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Spillovers of Community-Based Health Interventions on Consumption Smoothing

Fitzsimons, Emla, Malde, Bansi, Vera-Hernandez, Marcos (2016) Spillovers of Community-Based Health Interventions on Consumption Smoothing. In: IFS Working Paper (W16/18). . Institute for Fiscal Studies (doi:10.1920/wp.ifs.2016.1618)

Abstract

Community-based interventions, particularly group-based ones, are considered to be a cost-effective way of delivering interventions in low-income settings. However, design features of these programs could also influence dimensions of household and community behaviour beyond those targeted by the intervention. This paper studies spillover effects of a participatory community health intervention in rural Malawi, implemented through a cluster randomised control trial, on an outcome not directly targeted by the intervention: household consumption smoothing after crop losses. We

find that while crop losses reduce consumption growth in the absence of the intervention, households in treated areas are able to compensate for this loss and perfectly insure their consumption. Asset decumulation also falls in treated areas. We provide suggestive evidence that these effects are driven by increased social interactions, which could have alleviated contracting frictions; and rule out that they are driven by improved health or reductions in the incidence of crop losses.

Item Type: Conference or workshop item (Speech)
DOI/Identification number: 10.1920/wp.ifs.2016.1618
Uncontrolled keywords: participatory community interventions, spillovers, consumption smoothing, Sub-Saharan Africa
Subjects: H Social Sciences > HB Economic Theory
H Social Sciences > HT Communities. Classes. Races
Divisions: Faculties > Social Sciences > School of Economics
Depositing User: Bansi Malde
Date Deposited: 11 Sep 2017 10:16 UTC
Last Modified: 06 Feb 2020 04:16 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/63366 (The current URI for this page, for reference purposes)
Malde, Bansi: https://orcid.org/0000-0003-1323-3383
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