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Heterogeneous effects of improving technical efficiency on household multidimensional poverty: evidence from rural Ethiopia.

ABSTRACT: Smallholder agriculture in developing countries is characterized by low productivity. Improving the productive efficiency of farm households is considered one of the paths to increase productivity and reduce poverty. This study analyzed the poverty reduction effects of improving the technical efficiency of cereal-producing farm households using plot-level data from rural Ethiopia. The effects were also evaluated whether they were heterogeneous relative to the level of crop diversification. Multidimensional Poverty Index (MPI) and stochastic meta-frontier approach were used to estimate the poverty status and the technical efficiency scores, respectively, and the Herfindahl Index (HI) was used to compute crop diversification. The instrumental Tobit Model was specified to estimate the poverty reduction effect of technical efficiency. Our results revealed that the mean technical efficiency of farm households was estimated to be 58%. The poverty estimate results showed that a higher proportion of farm households were multidimensional poor. The incidence of poverty and the mean deprivation score was found to be 57.9% and 44.1%, respectively. Overall, the value of MPI estimated was 31.2%, implying the farm households experienced 31.2% of the total deprivations across all indicators. The HI was 0.51, indicating a moderate degree of crop diversification among farm households. The model results showed that a 10% increase in technical efficiency significantly drives down the household multidimensional poverty by 15.3% at 1% level, keeping other things being constant. Furthermore, ceteris paribus, a 10% increase in technical efficiency significantly reduces household multidimensional poverty by 7.0% and 7.8% at 1% level among moderately diversified and least diversified farm households, respectively. In conclusion, technical efficiency has a higher effect on multidimensional poverty among moderately diversified and least diversified farm households. Therefore, enhancing the productive capacity of farm households among the lower degree of crop diversification to efficiently use production inputs may assist in poverty reduction.

SUBMITTER: Birhanu FZ

PROVIDER: S-EPMC8723994 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:ObjectiveA focus on bacterial contamination has limited many studies of water service delivery in slums, with diarrheal illness being the presumed outcome of interest. We conducted a mixed methods study in a slum of 12,000 people in Mumbai, India to measure deficiencies in a broader array of water service delivery indicators and their adverse life impacts on the slum's residents.MethodsSix focus group discussions and 40 individual qualitative interviews were conducted using purposeful sampling. Quantitative data on water indicators-quantity, access, price, reliability, and equity-were collected via a structured survey of 521 households selected using population-based random sampling.ResultsIn addition to negatively affecting health, the qualitative findings reveal that water service delivery failures have a constellation of other adverse life impacts-on household economy, employment, education, quality of life, social cohesion, and people's sense of political inclusion. In a multivariate logistic regression analysis, price of water is the factor most strongly associated with use of inadequate water quantity (?20 liters per capita per day). Water service delivery failures and their adverse impacts vary based on whether households fetch water or have informal water vendors deliver it to their homes.ConclusionsDeficiencies in water service delivery are associated with many non-health-related adverse impacts on slum households. Failure to evaluate non-health outcomes may underestimate the deprivation resulting from inadequate water service delivery. Based on these findings, we outline a multidimensional definition of household "water poverty" that encourages policymakers and researchers to look beyond evaluation of water quality and health. Use of multidimensional water metrics by governments, slum communities, and researchers may help to ensure that water supplies are designed to advance a broad array of health, economic, and social outcomes for the urban poor.

Project description:BACKGROUND: Multiple interventions have been launched to improve the quality, access, and utilization of primary health care in rural, low-income settings; however, the success of these interventions varies substantially, even within single studies where the measured impact of interventions differs across sites, centers, and regions. Accordingly, we sought to examine the variation in impact of a health systems strengthening intervention and understand factors that might explain the variation in impact across primary health care units. METHODOLOGY/PRINCIPAL FINDINGS: We conducted a mixed methods positive deviance study of 20 Primary Health Care Units (PHCUs) in rural Ethiopia. Using longitudinal data from the Ethiopia Millennium Rural Initiative (EMRI), we identified PHCUs with consistently higher performance (n = 2), most improved performance (n = 3), or consistently lower performance (n = 2) in the provision of antenatal care, HIV testing in antenatal care, and skilled birth attendance rates. Using data from site visits and in-depth interviews (n = 51), we applied the constant comparative method of qualitative data analysis to identify key themes that distinguished PHCUs with different performance trajectories. Key themes that distinguished PHCUs were 1) managerial problem solving capacity, 2) relationship with the woreda (district) health office, and 3) community engagement. In higher performing PHCUs and those with the greatest improvement after the EMRI intervention, health center and health post staff were more able to solve day-to-day problems, staff had better relationships with the woreda health official, and PHCU communities' leadership, particularly religious leadership, were strongly engaged with the health improvement effort. Distance from the nearest city, quality of roads and transportation, and cultural norms did not differ substantially among PHCUs. CONCLUSIONS/SIGNIFICANCE: Effective health strengthening efforts may require intensive development of managerial problem solving skills, strong relationships with government offices that oversee front-line providers, and committed community leadership to succeed.

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Heterogeneous effects of improving technical efficiency on household multidimensional poverty: evidence from rural Ethiopia.

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