have implemented gender-targeted CCTs to explicitly address intra-household disparities in human capital investments. This study focuses on addressing the direct impact of a female school stipend program in Punjab, Pakistan: Did the intervention increase female enrollment in public schools? To address this question, the authors draw on data from the provincial school censuses of 2003 and 2005. They estimate the net growth in female enrollments in grades 6-8 in stipend eligible schools. Impact evaluation analysis, including difference-and-difference (DD), triple differencing (DDD), and regression-discontinuity design (RDD) indicate a modest but statistically significant impact of the intervention. The preferred estimator derived from a combination of DDD and RDD empirical strategies suggests that the average program impact between 2003 and 2005 was an increase of six female students per school in terms of absolute change and an increase of 9 percent in female enrollment in terms of relative change. A triangulation effort is also undertaken using two rounds of a nationally representative household survey before and after the intervention. Even though the surveys are not representative at the subprovincial level, the results corroborate evidence of the impact using school census data.Education For All,Primary Education,Tertiary Education,Gender and Education,Education Reform and Management

Madrasas and NGOs : complements or substitutes ? non-state providers and growth in female education in Bangladesh

There has been a proliferation of non-state providers of education services in the developing world. In Bangladesh, for instance, Bangladesh Rural Advancement Committee runs more than 40,000 non-formal schools that cater to school-drop outs from poor families or operate in villages where there's little provision for formal schools. This paper presents a rationale for supporting these schools on the basis of their spillover effects on female enrollment in secondary (registered) madrasa schools (Islamic faith schools). Most madrasa high schools in Bangladesh are financed by the sate and include amodern curriculum alongside traditional religious subjects. Using an establishment-level dataset on student enrollment in secondary schools and madrasas, the authors demonstrate that the presence of madrasas is positively associated with secondary female enrollment growth. Such feminization of madrasas is therefore unique and merits careful analysis. The authors test the effects of the Bangladesh Rural Advancement Committee primary schools on growth in female enrollment in madrasas. The analysis deals with potential endoegeneity by using data on number of the number of school branches and female members in the sub-district. The findings show that madrasas that are located in regions with a greater number of Bangladesh Rural Advancement Committee schools have higher growth in female enrollment. This relationship is further strengthened by the finding that there is, however, no effect of these schools on female enrollment growth in secular schools.Primary Education,Tertiary Education,Education For All,Gender and Education,Teaching and Learning

Social interactions and student achievement in a developing country : An instrumental variables approach

This paper identifies endogenous social effects in mathematics test performance for eighth graders in rural Bangladesh using information on arsenic contamination of water wells at home as an instrument. In other words, the identification relies on variation in test scores among peers owing to exogenous exposure to arsenic contaminated water wells at home. The results suggest that the peer effect is significant, and school selection plays little role in biasing peer effects estimates.Tertiary Education,Education For All,Teaching and Learning,Primary Education,Secondary Education

Ghost doctors - absenteeism in Bangladeshi health facilities

The authors report on a study in which unannounced visits were made to health clinics in Bangladesh with the intention of discovering what fraction of medical professionals were present at their assigned post. This survey represents the first attempt to quantify the extent of the problem on a nationally representative scale. Nationwide the average number of vacancies over all types of providers in rural health centers is 26 percent. Regionally, vacancy rates (unfilled posts) are generally higher in the poorer parts of the country. Absentee rates at over 40 percent are particularly high for doctors. When separated into level of facility, the absentee rate for doctors at the larger clinics is 40 percent, but at the smaller sub-centers with a single doctor, the rate is 74 percent. Even though the primary purpose of this survey is to document the extent of the problem among medical staff, the authors also explore the determinants of staff absenteeism. Whether the medical provider lives near the health facility, access to a road, and rural electrification are important determinants of the rate and pattern of staff absentee rates.Public Health Promotion,Gender and Health,Health Systems Development&Reform,Health Monitoring&Evaluation,Housing&Human Habitats,Health Systems Development&Reform,Health Monitoring&Evaluation,Housing&Human Habitats,Gender and Health,Agricultural Knowledge&Information Systems

Poisoning the mind : arsenic contamination and cognitive achievement of children

Bangladesh has experienced the largest mass poisoning of a population in history owing to contamination of groundwater with naturally occurring inorganic arsenic. Continuous drinking of such metal-contaminated water is highly cancerous; prolonged drinking of such water risks developing diseases in a span of just 5-10 years. Arsenicosis-intake of arsenic-contaminated drinking water-has implications for children's cognitive and psychological development. This study examines the effect of arsenicosis at school and at home on cognitive achievement of children in rural Bangladesh using recent nationally representative school survey data on students. Information on arsenic poisoning of the primary source of drinking water-tube wells-is used to ascertain arsenic exposure. The findings show an unambiguously negative and statistically significant correlation between mathematics score and arsenicosis at home, net of exposure at school. Split-sample analysis reveals that the effect is only specific to boys; for girls, the effect is negative but insignificant. Similar correlations are found for cognitive and non-cognitive outcomes such as subjective well-being, that is, a self-reported measure of life satisfaction (also a direct proxy for health status) of students and their performance in primary-standard mathematics. These correlations remain robust to controlling for school-level exposure.Education For All,Health Monitoring&Evaluation,Environmental Economics&Policies,Tertiary Education,Urban Solid Waste Management

