Themes / Topics Rural Poverty & Health
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The Multidimensional Poverty Assessment Tool: A new framework for measuring rural poverty. 

The Multidimensional Poverty Assessment Tool (MPAT) measures fundamental dimensions of rural poverty in order to support poverty-alleviation efforts in the less developed world. This article’s primary purpose is to introduce MPAT and describe its theoretical rationale. It begins with an overview of the importance of creating enabling environments for rural poverty alleviation before describing MPAT’s purpose and structure. The article goes on to address some of the advantages and shortcomings of surveys and indicators as means of measuring poverty, and concludes with a few caveats on using MPAT, and a focus on its added value to practitioners and academics.

InnoWat: IFAD & rural water investments

IFAD is currently engaged in over 230 loan operations in 85 countries. About two thirds of that portfolio is related to community-based natural resource management. Poor rural people and their institutions are at the core of this approach. Water is critical to these men and women pastoralists, fishers, farmers, young and old, part- or full-time, urban or rural, indigenous, tribal or otherwise often marginalized people. Itis the key entry point for improving their livelihoods. Water-related interventions are often linked to the building up or restoring of the asset base – and involve many facets and uses. This holistic view is part of the characterization of IFAD’s approach to water interventions in this fact sheet: rather than considering water solely as an input factor in the production chain, we have preferred to follow water throughout rural people’s livelihoods. This approach, combined with a qualitative analysis of the ongoing 2007/08 loan portfolio, yielded a few surprising insights (table 1).Almost half of all projects (45-50 per cent) involve aspects of water resource management at catchment or watershed levels, and hence beyond the immediate household or community level of use.

InnoWat Topic Sheet: [Pro-poor] Payments for watershed services

Payments for environmental services (PES) are a means of creating a market in environmental/ecosystem services. They link those who value a given service with those who can provide it. Most early PES initiatives were in Latin America, which remains the region with the most PES schemes, followed by Asia, and lastly Africa (figure 1). Payments for watershed functions seek to link upstream land use and management with downstream water use and management to realize benefits for upstream and downstream participants in the scheme and others in the area – not to mention for the environment. The ideal is a voluntary agreement between at least one buyer and one seller of ecosystem services (or land-use changes presumed to provide an ecosystem service). PES schemes have become increasingly popular with donors over the last few years. Yet despite their widespread application, by their nature they are not primarily intended as a tool for poverty reduction. They may be tailored to this purpose, however. From IFAD’s perspective, the problem is that poor rural people lack the prerequisites for participation in PES. Often, they do not have secure land tenure, rewards are easily usurped by the elite, and they lack the assets (human capital, natural resources) to provide the level of service needed to yield the desired impacts. Part of the solution to this stubborn dilemma may be to eschew PES schemes that simply seek market creation. Rather than clinging to economic principles, develop a variant of PES that builds on the reality faced in rural areas. This means allowing for market support, subsidies and a means of directing PES benefits to poor people – in short, developing pro-rural-poor PES.

Synthesis of strategic approaches: Enhancing pro-poor investments in water & rural livelihoods.

The reduction of hunger and poverty depends on improved access to water for poor rural people. Progress in community water supplies and agricultural water management (AWM), particularly irrigation, is one of the success stories of the twentieth century. However, it is disappointing to learn that AWM, by far the largest consumer of water in developing countries, has had little impact on world hunger and poverty. The experience of agency- and government-led interventions has not been good. They often impose ‘blueprint’ methods that ignore important local issues. A critical gap exists between planning and successful implementation. Approaches focus on what needs to be done, rather than on how to do it, and they ignore the complex interactions among individuals, the state and service providers –as well as their limited capacity to translate plans into practice. If poor rural people are not to be the losers again in the struggle for declining water resources, a new, pro-poor water management strategy is needed. It must focus more on how to do it, while still addressing what to do, where and with whom.

Developing a Thematic Indicator for Rural Poverty Assessment (MPAT)

The Multidimensional Poverty Assessment Project was a collaborative, international initiative to develop, test, and pilot a new tool for local-level rural poverty assessment. The work was supported by IFAD and guided by a Sounding Board of experts from IFAD, other United Nations agencies, international and regional organizations, and universities around the world, with the majority of its members coming from the Asia region where we developed and tested the tool in China and India. Surveys (household and village level) were developed and tested in an iterative and participatory fashion, as was the indicator structure used to aggregate sub-components and components. The resulting Multidimensional Poverty Assessment Tool (MPAT) provides an assessment, an overview, of ten dimensions central to rural livelihoods, highlighting where additional support or interventions are likely to be most needed. The tool was designed to be universal enough to be relevant to most rural contexts around the world, yet specific enough to provide project managers and others a detailed overview of key dimensions relevant to rural poverty reduction efforts. MPAT was independently evaluated by the European Commission Joint Research Center and a working-paper version of MPAT User’s Guide was released in 2009 as well as the 2009 MPAT Book, which provides a detailed description of why and how the tool was developed. MPAT’s theoretical foundations are described in a 2010 article in Development and Practice.

Electric Kettle Promotion Program in Rural China (RCT)

Results from our previous research in rural China suggests that increasing the use of electric kettles for boiling (i.e., treating) drinking water in low-income areas of rural China could help expand access to safer drinking water, reduce household air pollution, and improve environmental and health outcomes in rural Chinese households currently boiling drinking water with solid-fuels (or not treating their water, or drinking contaminated bottled water). Our study was designed (and pre-registered on Chinese Clinical Trials Register & ClinicalTrials.gov) to evaluate the impact of a pilot Rural Electric Kettle Promotion Program offered to low-income households in rural Anhui Province, China. Specifically, we used a parallel arm cohort cluster-randomized controlled (RCT) trial design with a 1:1 ratio to randomize 30 villages (i.e., clusters) to treatment or control using stratified randomization by geography and by cluster proportions of reported electric kettle use at baseline (900 households total).

