The Value of Clean Water: Experimental Evidence from Rural India

Over 2 billion people lack clean drinking water. Existing solutions face high costs (piped water) or low demand (point-of-use chlorine). Using a 60,000 household cluster-randomized experiment, we test an alternative approach: decentralized treatment and home delivery of clean water to the rural poor. At low prices, take-up exceeds 90 percent, sustained throughout the experiment. High prices reduce take-up but are privately profitable. We experimentally recover revealed-preference measures of valuation. Willingness-to-pay is several times higher than prior indirect estimates; willingness-to-accept is larger and exceeds marginal cost. Self-reported health measures improve accordingly. On a cost-per-DALY basis, free water delivery regimes appear highly cost effective. (JEL I12, O12, O13, O18, Q25, Q51, Q53)

Publication Details

Journal
American Economic Review
Published
2026-02-27
DOI
https://doi.org/10.1257/aer.20250278
Primary Topic
Economic and Environmental Valuation
Type
article
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article

The Value of Clean Water: Experimental Evidence from Rural India

American Economic Review
Economic and Environmental Valuation
article

The Value of Clean Water: Experimental Evidence from Rural India

article en

Abstract

Over 2 billion people lack clean drinking water. Existing solutions face high costs (piped water) or low demand (point-of-use chlorine). Using a 60,000 household cluster-randomized experiment, we test an alternative approach: decentralized treatment and home delivery of clean water to the rural poor. At low prices, take-up exceeds 90 percent, sustained throughout the experiment. High prices reduce take-up but are privately profitable. We experimentally recover revealed-preference measures of valuation. Willingness-to-pay is several times higher than prior indirect estimates; willingness-to-accept is larger and exceeds marginal cost. Self-reported health measures improve accordingly. On a cost-per-DALY basis, free water delivery regimes appear highly cost effective. (JEL I12, O12, O13, O18, Q25, Q51, Q53)

American Economic ReviewVol. 116(3)
Clean water and sanitation
Openalex Percentile: Top 44%
Economic and Environmental Valuation
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