The effects of a fee-waiver program on health care utilization among the poor : evidence from Armenia

This study examines the impact of a fee-waiver program for basic medical services on health care utilization in Armenia. Because of the reduction in public financing of health services and decentralization and increased privatization of health care provision, private out-of-pocket contributions are increasingly becoming a significant component of health costs in Armenia. To help poor families cope with this constraint, the Armenian government provided a free-of-charge basic package service to eligible individuals in vulnerable groups, such as the disabled and children from single parent households. Drawing on the 1996 and 1998-99 Armenia Integrated Survey of Living Standards (AISLS), which allows the identification of eligible individuals under this program, the authors estimate the impact of the fee-waiver program on utilization of health services, particularly among the poor. Across the two survey rounds utilization rates have indeed declined despite comparable levels of income, and this decline has occurred among both the poor and the rich, with average utilization falling by 12 percent between the two surveys. But families with four or more children, the largest beneficiary group under the"vulnerable population"program, have decreased their use of health care services in a disproportionate manner-21 percent reduction in use between the two survey rounds. This precipitous drop in health care use by this vulnerable group, despite being eligible for free medical services, suggests that the program was inadequate in stemming the decline in the use of health services. The authors further present evidence to suggest that the free-of-charge eligibility program acts more like an income transfer mechanism, particularly to disabled individuals.Health Systems Development&Reform,Health Monitoring&Evaluation,Public Health Promotion,Early Child and Children's Health,Health Economics&Finance,Health Systems Development&Reform,Health Economics&Finance,Gender and Health,Regional Rural Development,Health Monitoring&Evaluation

Schools, Household, Risk, and Gender: Determinants of Child Schooling in Ethiopia

Drawing upon data from Ethiopia, we highlight the relationship between investments in child schooling and key factors related to household characteristics, supply and quality of schooling, and income shocks. The unique contribution of this study stems from our examination of the effect of adverse income shocks on gender-differentiated child schooling outcomes. While there are several empirical studies that test the degree to which households are able to smooth consumption in response to a covariate shock, only few studies probe the gender-differentiated impacts of those shocks within the household. We find a strong bias against investments in female education in rural Ethiopia. Controlling for key supply and demand side factors such as household income, parental education, distance to and quality of schools, girls who reside in rural areas are almost 12 percent less likely to be enrolled in primary school compared to boys. Furthermore, while an adverse weather-induced crop shock has no discernable impact on the schooling of boys, the same adverse shock has a deleterious impact on both the probability of enrollment and completion of schooling for girls. Besides the impact of adverse income shocks on child schooling, we find that investment in child schooling is significantly influenced by positive education externalities with the household and community, availability and distance to schools, and quality of school infrastructure.Key words: Income shocks; Schooling; Ethiopia.

Religious Schools, Social Values and Economic Attitudes: Evidence from Bangladesh

This paper examines the social impact of a madrasa (Islamic religious school) reform program in Bangladesh. The key features of the reform are change of the curriculum and introduction of female teachers. We assess whether the reform is making any contribution in improving social cohesion in rural areas. We use new data on teachers and female graduates from rural Bangladesh and explore how attitudes toward desired fertility, working mothers, higher education for girls vis-à-vis boys, and various political regimes vary across secondary schools and modernised madrasas. We find some evidence of attitudinal gaps by school type. Modernised religious education is associated with attitudes that are conducive to democracy. On the other hand, when compared to their secular schooled peers, madrasa graduates have perverse attitude on matters such as working mothers, desired fertility and higher education for girls. We also find that young people's attitudes are interlinked with that of their teachers. Exposure to female and younger teachers leads to more favourable attitudes among graduates. These estimated effects are robust to conditioning on a rich set of individual, family and school traits. We conclude by discussing other social and economic implications of these findings.

Tenure, Divesity, and commitment - community participation for urban service provision

What factors influence community participation in the delivery of urban services? In particular, does security of tenure enhance the probability of participation as it provides individuals with incentives to act collectively in pursuit of a common objective? And are collective efforts less likely to succeed when there is a high degree of heterogeneity in culture or endowments among community members? The authors use household level survey data for Bangalore, India, to show that tenure security has a significant impact on the willingness of residents to participate even when neighborhoods are diverse in terms of their cultural background and welfare status. Their findings suggest that participation is possible in heterogeneous communities when it is a means to a common objective and not a goal by itself.Community Development and Empowerment,Housing&Human Habitats,Social Capital,Decentralization,Health Economics&Finance,Governance Indicators,Housing&Human Habitats,Community Development and Empowerment,Social Capital,Health Economics&Finance