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Photo: Photo :DToavmid v Banra Cziaekre/InWbeMrgI he/IWMI 
www.iwmi.org 
Water for a food-secure world 
Photo: Andrea Silverman/IWMI 
Name 
Date 
Event 
Location 
Time matters: 
‘short’ term vs. ‘medium’ term impacts 
1 
Soumya Balasubramanya 
Making Impact Evaluation Matter: Better Evidence for Effective Policies and Programs 
September 3-5, 2014 
Manila, Philippines 
Balasubramanya, S., Pfaff, A., Bennear, L., Tarozzi, A., Ahmed, K.M., van Geen, A. (2014). Evolution of households’ responses to the groundwater arsenic crisis in Bangladesh: information on environmental health risks can have increasing behavioral impact over time. Environment and Development Economics, 19(05), pp. 631-647.
www.iwmi.org 
Water for a food-secure world 
Summary 
• 
Impact of an arsenic information and testing campaign on adoption of risk-avertive behaviors over time. 
•Followed households over two time periods and tracked behaviors and perceptions over 2003-05 and 2005-08. 
•Impact of information on risk-avertive behaviors depends on ability to recall information 
–Households that recalled: behaviors were persistent and double the # of households took up behaviors over time 
–Households that didn't’ recall: observed perverse behaviors 
2
www.iwmi.org 
Water for a food-secure world 
Background 
• 
GW is primary drinking source; accessed through private tubewells (shallow, < 30 m; 90% of wells are shallow ) 
• 
GW contaminated with naturally occurring arsenic; unpredictable in shallow aquifer 
• 
WB- funded countrywide groundwater testing program b/w 1999-2003 
• 
Tested households’ tubewells for arsenic; painted spouts red/green 
• 
Encouraged households to share green wells 
• 
Village level awareness campaigns 
• 
Media campaigns 
3
www.iwmi.org 
Water for a food-secure world 
What happens within two years of testing? 
• 
Schoenfeld, 2005 
– 
Census of all tubewells tested by WB in 2003; in 62 villages of Araihazar Upazila 
– 
Interviewed the wives of the well owners 
– 
Recorded color of well (observed by enumerator) 
– 
Elicited safety perception (asked respondent if well was safe or unsafe) 
– 
Elicited switching behavior b/w 2003-05 
• 
Switching behaviors from unsafe wells ~20% 
4
www.iwmi.org 
Water for a food-secure world 
What happens over time? 
• 
Household values both convenience (well nearby) and safe drinking water (green well) 
– 
Switch if cost (switching) < benefit (switching) 
•Can the costs and benefits change over time? 
–‘Social learning’ by observing peers (Miguel and Kremer, 2004; Munshi and Myaux, 2006) 
–Household ‘loses’ information 
–Concern about health risk reduces (Karlan et al., 2010) 
–Safe well owners reduce access (Fehr and Fischbacher, 2003; Hanchett et al., 2002) 
5
www.iwmi.org 
Water for a food-secure world 
Two Questions 
• 
Is well-switching a persistent behavior change? 
• 
How does adoption of well-switching evolve over time? 
6
www.iwmi.org 
Water for a food-secure world 
Methods and Data 
• 
Follow-up study on households whose switching behaviors had been previously studied in Schoenfeld, 2005 
– 
Randomly selected subset of households in 59 villages 
– 
Interviewed same person as in previous survey 
– 
1557 households/wells (1038 unsafe; 519 safe) 
– 
Use sampling weights 
7
www.iwmi.org 
Water for a food-secure world 
Data 8
www.iwmi.org 
Water for a food-secure world 
Consistency in recall 
9 
• 
78% recalled switching behavior of 2003-2005 consistently 
• 
Always consider households with consistent recall of 2003-2005 switching behavior 
•By 2008, no color left on any well spout 
•78% recalled well safety consistently 
(well color = safety perception in 2005 = safety perception in 2008)
www.iwmi.org 
Water for a food-secure world 
Did impact of testing increase or erode over time? 
