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Shifting social norms to reduce open defecation in rural India

Published online by Cambridge University Press:  10 September 2020

VARUN GAURI
Affiliation:
Princeton University, Princeton, NJ, USA
TASMIA RAHMAN*
Affiliation:
The World Bank, Washington, DC, USA
IMAN K. SEN
Affiliation:
The World Bank, Washington, DC, USA
*
*Correspondence to: E-mail: trahman4@worldbank.org

Abstract

Toilet ownership in India has grown in recent years, but open defecation can persist even when rural households own latrines. There are at least two pathways through which social norms inhibit the use of toilets in rural India: (1) beliefs/expectations that others do not use toilets or latrines or find open defecation unacceptable; and (2) beliefs about ritual notions of purity that dissociate latrines from cleanliness. A survey in Uttar Pradesh, India, finds a positive correlation between latrine use and social norms at baseline. To confront these, an information campaign was piloted to test the effectiveness of rebranding latrine use and promoting positive social norms. The intervention targeted mental models by rebranding latrine use and associating it with cleanliness, and it made information about growing latrine use among latrine owners more salient. Following the intervention, open defecation practices went down across all treatment households, with the average latrine use score in treatment villages increasing by up to 11% relative to baseline. Large improvements were also observed in pro-latrine beliefs. This suggests that low-cost information campaigns can effectively improve pro-latrine beliefs and practices, as well as shift perceptions of why many people still find open defecation acceptable. Measuring social norms as described can help diagnose barriers to reducing open defecation, contribute to the quality of large-scale surveys and make development interventions more sustainable.

