The Illusion of Sustainability

Abstract

This brief summarizes the results of a gender impact evaluation study, entitled The illusion of sustainability, conducted during the time period 1998 to 2001 in Kenya. The study observed that deworming is a public good since much of its social benefit comes through reduced disease transmission. People were less likely to take deworming if their direct first-order or indirect second-order social contacts were exposed to deworming. The introduction of a small fee for deworming drugs led to an 80 percent reduction in treatment rates. Take-up was not sensitive to the exact price level, suggesting that it is particularly counter-productive to charge small positive prices for the treatment of infectious diseases. An intensive school health education had no impact on worm prevention. Funding for the study derived from World Bank, NIH Fogarty International Center, Berkeley Center for Health Research.