[Notes: We pre-specified and pre-registered our statistical analysis plan, but data cleaning and analysis were significantly delayed due to the COVID19 pandemic; we anticipate publishing primary findings starting in 2024]

Water & poverty in rural China: Developing an instrument to assess the multiple dimensions of water & poverty

Abstract/Summary: This paper describes the theoretical foundations and development of a multidimensional, water-focused, thematic indicator of rural poverty: The Water, Economy, Investment and Learning Assessment Indicator (WEILAI). The WEILAI approach was specifically designed for application in rural China, to support poverty alleviation project planning, monitoring and evaluation, as well as targeting and prioritization. WEILAI builds primarily on the basic needs framework of poverty alleviation, and on the methodological structure of the Water Poverty Index, to provide a proxy measure of an area’s poverty by assessing eight key poverty sectors, with a strong focus on the components of water-poverty. The WEILAI approach was piloted and implemented in 534 households in China’s mountainous southwest. This paper describes the indicator construction, weighting schemes, methodology, field sites, and statistical validation of the results. In addition, we discuss the results, feedback from in-country project staff, and the likely utility of the tool for project planning, monitoring and evaluation support. The paper concludes with a discussion of WEILAI’s overall utility and ongoing development.

Microbiological evaluation of household drinking water treatment in rural China shows benefits of electric kettles: A cross-sectional study

Abstract: Background – In rural China ~607 million people drink boiled water, yet little is known about prevailing household water treatment (HWT) methods or their effectiveness. Boiling, the most common HWT method globally, is microbiologically effective, but household air pollution (HAP) from burning solid fuels causes cardiovascular and respiratory disease, and black carbon emissions exacerbate climate change. Boiled water is also easily re-contaminated. Our study was designed to identify the HWT methods used in rural China and to evaluate their effectiveness. Methods – We used a geographically stratified cross-sectional design in rural Guangxi Province to collect survey data from 450 households in the summer of 2013. Household drinking water samples were collected and assayed for Thermotolerant Coliforms (TTC), and physicochemical analyses were conducted for village drinking water sources. In the winter of 2013–2104, we surveyed 120 additional households and used remote sensors to corroborate selfreported boiling data. Findings – Our HWT prevalence estimates were: 27.1% boiling with electric kettles, 20.3% boiling with pots, 34.4% purchasing bottled water, and 18.2% drinking untreated water (for these analyses we treated bottled water as a HWT method). Households using electric kettles had the lowest concentrations of TTC (73% lower than households drinking untreated water). Multilevel mixed-effects regression analyses showed that electric kettles were associated with the largest Log10TTC reduction (-0.60, p<0.001), followed by bottled water (-0.45, p<0.001) and pots (-0.44, p<0.01). Compared to households drinking untreated water, electric kettle users also had the lowest risk of having TTC detected in their drinking water (risk ratio, RR = 0.49, 0.34–0.70, p<0.001), followed by bottled water users (RR = 0.70, 0.53–0.93, p<0.05) and households boiling with pots (RR = 0.74, 0.54–1.02, p = 0.06). Conclusion: As far as we are aware, this is the first HWT-focused study in China, and the first to quantify the comparative advantage of boiling with electric kettles over pots. Our results suggest that electric kettles could be used to rapidly expand safe drinking water access and reduce HAP exposure in rural China.

Predictors of drinking water boiling & bottled water consumption in rural China: A hierarchical modeling approach

Abstract/Summary: Approximately two billion people drink unsafe water. Boiling is the most commonly used household water treatment (HWT) method globally and in China. HWT can make water safer, but sustained adoption is rare and bottled water consumption is growing. To successfully promote HWT, an understanding of associated socioeconomic factors is critical. We collected survey data and water samples from 450 rural households in Guangxi Province, China. Covariates were grouped into blocks to hierarchically construct modified Poisson models and estimate risk ratios (RR) associated with boiling methods, bottled water, and untreated water. Female-headed households were most likely to boil (RR = 1.36, p < 0.01), and among boilers those using electric kettles rather than pots had higher income proxies (e.g., per capita TV ownership RR = 1.42, p < 0.01). Higher-income households with younger, literate, and male heads were more likely to purchase (frequently contaminated) bottled water, or use electric kettles if they boiled. Our findings show that boiling is not an undifferentiated practice, but one with different methods of varying effectiveness, environmental impact, and adoption across socioeconomic strata. Our results can inform programs to promote safer and more efficient boiling using electric kettles, and suggest that if rural China’s economy continues to grow then bottled water use will increase.

InnoWat: Water, innovations, learning & rural livelihoods

Abstract/Summary: The International Fund for Agricultural Development (IFAD) is a specialized agency of the United Nations dedicated to eradicating poverty in the rural areas of developing countries. Seventy-five per cent of the world’s poorest people, 800 million women, men and children, live in rural areas. Most depend on agriculture to survive. The IFAD team working on agricultural water management and rural infrastructure is developing its operational approach to water and rural poverty (WRP), under the aegis of the project for Learning and Knowledge on Innovations in Water and RuralPoverty (InnoWat). In light of the changing rural context within which poor rural people find themselves, the overall goal of InnoWat is essentially twofold:• strengthen IFAD capacity as a knowledge management broker for development partners interested in WRP, in accordance with IFAD’s mandate; and• provide IFAD country programme managers (CPMs) and their design teams with practical tools for project development, implementation and pro-poor, water related interventions. The team has created the present kit – InnoWat: Water, innovations, learning and rurallivelihoods1 – with the expectation that it will be useful to IFAD CPMs and will enhance IFAD’s comparative advantage with respect to rural poverty reduction and water issues.