Type
Article
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Allcott, H. and Rogers, T. (2014), ‘The Short-Run and Long-Run Effects of Behavioral Interventions: Experimental Evidence from Energy Conservation’, The American Economic Review, 104(10): 30033037.CrossRefGoogle Scholar
Ayalew, A. M., Mekonnen, W. T., Abaya, S. W. and Mekonnen, Z. A. (2018), ‘Assessment of Diarrhea and Its Associated Factors in Under-Five Children among Open Defecation and Open Defecation-Free Rural Settings of Dangla District, Northwest Ethiopia’, Journal of Environmental and Public Health, 2018, Article ID 4271915, 8 pages.CrossRefGoogle ScholarPubMed
Bicchieri, C. (2012), Social Norms, Social Change. Penn-UNICEF Lecture, July 2012.Google Scholar
Bicchieri, C. (2016), Norms in the Wild, Oxford, UK: Oxford University Press.Google Scholar
Bicchieri, C. and McNally, P. (2016), Shrieking Sirens. Schemata, Scripts, and Social Norms: How Change Occurs. PPE Working Papers 0005. Philosophy, Politics and Economics, University of Pennsylvania.Google Scholar
Bicchieri, C., Ashraf, S., Das, U., Kohler, H., Kuang, J., McNally, P., Shpenev, A. and Thulin, E. (2017), Phase 1 Project Report. Social Networks and Norms: Sanitation in Bihar and Tamil Nadu, India. Penn Social Norms Group (PennSoNG). 16. Retrieved from https://repository.upenn.edu/pennsong/16.Google Scholar
Bicchieri, C., Lindemans, J. W., and Jiang, T. (2014), ‘A structured approach to a diagnostic of collective practices’, Frontiers in psychology, 5.CrossRefGoogle ScholarPubMed
Brennan, G., Eriksson, L., Goodin, R. E., and Southwood, N. (2013), Explaining Norms, Oxford, UK: Oxford University Press.CrossRefGoogle Scholar
Bruner, J. (1990) S. Acts of Meaning, Cambridge, MA: Harvard University Press.Google Scholar
Buregyeya, E., Naigino, R., Mukose, A., Makumbi, F., Esiru, G., Arinaitwe, J., Musinguzi, J., and Wanyenze, R. K. (2017), ‘Facilitators and barriers to uptake and adherence to lifelong antiretroviral therapy among HIV infected pregnant women in Uganda: a qualitative study’, BMC pregnancy and childbirth, 17(1): 94.CrossRefGoogle ScholarPubMed
Coffey, D., Gupta, A., Hathi, P., Spears, D., Srivastav, N., and Vyas, S. (2015), Culture and the health transition: Understanding sanitation behavior in rural North India. IGC Working Paper.Google Scholar
Coffey, D., Gupta, A., and Spears, D. (2016), Purity, pollution, and untouchability: challenges affecting the adoption, use, and sustainability of sanitation programmes in rural India. Sustainable Sanitation for All: Experiences, challenges, and innovations. P. Bongartz, N. Vernon and J. Fox (eds.) Sustainable Sanitation for All: Experiences, Challenges, and Innovations, Practical Action Publishing, Rugby.Google Scholar
Crossley, M. (2002), ‘Introducing Narrative Psychology’, in Horrocks, C.; Kelly, N.; Roberts, B.; Robinson, D. (eds), Narrative, Memory and Life Transitions, University of Huddersfield, 113.Google Scholar
Datta, S. and Mullainathan, S. (2014), ‘Behavioral Design. A New Approach to Development Policy’, Review of Income and Wealth, 60(1): 735.CrossRefGoogle Scholar
DiMaggio, P. (1997), ‘Culture and Cognition’, Annual Review of Sociology 23(1): 263–87.CrossRefGoogle Scholar
Dixit, A. (2017), Fighting Corruption by Altering Equilibrium in An Assurance Game. Preliminary draft. Retrieved from http://www.princeton.edu/~dixitak/home/AssurAntiCorr.pdf.Google Scholar
Gauri, V., Woolcock, M., and Desai, D. (2013), ‘Intersubjective Meaning and Collective Action in Developing Societies: Theory, Evidence and Policy Implications’, Journal of Development Studies 49(1): 160172.CrossRefGoogle Scholar
Gupta, A., Khalid, N., Desphande, D., Hathi, P., Kapur, A., Srivastav, N., Vyas, S., Spears, D., and Coffey, D. (2019), ‘Changes in Open Defecation in Rural North India: 2014–2018’, IZA Discussion Paper No. 12065. Bonn, Germany: IZA Institute of Labor Economics.Google Scholar
Hallsworth, M., List, J. A., Metcalfe, R. D., and Vlaev, I. (2017), ‘The behavioralist as tax collector: Using natural field experiments to enhance tax compliance’, Journal of Public Economics, 148: 1431.CrossRefGoogle Scholar
Hammer, J. and Spears, D. (2016), ‘Village sanitation and child health: Effects and external validity in a randomized field experiment in rural India’, Journal of Health Economics, 48: 135148.CrossRefGoogle Scholar
Helmore, K. (2012), In Sudan: Changing labels, changing lives. UNFPA. Retrieved from United Nations website: https://www.unfpa.org/public/home/news/pid/11223.Google Scholar
Herbst, D. and Mas, A. (2015), ‘Peer effects on worker output in the laboratory generalize to the field’, Science, 350(6260): 545549.CrossRefGoogle ScholarPubMed
Jacoby, H. and Mansuri, G. (2011), Crossing Boundaries: Gender, Caste and Schooling in Rural Pakistan, Washington: World Bank.CrossRefGoogle Scholar
Khare, R. (1962), ‘Ritual purity and pollution in relation to domestic sanitation’, The Eastern Anthropologist, 15(2): 125139.Google Scholar
La Ferrara, E., Chong, A., and Duryea, S. (2012), ‘Soap Operas and Fertility: Evidence from Brazil’, American Economic Journal: Applied Economics 4: 131.Google Scholar
LIMRA (2016), The Mysteries of Life: Life Insurance Ownership and Behavioral Economics, LIMRA.Google Scholar
Mackie, G., Moneti, F., Denny, E., and Shakya, H. (2015), What are social norms? How are they measured. University of California at San Diego-UNICEF Working Paper, San Diego.Google Scholar
Mandler, G. (1984), Mind and Body: The Psychology of Emotion and Stress, New York: Norton.Google Scholar
Mara, D. (2017), ‘The elimination of open defecation and its adverse health effects: a moral imperative for governments and development professionals’, Journal of Water, Sanitation and Hygiene for Development, 7(1): 112.CrossRefGoogle Scholar
National Annual Rural Sanitation Survey (2017–2018). Retrieved from https://mdws.gov.in/sites/default/files/NARSS_2017_18.pdf.Google Scholar
Nguyen, P. H., Sanghvi, T., Kim, S. S., Tran, L. M., Afsana, K., Mahmud, Z., Aktar, B., and Menon, P. (2017), ‘Factors influencing maternal nutrition practices in a large scale maternal, newborn and child health program in Bangladesh’, PloS one, 12(7): e0179873.CrossRefGoogle Scholar
Patil, S. R., Arnold, B. F., Salvatore, A. L., Briceno, B., Ganguly, S., Colford, J.M Jr, and Gertler, P. J. (2014), ‘The Effect of India's Total Sanitation Campaign on Defecation Behaviors and Child Health in Rural Madhya Pradesh: A Cluster Randomized Controlled Trial’, PLoS Med, e1001709.CrossRefGoogle Scholar
Rosch, E. (1978), ‘Principles of categorization’, Concepts: core readings, 189206.Google Scholar
Sarbin, T. R. (1986), ‘The narrative as root metaphor for psychology’, in Sarbin, T. R. (ed.), Narrative psychology: The storied nature of human conduct, New York: Praeger, 321. (19 sider).Google Scholar
Shubber, Z., Mills, E. J., Nachega, J. B., Vreeman, R., Freitas, M., Bock, P., Nsanzimana, S., Penazzato, M., Appolo, T., Doherty, M., and Ford, N. (2016), ‘Patient-Reported Barriers to Adherence to Antiretroviral Therapy: A Systematic Review and Meta-Analysis’, PLoS Medicine, 13(11): e1002183.CrossRefGoogle ScholarPubMed
Sunstein, C. (1996), ‘Social norms and social roles’, Columbia Raw Review, 96: 903968.CrossRefGoogle Scholar
Swachh Bharat Mission (2019), Gramin, Ministry of Drinking Water and Sanitation. Retrieved January 31, 2019, from http://swachhbharatmission.gov.in/sbmcms/index.htm.Google Scholar
Takada, S., Weiser, S. D., Kumbakumba, E., Muzoora, C., Martin, J. N., Hunt, P. W., Haberer, J. E., Kawuma, A., Bangsberg, D. R., and Tsai, A. C. (2014), ‘The dynamic relationship between social support and HIV-related stigma in rural Uganda’, Ann. Behav. Med, 48, 2637.CrossRefGoogle ScholarPubMed
UNICEF (2015), Using Social Norms Theory to Strengthen CLTS in Southern Madagascar. Eastern and Southern Africa Sanitation and Hygiene Learning Series: WASH Field Note: November 2015. Retrieved from https://www.unicef.org/esaro/UNICEF-FN-CLTS-Madagascar-low-res.pdf.Google Scholar
Water and Sanitation Program, The World Bank (2016), SaniFOAM-UP. Unpublished raw data.Google Scholar
World Bank (2018), Hashemite Kingdom of Jordan – Understanding How Gender Norms in MNA Impact Female Employment Outcomes (English), Washington, DC: World Bank Group.Google Scholar
World Bank Group (2015), World Development Report 2015: Mind, Society, and Behavior, Washington, DC: World Bank.Google Scholar
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