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Health Econ. 2015 Sep;24(9):1065-81. doi: 10.1002/hec.3193. Epub 2015 May 15.

Constraints on Compliance and the Impact of Health Information in Rural Pakistan.

Author information

1
Harris School of Public Policy, University of Chicago, Chicago, IL, USA.
2
Vienna University of Economics and Business, Vienna, Austria.
3
London School of Hygiene and Tropical Medicine, London, UK.

Abstract

The provision of information, which is a common public health strategy, may be ineffective if recommendations are not privately optimal for message recipients. This paper evaluates the response to a hygiene information campaign in rural Pakistan. In a theoretical model, baseline hygiene and health proxy for preferences, prices, and wealth, which jointly moderate the impact of information. We show that people with good baseline hygiene and health respond differentially to the hygiene message. This result, which does not appear to arise through differential learning, suggests that practical constraints limit the adoption of hygiene recommendations. Information provision may exacerbate health inequality under these conditions.

KEYWORDS:

Pakistan; diarrhea; hygiene; information

PMID:
25980961
DOI:
10.1002/hec.3193
[Indexed for MEDLINE]

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