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Research Article |

Ecological Sanitation and Health Capital: Impact of the Adoption of ECOSAN Toilets on the Health Costs of Households in Rural Areas in West-Central Cote d’Ivoire

The inadequacy of sanitation in developing countries has effets on the health capital and the living conditions of populations. The objective of this work was to assess the impact of access to ecological sanitation on the health expenditure of rural households. This study took place in west-central Cote d'Ivoire in ten villages in the Bouafle department during the implementation of the water supply and sanitation program for the millennium (PHAM). First, a descriptive statistical analysis was carried out to determine the socio-economic, environmental and health characteristics. Then the econometric analysis was carried out using a multiple linear regression of health expenditure linked to water-borne diseases on the age of the head of household, the provision of ecological sanitation toilets, and the household income per capita. Then finally, we used the double difference method to determine the impact of that program on health expenditure. The results showed that the prevalence of water-borne diseases and health expenditures saw a considerable drop thanks to PHAM. For the econometric results, we note that the advanced age of household heads increases health costs. Then also, a significant reduction in health expenditure linked to water-borne diseases is obtained thanks to the use of ecological toilets by households. This result is corroborated by the difference-in-differences method. This form of sanitation should be encouraged in developing countries for the eradication of water-borne diseases as well as the reduction in health expenses of rural households.

Ecological Sanitation, Health Expenditure, Households, Cote d’Ivoire

APA Style

Michel Porcella, Y., Ellele Aime Marius, Y., Landry, A., Kouadio Clement, K., Theophile, G. (2023). Ecological Sanitation and Health Capital: Impact of the Adoption of ECOSAN Toilets on the Health Costs of Households in Rural Areas in West-Central Cote d’Ivoire. International Journal of Health Economics and Policy, 8(4), 101-111. https://doi.org/10.11648/j.hep.20230804.13

ACS Style

Michel Porcella, Y.; Ellele Aime Marius, Y.; Landry, A.; Kouadio Clement, K.; Theophile, G. Ecological Sanitation and Health Capital: Impact of the Adoption of ECOSAN Toilets on the Health Costs of Households in Rural Areas in West-Central Cote d’Ivoire. Int. J. Health Econ. Policy 2023, 8(4), 101-111. doi: 10.11648/j.hep.20230804.13

AMA Style

Michel Porcella Y, Ellele Aime Marius Y, Landry A, Kouadio Clement K, Theophile G. Ecological Sanitation and Health Capital: Impact of the Adoption of ECOSAN Toilets on the Health Costs of Households in Rural Areas in West-Central Cote d’Ivoire. Int J Health Econ Policy. 2023;8(4):101-111. doi: 10.11648/j.hep.20230804.13

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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