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Determinants of Diarrheal Disease in Jakarta
Author(s) -
Alberini Anna,
Eskeland Gunnar S.,
Krupnick Alan,
McGranahan Gordon
Publication year - 1996
Publication title -
water resources research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.863
H-Index - 217
eISSN - 1944-7973
pISSN - 0043-1397
DOI - 10.1029/96wr01102
Subject(s) - diarrheal disease , toilet , consumption (sociology) , washing hands , business , preference , revealed preference , environmental health , public economics , private good , resource (disambiguation) , public good , waterborne diseases , disease , economics , natural resource economics , diarrhea , hygiene , microeconomics , medicine , computer network , social science , pathology , virology , sociology , outbreak , computer science
Using data from a Jakarta household survey, we estimate a model of household defensive behavior and illness allowing for some risk factors that are hidden to the analyst but, perhaps, known to the household. As predicted by a general preference‐based theoretical model, defensive behavior (washing hands after toilet) intensifies with exposure to contaminants, income, opportunity, and education. Diarrheal disease, in turn, is determined by these factors and by defensive behavior. We also find evidence, though weak, in support of findings by VanDerslice and Bnscoe [1993] that pathogens are less harmful if they originate from within the household. Households are affected by water company decisions and management strategies, in particular, the frequency of interruptions, which interfere with defensive behavior. These findings link the inadequate supply of water for domestic use, a publicly provided good, and the private actions of the household, which are driven by its preferences for consumption goods and health, resource constraints, and knowledge of the sources of contagion. Such findings are therefore important in guiding the intersectoral allocations of public funds as well as the balance between private and public budgets.