10 
• 
Consider households with consistent recall of well tests 
•If switched in 2003-2005, check if switches were persistent 
–16% of households at unsafe wells switched during 2003-2005 
•14% stayed put 
•2% switched to a second well they thought safe 
•If did not switch during 2003-2005, check if switched during 2005-2008 
–17% of households at unsafe-tested wells had switched 
–Switching over five years doubles that over two years
www.iwmi.org 
Water for a food-secure world 
11
www.iwmi.org 
Water for a food-secure world 
What about those that ‘forget’ information? 
12 
• 
Consider households with inconsistent recall of well tests (remembered correctly in 2005, but not in 2008) 
•In 2005 
–Paint visible on all wells (1039 red/ 519 green) 
–Almost all households recalled well safety correctly (97% unsafe/ 95% safe) 
•In 2008 
–Paint washed off 
–77% unsafe tested households recalled safety accurately 
–81% safe tested households recalled safety accurately
www.iwmi.org 
Water for a food-secure world 
Would it help to reinforce provision of arsenic information? 
13 
•Safe-tested hhs that changed safety perceptions after 2005: 26% switched in 2005-2008 
•Unsafe-tested hhs that changed safety perceptions after 2005: 11% switched in 2005-2008
www.iwmi.org 
Water for a food-secure world 
14
www.iwmi.org 
Water for a food-secure world 
Discussion 
• 
Behavioral: 
• 
Recall of arsenic information changes over time 
• 
Recall is critical for behavior 
•Evaluation: 
•Short-term evaluations present a snap shot 
•Impacts are heterogeneous 
•Policy perspective: 
•Cheap, responsible for most reduction in arsenic exposure (World Bank, 2005; Johnston et al., 2010; Ahmed et al., 2006) 
•Supporting continued well testing: new well constantly installed; 1/3 wells untested 
15
www.iwmi.org 
Water for a food-secure world 
Thank you! 
s.balasubramanya@cgiar.org 
16
www.iwmi.org 
Water for a food-secure world 
17
www.iwmi.org 
Water for a food-secure world 
18

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Time matters: ‘short’ term vs. ‘medium’ term impacts

  • 1. Photo: Photo :DToavmid v Banra Cziaekre/InWbeMrgI he/IWMI www.iwmi.org Water for a food-secure world Photo: Andrea Silverman/IWMI Name Date Event Location Time matters: ‘short’ term vs. ‘medium’ term impacts 1 Soumya Balasubramanya Making Impact Evaluation Matter: Better Evidence for Effective Policies and Programs September 3-5, 2014 Manila, Philippines Balasubramanya, S., Pfaff, A., Bennear, L., Tarozzi, A., Ahmed, K.M., van Geen, A. (2014). Evolution of households’ responses to the groundwater arsenic crisis in Bangladesh: information on environmental health risks can have increasing behavioral impact over time. Environment and Development Economics, 19(05), pp. 631-647.
