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The goal of this study is to examine whether promising a conditional cash transfer (conditional on matriculation) at the start of junior high school increases the rate at which disadvantaged students matriculate into high school. Based on a randomised controlled trial (RCT) involving 1418 disadvantaged (economically poor) students in rural China, we find that a CCT voucher has no effect on increasing high school matriculation for the average disadvantaged student. The CCT voucher also has no differential impact on students at any point in the distribution of baseline academic achievement. This result suggests that CCTs, while shown to be effective in many contexts, do not always work.

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1
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Journal Articles
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Journal Publisher
Journal of Development Effectiveness
Authors
Prashant Loyalka
Scott Rozelle
Number
279
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Empirical evidence suggests that the prevalence of soil-transmitted helminth (STH) infections in remote and poor rural areas is still high among children, the most vulnerable to infection. There is concern that STH infections may detrimentally affect children’s healthy development, including their cognitive ability, nutritional status, and school performance. Medical studies have not yet identified the exact nature of the impact STH infections have on children. The objective of this study is to examine the relationship between STH infections and developmental outcomes among a primary school-aged population in rural China.

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Journal Articles
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PLOS Neglected Tropical Diseases
Authors
Alexis Medina
Scott Rozelle
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"Growing scarcity of freshwater worldwide brings to light the need for sound water resource modeling and policy analysis. While a solid foundation has been established for many specific water management problems, combining those methods and principles in a unified framework remains an ongoing challenge. This Handbook aims to expand the scope of efficient water use to include allocation of sources and quantities."

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Books
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Routledge Handbook of Water Economics and Institutions
Authors
Scott Rozelle
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Soil-transmitted helminths (STHs) are parasitic intestinal worms that infect more than two out of every five schoolchildren in rural China, an alarmingly high prevalence given the low cost and wide availability of safe and effective deworming treatment. Understanding of local knowledge, attitudes, and practices regarding STHs in rural China has until now, been sparse, although such information is critical for prevention and control initiatives. This study elucidates the structural and sociocultural factors that explain why deworming treatment is rarely sought for schoolchildren in poor villages of rural China with persistently high intestinal worm infection rates. In-depth, qualitative interviews were conducted in six rural villages in Guizhou Province; participants included schoolchildren, children’s parents and grandparents, and village doctors. We found evidence of three predominant reasons for high STH prevalence: lack of awareness and skepticism about STHs, local myths about STHs and deworming treatment, and poor quality of village health care. The findings have significant relevance for the development of an effective deworming program in China as well as improvement of the quality of health care at the village level. 

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Journal Articles
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PLoS Neglected Tropical Diseases
Authors
Alexis Medina
Scott Rozelle
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Although China has experienced rapid economic growth over the past few decades, significant health and nutritional problems remain. Little work has been done to track basic diseases, such as iron-deficiency anemia, so the exact prevalence of these health problems is unknown. The goals of this study were to assess the prevalence of anemia in China and identify individual, household and community-based factors associated with anemia. We used data from the 2009 China Health and Nutrition Survey (CHNS), including the measurement of he- moglobin levels among 7,261 individuals from 170 communities and 7 provinces in central and eastern China. The overall prevalence of anemia was 13.4% using the WHO’s blood hemoglobin thresholds (1968). This means in China’s more developed central and eastern regions up to 180 million people may be anemic. Some vulnerable subgroups were disproportionately affected by anemia. Seniors (aged 60 years and above) were more likely to be anemic than younger age cohorts, and females had higher anemia prevalence among all age groups except among children aged 7 to 14 years. We found a negative correlation between household wealth and the presence of anemia, suggesting anemia prevalence may decline as China’s economy grows. However, the prevalence of anemia was greater in migrant households, which should be experiencing an improved economic status.

 

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Journal Articles
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Southeast Asian Journal of Tropical Medicine and Public Health
Authors
Alexis Medina
Scott Rozelle
Number
2
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