  • 2. www.iwmi.org Water for a food-secure world Summary • Impact of an arsenic information and testing campaign on adoption of risk-avertive behaviors over time. •Followed households over two time periods and tracked behaviors and perceptions over 2003-05 and 2005-08. •Impact of information on risk-avertive behaviors depends on ability to recall information –Households that recalled: behaviors were persistent and double the # of households took up behaviors over time –Households that didn't’ recall: observed perverse behaviors 2
  • 3. www.iwmi.org Water for a food-secure world Background • GW is primary drinking source; accessed through private tubewells (shallow, < 30 m; 90% of wells are shallow ) • GW contaminated with naturally occurring arsenic; unpredictable in shallow aquifer • WB- funded countrywide groundwater testing program b/w 1999-2003 • Tested households’ tubewells for arsenic; painted spouts red/green • Encouraged households to share green wells • Village level awareness campaigns • Media campaigns 3
  • 4. www.iwmi.org Water for a food-secure world What happens within two years of testing? • Schoenfeld, 2005 – Census of all tubewells tested by WB in 2003; in 62 villages of Araihazar Upazila – Interviewed the wives of the well owners – Recorded color of well (observed by enumerator) – Elicited safety perception (asked respondent if well was safe or unsafe) – Elicited switching behavior b/w 2003-05 • Switching behaviors from unsafe wells ~20% 4
  • 5. www.iwmi.org Water for a food-secure world What happens over time? • Household values both convenience (well nearby) and safe drinking water (green well) – Switch if cost (switching) < benefit (switching) •Can the costs and benefits change over time? –‘Social learning’ by observing peers (Miguel and Kremer, 2004; Munshi and Myaux, 2006) –Household ‘loses’ information –Concern about health risk reduces (Karlan et al., 2010) –Safe well owners reduce access (Fehr and Fischbacher, 2003; Hanchett et al., 2002) 5
  • 6. www.iwmi.org Water for a food-secure world Two Questions • Is well-switching a persistent behavior change? • How does adoption of well-switching evolve over time? 6
  • 7. www.iwmi.org Water for a food-secure world Methods and Data • Follow-up study on households whose switching behaviors had been previously studied in Schoenfeld, 2005 – Randomly selected subset of households in 59 villages – Interviewed same person as in previous survey – 1557 households/wells (1038 unsafe; 519 safe) – Use sampling weights 7
  • 8. www.iwmi.org Water for a food-secure world Data 8
  • 9. www.iwmi.org Water for a food-secure world Consistency in recall 9 • 78% recalled switching behavior of 2003-2005 consistently • Always consider households with consistent recall of 2003-2005 switching behavior •By 2008, no color left on any well spout •78% recalled well safety consistently (well color = safety perception in 2005 = safety perception in 2008)
  • 10. www.iwmi.org Water for a food-secure world Did impact of testing increase or erode over time? 10 • Consider households with consistent recall of well tests •If switched in 2003-2005, check if switches were persistent –16% of households at unsafe wells switched during 2003-2005 •14% stayed put •2% switched to a second well they thought safe •If did not switch during 2003-2005, check if switched during 2005-2008 –17% of households at unsafe-tested wells had switched –Switching over five years doubles that over two years
  • 11. www.iwmi.org Water for a food-secure world 11
  • 12. www.iwmi.org Water for a food-secure world What about those that ‘forget’ information? 12 • Consider households with inconsistent recall of well tests (remembered correctly in 2005, but not in 2008) •In 2005 –Paint visible on all wells (1039 red/ 519 green) –Almost all households recalled well safety correctly (97% unsafe/ 95% safe) •In 2008 –Paint washed off –77% unsafe tested households recalled safety accurately –81% safe tested households recalled safety accurately
  • 13. www.iwmi.org Water for a food-secure world Would it help to reinforce provision of arsenic information? 13 •Safe-tested hhs that changed safety perceptions after 2005: 26% switched in 2005-2008 •Unsafe-tested hhs that changed safety perceptions after 2005: 11% switched in 2005-2008
  • 14. www.iwmi.org Water for a food-secure world 14
  • 15. www.iwmi.org Water for a food-secure world Discussion • Behavioral: • Recall of arsenic information changes over time • Recall is critical for behavior •Evaluation: •Short-term evaluations present a snap shot •Impacts are heterogeneous •Policy perspective: •Cheap, responsible for most reduction in arsenic exposure (World Bank, 2005; Johnston et al., 2010; Ahmed et al., 2006) •Supporting continued well testing: new well constantly installed; 1/3 wells untested 15
  • 16. www.iwmi.org Water for a food-secure world Thank you! s.balasubramanya@cgiar.org 16
  • 17. www.iwmi.org Water for a food-secure world 17
  • 18. www.iwmi.org Water for a food-secure world 18